17: Medical Consultation and Examination

17.1 All employees who work with hazardous chemicals

will have an opportunity to receive medical attention, including any follow-up examinations which the examining physician determines to be necessary, under the following circumstances:

17.1.1 Whenever an employee develops signs or symptoms

associated with a hazardous chemical to which the employee may have been exposed in the laboratory, the employee will be provided an opportunity to receive an appropriate medical examination.

17.1.2 Where exposure monitoring reveals an exposure level routinely above

the action level (or in the absence of an action level, the PEL) for an OSHA regulated substance for which there are exposure monitoring and medical surveillance requirements, medical surveillance will be established for the affected employee as prescribed by the particular standard.

17.1.3 Whenever an event takes place in the work area

such as a spill, leak, explosion or other occurrence resulting in the likelihood of a hazardous exposure, the affected employee will be provided an opportunity for a medical consultation. Such consultation will determine whether a medical examination is needed.

Contact the Chemical Hygiene Officer whenever the need for medical consultation or examination occurs, or if uncertainty exists as to whether any of the above criteria have been met.

17.2 Medical examinations and consultations

All medical examinations and consultations will be performed by or under the direct supervision of a licensed physician and will be provided without cost to the employee, without loss of pay and at a reasonable time and place. A College/University Incident Report form (see Appendix E) should be filled out for any incident resulting in a medical consultation or medical examination. The employee’s supervisor must sign this form before it is submitted. The supervisor should make a copy and forward it to the safety committee for review. The Accident/Injury form should be submitted within 24 hours of injury or as soon as possible. In case of a life-threatening illness or injury, dial 911 and request an ambulance.

17.3 The College/University will provide the examining physician with the following information:

The identity of the hazardous chemical(s) to which the employee may have been exposed;

A description of the conditions under which the exposure occurred including quantitative exposure data, if available.

A description of the signs and symptoms of exposure that the employee is experiencing, if any.

The above information will be collected and transmitted by the employee's supervisor or department and will be submitted to the Department of Environmental Health and Safety as well as to the examining physician.

17.4 The examining physician report

The examining physician will provide to the Environmental Health and Safety office a written report including the following:

Any recommendation for further medical follow-up;

The results of the medical examination and any associated tests;

Any medical condition which may be revealed in the course of the examination which may place the employee at increased risk as a result of exposure to a hazardous chemical found in the workplace; and

A statement that the employee has been informed by the physician of the results of the consultation or medical examination and any medical condition that may require further examination or treatment.

The written opinion will not reveal specific findings of diagnoses unrelated to occupational exposure. The Department of Environmental Health and Safety will notify the employee's department of the results of the medical consultation or examination.