General Industry
Who is covered: Employees exposed at/above the AL for 30+ days/year; signs/symptoms; emergency exposure. Exceptions: pesticide application regulated by CA DPR, portland cement exposures, and materials that cannot release Cr(VI) at ≥0.5 µg/m³
Evaluation performed by: PLHCP (physician or other licensed health care professional)
🩺 Baseline / Pre-Placement
Within 30 days after initial assignment, unless the employee received a qualifying exam meeting these requirements within the prior 12 months
- Medical + work history covering past, present, and anticipated future exposure to Cr(VI); history of respiratory-system dysfunction; history of asthma, dermatitis, skin ulceration, or nasal septum perforation; and smoking status and history
- Physical examination of the skin and respiratory tract
- Any additional tests deemed appropriate by the examining PLHCP (no mandatory Cr biomarker)
🕒 Periodic / Routine
Interval-based while covered — NOT result-triggered
Schedule: At least annually.
- Medical + work history covering past, present, and anticipated future exposure to Cr(VI); history of respiratory-system dysfunction; history of asthma, dermatitis, skin ulceration, or nasal septum perforation; and smoking status and history
- Physical examination of the skin and respiratory tract
- Any additional tests deemed appropriate by the examining PLHCP
🚪 Exit / Termination
At termination of employment
- Termination medical examination — required unless the last qualifying exam was within the preceding 6 months
⚠ Emergency / Post-Exposure
Within 30 days after an emergency exposure (uncontrolled release); also whenever the employee shows signs or symptoms of adverse Cr(VI) health effects
- Medical + work history covering past, present, and anticipated future exposure to Cr(VI); history of respiratory-system dysfunction; history of asthma, dermatitis, skin ulceration, or nasal septum perforation; and smoking status and history
- Physical examination of the skin and respiratory tract
- Any additional tests deemed appropriate by the examining PLHCP
Abnormal results & exposure-event protocols
Abnormal Results & Exposure-Event Protocols
- Examining PLHCP recommends an additional medical examination Additional examination on PLHCP recommendation: Provide the recommended additional examination within 30 days of the written recommendation. Tests: Examination as specified by the PLHCP
Reporting Requirements
| Who performs the evaluation | PLHCP (physician or other licensed health care professional) |
|---|---|
| Reported to employer | Written opinion containing only: whether the employee has a detected medical condition that places the employee at increased risk from further Cr(VI) exposure; any recommended exposure limitations or PPE/respirator restrictions; and a statement that the PLHCP explained the results to the employee, including any condition requiring further evaluation. PLHCP must NOT reveal findings or diagnoses unrelated to occupational Cr(VI) exposure. |
| Reported to / for the employee | Employer provides a copy of the written opinion to the employee within 2 weeks of receiving it; PLHCP explains results directly to the employee. |
| Time limits | Employer obtains the written opinion within 30 days of each exam; furnishes a copy to the employee within 2 weeks of receipt. |
| Second-opinion / multi-physician review | No multiple-physician review mechanism specified in the Cr(VI) standard. |
| Recordkeeping | Records maintained per 8 CCR 3204, including PLHCP written opinions and information provided to the PLHCP. |
Construction
Who is covered: Construction-only scope: employees exposed at/above the AL for 30+ days/year; signs/symptoms; emergency exposure
Evaluation performed by: PLHCP (physician or other licensed health care professional)
🩺 Baseline / Pre-Placement
Within 30 days after initial assignment, unless the employee received a qualifying exam meeting these requirements within the prior 12 months
- Medical + work history covering past, present, and anticipated future exposure to Cr(VI); history of respiratory-system dysfunction; history of asthma, dermatitis, skin ulceration, or nasal septum perforation; and smoking status and history
- Physical examination of the skin and respiratory tract
- Any additional tests deemed appropriate by the examining PLHCP (no mandatory Cr biomarker)
🕒 Periodic / Routine
Interval-based while covered — NOT result-triggered
Schedule: At least annually.
- Medical + work history covering past, present, and anticipated future exposure to Cr(VI); history of respiratory-system dysfunction; history of asthma, dermatitis, skin ulceration, or nasal septum perforation; and smoking status and history
- Physical examination of the skin and respiratory tract
- Any additional tests deemed appropriate by the examining PLHCP
🚪 Exit / Termination
At termination of employment
- Termination medical examination — required unless the last qualifying exam was within the preceding 6 months
⚠ Emergency / Post-Exposure
Within 30 days after an emergency exposure (uncontrolled release); also whenever the employee shows signs or symptoms of adverse Cr(VI) health effects
- Medical + work history covering past, present, and anticipated future exposure to Cr(VI); history of respiratory-system dysfunction; history of asthma, dermatitis, skin ulceration, or nasal septum perforation; and smoking status and history
- Physical examination of the skin and respiratory tract
- Any additional tests deemed appropriate by the examining PLHCP
Abnormal results & exposure-event protocols
Abnormal Results & Exposure-Event Protocols
- Examining PLHCP recommends an additional medical examination Additional examination on PLHCP recommendation: Provide the recommended additional examination within 30 days of the written recommendation. Tests: Examination as specified by the PLHCP
Reporting Requirements
| Who performs the evaluation | PLHCP (physician or other licensed health care professional) |
|---|---|
| Reported to employer | Written opinion containing only: whether the employee has a detected medical condition that places the employee at increased risk from further Cr(VI) exposure; any recommended exposure limitations or PPE/respirator restrictions; and a statement that the PLHCP explained the results to the employee, including any condition requiring further evaluation. PLHCP must NOT reveal findings or diagnoses unrelated to occupational Cr(VI) exposure. |
| Reported to / for the employee | Employer provides a copy of the written opinion to the employee within 2 weeks of receiving it; PLHCP explains results directly to the employee. |
| Time limits | Employer obtains the written opinion within 30 days of each exam; furnishes a copy to the employee within 2 weeks of receipt. |
| Second-opinion / multi-physician review | No multiple-physician review mechanism specified in the Cr(VI) standard. |
| Recordkeeping | Records maintained per 8 CCR 3204, including PLHCP written opinions. |