Lead Paint Removal >> Remove Lead Paint From Your Business

Employers shall institute a medical surveillance program for all employees who are or may be exposed at or above the action level for more than 30 days per year. (B) The employer shall assure that all medical examinations and procedures are performed by or under the Remove Lead Paint From Your Business supervision of a licensed physician. 

(C) The Remove Lead Paint From Your Business employer shall provide the required medical surveillance including multiple physician review under Section 5198(j)(3)(C) without cost to employees and at a reasonable time and place. (2) Biological Monitoring. (A) Blood Lead and Zinc Protoporphyrin Sampling and Analysis. 

The employer shall make available biological monitoring in the form of blood sampling Remove Lead Paint From Your Business and analysis for lead and zinc protoporphyrin (ZPP) levels to each employee covered under Section 5198(j)(1)(A) on the following schedule: 1. At least every 6 months to each employee covered under Section 5198(j)(1)(A); 

2. At least every two months for each employee whose last blood sampling and analysis indicated a blood lead level at or above 40 µg/100 g of whole blood. This frequency shall continue until two consecutive blood samples and analysis indicate a blood lead level below 40 µg/100 g of whole blood; Remove Lead Paint From Your Business and 3. At least monthly during the removal period of each employee removed from exposure to lead due to an elevated blood lead level. 

4. ZPP determinations shall be made available as soon as possible but no later than the first biological monitoring scheduled for an employee after July 1, 1982. (B) Follow-Up Blood Sampling Tests. Whenever the results of a blood lead level test indicate that an employee's blood lead level exceeds the numerical criterion for medical removal under Section 5198(k)(1), Remove Lead Paint From Your Business the employer shall provide a second (follow-up) blood sampling test within two weeks after the employer receives the results of the first blood sampling test. 

(C) Accuracy of Blood Lead Level Sampling and Analysis. Blood lead level sampling and Remove Lead Paint From Your Business analysis provided pursuant to this section shall have an accuracy (to a confidence level of 95 percent) within plus-or-minus 15 percent or 6 µg/100 ml, whichever is greater, and shall be conducted by a laboratory licensed by the Center for Disease Control (CDC), 

U.S. Department of Health and Human Services, Remove Lead Paint From Your Business or which has received a satisfactory grade in blood lead proficiency testing from CDC in the prior 12 months. (D) Employee Notification. Within five working days after the receipt of biological monitoring results, the employer shall notify in writing each employee whose blood lead level exceeds 40 µg/100 g: 1. 

Of that employee's blood lead level; Remove Lead Paint From Your Business and 2. That the standard requires temporary medical removal with Medical Removal Protection benefits when an employee's blood lead level exceeds the numerical criterion for medical removal under Section 5198(k)(1). (3) Medical Examinations and Consultations. 

(A) Frequency. The Remove Lead Paint From Your Business employer shall make available medical examinations and consultations to each employee covered under Section 5198(j)(1)(A) on the following schedule: 1. At least annually for each employee for whom a blood sampling test conducted at any time during the preceding 12 months indicated a blood lead level at or above 40 µg/100 g; 

2. Prior to assignment for each employee being assigned for the first time to an area in which 8-hour time-weighted concentrations of airborne lead are at or above the action level; 3. As soon as possible, Remove Lead Paint From Your Business upon notification by an employee either that the employee has developed signs or symptoms commonly associated with lead intoxication.

That the employee desires medical advice concerning the effects of current or past exposure to lead on the employee's ability to procreate a healthy child, or that the Remove Lead Paint From Your Business employee has demonstrated difficulty in breathing during a respirator fitting test or during use; and 

4. As medically appropriate for each employee removed from exposure to lead due to a risk of sustaining material impairment to health, or Remove Lead Paint From Your Business otherwise limited pursuant to a final medical determination. (B) Content. Medical examinations made available pursuant to Section 5198(j)(3)(A)1-2 shall include the following elements: 

1. A detailed work history and a medical history, with particular attention to past lead exposure (occupational and nonoccupational), personal habits (smoking, hygiene), Remove Lead Paint From Your Business and past gastrointestinal, hematologic, renal, cardiovascular, reproductive and neurological problems; 2. A thorough physical examination, with particular attention to teeth, gums, hematologic, gastrointestinal, renal, cardiovascular, and neurological systems. 

Pulmonary status should be evaluated if respiratory protection will be used; 3. A blood pressure measurement; 4. A blood sample and Remove Lead Paint From Your Business analysis which determines: a. Blood lead level; b. Hemoglobin and hematocrit determinations, red cell indices, and examination of peripheral smear morphology; c. Zinc protoporphyrin 

d. Blood urea nitrogen; and e. Serum creatinine. 5. A routine urinalysis with microscopic examination; and 6. Any laboratory or other test which the examining physician deems necessary by sound medical practice. The content of medical examinations made available pursuant to Section 5198(j)(3)(A)3-4 shall be determined by an examining physician and, Remove Lead Paint From Your Business if requested by an employee, shall include pregnancy testing or laboratory evaluation of male fertility. 

(C) Multiple Physician Review Mechanism. 1. If the Remove Lead Paint From Your Business employer selects the initial physician who conducts any medical examination or consultation provided to an employee under this section, the employee may designate a second physician to review any findings, determinations or recommendations of the initial physician and to conduct such examinations, consultations, and laboratory tests as the second physician deems necessary to facilitate this review. 

2. The employer shall promptly notify an employee of the right to seek a second medical opinion after each occasion that an initial physician conducts a medical examination or Remove Lead Paint From Your Business consultation pursuant to this section. The employer may condition participation in, and 

Payment for, Remove Lead Paint From Your Business the multiple physician review mechanism by requiring the employee (within 15 days from the date of the foregoing notice or receipt of the initial physician's written opinion, whichever is later) to inform the employer that the employee intends to seek a second medical opinion and to initiate steps to make an appointment with a second physician. 

. If the Remove Lead Paint From Your Business findings, determinations or recommendations of the second physician differ from those of the initial physician, then the employer and the employee shall assure that efforts are made for the two physicians to resolve any disagreement.

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