Developing Criteria for Haz Mat Team Physicals
Technical Bulletin Last updated 10/01/1998Hazardous materials physicals are an important tool required by law that pose a number of questions with regard to proper monitoring, tracking, and determining fitness for duty to ensure the health of Hazardous Materials Team members. The purpose of this research was to identify factors to be used in determining appropriate exam and testing criteria and for the development of a physical exam check sheet for use by the attending physician conducting the physicals. This study utilized action research methodology. Research questions were: 1. What factors should be considered in determining baseline physical exams and appropriate tests? 2. What factors should the physician take into consideration when reviewing physical exams for appropriateness for duty? 3.What information should be included in a check sheet, medical questionnaire that can be provided to the physician prior to exam? Findings revealed a number of steps that need to be taken to assist in developing appropriate criteria for hazardous materials team member physicals. Based on the findings, a medical questionnaire and reporting form for exposure to hazardous substances were developed for the physician's use. Review of the material showed that in looking at conducting physicals, the following needs to be considered: 1. Consultation with physician selected for providing exams regarding appropriate monitoring and testing. 2. Deaprtment should research and develop a list of potential chemical exposures. 3. The physician should be provided copies of OSHA, HAZWOPER and Respiratory Standards; NIOSH Occupational Safety and Health Guidance Manual; NFPA 1582; and department written respiratory program.4. Provide physician a list of equipment used by team members. 5. An accurate medical and exposure history must be completed by team members and be provided to the physician.
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