General Industry
Who is covered: Employees (1) exposed at/above the AL for more than 30 days/year; (2) showing signs or symptoms of CBD or other beryllium-related health effects; (3) exposed to beryllium during an emergency; or (4) recommended for periodic surveillance in a PLHCP/physician's written opinion
Evaluation performed by: PLHCP, with the written medical report authored by a licensed physician; CBD evaluation by a CBD diagnostic center (pulmonologist/pulmonary specialist with BAL and transbronchial biopsy capability)
🩺 Baseline / Pre-Placement
Within 30 days after the employee meets an eligibility criterion, unless the employee received a beryllium medical exam within the preceding 2 years
- Medical and work history with emphasis on past and present airborne exposure to or dermal contact with beryllium, smoking history, and any history of respiratory-system dysfunction
- Physical examination with emphasis on the respiratory system
- Physical examination of the skin for rashes
- Pulmonary function tests per ATS guidelines: forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV₁)
- Standardized BeLPT (or equivalent test) at the first examination
- Low-dose CT scan when recommended by the PLHCP after considering exposure history and other risk factors
- Any other test deemed appropriate by the PLHCP
🕒 Periodic / Routine
Interval-based while covered — NOT result-triggered
Schedule: At least every 2 years.
- Medical and work history with emphasis on past and present airborne exposure to or dermal contact with beryllium, smoking history, and any history of respiratory-system dysfunction
- Physical examination with emphasis on the respiratory system
- Physical examination of the skin for rashes
- Pulmonary function tests per ATS guidelines (FVC, FEV₁)
- Standardized BeLPT (or equivalent) at least every 2 years, unless the employee is confirmed positive
- Low-dose CT scan when recommended by the PLHCP
- Any other test deemed appropriate by the PLHCP
🚪 Exit / Termination
At termination of employment for an employee meeting an eligibility criterion
- Termination medical examination — required unless a beryllium medical exam was provided during the 6 months prior to termination
- Standardized BeLPT (per exam content)
⚠ Emergency / Post-Exposure
Within 30 days after an emergency beryllium exposure, if no exam was provided within the preceding 2 years
- Medical and work history with emphasis on past and present airborne exposure to or dermal contact with beryllium, smoking history, and any history of respiratory-system dysfunction
- Physical examination (respiratory system, skin)
- Pulmonary function tests (FVC, FEV₁)
- Standardized BeLPT
- Low-dose CT scan when recommended by the PLHCP
Abnormal results & exposure-event protocols
Abnormal Results & Exposure-Event Protocols
- BeLPT result is abnormal or borderline (and the employee is not already confirmed positive) Follow-up BeLPT on abnormal/borderline result: Offer a follow-up BeLPT within 30 days of receiving the result. Tests: Follow-up standardized BeLPT
- PLHCP recommends referral, or the employee presents a medical report showing a confirmed positive finding or a CBD diagnosis CBD diagnostic center referral: With the employee's authorization, the employer offers an evaluation at a CBD diagnostic center within 30 days; the center provides a written report. Tests: CBD diagnostic-center evaluation (pulmonary function testing, bronchoalveolar lavage, transbronchial biopsy as indicated)
- Employee working at/above the AL who provides a written medical report of a confirmed positive beryllium-sensitization finding or a CBD diagnosis, OR receives a written PLHCP/physician recommendation for removal Medical Removal Protection: Remove the employee from beryllium exposure. The employer either transfers the employee to comparable work below the AL (if available and the employee is qualified or can be trained within ~1 month) or maintains the employee's base earnings, seniority, and other rights/benefits for 6 months from the time of removal, or until comparable below-AL work becomes available, whichever comes first. Tests: Continued medical surveillance per the standard during removal
Reporting Requirements
| Who performs the evaluation | PLHCP for the exam; a licensed physician authors the written medical report; CBD diagnostic center for CBD evaluation |
|---|---|
| Reported to employer | Within 45 days, a written medical opinion containing only the date of the exam, a statement that the exam met the standard, any recommended PPE/respirator limitations, and confirmation that the PLHCP explained the results to the employee. Any further content (exposure limitations, CBD-center referral, removal recommendation) is included ONLY with the employee's written authorization. |
| Reported to / for the employee | Within 45 days, a written medical report from the licensed physician containing exam results, any detected CBD/sensitization or related condition, recommendations (respirator/PPE/exposure limits), and — if confirmed positive or CBD — a recommendation for CBD-center referral, continued surveillance, and medical removal. Employee also receives a copy of the employer opinion within 45 days; CBD-center report copy within 30 days. |
| Time limits | Written medical report to the employee and written opinion to the employer within 45 days of the exam; CBD diagnostic-center report within 30 days. |
| Second-opinion / multi-physician review | No formal multiple-physician review; the CBD diagnostic-center evaluation serves as the specialist confirmation pathway. |
| Recordkeeping | Records maintained per 29 CFR 1910.1020 (duration of employment plus 30 years), including all licensed physicians' written medical opinions and information provided to the PLHCP. |
Medical Removal Protection
Removal for a confirmed positive beryllium sensitization, a CBD diagnosis, or a written removal recommendation; benefits = comparable below-AL position OR maintained base earnings/seniority/benefits for 6 months (or until comparable work is available) — notably shorter than lead/cadmium's 18 months.
Construction
Who is covered: Employees (1) exposed at/above the AL for more than 30 days/year; (2) showing signs or symptoms of CBD or other beryllium-related health effects; (3) exposed to beryllium during an emergency; or (4) recommended for periodic surveillance in a PLHCP/physician's written opinion
Evaluation performed by: PLHCP, with the written medical report authored by a licensed physician; CBD evaluation by a CBD diagnostic center (pulmonologist/pulmonary specialist with BAL and transbronchial biopsy capability)
🩺 Baseline / Pre-Placement
Within 30 days after the employee meets an eligibility criterion, unless the employee received a beryllium medical exam within the preceding 2 years
- Medical and work history with emphasis on past and present airborne exposure to or dermal contact with beryllium, smoking history, and any history of respiratory-system dysfunction
- Physical examination with emphasis on the respiratory system
- Physical examination of the skin for rashes
- Pulmonary function tests per ATS guidelines: forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV₁)
- Standardized BeLPT (or equivalent test) at the first examination
- Low-dose CT scan when recommended by the PLHCP after considering exposure history and other risk factors
- Any other test deemed appropriate by the PLHCP
🕒 Periodic / Routine
Interval-based while covered — NOT result-triggered
Schedule: At least every 2 years.
- Medical and work history with emphasis on past and present airborne exposure to or dermal contact with beryllium, smoking history, and any history of respiratory-system dysfunction
- Physical examination with emphasis on the respiratory system
- Physical examination of the skin for rashes
- Pulmonary function tests per ATS guidelines (FVC, FEV₁)
- Standardized BeLPT (or equivalent) at least every 2 years, unless the employee is confirmed positive
- Low-dose CT scan when recommended by the PLHCP
- Any other test deemed appropriate by the PLHCP
🚪 Exit / Termination
At termination of employment for an employee meeting an eligibility criterion
- Termination medical examination — required unless a beryllium medical exam was provided during the 6 months prior to termination
- Standardized BeLPT (per exam content)
⚠ Emergency / Post-Exposure
Within 30 days after an emergency beryllium exposure, if no exam was provided within the preceding 2 years
- Medical and work history with emphasis on past and present airborne exposure to or dermal contact with beryllium, smoking history, and any history of respiratory-system dysfunction
- Physical examination (respiratory system, skin)
- Pulmonary function tests (FVC, FEV₁)
- Standardized BeLPT
- Low-dose CT scan when recommended by the PLHCP
Abnormal results & exposure-event protocols
Abnormal Results & Exposure-Event Protocols
- BeLPT result is abnormal or borderline (and the employee is not already confirmed positive) Follow-up BeLPT on abnormal/borderline result: Offer a follow-up BeLPT within 30 days of receiving the result. Tests: Follow-up standardized BeLPT
- PLHCP recommends referral, or the employee presents a medical report showing a confirmed positive finding or a CBD diagnosis CBD diagnostic center referral: With the employee's authorization, the employer offers an evaluation at a CBD diagnostic center within 30 days; the center provides a written report. Tests: CBD diagnostic-center evaluation (pulmonary function testing, bronchoalveolar lavage, transbronchial biopsy as indicated)
- Employee working at/above the AL who provides a written medical report of a confirmed positive beryllium-sensitization finding or a CBD diagnosis, OR receives a written PLHCP/physician recommendation for removal Medical Removal Protection: Remove the employee from beryllium exposure. The employer either transfers the employee to comparable work below the AL (if available and the employee is qualified or can be trained within ~1 month) or maintains the employee's base earnings, seniority, and other rights/benefits for 6 months from the time of removal, or until comparable below-AL work becomes available, whichever comes first. Tests: Continued medical surveillance per the standard during removal
Reporting Requirements
| Who performs the evaluation | PLHCP for the exam; a licensed physician authors the written medical report; CBD diagnostic center for CBD evaluation |
|---|---|
| Reported to employer | Within 45 days, a written medical opinion containing only the date of the exam, a statement that the exam met the standard, any recommended PPE/respirator limitations, and confirmation that the PLHCP explained the results to the employee. Any further content (exposure limitations, CBD-center referral, removal recommendation) is included ONLY with the employee's written authorization. |
| Reported to / for the employee | Within 45 days, a written medical report from the licensed physician containing exam results, any detected CBD/sensitization or related condition, recommendations (respirator/PPE/exposure limits), and — if confirmed positive or CBD — a recommendation for CBD-center referral, continued surveillance, and medical removal. Employee also receives a copy of the employer opinion within 45 days; CBD-center report copy within 30 days. |
| Time limits | Written medical report to the employee and written opinion to the employer within 45 days of the exam; CBD diagnostic-center report within 30 days. |
| Second-opinion / multi-physician review | No formal multiple-physician review; the CBD diagnostic-center evaluation serves as the specialist confirmation pathway. |
| Recordkeeping | Records maintained per 29 CFR 1910.1020 (duration of employment plus 30 years), including written medical opinions. Identical to GI 1910.1024. |
Medical Removal Protection
Removal for a confirmed positive beryllium sensitization, a CBD diagnosis, or a written removal recommendation; benefits = comparable below-AL position OR maintained base earnings/seniority/benefits for 6 months (or until comparable work is available) — notably shorter than lead/cadmium's 18 months.