OSHA-Regulated Exams

Providing OSHA-regulated exams for workers and knowledgeable feedback to employers.

OSHA regulates certain exams and tests as well as follow-up procedures. At Global Health's Occupational Health Center at HASC™, our expert medical providers perform OSHA-regulated examinations and give knowledgeable feedback to employers regarding the risks associated with abnormal findings.

The following information is taken from the OSHA standards on toxic substances. This information is for surveillance examinations and testing. Should you need information on post-exposure exams and/or testing, please contact our Supervisor of Medical Services.

Complete List of OSHA Regulated Substances
- 1910.1001 - Asbestos
- 1910.1002 - Coal tar pitch volatiles
- 1910.1003 - 13 Carcinogens
- 1910.1004 - Alpha-naphthylamine
- 1910.1006 - Methyl chloromethyl ether
- 1910.1007 - 3,'-Dichlorobenzidine (and its salts)
- 1910.1008 - Bis-chloromethyl ether
- 1910.1009 - Beta-naphthylamine
- 1910.1010 - Benzidine
- 1910.1011 - 4-Aminodiphenyl
- 1910.1012 - Ethyleneimine
- 1910.1013 - Beta-propiolactone
- 1910.1014 - 2-Acetylaminofluorene
- 1910.1015 - 4-Dimethylaminoazobenzene
- 1910.1016 - N-Nitrosodimethylamine
- 1910.1017 - Vinyl chloride
- 1910.1018 - Inorganic arsenic
- 1910.1025 - Lead
- 1910.1026 - Chromium (VI)(Hexavalent)
- 1910.1027 - Cadmium
- 1910.1028 - Benzene
- 1910.1029 - Coke oven emissions
- 1910.1030 - Bloodborne pathogens
- 1910.1043 - Cotton dust
- 1910.1044 - 1,2-dibromo-3-chloropropane
- 1910.1045 - Acrylonitrile
- 1910.1047 - Ethylene oxide
- 1910.1048 - Formaldehyde
- 1910.1050 - Methylenedianiline
- 1910.1051 - 1,3-Butadiene
- 1910.1052 - Methylene chloride
- 1910.1096 - Ionizing radiation
- 1926.1153 - Respirable crystalline silica
Arsenic Physical Exam
Medical surveillance: Established to lower risk of lung cancer
- Physical exam focused on respiratory, nasal, skin
- Smoking history
- 2 view chest x-ray
- Pulmonary function test
- Physician written opinion
Test for Asbestos Exposure
- Focused exam Respiratory system, cardiovascular system, digestive tract
- Asbestosis chest X-ray
- Pulmonary function test
- Respiratory disease questionnaire
- Physician's written opinion
Cadmium
- Medical history with focus on smoking history and kidney history
- 2 view chest x-ray
- Pulmonary function test
- Urine cadmium & Beta-2 microglobulin(best), or blood cadmium
- Prostate Specific Antigen(PSA)
- On future periodic monitoring, repeat x-rays are not required
Hexavalent Chromium Testing (CrVi)
- Physical exam with emphasis on skin and lung
- Pulmonary function testing
- Respirator fit test
- Physician written opinion(PWO)
- No specific lab testing required
Benzene Testing
OSHA mandates individuals may not exceed a time weighted average (TWA) of greater than 1ppm of benzene over an 8-hour shift.

In addition they may not exceed more than 5ppm averaged over a 15-minute period (Short Term Exposure Limit “STEL”).
- Medical history questionnaire
- Benzene questionnaire
- Employee’s duties as related to benzene exposure
- Complete blood count with differential
- Medical respiratory questionnaire
- Pulmonary function test
- Respiratory clearance form
- Benzene card
- Physical exam
- Substance Specific PWO
Butadiene Testing
OSHA mandates individuals may not exceed a time weighted average (TWA) of greater than 1ppm of benzene over an 8-hour shift.

In addition they may not exceed more than 5ppm averaged over a 15-minute period (Short Term Exposure Limit “STEL”).
- Initial physical exam, repeated every 3 years
  - Focused on hepatosplenomegaly, enlarged nodes
- Yearly CBC to monitor for leukemia
Coke Oven Emissions Testing
Coke is a by-product of baking coal in high temperature ovens. Coke is used for fuel and in smelting iron ore.

Surveillance enforced to monitor lung and urinary systems.

Medical Surveillance: Initial requirements
- Physical exam focused on respiratory system
- Pulmonary function testing
- Urinalysis
- Urine cytology
- 2 view chest x-ray
- Physician written opinion
Periodic exam requirements:

If > 45 yrs old or have been in the same job exposure > 5 yrs
- Every six months
- Physical exam
- Pulmonary function test
- Urinalysis
- Urine cytology
- Two view chest x-rays yearly
Ethylene Oxide Testing
EO is used primarily to make ethylene glycol which is then used as a medical equipment sterilant and agricultural fumigant.

Studies indicate EO may cause leukemia and reproductive abnormalities including sperm defects and spontaneous abortion.

Medical surveillance:
- A physical exam
- CBC with differential
- Physician written opinion
- Any other test deemed necessary by the physician
Lead Testing
The employer shall institute a medical surveillance program for all employees who are or may be exposed at or above the action level for more than 30 days per year.
- Blood lead and blood ZPP levels every six months
- Should a level exceed 40 ug/100 g, further testing is mandated
- Physical exam at least annually for those whose blood lead is >40
- Physical exam pre-employment if environment above the action level
- Physical exam immediately if signs or symptoms of exposure
- Physical exam if the employee wishes to have advice on recent or past exposure
- Physical examination should include:
  - A detailed work history and a medical history, with particular attention to past lead exposure (occupational and non-occupational), personal habits (smoking, hygiene), and past gastrointestinal, hematologic, renal, cardiovascular, reproductive and neurological problems
  - Particular attention to teeth, gums, hematologic, gastrointestinal, renal, cardiovascular, and neurological systems
  - Pulmonary status should be evaluated if respiratory protection will be used
  - CBC with differential
  - Blood Lead
  - Blood ZPP
  - Basic metabolic panel
  - Urinalysis
  - Pregnancy or male fertility testing id requested by the employee
  - Any further testing as deemed necessary by the physician
  - Physician Written Opinion
Respirable Crystalline Silica Physical Exam
- Medical and work history with emphasis on respirable silica exposure and history of lung dysfunction, tuberculosis and smoking
- Employee's duties, exposure levels, and PPE as related to exposure to respirable crystalline silica
- Physical exam with emphasis on the respiratory system
- Tuberculosis test
- Pulmonary function test
- B-read chest x-ray
- Other testing as deemed necessary
- Physician’s written opinion (PWO)

OSHA-Regulated Exams

Providing OSHA-regulated exams for workers and knowledgeable feedback to employers.

To schedule an appointment or for more information, please contact us.