General Industry
Who is covered: Employees exposed at/above the AL 30+ days/year OR at/above the PEL 10+ days/year; plus transferred employees with a qualifying exposure history (at/above the PEL 30+ days/year for 10+ years, or at/above the AL 60+ days/year for 10+ years); plus any employee exposed in an emergency
Evaluation performed by: Licensed physician
🩺 Baseline / Pre-Placement
Initial physical examination before/at the start of BD-exposure duties, if 12 months or more have elapsed since the last physical examination meeting these requirements
- Health questionnaire / comprehensive occupational and health history (Appendix C forms), updated annually, with particular emphasis on the hematopoietic and reticuloendothelial systems
- Complete physical examination with special emphasis on the liver, spleen, lymph nodes, and skin
- Complete blood count (CBC) with differential and platelet count
🕒 Periodic / Routine
Interval-based while covered — NOT result-triggered
Schedule: Health questionnaire and CBC every year; a full physical examination every 3 years after the initial physical examination.
- Annual: health questionnaire (Appendix C) with hematopoietic/reticuloendothelial emphasis
- Annual: CBC with differential and platelet count
- Every 3 years: complete physical examination with special emphasis on the liver, spleen, lymph nodes, and skin
🚪 Exit / Termination
At termination of employment, if 12 months or more have elapsed since the last physical examination
- Health questionnaire / comprehensive occupational and health history (Appendix C forms), updated annually, with particular emphasis on the hematopoietic and reticuloendothelial systems
- Complete physical examination with special emphasis on the liver, spleen, lymph nodes, and skin
- Complete blood count (CBC) with differential and platelet count
Abnormal results & exposure-event protocols
Abnormal Results & Exposure-Event Protocols
- Emergency exposure to BD 1910.1051(k)(4)(ii): Provide medical screening as quickly as possible, no later than 48 hours after exposure: a CBC within 48 hours of the exposure and then monthly for three months. Tests: CBC within 48 hours of the exposure, Monthly CBC for 3 months following the exposure
- Abnormal annual health questionnaire and/or CBC result on review 1910.1051(k)(3)(i)(D): Examining physician orders additional medical examinations or tests as warranted at the physician's discretion. Tests: Physician-directed additional examinations/tests
Reporting Requirements
| Who performs the evaluation | Licensed physician |
|---|---|
| Reported to employer | Written opinion limited to: occupationally pertinent results of the medical evaluation; whether the employee has any detected medical condition that would place health at increased risk of material impairment from BD; recommended limitations on BD exposure; and a statement that the employee was informed of the results. Must NOT reveal specific records, findings, or diagnoses with no bearing on ability to work with BD. |
| Reported to / for the employee | Employee informed of the results; furnished a copy of the written opinion. |
| Time limits | Written opinion provided within 15 business days of the evaluation (1910.1051(k)(7)). |
| 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 (1910.1051(m)(4)(iii); 29 CFR 1910.1020). |
Medical Removal Protection
No MRP wage-protection scheme codified; the physician provides a written opinion with recommended exposure limitations.