Written Exposure Control Plan Template Page 15

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OVERVIEW
Written Exposure
Control Plan
OSHA §1926.1153
ii. Medical examination requirements
IV. A description of any personal protective
equipment used or to be used by the
I. Medical and work history, with emphasis on:
employee, including when and for how
past, present and anticipated exposure to
long the employee has used or will use
Silica, dust and other agents affecting the
that equipment; and
respiratory system; any history of respiratory
system dysfunction, including signs and
V. Information from records of employment-
symptoms of respiratory disease (e.g.,
related medical examinations previously
shortness of breath, coughing, wheezing);
provided to the employee and currently
within the control of the Company.
history of tuberculosis; and smoking status
and history.
iv. PLHCP’s written medical report to employee
II. A physical examination with special
emphasis on the respiratory system.
The Company shall ensure the PLHCP
explains to the employee the results of
III. A chest X-ray (a single posteroanterior
the medical examination and provides the
radiographic projection or radiograph
employee with a written medical report within
of the chest at full inspiration recorded
30 days of the examination. The medical
on either film [no less than 14 x 17
report shall contain the following:
inches and no more than 16 x 17
inches], or digital radiography systems),
I. A statement indicating the results of
interpreted and classified according
the medical examination, including any
to the International Labour Office (ILO)
medical condition(s) that would place the
International Classification of Radiographs
employee at increased risk of material
of Pneumoconioses by a NIOSH-certified B
impairment to health from exposure to
Reader;
Silica and any medical conditions that
require further evaluation or treatment;
IV. A pulmonary function test to include forced
vital capacity (FVC) and forced expiratory
II. Any recommended limitations on the
volume in one second (FEV1) and FEV1/
employee’s use of respirators;
FVC ratio, administered by a spirometry
III. Any recommended limitations on the
technician with a current certificate from a
employee’s exposure to Silica; and
NIOSH-approved spirometry course;
IV. A statement that the employee should
V. Testing for latent tuberculosis infection; and
be examined by a specialist if the chest
VI. Any other tests deemed appropriate by the
X-ray is classified as 1/0 or higher by the
PLHCP.
B Reader, or if referral to a specialist is
otherwise deemed appropriate by the
iii. Documentation provided by Company to
PLHCP.
PLHCP
v. PLHCP’s written medical opinion to Company
I. A copy of the Rule, unless the PLHCP has
— requirements
a copy;
The Company shall obtain a written medical
II. A description of the employee’s former,
opinion from the PLHCP, and provide the
current, and anticipated duties as they
employee with a copy, within 30 days of an
relate to the employee’s occupational
employee’s medical examination. The medical
exposure to Silica;
opinion shall contain the following:
III. The employee’s former, current, and
I. The date of the examination;
anticipated levels of occupational
exposure to Silica;
II. A statement that the examination has
met the requirements of this section a;
Hilti, Inc. (U.S.) 1-800-879-8000
en español 1-800-879-5000

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