EP 1110-1-18
24 Apr 00
24-4. Medical Surveillance. This section discusses the following aspects of the medical
surveillance program: participation requirements, medical examinations, certification and
a. Participation Requirements.
(1) All personnel performing on-site activities that meet or exceed the requirements and
inclusion criteria in 29 CFR 1910.120/29CFR 1926.65(f), and EM 385-1-1 (or other applicable
military requirements) will participate in an ongoing medical surveillance program.
(2) In consultation with the Occupational Physician, the minimum content and frequencies
of necessary medical examinations will be determined. This determination will be based upon
probable site conditions, potential occupational exposures, and required PPE.
b. Medical Examinations.
(1) Examinations will be performed by or under the supervision of a licensed physician,
preferably one knowledgeable in occupational medicine. Examination and/or test results will be
reviewed by the Occupational Physician.
(2) The written opinion from the attending physician required by 29 CFR 1910.120/ 29
CFR 1926.65(f)(7) will be made available upon request to the CO or approving authority for any
site employee.
c. Certification. Certification of employee participation in the medical surveillance
program will be appended to the SSHP. This certification will include the employee's name, the
date of last examination, and name of reviewing occupational physician.
d. Recordkeeping. All personnel medical monitoring records will be maintained in
accordance with 29 CFR 1910.120.
24-4
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