General Industry
Who is covered: Employees exposed above the AL (without regard to respirator use) at least 30 days/year; employees with prior exposure above the AL 30+ days/year for a total of 10+ years of combined employment; plus additional exams for any employee developing arsenic-related signs/symptoms
Evaluation performed by: Licensed physician (employer-provided, at no cost)
🩺 Baseline / Pre-Placement
At the time of initial assignment to an area where the employee is likely to be exposed above the AL at least 30 days/year
- Work history and medical history including a smoking history and the presence and degree of respiratory symptoms such as breathlessness, cough, sputum production, and wheezing
- Standard film or digital posterior-anterior chest X-ray
- A nasal and skin examination
- Other examinations the physician believes appropriate because of the employee's arsenic exposure or required respirator use
🕒 Periodic / Routine
Interval-based while covered — NOT result-triggered
Schedule: At least annually (no age-45 / 10-year semiannual split in the federal standard).
- Work history and medical history including a smoking history and the presence and degree of respiratory symptoms such as breathlessness, cough, sputum production, and wheezing
- Standard film or digital posterior-anterior chest X-ray
- A nasal and skin examination
- Other examinations the physician believes appropriate
🚪 Exit / Termination
At termination of employment
- Required medical examination(s) — provided at termination if the employee has not had the required exams within the 6 months prior to termination
⚠ Emergency / Post-Exposure
Employee develops signs or symptoms commonly associated with inorganic arsenic exposure
- Additional medical examination as appropriate
- Emergency medical treatment as appropriate
Reporting Requirements
| Who performs the evaluation | Licensed physician |
|---|---|
| Reported to employer | Written opinion containing: the results of the medical examination and tests; an opinion as to whether the employee has any detected medical condition that places the employee at increased risk of material impairment from arsenic exposure; any recommended limitations on the employee's arsenic exposure or use of protective clothing/equipment; and a statement that the employee was informed of the results and of any condition requiring further examination or treatment. The physician is instructed not to reveal in the written opinion specific findings or diagnoses unrelated to occupational arsenic exposure. |
| Reported to / for the employee | Employer provides a copy of the written opinion to the affected employee. |
| Time limits | No specific timeframe for furnishing the written opinion is stated in the standard. |
| Second-opinion / multi-physician review | No multiple-physician review mechanism specified in the arsenic standard. |
| Recordkeeping | Medical records maintained for at least 40 years, or for the duration of employment plus 20 years, whichever is longer. |
Construction
Who is covered: Requirements identical to 1910.1018: exposed above the AL 30+ days/year; prior exposure 30+ days/year for 10+ combined years; plus signs/symptoms
Evaluation performed by: Licensed physician (employer-provided, at no cost)
🩺 Baseline / Pre-Placement
At the time of initial assignment to an area where the employee is likely to be exposed above the AL at least 30 days/year
- Work history and medical history including a smoking history and the presence and degree of respiratory symptoms such as breathlessness, cough, sputum production, and wheezing
- Standard film or digital posterior-anterior chest X-ray
- A nasal and skin examination
- Other examinations the physician believes appropriate because of the employee's arsenic exposure or required respirator use
🕒 Periodic / Routine
Interval-based while covered — NOT result-triggered
Schedule: At least annually (no age-45 / 10-year semiannual split in the federal standard).
- Work history and medical history including a smoking history and the presence and degree of respiratory symptoms such as breathlessness, cough, sputum production, and wheezing
- Standard film or digital posterior-anterior chest X-ray
- A nasal and skin examination
- Other examinations the physician believes appropriate
🚪 Exit / Termination
At termination of employment
- Required medical examination(s) — provided at termination if the employee has not had the required exams within the 6 months prior to termination
⚠ Emergency / Post-Exposure
Employee develops signs or symptoms commonly associated with inorganic arsenic exposure
- Additional medical examination as appropriate
- Emergency medical treatment as appropriate
Reporting Requirements
| Who performs the evaluation | Licensed physician |
|---|---|
| Reported to employer | Written opinion containing: the results of the medical examination and tests; an opinion as to whether the employee has any detected medical condition that places the employee at increased risk of material impairment from arsenic exposure; any recommended limitations on the employee's arsenic exposure or use of protective clothing/equipment; and a statement that the employee was informed of the results and of any condition requiring further examination or treatment. The physician is instructed not to reveal in the written opinion specific findings or diagnoses unrelated to occupational arsenic exposure. |
| Reported to / for the employee | Employer provides a copy of the written opinion to the affected employee. |
| Time limits | No specific timeframe for furnishing the written opinion is stated in the standard. |
| Second-opinion / multi-physician review | No multiple-physician review mechanism specified in the arsenic standard. |
| Recordkeeping | Medical records maintained for at least 40 years, or for the duration of employment plus 20 years, whichever is longer. |