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APP/SSHP Soil Excavation at California National Guard Armory Lodi, California 7.0 MEDICAL SURVEILLANCE Purpose The purpose of a medical surveillance program is to provide uniform medical care, ensure the selection of employees physically able to safely perform the work assigned, monitor employee health on a regular basis, and provide medical care for occupational injury or illness. This program applies to all OTIE employees and subcontractors. Specific requirements of the program are described below. Medical Evaluation All personnel involved in on-site operations must participate in an ongoing medical surveillance program meeting the requirements of OSHA 29 CFR 1910.95, 1910.120 and 1910.134. The first examination will be conducted before personnel begin working at the site. The medical surveillance protocols and examination results will be overseen by a licensed physician certified in Occupational Medicine by the American Board of Preventive Medicine or who, because of necessary training and experience, is Board-eligible. This requirement will be strictly enforced for OTIE personnel, as well as all subcontractor personnel. However, personnel currently participating in a medical surveillance program (with yearly medical examinations), which meets the requirements of 29 CFR 1910.120 relative to specific site conditions, will not be required to have additional medical surveillance. Based on the results of this examination and other pertinent information, a medical certification as to the fitness for employment on this project, or any restrictions on that employee's ability to utilize PPE will be maintained at the site. However, specific medical examination results will be maintained in strict confidence and will not be subject to disclosure without the explicit written approval of the employee. Beyond the general medical surveillance requirements listed above, no other chemical-specific requirements are applicable to OTIE employees based on historical data from previous projects and reasonable expectations of potential exposures at this Site. These requirements will be revised accordingly if data reveal that chemical-specific action levels are being exceeded. Annual Examination Each OTIE employee who may be potentially exposed to hazardous chemicals, or who must wear a respirator for more than 30 days per year, and is exposed to occupational noise will receive an annual examination consistent with the baseline examination aforementioned. Employee Notification of Medical Examination Results The board certified occupational physician at All one Health (formerly Health Resources-a national medical surveillance program provider) will review the results of the medical evaluation. If the examination uncovers a serious health problem, the employee is contacted and also notified in writing by the nurse at All One Health. All One Health also recommends that the employee see his/her family doctor. If the condition is more serious All One Health will notify OTIE's human resources department. If the health condition is pertaining to the job, All One Health will conduct follow-up monitoring. Lost-Time Injuries/Illnesses The occupational physician will evaluate any employee who loses time due to a workplace injury or illness during the period of the contract. The physician will complete appropriate forms and provide the supervisor with a copy, clearing the employee for return to work. Reports of all such accidents will be maintained at the site. OTIE 23