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Periodic Training: Employees shall additionally receive specific on-site follow-up training as needed by the Certified Industrial Hygienist The CIH shall provide follow-up training at least weekly, on problems observed during the previous week such as improper use of respirators or protective clothing, violation of decontamination procedures, previous week' s air monitoring results or other discrepancies. The CIH shall additionally provide special training when unanticipated problems or changes in the cleanup operations, SSHP and Activity Hazard Analyses occur, and to new employees as needed. MEDICAL SURVEILLANCE : The Safety and Health Manager, in conjunction with the Occupational Physician, shall detail. in the employer's Safety and Health Program and the SSHP, the medical surveillance program that includes scheduling of examinations, certification of fitness for duty, compliance with OSHA requirements, and information provided to the physician. Examinations shall be performed by or under the supervision of a licensed physician, preferably one knowledgeable in occupational medicine, and shall be provided without cost to the employee, without loss of pay and at a reasonable time and place. Medical surveillance protocols and examination and test results shall be reviewed by the Occupational Physician. The medical surveillance program shall contain the requirements specified below. Personnel working in contaminated areas of the site shall have been examined as prescribed in CFR 29 Part 1910 Section .120, and CFR 29 Part 1926 Section . 65, and determined medically fit to perform their duties. Frequency of Examinations: Employees shall have been provided with medical exams within the past 12 months and shall receive exams annually thereafter (if contract duration exceeds 1 year) ; on termination of employment; reassignment in accordance with CFR 29 Part 1910 Section .120 (e) (3) (i) (C) , and CFR 29 Part 1926 Section .65 (e) (3) (1) (C) ; if the employee develops signs or symptoms of illness related to workplace exposures; if the physician determines examinations need to be conducted more often than once a Year; and when an employee develops a lost time injury or illness during the period of this contract. The supervisor shall be provided with a written statement signed by the physician prior to allowing the employee to return to the work site after injury or illness resulting in a lost workday, as defined in CFR 29 Part 1904 Section .12 (f) . Content of Examinations: The following elements shall be included in the medical surveillance program. Additional elements may be included at the discretion of the occupational physician responsible for reviewing the medical surveillance protocols. 38 Site Safety i Health Plan Rev./1.0 October 20, 1997