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670 8-hour HAZWOPER Refresher for Cleanup Operations
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Medical Surveillance

The purpose of medical surveillance under the HASP is to monitor and assess the health status of workers exposed to hazardous substances and when using respirators.

The employer must provide appropriate medical evaluations and follow-up. Medical surveillance must address recordkeeping, confidentiality of medical records, and the responsibilities of employers and employees regarding medical surveillance.

The table below shows which employees must have medical surveillance.

Employee Category When a Medical Exam is Required
Employees who may be exposed to hazardous substances at or above permissible exposure limits (PELs) or published exposure levels for those substances 30 or more days a year.

Employees who wear a respirator for 30 or more days a year or who are required by 1910.134, Subdivision 2/I to wear a respirator.

Members of HAZMAT teams
Before assignment
Every 12 months unless the physician recommends a longer interval (not to exceed 24 months)
At termination of employment and reassignment
Immediately after reporting symptoms indicating overexposure
Employees who show symptoms of overexposure to hazardous substances As soon as possible after an employee reports symptoms
When a physician determines an examination is necessary

Knowledge Check Choose the best answer for the question.

4-7. The HAZWOPER Medical Surveillance Program applies to _____.