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TITLE: |
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DOCUMENT ID |
6800
Appendix T1: Medical Monitoring |
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1.0
Purpose
Medical monitoring is required for individuals who perform certain work and/or are exposed to certain hazard issues (e.g., high noise, welding, oxygen deficiency). This monitoring is offered on site by TJNAFs Occupational Medicine Department at no cost to employees. Those who decline on-site services are responsible for providing Occupational Medicine with comparable medical examination documentation from an outside medical facility. Independent examinations must align with Lab protocols; forms and other requirements are obtained from Occupational Medicine (ext. 7539).
2.0
Scope
This document outlines the responsibilities and process steps for obtaining medical monitoring for employees, users, and students who perform certain activities or are exposed to hazard issues that require routine medical monitoring by TJNAF.
NOTE: Individuals under the age of 18 are not allowed to work with hazard issues and are not offered medical monitoring. |
Subcontract employees who perform certain work, or are exposed to certain hazard issues (e.g., high noise, welding, oxygen deficiency), receive medical monitoring. The responsibilities and process steps for obtaining such for subcontract employees is presented in Appendix T5, Subcontract Employee Medical Monitoring.
The process steps in this appendix are performed in coordination with Chapter 6800, Occupational Medicine.
3.0
Responsibilities
Note: Management authority may be delegated to a
task-qualified TJNAF employee at the discretion of the responsible manager.
3.1 Everyone at Jefferson Lab
· Inform your supervisor/sponsor of any suspected hazard issue that needs to be evaluated for medical monitoring.
· Schedule and receive required medical monitoring prior to expiration of current certification as required by your Employee Job Task Analysis (EJTA).
· Adhere to any health-related restrictions imposed by the physician.
3.2 Supervisor or Sponsor
· Recognize activities and hazard issues that require medical monitoring in your area of responsibility.
· Ensure that individuals who perform activities or work in areas that require medical monitoring have current medical certifications prior to authorizing work.
· Inform Occupational Medicine of new hires or transfers, changes in health status, or altered job activity that requires medical monitoring.
· Enforce any necessary health-related work restrictions.
3.3 Occupational Medicine
· Conduct initial medical evaluations and schedule monitoring for individuals who perform activities or work in areas that expose them to hazard issues that require medical monitoring.
· Provide the necessary information and certification forms to individuals receiving off-site consultations.
· Maintain medical records in accordance with 10 CFR 851 Worker Safety and Health Program, 36 CFR 1223 Managing Vital Records, and DOE O 243.2 Vital Records.
· Update individuals’ Skills Requirements List (SRL) based on medical monitoring.
· Provide individuals with their medical records upon request.
3.4 Human Resources
Inform new employees that initial medical monitoring is required and that many employees need ongoing hazard-based medical monitoring.
4.0
Process Steps
Responsibilities for each process step are defined within the procedure.
4.1 Initial Hazard Issue Evaluation for an Area
4.1.1 Anyone at TJNAF may request a hazard evaluation for an activity or area from the Industrial Hygienist (x6381) (refer to the table in Section 5.0 below).
o If it is determined that those performing an activity or working in an area require medical monitoring, continue to 4.4.2.
o If no activity or hazard is found – the evaluator informs the concerned party(s) of the determination.
4.1.2 The evaluator informs the worker’s supervisor/sponsor of the activity/hazard requiring medical monitoring.
4.1.3 The supervisor/sponsor informs affected individuals of the activity/hazard and ensures that medical monitoring is scheduled for individuals working in the area.
4.1.4 The supervisor/sponsor ensures that warning signs are posted in accordance with the hazard issue.
4.2 Medical Monitoring Evaluation for New, Loaned, or Transferred Individuals
Supervisors and Sponsors are responsible for the following process steps.
4.2.1 Evaluate the individual’s assigned work area and note any activity/hazard that requires medical monitoring.
4.2.2 Inform the individual of the activity/hazard requiring medical monitoring and ensure that medical monitoring is scheduled.
4.2.3 Ensure that the individual’s medical monitoring certification is current.
Technical representatives responsible for subcontract employees who require medical monitoring should refer to Chapter 6800, Appendix T5, Subcontract Employee Medical Monitoring. |
5.0
Reference
Individuals who perform activities or work in areas that expose them to certain hazard issues are required by Jefferson Lab to submit to medical monitoring at specific intervals. The frequency of medical monitoring for an individual may be increased at the discretion of the Occupational Medicine physician.
The table below shows the activities and/or hazard issues that trigger medical monitoring, typical monitoring frequencies, and relevant ES&H Manual chapters.
Activity and/or Hazard Issue |
Typical Frequency of Monitoring |
ES&H Manual Chapter |
Aerial
Lift Operators |
3 years |
|
Beryllium-associated
Work |
3 years |
|
Crane
Operators |
3 years |
|
Forklift
Operators |
3 years |
|
Lasers –
Class 3b and 4 |
Initially
and after any suspected injury |
|
Lead
Associated Work |
3 years |
|
Nanoparticle
Technology (Engineered) |
3 years |
|
Noise
Exposure |
Annually |
|
Oxygen
Deficiency |
3 years |
|
Respirator |
3 years |
|
Silica
Worker Evaluations |
3 years |
|
Static
Magnetic Field Exposure |
Condition
Specific |
6420
Non-Ionizing Radiant Energy (i.e.: Radio Frequency (RF), Microwave, and
Static Magnetic Fields) |
Welding |
3 years |
6122 Hot Work (i.e. Welding, Cutting,
Brazing, and Grinding) Safety Program |
6.0
Revision History
rev |
summary |
date |
1.2 |
periodic review
- changed TPOC
from SChandler to KPadiyar - removed term radiation throughout & Ionizing Radiation Hazard information
from the table in 5.0 ESHM Editor performed the following: - added Note to responsibilities section - updated header & footer (added review cycle) - changed revision summary to revision history, and moved to table format |
06.17.2022 |
1.1 |
updated
Table 1 to include Silica Worker Evaluations per JWilliams |
02.24.2017 |
1.0 |
periodic
review – no changes per TPOC |
05.25.2016 |
periodic
review – no substantive changes required |
05.20.2013 |
|
revised
to reflect current laboratory operations |
05.10.2010 |