Common OSHA regulations and required exams

• Asbestos (1910/1926.1001)
• Benzene (1910.1028)
• Bloodborne pathogens (1910.1030)
• Confined space (1910.146)
• Crane operator (proposed 1910.179)
• Formaldehyde (1910.1048)

• Hazardous waste (1910.120)
• Hearing/noise (1910.95)
• Lead (1010.1025)
• Respirator (1910.134)
• US Department of Transportation (DOT) (49.cfr 391.41)

Asbestos (1910/1926.1001)

• Pre-placement exam
• Annual exam
• Personal history
• Work exposure history (TWA 0.1 fiber/cc per OSHA)
• Blood pressure
• Pulmonary function test
• Chest x-ray
  • Exposures 0-10 years with age 15 -45 = every 5 years
  • Exposures over 10 years with age 15-35 = every 5 years
  • Exposures over 10 years with age 35-45 = every 2 years
  • Exposures over 10 years with age over 45 = every year
• Physical exam

Benzene (1910.1028)

• Pre-placement exam
• Biannual exam
• Personal history
• Work exposure history (PEL 1 PPM 8 hour TWA)
• Blood pressure
• Blood chemistry
• Hematology
• PSA (Prostate Specific Antigen) for men

Bloodborne pathogens (1910.1030)

• Pre-placement exam
• Annual exam
• Personal history
• Work exposure history
• Blood chemistry
• Hematology
• Immunological workup
• Physical exam

Confined space (1910.146)

• Pre-placement exam
• Annual exam
• Personal history
• Work exposure history
• Blood pressure
• Pulmonary function test
• Chest x-ray
• Fitness evaluation

Crane operator (proposed 1910.179)

• Pre-placement exam
• Annual exam
• Personal history
• Blood pressure
• Vision screening
• Drug screen

Formaldehyde (1910.1048)

• Pre-placement exam
• Annual exam
• Personal history
• Work exposure history
  • Action level = 0.5 PPP 8 hours
  • PEL = 0.75 PPM 8 hours TWA
  • STEL (short-term exposure) 2 PPM (max. 15-min exposure )
• Blood pressure
• Pulmonary function test
• Chest x-ray
• Vision screening
• Skin testing

Hazardous waste (1910.120)

• Pre-placement exam
• Annual exam
• Personal history
• Work exposure history
• Blood pressure
• EKG
• Pulmonary function test
• Chest x-ray
• Audiometry
• Vision screening
• Blood chemistry
• Hematology
• Urinalysis
• Blood/urine trace metals
• Skin test
• Fitness
• Physical exam

Hearing/noise (1910.95)

• Pre-placement exam
• Annual exam
• Personal history
• Work exposure history
• Audiometry

Lead (1010.1025)

• Pre-placement exam
• Annual exam
• Personal history
• Work exposure history
• Blood pressure
• Hematology
• Urinalysis
• Blood/urine trace metals — lead, hemoglobin, hematocrit, blood urea nitrogen, serum creatinine, urinalysis zinc protoporphyrin (ZPP). Medical surveillance is required for lead levels above action level of 30 TWA.
• Nerve evaluation
• Physical exam

Respirator (1910.134)

• Pre-placement exam
• Annual exam
• Personal history
• Work exposure history
• Blood pressure
• Pulmonary function test
• Chest x-ray

US Department of Transportation (DOT) (49.cfr 391.41)

• Pre-placement exam
• Biannual exam
• Personal history
• Work exposure
• Blood pressure
• Pulmonary function test
• Chest x-ray
• Audiometry
• Vision screening
• Urinalysis
• Drug screen
• Fitness
• Physical exam