SITE INFORMATION AND CORRESPONDENCE_1992

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". d ru l V . 6.8 Medical Surveillance. All personnel performing on-site activities shall participate in an ongoing medical surveillance program meeting the requirements of 29 CFR 1910.120 and ANSI Z-288.2 (Reference 11.20) . The medi- cal examination protocols and results shall be overseen by a licensed physician who is certified in Occupational Medicine by the American Board of Preventive Medicine, or who by necessary training and experience is Board- eligible. In consultation with the Occupational Physician the minimum specific examination content and frequency based on probable site conditions, potential occupational exposures and required protective equipment shall be specified. A written medical opinion from the examining physician as to fit- ness to perform the required work shall be made available to the Contracting officer upon request for any site employee. 6.9 Environmental Exposure and Personal Monitoring. Where it has been determined that there may be employee exposures to and/or off site migration potentials of hazardous airborne concentrations of hazardous substances, ap- propriate direct reading (real-time) air monitoring and integrated (time weighted average) air sampling shall be conducted in accordance with ap- plicable federal, state, and local requirements. Both air monitoring and air sampling must accurately represent concentrations of air contaminants encoun- tered on and leaving the site. The types and frequency of monitoring/ sam- pling to be performed shall specified for on-site and perimeter, where ap- plicable. Where perimeter monitoring is not deemed necessary, provide suitable justification for its exclusion. When applicable, NIOSH and or EPA sampling and analytical methods shall be used. Personal samples, where neces- sary, shall be analyzed only by laboratories successfully participating in and meeting the requirements of the American Industrial Hygiene Association' s (AIHA) Proficiency Analytical Testing (PAT) or laboratory Accreditation Program. Include, as appropriate, real-time (direct-read) monitoring and in- tegrated Time Weighted Average (TWA) sampling for specific contaminants of concern. Meteorological, noise and radiation monitoring shall be conducted as needed depending upon the site hazard assessment. All monitoring and sampling protocol shall be specified to include instrumentation to be used and calibra- tion of instruments. All monitoring results shall be compared to action levels to determine the need for corrective actions. AA-16