Who is covered: Same five triggers as federal: AL 30+ days/year; dermal exposure 15+ days/year; emergency; reasonably believed dermal-exposed; signs/symptoms (CAS 101-77-9)
Evaluation performed by: Licensed physician (by or under the supervision of)
🩺 Baseline / Pre-Placement
Before initial assignment (or within the standard's phase-in window)
- Detailed occupational and medical history
- Physical examination with particular attention to the skin and signs/symptoms of liver disease
- Liver function tests
- Urinalysis
- Additional tests the physician deems necessary
🕒 Periodic / Routine
Interval-based while covered — NOT result-triggered
Schedule: At least annually.
- Brief update of occupational/health history
- Liver function tests
- Skin examination
- Additional tests the physician deems necessary
⚠ Emergency / Post-Exposure
Emergency / hazardous exposure
- Medical examination as soon as possible after the exposure
- History and physical emphasizing skin and liver
- Liver function tests
- Repeat liver function tests 2–3 weeks after the initial tests
Abnormal results & exposure-event protocols
Abnormal Results & Exposure-Event Protocols
- Employee develops signs/symptoms associated with MDA exposure 8 CCR 5200 (signs/symptoms exam): Provide an additional examination including repeat liver function tests. Tests: Repeat liver function tests, Skin/liver-focused physical examination
- Physician finds abnormal liver function tests or an increased-risk condition that could worsen with continued exposure 8 CCR 5200 — Medical Removal Protection: Remove from MDA exposure; maintain earnings/seniority/benefits (MRP) up to 6 months; return when signs resolve or physician advises. Tests: Liver function tests during removal to determine return eligibility
Reporting Requirements
| Who performs the evaluation | Licensed physician |
|---|---|
| Reported to employer | Written opinion with occupationally pertinent results, increased-risk determination, and recommended limitations; must not reveal findings unrelated to occupational exposure. |
| Reported to / for the employee | Employer furnishes a copy of the written opinion to the employee. |
| Time limits | Within 15 days of employer receipt [5200(m)(8)(A)]. |
| Second-opinion / multi-physician review | Multiple-physician review: the employee may designate a second physician [5200(m)(6)(A)]; if disagreement persists, a third physician is jointly designated to resolve it [5200(m)(6)(D)]. |
| Recordkeeping | Medical records retained for the duration of employment plus 30 years (8 CCR 3204). |
Medical Removal Protection
Removal on abnormal LFTs / increased-risk finding; up to 6 months wage/benefit protection — mirrors federal.