5.7 Medical Consultations5.7 Medical Consultations
When a chemical exposure occurs, medical consultations and medical examinations will be made available to laboratory workers who work with hazardous chemicals as required. All work related medical examinations and consultations will be performed by or under the direct supervision of a licensed physician and will be provided at no cost to the employee without loss of pay, and at a reasonable time, through the Cornell Health.
The opportunity to receive medical attention, including any follow up examinations, will be provided to employees who work with hazardous chemicals under the following circumstances:
- Whenever an employee develops signs or symptoms associated with a hazardous chemical to which the employee may have been exposed in the laboratory.
- Where airborne exposure monitoring reveals an exposure level routinely above the action level (or in the absence of an action level, the Permissible Exposure Limit) for an OSHA regulated substance for which there are exposure monitoring and medical surveillance requirements. Action level means the airborne concentration of a specific chemical, identified by OSHA, and calculated as an 8-hour time weighted average (TWA).
- Whenever an event such as a spill, leak, explosion or other occurrence takes place and results in the likelihood of a hazardous exposure. Upon such an event, the affected employee shall be provided an opportunity for a medical consultation. The consultation shall be for the purpose of determining the need for a medical examination.
More information on action levels and Permissible Exposure Limits can be found on the OSHA Health and Safety topics page – Permissible Exposure Limits.
5.7.1 Information Provided to the Physician5.7.1 Information Provided to the Physician
The physician shall be provided with the following information:
- The identity of the hazardous chemical(s) to which the employee may have been exposed. Such information can be found in the Safety Data Sheet (SDS) for the chemical(s).
- 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.
5.7.2 The Physician’s Written Opinion5.7.2 The Physician’s Written Opinion
The physician’s written opinion for the consultation or examination shall include:
- The results of the medical examination and any associated tests.
- Any medical condition that 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 workplace.
- 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 shall not reveal specific findings of diagnoses unrelated to the occupational exposure.
All records of medical consultations, examinations, tests, or written opinions shall be maintained at Cornell Health in accordance with 29 CFR 1910.1020 - Access to employee exposure and medical records. The Cornell Health (607-255-5155) is located at 10 Central Avenue. Exposure monitoring records of contaminate levels in laboratories will be maintained at EHS office at 395 Pine Tree Road, Suite 210. For more information, contact EHS at 607-255-8200.