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1926.1124(k)(3) Contents of Examination
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The employer must ensure that the PLHCP conducting the examination advises the employee of the risks and benefits of participating in the medical surveillance program and the employee's right to opt out of any or all parts of the medical examination.
The employer must ensure that the employee is offered a medical examination that includes:
A medical and work history, with emphasis on past and present airborne exposure to or dermal contact with beryllium, smoking history, and any history of respiratory system dysfunction;
A physical examination with emphasis on the respiratory system;
A physical examination for skin rashes;
Pulmonary function tests, performed in accordance with the guidelines established by the American Thoracic Society including forced vital capacity (FVC) and forced expiratory volume in one second (FEV1);
A standardized BeLPT or equivalent test, upon the first examination and at least every two years thereafter, unless the employee is confirmed positive. If the results of the BeLPT are other than normal, a followup BeLPT must be offered within 30 days, unless the employee has been confirmed positive. Samples must be analyzed in a laboratory certified under the College of American Pathologists/ Clinical Laboratory Improvement Amendments (CLIA) guidelines to perform the BeLPT.
A low dose computed tomography (LDCT) scan, when recommended by the PLHCP after considering the employee's history of exposure to beryllium along with other risk factors, such as smoking history, family medical history, sex, age, and presence of existing lung disease; and
Any other test deemed appropriate by the PLHCP.
Related Code Sections
1926.1124(k)(3) Toxic and Hazardous Substances, Contents of Examination
The employer must ensure that the PLHCP conducting the examination advises the employee of the risks and benefits of participating in the medical ...
OSHA 1926 Construction > Z Toxic and Hazardous Substances > 1926.1124 Beryllium > 1926.1124(k) Medical Surveillance > 1926.1124(k)(3) Contents of Examination
1926.1126(i)(3) Toxic and Hazardous Substances, Contents of Examination
A medical examination consists of: A medical ...
OSHA 1926 Construction > Z Toxic and Hazardous Substances > 1926.1126 Chromium (VI) > 1926.1126(i) Medical Surveillance > 1926.1126(i)(3) Contents of Examination
1926.1124(k)(3)(ii)(D) Toxic and Hazardous Substances,
Pulmonary function tests, performed in accordance with the guidelines established by the American Thoracic Society including forced vital capacity ...
OSHA 1926 Construction > Z Toxic and Hazardous Substances > 1926.1124 Beryllium > 1926.1124(k) Medical Surveillance > 1926.1124(k)(3) Contents of Examination > 1926.1124(k)(3)(ii) > 1926.1124(k)(3)(ii)(D)
1926.1124(k)(3)(ii)(E) Toxic and Hazardous Substances,
A standardized BeLPT or equivalent test, upon the first examination and at least every two years thereafter, unless the employee is confirmed ...
OSHA 1926 Construction > Z Toxic and Hazardous Substances > 1926.1124 Beryllium > 1926.1124(k) Medical Surveillance > 1926.1124(k)(3) Contents of Examination > 1926.1124(k)(3)(ii) > 1926.1124(k)(3)(ii)(E)
1926.1124(k)(3)(ii)(F) Toxic and Hazardous Substances,
A low dose computed tomography (LDCT) scan, when recommended by the PLHCP after considering the employee's history of exposure to beryllium along ...
OSHA 1926 Construction > Z Toxic and Hazardous Substances > 1926.1124 Beryllium > 1926.1124(k) Medical Surveillance > 1926.1124(k)(3) Contents of Examination > 1926.1124(k)(3)(ii) > 1926.1124(k)(3)(ii)(F)