Who is covered: Each employee employed in a regulated area at least 30 days/year [5211(s)(1)(A)]
Evaluation performed by: Licensed physician (employer-selected)
🩺 Baseline / Pre-Placement
At initial assignment to a regulated area [5211(s)(2)]
- Work and medical history including smoking history and respiratory symptoms
- PA chest X-ray with ILO U/C (UICC/Cincinnati) classification rating [5211(s)(2)(B)]
- Pulmonary function test — FVC and FEV1.0
- Weight measurement
- Skin examination
- Urinalysis (sugar, albumin, hematuria)
- Sputum cytology examination [5211(s)(2)(G)] (California-only; not required federally)
- Urinary cytology examination [5211(s)(2)(H)]
🕒 Periodic / Routine
Interval-based by age/tenure while covered — NOT result-triggered
Schedule: At least annually for the general regulated-area workforce [5211(s)(3)(A)]. At least semi-annually (every 6 months) for employees 45+ years old OR with 5+ years in regulated areas [5211(s)(3)(B)]; semi-annual exams continue after transfer out of the regulated area [5211(s)(3)(C)].
- Work and medical history including smoking history and respiratory symptoms
- PA chest X-ray with ILO U/C (UICC/Cincinnati) classification rating [5211(s)(2)(B)]
- Pulmonary function test — FVC and FEV1.0
- Weight measurement
- Skin examination
- Urinalysis (sugar, albumin, hematuria)
- Sputum cytology examination [5211(s)(2)(G)] (California-only; not required federally)
- Urinary cytology examination [5211(s)(2)(H)]
🚪 Exit / Termination
At termination of employment, if no qualifying exam was performed in the prior 6 months [5211(s)(3)(D)]
- Work and medical history including smoking history and respiratory symptoms
- PA chest X-ray with ILO U/C (UICC/Cincinnati) classification rating [5211(s)(2)(B)]
- Pulmonary function test — FVC and FEV1.0
- Weight measurement
- Skin examination
- Urinalysis (sugar, albumin, hematuria)
- Sputum cytology examination [5211(s)(2)(G)] (California-only; not required federally)
- Urinary cytology examination [5211(s)(2)(H)]
Reporting Requirements
| Who performs the evaluation | Licensed physician (employer-selected) |
|---|---|
| Reported to employer | Written opinion limited to: results of the examination; any detected condition placing the employee at increased risk from coke-oven emissions; recommended exposure limitations; and a statement that the employee was informed of the results and any condition needing further evaluation. Unrelated findings must not be revealed [5211(s)(5)(A)]. |
| Reported to / for the employee | Employer provides a copy of the written opinion to the employee; employee informed of results and of any condition needing further evaluation. |
| Time limits | The standard does not specify an explicit deadline for furnishing the copy to the employee (see unverified note). |
| Second-opinion / multi-physician review | No formal multiple-physician review mechanism specified. |
| Recordkeeping | Medical records retained per 8 CCR 3204 (duration of employment plus 30 years). |
Medical Removal Protection
No medical removal protection scheme; physician's written opinion conveys results, risk assessment, and exposure limitations.