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<br />51 <br /> <br />7.3 TYPES OF EXAMINATIONS <br /> <br />7.3.1 BASELINE - INITIAL EXAMINATION <br /> <br />The employee should receive a baseline or initial medical examination based on an activity hazard <br />assessment prior to being assigned to a hazardous or potentially hazardous activity (e.g., <br />exposure to toxic substances or radiological materials, repetitive motion, heat/cold stress). The <br />examination should include, at a minimum, the items listed below. <br /> <br />o Complete medical and work history, <br />o Physical examination, <br />o Pulmonary function test (PFT), <br />o EKG, <br />o Audiogram, <br />o Chest X-Ray, <br />o Drug / Alcohol screening – 10 panel, <br />o Tetanus. <br /> <br /> <br />7.3.2 ANNUAL MEDICAL MONITORING <br /> <br />Employees working on hazardous waste sites, which may include chemical, physical, and/or <br />radiological hazards, should be provided with medical examinations every 12 months, unless the <br />physician believes a shorter or longer duration is needed or required. The content of the <br />examination is: <br /> <br />o Based on applicable laws and regulations, <br />o Pulmonary function test (PFT) as required by OSHA. <br />o Designed to detect change from the baseline examination. <br />o Designed to identify physiological changes. <br />o Other tests as determined by the physician. <br />o Drug / Alcohol screening – 10 panel. <br /> <br />The examining physician should be provided with employee site-specific exposure data, <br />parameters identified above, official dosimetry records, and a hazard assessment . <br /> <br />7.3.3 TERMINATION <br /> <br />A medical examination will be provided when an employee is terminated or reassigned to an area <br />or activity where the employee is not exposed to hazardous substances or radiological