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1926.62(j)(3)(ii) Content
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The content of medical examinations made available pursuant to paragraph (j)(3)(i)(B)-(C) of this section shall be determined by an examining physician and, if requested by an employee, shall include pregnancy testing or laboratory evaluation of male fertility. Medical examinations made available pursuant to paragraph (j)(3)(i)(A) of this section shall include the following elements:
A detailed work history and a medical history, with particular attention to past lead exposure (occupational and non-occupational), personal habits (smoking, hygiene), and past gastrointestinal, hematologic, renal, cardiovascular, reproductive and neurological problems;
A thorough physical examination, with particular attention to teeth, gums, hematologic, gastrointestinal, renal, cardiovascular, and neurological systems. Pulmonary status should be evaluated if respiratory protection will be used;
A blood pressure measurement;
A blood sample and analysis which determines:
Blood lead level;
Hemoglobin and hematocrit determinations, red cell indices, and examination of peripheral smear morphology;
Zinc protoporphyrin;
Blood urea nitrogen; and,
Serum creatinine;
A routine urinalysis with microscopic examination; and
Any laboratory or other test relevant to lead exposure which the examining physician deems necessary by sound medical practice.
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