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Geosyntec° consultants 83 Baseline Medical Surveillance Exam The baseline medical examination is used to identify physical capabilities and certain medical limitations that may have an impact on the candidate's ability to perform in the position and/or job activity for which he/she is being considered, as well as to establish certain baseline medical parameters. The initial test results can then be compared against future periodic or project- specific monitoring results. 8.4 Periodic/Annual/Biennial Medical Exam The periodic medical examination is used to evaluate an employee's continued fitness for duty and to assess possible impact(s) occupational exposures may have had on their health status. The periodic examination includes an update to the medical and work history, results of previous occupational exposure assessments, and a detailed medical exam tailored to the job description. The Medical Director from WorkCare determines the frequency of the periodic medical exams based on regulatory requirements, the position/work activities of the employee, and the level of exposure to physical, chemical, and biological agents. 8.5 Exposure/Activity/Proiect-Specific Medical Testing Exposure-specific medical tests and/or evaluation of biological indices may be conducted to establish a baseline for certain project-specific parameters, to monitor the effectiveness of hazard controls, and/or to assess the impact of occupational exposures associated with a particular work activity or project. The Medical Director, in coordination with the H&S Department, will require or recommend an exposure-specific exam when deemed appropriate based on knowledge of project hazards, occurance of employee health symptoms, or an unexpected exposure event. Requests for exposure-specific examinations will be forwarded to the H&S Department, who will process the requests in collaboration with the Medical Director. The Medical Director will determine the type and frequency of the exposure-specific medical exams for employees designated to participate based on sound medical practice, latest toxicology information, and current regulatory requirements. 8.6 Exit Exam An exit medical examination is offered when an employee leaves the medical surveillance program, either because of termination of employment with Geosyntec or because of reassignment to a position not designated or identified to participate in the medical surveillance program. This optional exit examination may be used to assess potential changes in medical status that have occurred during the course of employees' previous work activities, and to establish a medical baseline at the time of departure. SAC 111 HASP-June 2023 13 6/23/2023