Who is covered: Each employee exposed above the action level, without regard to respirator use
Evaluation performed by: Licensed physician
🩺 Baseline / Pre-Placement
At the time of initial assignment, or upon institution of medical surveillance
- Medical/work history covering alcohol intake, history of hepatitis, work history with exposure to hepatotoxic agents, blood transfusion history, and hospitalization history
- General physical examination with specific attention to enlargement of or dysfunction in the liver, spleen, or kidneys, and to abnormalities of skin, connective tissue, and the pulmonary system
- Serum/liver-function panel: total bilirubin; alkaline phosphatase; SGOT (AST); SGPT (ALT); gamma-glutamyl transpeptidase
🕒 Periodic / Routine
Interval-based while covered — NOT result-triggered
Schedule: Every 6 months (semiannual) for employees who have worked 10+ years in vinyl chloride manufacturing; at least annually for all other covered employees.
- Medical/work history covering alcohol intake, history of hepatitis, work history with exposure to hepatotoxic agents, blood transfusion history, and hospitalization history
- General physical examination with specific attention to enlargement of or dysfunction in the liver, spleen, or kidneys, and to abnormalities of skin, connective tissue, and the pulmonary system
- Serum/liver-function panel: total bilirubin; alkaline phosphatase; SGOT (AST); SGPT (ALT); gamma-glutamyl transpeptidase
Abnormal results & exposure-event protocols
Abnormal Results & Exposure-Event Protocols
- Liver-function tests abnormal on examination 8 CCR 5210(k): Additional examinations (e.g., liver scan, biopsy) are performed at the examining physician's discretion. Tests: Physician-directed follow-up studies (e.g., liver scan, liver biopsy)
- Continued exposure would materially impair the employee's health 8 CCR 5210(k)(5): Employee shall be withdrawn from possible contact with vinyl chloride (no wage-protected MRP scheme).
Reporting Requirements
| Who performs the evaluation | Licensed physician |
|---|---|
| Reported to employer | Written statement of the employee's suitability for continued exposure to vinyl chloride, including use of protective equipment and respirators. |
| Reported to / for the employee | A copy of the physician's written statement is provided to each employee. |
| Time limits | Physician's statement obtained promptly after any examination; copy provided to the employee. |
| Second-opinion / multi-physician review | No multiple-physician-review scheme codified in the standard. |
| Recordkeeping | Medical records retained for the duration of employment plus 30 years (8 CCR 3204). |
Medical Removal Protection
No formal wage-protected MRP. If continued exposure would materially impair the employee's health, the employee shall be withdrawn from possible contact with vinyl chloride (1910.1017(k)(5)).