Section 296-307-70420. Medical surveillance.  


Latest version.
  • Provide medical surveillance to employees.
    You must:
    (1) Provide medical surveillance for employees to comply with Tables 7 and 8, and the following:
    • Make medical surveillance available at:
    – Reasonable times and places.
    – No cost to employees, including travel associated costs such as mileage, gas or bus fare if the employee is required to travel off site
    AND
    – Wages for additional time spent outside of employees' normal work hours.
    • Make sure a licensed physician performs or supervises exams and procedures.
    • Give complete information to the examining physician including:
    – A copy of this section.
    – A description of the employee's duties that relate to hazardous substance exposure.
    – The hazardous substance exposure levels anticipated for the employee.
    – A description of the personal protective equipment (PPE) the employee could use.
    – Information available from previous medical examinations.
    – The medical evaluation information required by chapter 296-307 WAC, Part Y-5, Respirators.
    • Medical exams must include, at a minimum:
    – A medical history.
    – A work history (or updated history if on file).
    – A special emphasis on:
    ■ Assessment of symptoms related to handling hazardous substances.
    ■ Health hazards.
    ■ Evaluation of fitness for duty (including the ability to wear any personal protective equipment (PPE) or other conditions that may be expected at the workplace).
    – Other content as determined by the examining physician.
    Note:
    The physician should consult the Occupational Safety and Health Guidance Manual for Hazardous Waste Site Activities and the Medical Management Guidelines for Acute Chemical Exposure (search OSHA web site: http://www.osha.gov).
    You must:
    (2) Obtain the physician's written opinion and give a copy to the employee that includes:
    • A statement of whether or not medical conditions were found which would increase the employee's risk for impairment during emergency response work or respirator use.
    – Do not include specific findings or diagnoses unrelated to occupational exposures.
    • Limitations recommended to the employee's assigned work, if any.
    • Exam and test results if the employee requests this information.
    • A statement that affirms the employee has been confidentially informed of medical exam results (including medical conditions requiring follow-up).
    *Note:
    A medical evaluation for respirator use is required by chapter 296-307 WAC, Part Y-5, Respiratory protection, for those employees who have not been cleared for respirator use during medical surveillance activities.
    [Statutory Authority: RCW 49.17.010, 49.17.040, 49.17.050, 49.17.060. WSR 05-01-166, § 296-307-70420, filed 12/21/04, effective 4/2/05.]
RCW 49.17.010, 49.17.040, 49.17.050, 49.17.060. WSR 05-01-166, § 296-307-70420, filed 12/21/04, effective 4/2/05.

Rules

296-307,296-307,