Who is covered: Employees in regulated areas plus employees exposed in emergencies; additional exams when signs/symptoms develop [5212(m)(1)(A), (m)(3)]. NOTE: Cal/OSHA DBCP is 8 CCR 5212, NOT 5215 (5215 regulates MBOCA/MOCA, a different chemical).
Evaluation performed by: Licensed physician (by or under the supervision of)
🩺 Baseline / Pre-Placement
At the time of initial assignment [5212(m)(2)]
- Complete medical and occupational history, including reproductive history
- Physical examination including genitourinary tract, testicle size, body habitus, and sperm count determination [5212(m)(2)(B)]
- If a sperm count is unavailable, serum FSH and LH by radioimmunoassay [5212(m)(2)(C)]
- Serum total estrogen by radioimmunoassay on females [5212(m)(2)(D)]
- Other tests the physician deems appropriate
🕒 Periodic / Routine
Interval-based while covered — NOT result-triggered
Schedule: At least annually after the initial examination [5212(m)(2)].
- Updated medical/occupational and reproductive history
- Physical examination including genitourinary tract, testicle size, body habitus, sperm count
- Serum FSH/LH if sperm count unavailable; serum total estrogen (females) by radioimmunoassay
- Other tests the physician deems appropriate
⚠ Emergency / Post-Exposure
Emergency exposure
- Sperm count determination as soon as practicable [5212(m)(6)]
- Serum FSH/LH (and total estrogen for females) by radioimmunoassay if sperm count unavailable
- Repeat of the same tests 3 months later [5212(m)(6)]
Abnormal results & exposure-event protocols
Abnormal Results & Exposure-Event Protocols
- Employee develops signs/symptoms associated with DBCP exposure 8 CCR 5212(m)(3): Provide an additional medical examination including the reproductive battery. Tests: Sperm count / serum FSH, LH, total estrogen (females) by radioimmunoassay, Genitourinary physical examination
- Physician detects an increased-risk condition 8 CCR 5212(m)(5)(A)(3): No explicit medical removal protection; physician recommends limitations on exposure or PPE use, which guide but do not mandate employer action. Tests: Follow-up reproductive testing as the physician recommends
Reporting Requirements
| Who performs the evaluation | Licensed physician |
|---|---|
| Reported to employer | Written opinion with examination/test results, any increased-risk determination, and recommended exposure/PPE limitations [5212(m)(5)(A)]; must not reveal findings unrelated to occupational exposure. |
| Reported to / for the employee | Employer furnishes a copy of the written opinion to the employee. |
| Second-opinion / multi-physician review | No formal multiple-physician review mechanism specified. |
| Recordkeeping | Medical records retained for at least 40 years or the duration of employment plus 20 years, whichever is longer (consistent with federal; 8 CCR 3204). |
Medical Removal Protection
No explicit MRP; physician recommends exposure/PPE limitations only — equivalent to federal.