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4.0 MEDICAL SURVEILLANCE REQUIREMENTS <br /> This contractor has a program in place that requires medical surveillance of <br /> employees that work in hazardous waste clean-up operations covered under Title 8 <br /> Section 5192 (a) (1) (A) through (E) and whose work may include: <br /> • Exposure or potential exposure to hazardous substances or health hazards at or <br /> above the Permissible Exposure Limit (PEL), or if there is no PEL, above the <br /> published exposure levels for these substances without regard to the use of <br /> respirators for 30 days or more a year; <br /> • Wearing a respirator during any part of a day for a period of 30 days or more in a <br /> year; and <br /> • Performing duties of a HAZMAT team. <br /> Employees shall have medical surveillance: <br /> • Prior to assignment or employment; <br /> • At least once every twelve months for each employee covered, unless the <br /> attending physician believes a longer interval is appropriate, not greater than <br /> biennially. <br /> • At termination of employment or reassignment to an area where the employee <br /> would not be covered if the employee has not had an examination within the last <br /> six months; and <br /> • If any employee that is injured, becomes ill or develops signs or symptoms due to <br /> possible overexposure involving hazardous substances or health hazards from an <br /> emergency response or hazardous waste operation, will be examined by a <br /> physician as soon as possible upon notification by the employee. <br />