General Industry
Who is covered: Employees exposed at/above the AL, without regard to respirator use, for at least 30 days/year; plus any employee exposed in an emergency
Evaluation performed by: Licensed physician
🩺 Baseline / Pre-Placement
Prior to assignment to an area where exposure may be at/above the AL for at least 30 days/year
- Medical and work history with emphasis on symptoms related to the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin
- Physical examination with emphasis on the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin
- Complete blood count: at minimum a white-cell count (including differential), red-cell count, hematocrit, and hemoglobin
- Any further laboratory or other test the examining physician deems necessary by sound medical practice
🕒 Periodic / Routine
Interval-based while covered — NOT result-triggered
Schedule: At least annually for employees exposed at/above the AL for at least 30 days in the past year.
- Medical and work history with emphasis on symptoms related to the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin
- Physical examination with emphasis on the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin
- Complete blood count: at minimum a white-cell count (including differential), red-cell count, hematocrit, and hemoglobin
- Any further laboratory or other test the examining physician deems necessary by sound medical practice
🚪 Exit / Termination
At termination of employment or reassignment to an area where EtO exposure is not at/above the AL for at least 30 days/year
- Medical and work history with emphasis on symptoms related to the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin
- Physical examination with emphasis on the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin
- Complete blood count: at minimum a white-cell count (including differential), red-cell count, hematocrit, and hemoglobin
Abnormal results & exposure-event protocols
Abnormal Results & Exposure-Event Protocols
- Emergency exposure to EtO 1910.1047(i)(2)(i)(D): Provide medical examination and consultation as medically appropriate following the emergency exposure. Tests: Medical examination and consultation as medically appropriate
- Employee reports signs or symptoms of possible overexposure to EtO 1910.1047(i)(2)(i)(E): Provide a medical examination/consultation addressing the reported signs or symptoms. Tests: Medical and work history with emphasis on symptoms related to the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin, Physical examination with emphasis on the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin, Complete blood count: at minimum a white-cell count (including differential), red-cell count, hematocrit, and hemoglobin
- Employee requests advice about reproductive effects, or the physician deems it medically appropriate 1910.1047(i)(2)(ii)(B): Make available medical consultation regarding reproductive effects; the physician may include pregnancy testing or laboratory evaluation of fertility on request when medically appropriate. Tests: Reproductive-effects consultation, Pregnancy testing or laboratory evaluation of fertility (on request, when medically appropriate)
Reporting Requirements
| Who performs the evaluation | Licensed physician |
|---|---|
| Reported to employer | Written opinion limited to: whether the employee has any detected medical condition that would place health at increased risk from EtO exposure; recommended limitations on the employee or on PPE use; and a statement that the employee was informed of the results and of any condition requiring further treatment. Must NOT reveal specific findings or diagnoses unrelated to occupational EtO exposure. |
| Reported to / for the employee | Employee informed of the results and of any condition requiring further treatment; furnished a copy of the written opinion. |
| Time limits | Copy of the written opinion provided to the employee within 15 days of the employer's receipt (1910.1047(i)(4)(iii)). |
| 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 (1910.1047(k)(3)(iii); 29 CFR 1910.1020). |
Medical Removal Protection
No formal MRP scheme; the physician's written opinion may state limitations on the employee or on PPE use.
Construction
Who is covered: Construction work covered identically to 1910.1047 by incorporation by reference (58 FR 35282, June 30, 1993). All exam events, components, abnormal protocols, and reporting are governed by 1910.1047.
Evaluation performed by: Licensed physician
🩺 Baseline / Pre-Placement
Prior to assignment where exposure may be at/above the AL for at least 30 days/year (per 1910.1047, incorporated by reference)
- Medical and work history with emphasis on symptoms related to the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin
- Physical examination with emphasis on the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin
- Complete blood count: at minimum a white-cell count (including differential), red-cell count, hematocrit, and hemoglobin
- Any further laboratory or other test the examining physician deems necessary by sound medical practice
🕒 Periodic / Routine
Interval-based while covered — NOT result-triggered
Schedule: At least annually for employees exposed at/above the AL for at least 30 days in the past year.
- Medical and work history with emphasis on symptoms related to the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin
- Physical examination with emphasis on the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin
- Complete blood count: at minimum a white-cell count (including differential), red-cell count, hematocrit, and hemoglobin
- Any further laboratory or other test the examining physician deems necessary by sound medical practice
🚪 Exit / Termination
At termination of employment or reassignment to an area where EtO exposure is not at/above the AL for at least 30 days/year
- Medical and work history with emphasis on symptoms related to the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin
- Physical examination with emphasis on the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin
- Complete blood count: at minimum a white-cell count (including differential), red-cell count, hematocrit, and hemoglobin
Abnormal results & exposure-event protocols
Abnormal Results & Exposure-Event Protocols
- Emergency exposure to EtO 1910.1047(i)(2)(i)(D): Provide medical examination and consultation as medically appropriate following the emergency exposure. Tests: Medical examination and consultation as medically appropriate
- Employee reports signs or symptoms of possible overexposure to EtO 1910.1047(i)(2)(i)(E): Provide a medical examination/consultation addressing the reported signs or symptoms. Tests: Medical and work history with emphasis on symptoms related to the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin, Physical examination with emphasis on the pulmonary, hematologic, neurologic, and reproductive systems and to the eyes and skin, Complete blood count: at minimum a white-cell count (including differential), red-cell count, hematocrit, and hemoglobin
- Employee requests advice about reproductive effects, or the physician deems it medically appropriate 1910.1047(i)(2)(ii)(B): Make available medical consultation regarding reproductive effects; the physician may include pregnancy testing or laboratory evaluation of fertility on request when medically appropriate. Tests: Reproductive-effects consultation, Pregnancy testing or laboratory evaluation of fertility (on request, when medically appropriate)
Reporting Requirements
| Who performs the evaluation | Licensed physician |
|---|---|
| Reported to employer | Written opinion limited to: whether the employee has any detected medical condition that would place health at increased risk from EtO exposure; recommended limitations on the employee or on PPE use; and a statement that the employee was informed of the results and of any condition requiring further treatment. Must NOT reveal specific findings or diagnoses unrelated to occupational EtO exposure. |
| Reported to / for the employee | Employee informed of the results and of any condition requiring further treatment; furnished a copy of the written opinion. |
| Time limits | Copy of the written opinion provided to the employee within 15 days of the employer's receipt (1910.1047(i)(4)(iii)). |
| 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 (1910.1047(k)(3)(iii); 29 CFR 1910.1020). |
Medical Removal Protection
No formal MRP scheme; the physician's written opinion may state limitations on the employee or on PPE use.