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TITLE |
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DOCUMENT ID |
6800
Appendix T5 Contract Staff
Employee Medical Monitoring |
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1.0
Purpose
Medical monitoring is required for contract employees who perform certain work or, who are exposed to particular hazard issues (e.g., high noise, welding, oxygen deficiency). This monitoring is provided on site by TJNAFs Occupational Medicine Department at no cost to contract employees or their contracted company. 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 TJNAF protocols; forms and other requirements are obtainable from Occupational Medicine (x7539).
2.0
Scope
This document outlines the responsibilities and necessary steps to obtain medical monitoring for contract employees.
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Note:
Contract employees under the age of 18 are not allowed to work with the
hazards highlighted in Section 5.0 below and
are, therefore, not offered medical monitoring. |
TJNAF notifies contract employees of work areas with hazard issues that require medical monitoring. When applicable, Occupational Medicine ensures that contract employees receive appropriate medical monitoring. The processes 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 Technical Representative (TR)
· Complete a Job Task Analysis (JTA) to identify in the Skills Requirement List (SRL) those activities and hazard issues that require medical monitoring in work areas.
· Inform contract employees that:
o they are to report any suspected hazard issue, in order to determine whether medical monitoring is required.
o initial and/or routine medical monitoring is required if they perform certain work; or, are exposed to certain hazard issues (for example, high noise, welding, or oxygen deficiency).
· Ensure that contract employees who perform activities or work in areas that require medical monitoring have current medical certifications prior to authorizing work.
· Inform Occupational Medicine of new contract employees; any changes in health status; or altered job activity that might require occupational medicine assistance, work restrictions, and/or medical monitoring.
· Schedule appointments for medical monitoring with Occupational Medicine (when required) and prior to expiration of any current certification.
3.2 Occupational Medicine
· Schedule and conduct medical monitoring for contract employees requiring such.
· Provide the necessary information and certification forms to contract employees receiving off-site consultations.
· When applicable, update contract employees’ SRL based on medical monitoring.
· Maintain medical records in accordance with 10 CFR 851, Worker Safety and Health Program, 36 CFR 1223, Managing Vital Records, and DOE O 243.1C, Records Management Program.
· Provide contract employees with their medical records upon request.
4.0
Medical Monitoring for New, Loaned, or Transferred
Contract Employees
Technical representatives shall:
4.1 Evaluate the contract employees’ assigned work area and complete a JTA to identify any activities or hazard issues that require medical monitoring.
4.2 Inform the contract employee of hazard issues and medical monitoring requirements.
4.3 Schedule appointments with Occupational Medicine and ensure that medical monitoring is received.
4.4 Ensure that contract employee’s required medical monitoring certification(s) remains current for the duration of the contracted work.
5.0
Reference
Medical monitoring is provided – at specific intervals – for the hazard issues listed below.
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Activity and Hazard
Issue |
Typical Monitoring
Frequency |
ES&H
Manual Chapter |
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Aerial
Lift Operators |
3 years |
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Beryllium
Associated Work |
3 years |
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Crane
Operators |
3 years |
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Forklift
Operators |
3 years |
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Lasers –
Class 3b and 4 |
initially
and after any suspected injury |
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Lead
Associated Work |
3 years |
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Nanoparticle
Technology (Engineered) |
3 years |
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Noise
Exposure |
annually |
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Oxygen
Deficiency |
3 years |
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Respirator |
3 years |
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Static
Magnetic Field Exposure |
condition-specific |
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Welding |
3 years |
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6.0
Revision History
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rev |
summary |
date |
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2.1 |
periodic review - changed TPOC
from SChandler to KPadiyar ES&H Manual Editor did the following: - updated:
Note: in 3.0; headers & footers; cross-references: titles & hyperlinks;
bullets - corrected:
ESH&Q to ES&H as well as SOTR to TR -
organized: table in 5.0; previous Revision Summary section style to new table
format, Revision History |
06.22.2022 |
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2.0 |
periodic
review – no changes per TPOC |
06.27.2017 |
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updates
to clarify that the scope of the chapter is for contract employees, not
subcontractors |
07.31.2014 |
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1.0 |
periodic
review – reconciled Table 1 with Appendix T1 Table;
no substantive changes required |
05.20.2013 |
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0.0 |
new
appendix to Chapter 6800, Occupational Medicine |
05.10.2010 |
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ISSUING
AUTHORITY |
TECHNICAL
POINT-OF-CONTACT |
APPROVAL
DATE |
NEXT REVIEW
DATE |
REVIEW
CYCLE |
rev |
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ES&H Division |
06.27.2017 |
06.22.2025 |
3 years |
2.1 |
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