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Physicians Written Opinion: <br /> Before work begins a copy of the physicians written opinion for each <br /> employee shall be obtained and furnished to the Safety and Health <br /> Manager; and the employee. The opinion shall address the employees <br /> ability to perform hazardous remediation work and shall contain the <br /> following: <br /> a. The physician' s recommended limitations upon the <br /> employee 's assigned work and/or PPE usage; <br /> b. The physician' s opinion about increased risk to the <br /> employee' s health resulting from work; <br /> C. A statement from the physician that the employee has <br /> been informed and advised about the results of the <br /> examination. <br /> All employees or subcontractors who are required to wear a respirator <br /> shall additionally be qualitatively fit-tested. <br /> Persons Requiring Medical Examinations: <br /> Contractor and subcontractor personnel shall have medical examinations <br /> in compliance with 29 CFR 1910. 120 for handling hazardous wastes. This <br /> shall adhere to the following requirements: <br /> a. All employees who are or who may be exposed to <br /> hazardous substances or health hazards at or above the <br /> permissible exposure limits or, if there is no <br /> permissible exposure limit, above the published exposure <br /> levels for these substances, without regard to the use <br /> of respirators, for 30 days or more a year; or <br /> b. All employees who wear a respirator for 30 days or more <br /> a year or as required by 29 CFR 1910 . 134; or <br /> C. All employees who are injured due to overexposure from <br /> an emergency incident involving hazardous substances or <br /> health hazards; or <br /> d. Members of HAZMAT teams shall have medical examinations: <br /> • Prior to assignment <br /> • At least every 12 months for each employee covered <br /> unless the attending physician believes a longer <br /> interval (not greater than biennially) is appropriate. <br /> • At termination of employment. <br /> • As soon as possible upon notification that the <br /> employee has developed signs or symptoms indicating <br /> possible overexposure to hazardous substances or <br /> 40 <br /> Site Safety S Health Plan Rev./1.0 <br /> October 20, 1997 <br />