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ARCO Marketing Operations Construction Safety Policy <br /> • occupational history <br /> • physical exam - including cardio-pulmonary evaluation, hearing evaluation, vision <br /> assessment <br /> A physician will provide a "physicians opinion" as to the workers fitness for duty. This <br /> statement will state whether or not the worker is able to wear a respirator and protective <br /> clothing and may include limitations to be placed on the worker. It will not detail employee <br /> diseases and conditions not related to workplace job requirements. <br /> Medical surveillance is conducted before a worker is hired to make sure the prospective <br /> worker is medically fit, periodically (typically annually) to make sure the worker is still medically <br /> fit and at termination of employment to assess workers health status as employment ends. <br /> K. Medical Services and First Aid - 29 CFR 1926.23 and 29 CFR 1926.50 <br /> Employers are required to have readily available medical personnel for advice and <br /> consultation on matters of industrial health or injury. If there is not a nearby clinic or hospital, <br /> an on-site worker must be trained to render first aid. <br /> The Contractor must maintain adequate first aid materials on site which are approved by the <br /> consulting physician. The first aid materials must be maintained in sanitary and usable <br /> condition and inspected weekly and replenished as necessary. <br /> L. Confined Space - 29 CFR 1926.21 <br /> Workers who may be required to enter confined or enclosed spaces are required to be <br /> instructed as to the nature of the hazards involved, the necessary precautions to be taken and <br /> trained in the use of protective and emergency equipment. <br /> Examples of enclosed spaces include but are not limited to: storage tanks, process vessels, <br /> bins, boilers, ventilation or exhaust ducts, sewers, underground utility vaults, tunnels, pipelines <br /> and open top spaces more than four feet in depth such as excavated pits, tubs, vaults and <br /> vessels. General industry requirements are more detailed (see 29 CFR 1910. 146). <br /> M. Hearing Conservation - 29 CFR 1926.52 and 29 CFR 1926.101 <br /> Workplaces which are noisy (above 85 dBA) are required to develop and implement a Hearing <br /> Conservation Program. Elements of a Hearing Conservation Program include: <br /> • noise monitoring <br /> • audiometric testing <br /> • hearing protectors <br /> • training <br /> • recordkeeping (medical and exposure records) <br /> 6 <br />