Lead Paint Removal >> Lead Paint Removal Techniques

The 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: a. To review any findings, determinations or recommendations of the initial physician; and b. To conduct such examinations, consultations, and laboratory tests as the second physician deems necessary to facilitate this Lead Paint Removal Techniques 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 Lead Paint Removal Techniques consultation pursuant to this section. The employer may condition its participation in, and paymentfor, the multiple physician review mechanism upon the employee doing the following.

Within fifteen (15) days afterreceipt of the foregoing notification, or Lead Paint Removal Techniques receipt of the initial physician's written opinion, whicheveris later: a. The employee informing the employer that he or she intends to seek a second medical opinion, and b. The employee initiating steps to make an appointment with a second physician. 

3. If the findings, determinations or recommendations of the second physician differfrom those of the initial physician, then the employer and the employee shall assure that efforts are made forthe two physicians to resolve any disagreement. 4. If the two physicians have been unable to quickly resolve their disagreement, Lead Paint Removal Techniques then the employer and the employee through their respective physicians shall designate a third physician.

To review any findings, determinations or recommendations of the prior physicians; and b. To conduct such examinations, consultations, laboratory tests and Lead Paint Removal Techniques discussions with the prior physicians as the third physician deems necessary to resolve the disagreement of the prior physicians. 

5. The employer shall act consistent with the findings, determinations and recommendations of the third physician, unless the employer and Lead Paint Removal Techniques the employee reach an agreement which is otherwise consistent with the recommendations of atleast one of the three physicians. (D) Information provided to examining and consulting physicians. 

1. The employer shall provide an initial physician conducting a medical examination or Lead Paint Removal Techniques consultation underthis section with the following information: a. A copy of this regulation forlead including all Appendices; b. A description of the affected employee's duties as they relate to the employee's exposure; c. The employee's exposure level or anticipated exposure level to lead and to any othertoxic substance (if applicable); d. 

A description of any personal protective equipment used orto be used; e. Prior blood lead determinations; and f. All prior written medical opinions concerning the employee in the employer's possession or control. 2. The employer shall provide the foregoing information to a second or Lead Paint Removal Techniques third physician conducting a medical examination or consultation underthis section upon request either by the second orthird physician, or by the employee. (E) 

Written medical opinions. 1. The employer shall obtain and Lead Paint Removal Techniques furnish the employee with a copy of a written medical opinion from each examining or consulting physician which contains only the following information: a. The physician's opinion as to whetherthe employee has any detected medical condition which would place the employee atincreased risk of material impairment of the employee's health from exposure to lead; b. 

Any recommended special protective measures to be provided to the employee, orlimitations to be placed upon the employee's exposure to lead; c. Any recommended limitation upon the employee's use ofrespirators, Lead Paint Removal Techniques including a determination of whetherthe employee can wear a powered air purifying respiratorif a physician determines that the employee cannot wear a negative pressure respirator; and  

The results of the blood lead determinations. 2. The employer shall instruct each examining and consulting physician to: a. Notreveal eitherin the written opinion or orally, or Lead Paint Removal Techniques in any other means of communication with the employer, findings, including laboratory results, or diagnoses unrelated to an employee's occupational exposure to lead; and 

b. Advise the employee of any medical condition, occupational or nonoccupational, which dictates further medical examination or Lead Paint Removal Techniques treatment. (F) Alternate physician determination mechanisms. The employer and an employee or authorized employee representative may agree upon the use of any alternate physician determination mechanism in lieu of the multiple physician review mechanism provided by subsection (j)(3)(C).

So long as the alternate mechanism is as expeditious and protective as the requirements contained in this subsection. (4) Chelation. (A) The employer shall assure that any person whom he retains, employs, supervises or Lead Paint Removal Techniques controls does not engage in prophylactic chelation of any employee at any time. (B) If therapeutic or diagnostic chelation is to be performed by any person in subsection (j)(4)(A).

The employer shall assure thatit be done underthe supervision of a licensed physician in a clinical setting with thorough and appropriate medical monitoring and Lead Paint Removal Techniques that the employee is notified in writing priorto its occurrence. (k) medical removal protection. (1) Temporary medical removal and return of an employee (A) 

Temporary removal due to elevated blood lead level. The employer shallremove an employee from work having an exposure to lead at or above the action level on each occasion that a periodic and Lead Paint Removal Techniques a follow-up blood sampling test conducted pursuant to this section indicate that the employee's blood lead level is at or above 50 µg/dl; and, 

(B) Temporary removal due to a final medical determination. he employer shall remove an employee from work having an exposure to lead at or above the action level on each occasion that a final medical determination results in a medical Lead Paint Removal Techniques finding, determination, or opinion that the employee has a detected medical condition which places the employee at increased risk of material impairment to health from exposure to lead. 

2. For Lead Paint Removal Techniques the purposes of this section, the phrase "final medical determination" means the written medical opinion on the employees' health status by the examining physician or, where relevant, the outcome of the multiple physician review mechanism or alternate medical determination mechanism used pursuant to the medical surveillance provisions of this section. 

3. Where a final medical determination results in any recommended special protective measures for an employee, or Lead Paint Removal Techniques limitations on an employee's exposure to lead, the employer shall implement and act consistent with the recommendation. 

The employer shallreturn an employee to his or herformerjob status: a. For an employee removed due to a blood lead level at or Lead Paint Removal Techniques above 50 µg/dl when two consecutive blood sampling tests indicate that the employee's blood lead level is at or below 40 µg/dl.

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