HazMat and HAZWOPER

The Zakim Bridge

HazMat Silica Surveillance Exams 

OccMedCIC has three medical assistants who are NIOSH certified to conduct the pulmonary function testing. We will arrange for Chest X-rays to be done in our office. We would prefer to schedule these in groups. We are happy to work with our clients to streamline all OSHA surveillance requirements to minimize time away from job site and costs.

Need-to-Know 

As per OSHA silica standard, both the employer and employee letter will be sent to the employee. The employer only receives the employer letter. OccMedCIC provides medical examinations that meet the requirements of the medical surveillance section of the OSHA Respirable Crystalline Silica standard 1910.1053(h) and 1926.1153(h). OccMedCIC can evaluate respirator clearance as per OSHA Standard 29 CFR 1910.134.

HazMat Silica Surveillance includes:

  • physical examination
  • chest x-ray with “B” read (pneumoconiosis grading system)
  • spirometry breathing test (pulmonary function testing or PFT)
  • tuberculosis test

HazMat Asbestos Surveillance Exams

OccMedCIC has three medical assistants who are NIOSH certified to conduct the pulmonary function testing. Initial asbestos exams require a chest x-ray with A and B radiology interpretation. We will arrange for chest x-rays to be done in our office. We would prefer to schedule these in groups. We are happy to work with our clients to streamline all OSHA surveillance requirements to minimize time away from job site and costs.

OccMedCIC can do initial and periodic asbestos examinations. OccMedCIC can do venipuncture when appropriate. OccMedCIC can evaluate respirator clearance as per OSHA Standard 29 CFR 1910.134.

HazMat Deleader Exams

OccMedCIC can complete HazMat Deleader Supervisor Applications in accordance with provisions of M.G.I. c. 149 6-6F ½ and 453 CMR 6.00

OccMedCIC can perform venipuncture to screen for lead-zpp and review an individual’s medical monitoring, conducted as per the OSHA standards (29 CFR 1910.120, 29 CFR 1926.65 (f) and 29 CFR 1101(m)). Our surveillance program was designed and supervised by an attending physician knowledgeable about hazardous materials and adequately briefed on potential or anticipated hazards specific for the individual. Additionally, OccMedCIC informs individuals of their test results and any medical conditions discovered that require further examination or treatment.

HazMat Hazwoper Exams

OccMedCIC performs hazardous waste worker regulated HAZWOPER exams as per the OSHA standards 29 CFR 1910.120, 29 CFR 1926.65 (f) and 29 CFR 1101(m). OccMedCIC can perform HazMat Hazwoper examinations given a job description, list of potential hazards, anticipated exposure levels and type of personal protective equipment used. OccMedCIC can evaluate respirator clearance as per OSHA Standard 29 CFR 1910.134.

Cardiovascular challenges that occur in high heat/humidity environment are common risks. OccMedCIC can complete cardiac and pulmonary testing as per OSHA Standards 29 CFR 1910.120 and 40 CFR 311. OccMedCIC can complete this testing as part of overall evaluations.

 

Lab Animal Allergy Exams

OccMedCIC can review Lab Animal Allergy Questionnaires as part of a screening and surveillance program to reduce the health burden of animal lab allergies consistent with general recommendations of the Institute of Laboratory Animal Research (ILAR) and the American Association of Animal Laboratory Science (AAALS). The OccMedCIC surveillance program was designed and supervised by an attending physician specializing in Occupational and Environmental Medicine and knowledgeable about pertinent hazards and adequately briefed on potential or anticipated hazards specific for the individual.

OccMedCIC follows recommendations of the Institute of Laboratory Animal Research (ILAR) and American Association of Animal Laboratory Science (AAALS).

Our Approach to Surveillance Tuberculosis Testing

OccMedCIC is able to perform venipuncture for Interferon Gamma Release Assay (IGRA) tuberculosis blood tests. We partner with Oxford Laboratories to complete T-Spot tuberculosis blood testing. The IGRA blood test requires one appointment and the lab results are available between 2 and 5 days from the date of blood collection.

OccMedCIC can place and interpret tuberculosis skin tests. Tuberculosis skin tests require two appointments and can be read between 48-72 hours after the test was planted.

Positive Tuberculosis Skin Test Results

Positive tuberculosis skin tests and IGRA tests must be followed by a chest x-ray that evaluates the lungs for active tuberculosis infection. Patients who do not appear to have active, contagious tuberculosis may still be infected with tuberculosis mycobacteria. Given the absence of symptoms, the infection may be inactive, or dormant. Nevertheless, public health professionals recommend that this Class B Latent Tuberculosis be treated with antibacterial medication.

Massachusetts Department of Public Health will be notified of positive IGRA results.

Symptoms of Tuberculosis

  • Persistent cough (over three weeks)
  • Unexplained weight loss
  • Ongoing fever or chills
  • Night sweats
  • Weakness
  • Fatigue

Please call to inquire about exam pricing and requirements.