Policy, Scope and ApplicationResponsibilities; Employee Information;Employee Training; Student Training; Authorized Chemical Use;Control Measures, General Requirements;Specific Requirements; Protective Equipment; Fume HoodsExposure Monitoring; Medical Surveillance; Incidents; Waste Disposal; Chemical Exposure; Chemical Spills; Appendix

Medical Surveillance 

The school shall provide medical consultation and appropriate follow-up exams by a licensed physician to any affected employee who develops signs and symptoms associated with a hazardous chemical exposure or when monitoring reveals an employee has been or is being overexposed above a specified limit.  Such consultations shall also be made available to affected employees in response to significant hazardous chemical spills, leaks, explosions, or other types of releases that result in the likelihood of employee overexposure.

Medical consultations shall be performed in accordance with policies developed and implemented by the school system and shall be provided without cost to the employee, without loss of pay, and shall be performed at a reasonable time and place.

Medical surveillance shall be performed on all employees using a hazardous substance that exceeds the applicable action limit for that substance or as otherwise required by an OSHA Standard.  Medical surveillance differs from a medical consultation in that surveillance measures are pro-active in nature and so designed as to prevent an overexposure from occurring.  There are currently no substances used within the System that would require medical surveillance of the employee.

Employees suspecting or receiving a chemical overexposure as outlined above must contact the Superintendent or their designee and shall notify the Science Coordinator (See Part 14 entitled “Incidents”).  The following information will be provided by the System to the examining physician:

•  Identity of the hazardous chemical to which the employee was potentially overexposed.
•  A description of the conditions of the exposure, including appropriate dates of exposure, chemical amounts, and conditions of the exposure.
•  A description of the signs and symptoms the employee is experiencing.
•  A copy of the Material Safety Data Sheet for the hazardous chemical to which the employee was exposed.

Employees shall not be allowed to work with hazardous substances to which they believe they are being overexposed.  In these situations, exposure monitoring may be conducted as outlined in this CHP.  The System shall take all reasonable and practical steps necessary to ensure the employee is protected from future overexposures if an actual overexposure has occurred.  Physicians providing medical consultations or examinations shall provide a written opinion to the System stating his or her findings.  The physician’s findings shall be filed with the Superintendent in the form of a written opinion which shall include, at a minimum, the following information:

•  Recommendations for future medical follow-up.
•  Results of the examination and associated tests. 
•  Any medical conditions revealed during the consultation or examination that may place the employee at increased risk as a result of the chemical exposure.
•  That the employee has been informed by the physician of the results of the examination and consultation and told of any medical conditions that may require additional examination or treatment.

The physician’s written opinion shall not include specific information such as findings or a diagnosis that is unrelated to the occupational exposure.