General Industry
Evaluation performed by: Licensed physician (employer-selected)
Pre-placement, before assignment to an asbestos-exposed occupation
- Medical and work history (asbestos exposure history; pulmonary, cardiovascular, and gastrointestinal status)
- Standardized respiratory symptoms questionnaire (Appendix D)
- Complete physical examination — emphasis on the pulmonary, cardiovascular, and gastrointestinal systems
- 14×17 PA chest X-ray, classified per the ILO International Classification (Appendix E)
- Pulmonary function tests — forced vital capacity (FVC) and forced expiratory volume in one second (FEV1)
Interval-based while covered — NOT result-triggered
Schedule: Examination made available at least annually. Chest X-ray frequency set by Table 2 (age × years since first exposure); the most-frequent tier (annual chest X-ray) is reached at approximately age 40+ or 10+ years since first exposure — slightly broader than the federal 45+/10-year tier (exact CA Table 2 cell values not transcribed cell-by-cell).
- Medical and work history (asbestos exposure history; pulmonary, cardiovascular, and gastrointestinal status)
- Standardized respiratory symptoms questionnaire (Appendix D)
- Complete physical examination — emphasis on the pulmonary, cardiovascular, and gastrointestinal systems
- 14×17 PA chest X-ray, classified per the ILO International Classification (Appendix E)
- Pulmonary function tests — forced vital capacity (FVC) and forced expiratory volume in one second (FEV1)
At termination of employment in asbestos work
- Termination medical examination within 30 calendar days before or after termination
- Medical and work history
- Standardized respiratory questionnaire (Appendix D)
- Complete physical examination
- Chest X-ray (per Table 2 frequency)
- Pulmonary function tests (FVC, FEV1)
Reporting Requirements
| Who performs the evaluation | Licensed physician (employer-selected) |
|---|---|
| Reported to employer | Written opinion limited to: whether the employee has any detected medical condition placing them at increased risk from asbestos; recommended PPE/respirator limitations; a statement that the employee was informed of exam results; and a statement that the employee was informed of the increased lung-cancer risk from combined smoking and asbestos exposure. Unrelated findings must not be revealed. |
| Reported to / for the employee | Employee informed of exam results and of the increased smoking+asbestos lung-cancer risk; furnished a copy of the written opinion. Smoking-cessation resources provided via training. |
| Time limits | Employer shall provide a copy of the physician's written opinion to the affected employee within 30 days of its receipt [5208(l)(7)(C)]. |
| Second-opinion / multi-physician review | No formal multiple-physician review mechanism specified. |
| Recordkeeping | Medical records retained for the duration of employment plus 30 years (8 CCR 3204 generally requires duration of employment plus 30 years). |
Medical Removal Protection
No medical removal protection scheme; physician's written opinion conveys increased-risk findings and limitations.
Construction
Evaluation performed by: Licensed physician (employer-selected)
Pre-placement, prior to assignment (and prior to assignment where negative-pressure respirators are worn) [1529(m)(2)(A)]
- Medical and work history with pulmonary, cardiovascular, and gastrointestinal emphasis
- Standardized respiratory questionnaire (Appendix D)
- Physical examination including a chest roentgenogram (chest X-ray)
- Pulmonary function tests (FVC, FEV1)
Interval-based while covered — NOT result-triggered
Schedule: At least annually [1529(m)(2)(A)].
- Medical and work history
- Standardized respiratory questionnaire (Appendix D)
- Physical examination including a chest roentgenogram (chest X-ray)
- Pulmonary function tests (FVC, FEV1)
At termination of employment in asbestos work
- Termination medical examination within 30 days before or after termination
- Medical and work history
- Standardized respiratory questionnaire (Appendix D)
- Physical examination with chest roentgenogram
- Pulmonary function tests (FVC, FEV1)
Reporting Requirements
| Who performs the evaluation | Licensed physician (employer-selected) |
|---|---|
| Reported to employer | Written opinion limited to: increased-risk determination from asbestos exposure; recommended PPE/respirator limitations; statement that the employee was informed of results and of the increased smoking+asbestos lung-cancer risk. Unrelated findings must not be revealed. |
| Reported to / for the employee | Employee informed of results and increased smoking+asbestos risk; furnished a copy of the written opinion. |
| Time limits | Employer shall provide a copy of the physician's written opinion to the affected employee within 30 days of its receipt [1529(m)(4)(C)]. |
| Second-opinion / multi-physician review | No formal multiple-physician review mechanism specified. |
| Recordkeeping | Medical records retained for the duration of employment plus 30 years (8 CCR 3204). |
Medical Removal Protection
No medical removal protection scheme; physician's written opinion includes an increased-risk determination [1529(m)(4)(A)].