Who is covered: Employees considered for assignment to enter regulated areas and authorized employees. No air PEL — regulation is by contact/regulated area wherever a covered carcinogen is manufactured, processed, used, repackaged, released, handled, or stored [1910.1003(c), (g)]
Evaluation performed by: Physician (licensed)
🩺 Baseline / Pre-Placement
Before an employee enters (is assigned to) a regulated area [1910.1003(g)(1)(i)]
- Preassignment physical examination by a physician
- Personal history of the employee and family and occupational background, including genetic and environmental factors [1910.1003(g)(1)(i)]
- Physician consideration of conditions of increased risk — reduced immunological competence, treatment with steroids or cytotoxic agents, pregnancy, and cigarette smoking [1910.1003(g)(1)(iii)]
- NOTE: the standard imposes NO substance-specific laboratory panel; specific tests are left to the physician's judgment
🕒 Periodic / Routine
Interval-based while authorized — NOT result-triggered
Schedule: Periodic physical examinations not less often than annually following the preassignment examination [1910.1003(g)(1)(ii)].
- Physical examination by a physician
- Updated personal/family/occupational history including genetic and environmental factors
- Physician consideration of increased-risk conditions (reduced immunological competence, steroid/cytotoxic treatment, pregnancy, cigarette smoking)
- NOTE: NO substance-specific laboratory panel is mandated
⚠ Emergency / Post-Exposure
Employee present in the potentially affected area at the time of an emergency [1910.1003(d)(2)(iii)]
- Special medical surveillance by a physician instituted within 24 hours of the emergency
- Examination and history as the physician determines (no enumerated lab panel)
Reporting Requirements
| Who performs the evaluation | Physician |
|---|---|
| Reported to employer | The examining physician furnishes the employer a statement of the employee's suitability for employment in the specific exposure [1910.1003(g)(2)(iii)]. The standard does not prescribe a detailed limited written-opinion content list as the substance-specific standards do. |
| Reported to / for the employee | Standard does not specify a separate employee-notification timetable beyond access to records under 29 CFR 1910.1020. |
| Time limits | No specific day-count for furnishing the suitability statement is stated in (g)(2)(iii). |
| Second-opinion / multi-physician review | No multiple-physician review mechanism specified. |
| Recordkeeping | Complete and accurate records of medical examinations maintained for the duration of the employee's employment [1910.1003(g)(2)(i)]. |
Medical Removal Protection
No medical removal protection program. The standard relies on the physician's suitability statement and increased-risk-factor evaluation rather than result-triggered removal.