General Industry
Evaluation performed by: Licensed physician (employer-selected)
Pre-placement, before assignment to an asbestos-exposed occupation
- Medical and work history
- A standardized questionnaire about breathing symptoms, smoking history, and past job exposures (Part 1) (regulatory term: respiratory disease standardized questionnaire)
- Complete physical examination of all systems — emphasis on the respiratory system, cardiovascular system, and digestive tract
- Chest X-ray (in accordance with Table 2) (regulatory term: chest roentgenogram, 8 CCR 5208 Appendix E)
- Pulmonary function tests — forced vital capacity (FVC) and forced expiratory volume in one second (FEV1)
- Any additional tests deemed appropriate by the examining physician
Appendix D — Standardized respiratory symptoms questionnaire 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. D; 8 CCR 5208 / 1529 / 8358 App. D
A standardized respiratory-symptom questionnaire (initial and periodic versions) covering shortness of breath, cough, phlegm, wheeze, chest illness, smoking history, and occupational exposure history. The physician administers it to detect early respiratory impairment.
Appendix E — How the chest X-ray is read (B-reader / ILO) 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. E; 8 CCR 5208 / 1529 / 8358 App. E
The chest film is read by a physician certified by NIOSH as a "B-reader" and graded on the ILO International Classification 0-3 scale for small opacities and pleural changes. This standardized reading is what distinguishes the required film from an ordinary chest X-ray. Standard film or digital images are acceptable.
Table 2 — Frequency of chest X-ray (Cal/OSHA) 8 CCR 5208 Table 2; 8 CCR 1529 Table 2; 8 CCR 8358 Table 2
| Years since first exposure | Age under 40 | Age 40 and older |
|---|---|---|
| 0 to 10 years | Every 3 years | Every year |
| 10 or more years | Every year | Every year |
Oblique x-rays need only be performed every 3 years (Table 2 footnote, verbatim). Table 2 governs the pre-placement chest roentgenogram as well as periodic frequency.
Interval-based while covered — NOT result-triggered
Schedule: Made available annually [5208(l)(3)(A)]; chest X-ray at the Table 2 frequency (age × years since first exposure) — table shown in this section.
- Medical and work history
- A standardized questionnaire about breathing symptoms, smoking history, and past job exposures (Part 2) (regulatory term: respiratory disease standardized questionnaire)
- Complete physical examination of all systems — emphasis on the respiratory system, cardiovascular system, and digestive tract
- Chest X-ray (in accordance with Table 2; oblique x-rays need only be performed every 3 years (Table 2 footnote)) (regulatory term: chest roentgenogram, 8 CCR 5208 Appendix E)
- Pulmonary function tests — forced vital capacity (FVC) and forced expiratory volume in one second (FEV1)
- Any additional tests deemed appropriate by the examining physician
Appendix D — Standardized respiratory symptoms questionnaire 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. D; 8 CCR 5208 / 1529 / 8358 App. D
A standardized respiratory-symptom questionnaire (initial and periodic versions) covering shortness of breath, cough, phlegm, wheeze, chest illness, smoking history, and occupational exposure history. The physician administers it to detect early respiratory impairment.
Appendix E — How the chest X-ray is read (B-reader / ILO) 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. E; 8 CCR 5208 / 1529 / 8358 App. E
The chest film is read by a physician certified by NIOSH as a "B-reader" and graded on the ILO International Classification 0-3 scale for small opacities and pleural changes. This standardized reading is what distinguishes the required film from an ordinary chest X-ray. Standard film or digital images are acceptable.
Table 2 — Frequency of chest X-ray (Cal/OSHA) 8 CCR 5208 Table 2; 8 CCR 1529 Table 2; 8 CCR 8358 Table 2
| Years since first exposure | Age under 40 | Age 40 and older |
|---|---|---|
| 0 to 10 years | Every 3 years | Every year |
| 10 or more years | Every year | Every year |
Oblique x-rays need only be performed every 3 years (Table 2 footnote, verbatim). Table 2 governs the pre-placement chest roentgenogram as well as periodic frequency.
At termination of employment, for employees exposed at or above the TWA and/or excursion limit [5208(l)(4)(A)]
- Termination medical examination within 30 calendar days before or after termination, in accordance with the periodic-examination requirements [5208(l)(4)(B)]
- Medical and work history
- A standardized questionnaire about breathing symptoms, smoking history, and past job exposures (Part 2) (regulatory term: respiratory disease standardized questionnaire)
- Complete physical examination of all systems — emphasis on the respiratory system, cardiovascular system, and digestive tract
- Chest X-ray (in accordance with Table 2) (regulatory term: chest roentgenogram, 8 CCR 5208)
- Pulmonary function tests (FVC, FEV1)
- Any additional tests deemed appropriate by the examining physician
Appendix D — Standardized respiratory symptoms questionnaire 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. D; 8 CCR 5208 / 1529 / 8358 App. D
A standardized respiratory-symptom questionnaire (initial and periodic versions) covering shortness of breath, cough, phlegm, wheeze, chest illness, smoking history, and occupational exposure history. The physician administers it to detect early respiratory impairment.
Table 2 — Frequency of chest X-ray (Cal/OSHA) 8 CCR 5208 Table 2; 8 CCR 1529 Table 2; 8 CCR 8358 Table 2
| Years since first exposure | Age under 40 | Age 40 and older |
|---|---|---|
| 0 to 10 years | Every 3 years | Every year |
| 10 or more years | Every year | Every year |
Oblique x-rays need only be performed every 3 years (Table 2 footnote, verbatim). Table 2 governs the pre-placement chest roentgenogram as well as periodic frequency.
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 surveillance records maintained for the duration of employment plus thirty (30) years, in accordance with Section 3204 [5208(m)(3)(C)]. |
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)
Prior to assignment to an area where negative-pressure respirators are worn [1529(m)(2)(A)1.]; otherwise within 10 working days following the 30th day of exposure [1529(m)(2)(A)2.]
- Medical and work history — special emphasis on the pulmonary, cardiovascular, and gastrointestinal systems
- A standardized questionnaire about breathing symptoms, smoking history, and past job exposures (Part 1) (regulatory term: respiratory disease standardized questionnaire)
- Physical examination directed to the pulmonary and gastrointestinal systems
- Chest X-ray (administered in accordance with Table 2) (regulatory term: chest roentgenogram, 8 CCR 1529 Appendix E)
- Pulmonary function tests — forced vital capacity (FVC) and forced expiratory volume at one second (FEV1)
- Any other examinations or tests deemed necessary by the examining physician
Appendix D — Standardized respiratory symptoms questionnaire 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. D; 8 CCR 5208 / 1529 / 8358 App. D
A standardized respiratory-symptom questionnaire (initial and periodic versions) covering shortness of breath, cough, phlegm, wheeze, chest illness, smoking history, and occupational exposure history. The physician administers it to detect early respiratory impairment.
Appendix E — How the chest X-ray is read (B-reader / ILO) 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. E; 8 CCR 5208 / 1529 / 8358 App. E
The chest film is read by a physician certified by NIOSH as a "B-reader" and graded on the ILO International Classification 0-3 scale for small opacities and pleural changes. This standardized reading is what distinguishes the required film from an ordinary chest X-ray. Standard film or digital images are acceptable.
Table 2 — Frequency of chest X-ray (Cal/OSHA) 8 CCR 5208 Table 2; 8 CCR 1529 Table 2; 8 CCR 8358 Table 2
| Years since first exposure | Age under 40 | Age 40 and older |
|---|---|---|
| 0 to 10 years | Every 3 years | Every year |
| 10 or more years | Every year | Every year |
Oblique x-rays need only be performed every 3 years (Table 2 footnote, verbatim). Table 2 governs the pre-placement chest roentgenogram as well as periodic frequency.
Interval-based while covered — NOT result-triggered
Schedule: At least annually [1529(m)(2)(A)3.]; chest X-ray at the Table 2 frequency (age × years since first exposure) — table shown in this section.
- Medical and work history — special emphasis on the pulmonary, cardiovascular, and gastrointestinal systems
- A standardized questionnaire about breathing symptoms, smoking history, and past job exposures (Part 2) (regulatory term: respiratory disease standardized questionnaire)
- Physical examination directed to the pulmonary and gastrointestinal systems
- Chest X-ray (administered in accordance with Table 2; oblique x-rays need only be performed every 3 years (Table 2 footnote)) (regulatory term: chest roentgenogram, 8 CCR 1529 Appendix E)
- Pulmonary function tests — forced vital capacity (FVC) and forced expiratory volume at one second (FEV1)
- Any other examinations or tests deemed necessary by the examining physician
Appendix D — Standardized respiratory symptoms questionnaire 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. D; 8 CCR 5208 / 1529 / 8358 App. D
A standardized respiratory-symptom questionnaire (initial and periodic versions) covering shortness of breath, cough, phlegm, wheeze, chest illness, smoking history, and occupational exposure history. The physician administers it to detect early respiratory impairment.
Appendix E — How the chest X-ray is read (B-reader / ILO) 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. E; 8 CCR 5208 / 1529 / 8358 App. E
The chest film is read by a physician certified by NIOSH as a "B-reader" and graded on the ILO International Classification 0-3 scale for small opacities and pleural changes. This standardized reading is what distinguishes the required film from an ordinary chest X-ray. Standard film or digital images are acceptable.
Table 2 — Frequency of chest X-ray (Cal/OSHA) 8 CCR 5208 Table 2; 8 CCR 1529 Table 2; 8 CCR 8358 Table 2
| Years since first exposure | Age under 40 | Age 40 and older |
|---|---|---|
| 0 to 10 years | Every 3 years | Every year |
| 10 or more years | Every year | Every year |
Oblique x-rays need only be performed every 3 years (Table 2 footnote, verbatim). Table 2 governs the pre-placement chest roentgenogram as well as periodic frequency.
At termination of employment, for employees exposed at or above the PEL and/or excursion limit [1529(m)(2)(A)6.]. 1529 does not prescribe specific content for the termination examination (the (m)(2)(B) component list covers only pre-placement and annual examinations).
- Termination medical examination within 30 calendar days before or after termination [1529(m)(2)(A)6.]
- Medical and work history — special emphasis on the pulmonary, cardiovascular, and gastrointestinal systems
- A standardized questionnaire about breathing symptoms, smoking history, and past job exposures (Part 2) (regulatory term: respiratory disease standardized questionnaire)
- Physical examination directed to the pulmonary and gastrointestinal systems
- Chest X-ray (administered in accordance with Table 2) (regulatory term: chest roentgenogram, 8 CCR 1529 Appendix E)
- Pulmonary function tests — forced vital capacity (FVC) and forced expiratory volume at one second (FEV1)
- Any other examinations or tests deemed necessary by the examining physician
Appendix D — Standardized respiratory symptoms questionnaire 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. D; 8 CCR 5208 / 1529 / 8358 App. D
A standardized respiratory-symptom questionnaire (initial and periodic versions) covering shortness of breath, cough, phlegm, wheeze, chest illness, smoking history, and occupational exposure history. The physician administers it to detect early respiratory impairment.
Appendix E — How the chest X-ray is read (B-reader / ILO) 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. E; 8 CCR 5208 / 1529 / 8358 App. E
The chest film is read by a physician certified by NIOSH as a "B-reader" and graded on the ILO International Classification 0-3 scale for small opacities and pleural changes. This standardized reading is what distinguishes the required film from an ordinary chest X-ray. Standard film or digital images are acceptable.
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 maintained for the duration of employment plus thirty (30) years, in accordance with Section 3204 [1529(n)(3)(C)]. The record must include a copy of the employee's medical examination results, including the medical history, questionnaire responses, results of any tests, and physician's recommendations [1529(n)(3)(B)2.]. |
Medical Removal Protection
No medical removal protection scheme; physician's written opinion includes an increased-risk determination [1529(m)(4)(A)].
Shipyard / Maritime
Evaluation performed by: Licensed physician (employer-selected)
Prior to assignment to an area where negative-pressure respirators are worn [8358(m)(2)(A)1.]; otherwise within 10 working days following the 30th day of exposure [8358(m)(2)(A)2.]
- Medical and work history — special emphasis on the pulmonary, cardiovascular, and gastrointestinal systems
- A standardized questionnaire about breathing symptoms, smoking history, and past job exposures (Part 1) (regulatory term: respiratory disease standardized questionnaire)
- Physical examination directed to the pulmonary and gastrointestinal systems
- Chest X-ray (administered in accordance with Table 2) (regulatory term: chest roentgenogram, 8 CCR 8358 Appendix E)
- Pulmonary function tests — forced vital capacity (FVC) and forced expiratory volume at one second (FEV1)
- Any other examinations or tests deemed necessary by the examining physician
Appendix D — Standardized respiratory symptoms questionnaire 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. D; 8 CCR 5208 / 1529 / 8358 App. D
A standardized respiratory-symptom questionnaire (initial and periodic versions) covering shortness of breath, cough, phlegm, wheeze, chest illness, smoking history, and occupational exposure history. The physician administers it to detect early respiratory impairment.
Appendix E — How the chest X-ray is read (B-reader / ILO) 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. E; 8 CCR 5208 / 1529 / 8358 App. E
The chest film is read by a physician certified by NIOSH as a "B-reader" and graded on the ILO International Classification 0-3 scale for small opacities and pleural changes. This standardized reading is what distinguishes the required film from an ordinary chest X-ray. Standard film or digital images are acceptable.
Table 2 — Frequency of chest X-ray (Cal/OSHA) 8 CCR 5208 Table 2; 8 CCR 1529 Table 2; 8 CCR 8358 Table 2
| Years since first exposure | Age under 40 | Age 40 and older |
|---|---|---|
| 0 to 10 years | Every 3 years | Every year |
| 10 or more years | Every year | Every year |
Oblique x-rays need only be performed every 3 years (Table 2 footnote, verbatim). Table 2 governs the pre-placement chest roentgenogram as well as periodic frequency.
Interval-based while covered — NOT result-triggered
Schedule: At least annually [8358(m)(2)(A)3.]; chest X-ray at the Table 2 frequency (age × years since first exposure) — table shown in this section.
- Medical and work history — special emphasis on the pulmonary, cardiovascular, and gastrointestinal systems
- A standardized questionnaire about breathing symptoms, smoking history, and past job exposures (Part 2) (regulatory term: respiratory disease standardized questionnaire)
- Physical examination directed to the pulmonary and gastrointestinal systems
- Chest X-ray (administered in accordance with Table 2; oblique x-rays need only be performed every 3 years (Table 2 footnote)) (regulatory term: chest roentgenogram, 8 CCR 8358 Appendix E)
- Pulmonary function tests — forced vital capacity (FVC) and forced expiratory volume at one second (FEV1)
- Any other examinations or tests deemed necessary by the examining physician
Appendix D — Standardized respiratory symptoms questionnaire 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. D; 8 CCR 5208 / 1529 / 8358 App. D
A standardized respiratory-symptom questionnaire (initial and periodic versions) covering shortness of breath, cough, phlegm, wheeze, chest illness, smoking history, and occupational exposure history. The physician administers it to detect early respiratory impairment.
Appendix E — How the chest X-ray is read (B-reader / ILO) 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. E; 8 CCR 5208 / 1529 / 8358 App. E
The chest film is read by a physician certified by NIOSH as a "B-reader" and graded on the ILO International Classification 0-3 scale for small opacities and pleural changes. This standardized reading is what distinguishes the required film from an ordinary chest X-ray. Standard film or digital images are acceptable.
Table 2 — Frequency of chest X-ray (Cal/OSHA) 8 CCR 5208 Table 2; 8 CCR 1529 Table 2; 8 CCR 8358 Table 2
| Years since first exposure | Age under 40 | Age 40 and older |
|---|---|---|
| 0 to 10 years | Every 3 years | Every year |
| 10 or more years | Every year | Every year |
Oblique x-rays need only be performed every 3 years (Table 2 footnote, verbatim). Table 2 governs the pre-placement chest roentgenogram as well as periodic frequency.
At termination of employment — applies to all covered employees (no exposure qualifier) [8358(m)(2)(A)5.]. 8358 does not prescribe specific content for the termination examination (the (m)(2)(B) component list covers only pre-placement and annual examinations).
- Termination medical examination within 30 calendar days before or after termination [8358(m)(2)(A)5.]
- Medical and work history — special emphasis on the pulmonary, cardiovascular, and gastrointestinal systems
- A standardized questionnaire about breathing symptoms, smoking history, and past job exposures (Part 2) (regulatory term: respiratory disease standardized questionnaire)
- Physical examination directed to the pulmonary and gastrointestinal systems
- Chest X-ray (administered in accordance with Table 2) (regulatory term: chest roentgenogram, 8 CCR 8358 Appendix E)
- Pulmonary function tests — forced vital capacity (FVC) and forced expiratory volume at one second (FEV1)
- Any other examinations or tests deemed necessary by the examining physician
Appendix D — Standardized respiratory symptoms questionnaire 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. D; 8 CCR 5208 / 1529 / 8358 App. D
A standardized respiratory-symptom questionnaire (initial and periodic versions) covering shortness of breath, cough, phlegm, wheeze, chest illness, smoking history, and occupational exposure history. The physician administers it to detect early respiratory impairment.
Appendix E — How the chest X-ray is read (B-reader / ILO) 29 CFR 1910.1001 / 1926.1101 / 1915.1001 App. E; 8 CCR 5208 / 1529 / 8358 App. E
The chest film is read by a physician certified by NIOSH as a "B-reader" and graded on the ILO International Classification 0-3 scale for small opacities and pleural changes. This standardized reading is what distinguishes the required film from an ordinary chest X-ray. Standard film or digital images are acceptable.
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 of the increased smoking+asbestos lung-cancer risk [8358(m)(4)(A)]. 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. |
| Time limits | Employer shall provide a copy of the physician's written opinion to the affected employee within 30 days of its receipt [8358(m)(4)(C)]. |
| Second-opinion / multi-physician review | No formal multiple-physician review mechanism specified. |
| Recordkeeping | Medical records maintained for the duration of employment plus thirty (30) years, in accordance with Section 3204 [8358(n)(3)(C)]. The record must include a copy of the employee's medical examination results, including the medical history, questionnaire responses, results of any tests, and physician's recommendations [8358(n)(3)(B)2.]. |
Medical Removal Protection
No medical removal protection scheme; physician's written opinion conveys increased-risk findings and limitations.