Lead Paint Removal >> Requirements For Workers Exposed To Lead

Requirements for Workers Exposed to Inorganic Lead Under the standard for inorganic lead in the construction industry, initial medical surveillance consisting of biological monitoring to include blood lead and ZPP level determination shall be provided to employees exposed to lead at or Requirements For Workers Exposed To Lead above the action level on any one day. 

In addition, a program of biological monitoring is to be made available to all employees exposed above the action level at any time and Requirements For Workers Exposed To Lead additional medical surveillance is to be made available to all employees exposed to lead above 30 µg/m3 TWA for more than 30 days each year and whose BLL exceeds 40 µg/dl. 

This program consists of periodic blood sampling and Requirements For Workers Exposed To Lead medical evaluation to be performed on a schedule which is defined by previous laboratory results, worker complaints or concerns, and the clinical assessment of the examining physician.  

Under this program, Requirements For Workers Exposed To Lead the blood lead level (BLL) of all employees who are exposed to lead above 30 µg/m3 for more than 30 days per year or whose blood lead is above 40 µg/dl but exposed for no more than 30 days per year is to be determined at least every two months for the first six months of exposure and every six months thereafter. 

The frequency is increased to every two months for employees whose last blood lead level was 40 µg/dl or above. For employees who are removed from exposure to lead due to an elevated blood lead, Requirements For Workers Exposed To Lead a new blood lead level must be measured monthly. A zinc protoporphyrin (ZPP) measurement is strongly recommended on each occasion that a blood lead level measurement is made. 

An annual medical examination and Requirements For Workers Exposed To Lead consultation performed under the guidelines discussed in Section 3 is to be made available to each employee exposed above 30 µg/m3 for more than 30 days per year for whom a blood test conducted at any time during the preceding 12 months indicated a blood lead level at or above 40 µg/dl. 

In addition, a medical examination must be provided as soon as possible after notification by an employee that the employee has developed signs or symptoms commonly associated with lead intoxication, Requirements For Workers Exposed To Lead that the employee desires medical advice regarding lead exposure and the ability to procreate a healthy child, or that the employee has demonstrated difficulty in breathing during a respirator fitting test or during respirator use. 

An examination is also to be made available to each employee removed from exposure to lead due to a risk of sustaining material impairment to health, or otherwise limited or Requirements For Workers Exposed To Lead specially protected pursuant to medical recommendations. 

Results of biological monitoring or Requirements For Workers Exposed To Lead the recommendations of an examining physician may necessitate removal of an employee from further lead exposure pursuant to the standard's medical removal protection (MRP) program. The object of the MRP program is to provide temporary medical removal to workers either with substantially elevated blood lead levels or otherwise at risk of sustaining material health impairment from continued substantial exposure to lead. 

Under the standard's ultimate worker removal criteria, Requirements For Workers Exposed To Lead a worker is to be removed from any work having an eight-hour TWA exposure to lead of 30 µg/m3 when his or her blood lead level reaches 50 µg/dl and is confirmed by a second follow-up blood lead level performed within two weeks after the employer receives the results of the first blood sampling test. 

Return of the employee to his or her job status depends on a worker's blood lead level declining to 40 µg/dl. As part of the standard, Requirements For Workers Exposed To Lead the employer is required to notify in writing each employee whose blood lead level exceeds 40 µg/dl. In addition each such employee is to be informed that the standard requires medical removal with MRP benefits, discussed below, when an employee's blood lead level exceeds the above defined limit. 

In addition to the above blood lead level criterion, temporary worker removal may also take place as a result of medical determinations and Requirements For Workers Exposed To Lead recommendations. Written medical opinions must be prepared after each examination pursuant to the standard.

If the examining physician includes a medical finding, determination or Requirements For Workers Exposed To Lead opinion that the employee has a medical condition which places the employee at increased risk of material health impairment from exposure to lead, then the employee must be removed from exposure to lead at or above 30 µg/m3. 

Alternatively, if the examining physician recommends special protective measures for an employee (e.g., use of a powered air purifying respirator) or recommends limitations on an employee's exposure to lead, Requirements For Workers Exposed To Lead then the employer must implement these recommendations. Recommendations may be more stringent than the specific provisions of the standard. 

The examining physician, therefore, Requirements For Workers Exposed To Lead is given broad flexibility to tailor special protective procedures to the needs of individual employees. This flexibility extends to the evaluation and management of pregnant workers and male and female workers who are planning to raise children. 

Based on the history, physical examination, and laboratory studies, Requirements For Workers Exposed To Lead the physician might recommend special protective measures or medical removal for an employee who is pregnant or who is planning to conceive a child when, in the physician's judgment, continued exposure to lead at the current job would pose a significant risk. 

The return of the employee to his or her former job status, or the removal of special protections or limitations, Requirements For Workers Exposed To Lead depends upon the examining physician determining that the employee is no longer at increased risk of material impairment or that special measures are no longer needed. 

During the period of any form of special protection or removal, the employer must maintain the worker's earnings, seniority, Requirements For Workers Exposed To Lead and other employment rights and benefits (as though the worker had not been removed) for a period of up to 18 months or for as long as the job the employee was removed from lasts if less than 18 months. 

This economic protection will maximize meaningful worker participation in the medical surveillance program, Requirements For Workers Exposed To Lead and is appropriate as part of the employer's overall obligation to provide a safe and healthful workplace. The provisions of MRP benefits during the employee's removal period may, however, be conditioned upon participation in medical surveillance.

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