Federal OSHA Medical Surveillance · Quick Reference
Asbestos causes asbestosis, lung cancer, and mesothelioma; affects workers in construction/demolition, shipyards, insulation, brake/friction work, and abatement. Federal OSHA requires employers to provide this medical surveillance at no cost to covered employees. Routine testing catches harm early and keeps your program audit-ready.
Required Tests by Exam
| Required test / evaluation | Baselinepre-placement | Periodicannual |
|---|---|---|
| Medical and work historyspecial emphasis on the pulmonary, cardiovascular, and gastrointestinal systems | ✓ | ✓ |
| Respiratory symptoms questionnaireA standardized questionnaire about breathing symptoms, smoking history, and past job exposures | ✓ | ✓ |
| Physical examination directed to the pulmonary and gastrointestinal systems | ✓ | ✓ |
| Chest X-ray | ✓ | ✓ |
| Pulmonary function testsforced vital capacity (FVC) and forced expiratory volume at one second (FEV1) | ✓ | ✓ |
| Any other examinations or tests deemed necessary by the examining physician | ✓ | ✓ |
Scheduling, exams, lab panels, physician review, and audit-ready records — fully Federal OSHA compliant.