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OSHA Exams & Services

UHS Occupational Medicine offers a wide range of Occupational Safety and Health Administration (OSHA) medical surveillance exams to assist employers in meeting regulatory requirements. The physical exams are provided with special regard for substances in the workplace known to increase the incidence of disease (asbestos, chemical solvents, hazardous waste, heavy metals and respiratory
irritants). A breathing test, Pulmonary Function Screen, provides baseline lung function and can be compared to previous test for changes in lung function.

Please inquire if your needs are not met with the services listed in this directory.

Asbestos

Asbestos Medical Surveillance (29 CFR 1910.1001)

The following services will be routinely performed for Asbestos Medical Surveillance Examinations:

  • Administration of the Asbestos Initial Medical Questionnaire Part 1 or Part 2 (Periodic Exams)
  • Asbestos Medical Surveillance Employee Questionnaire Report
  • Medical Exam and Counseling Report
  • Height/Weight
  • Blood Pressure
  • Stool test for occult blood
  • Pulmonary Function Screen

In addition, a two-view chest x-ray will be performed according CFR 1910.1001 recommended frequency table and pre-assignment to occupation with asbestos exposure.

Years Since

Exposure

Age of Employee

15-35

35-45

45+

0 – 10

Every 5 Years

Every 5 Years

Every 5 Years

10+

Every 5 Years

Every 2 Years

Every Year

All chest x-rays will be interpreted by a radiologist with “B” Reader Certification and according to the International Classification of Radiographs for Pneumoconiosis (LO-U/C).

With successful completion of the examination, the company will receive a “Physician Statement” on respirator suitability and a medical clearance for risk to exposure for the file as required by OSHA.

Audiometrics

Audiometrics (29 CFR 1910.95)

UHS Occupational Medicine will perform baseline and annual Audiograms for the Company. All Audiograms will be performed by a certified hearing Conservationist and reviewed by a physician with 

any recommendations being forwarded to the employer.

In accordance with OSHA Standard 29 CFR 1910.95 (g) (8), if a comparison of the annual audiogram to the baseline audiogram indicates a standard threshold shift, the employee shall be informed
by the employer of this fact in writing within twenty-one (21) days of the determination. The Company will be responsible for complying with this OSHA Standard.

Please note: Individuals scheduled for testing must not be exposed to any loud noise environment (e.g. bowling, motorcycles, target shooting, rock concerts, etc.) for a minimum period of fourteen (14) hours prior to testing; however, hearing protection may be used as a substitute to exposure to work place noise.

Blood Borne Pathogen Care

Blood Borne Pathogen Post-exposure Follow-up (29 CFR 1910.1030)

UHS Occupational Medicine has the ability to provide initial and follow-up care for anyone who has a work-related exposure to blood or body fluids. The following services are available to meet the requirements OSHA now mandates:

PRE-EXPOSURE

  • Hepatitis B Vaccination: a series of three (3) injections administered at 0, 1 and 6 months. Titers are recommended six(6) to eight (8) weeks post vaccination for high risk employees.
  • Pre-exposure Hepatitis B Vaccination and/or antibody status will be billed to employers at the prevailing rates.

POST-EXPOSURE

  • Twenty-four (24) hour access for initial post-exposure services, through the Emergency Room during non-business hours.
  • Post-exposure medical evaluation and follow-up counseling.
  • Antiretroviral prophylaxis for high risk exposures.
  • HBV status and update.
  • Confidential HIV counseling and testing. The staff at UHS Occupational Medicine are experienced HIV Counselors. 
  • The OSHA required employer report of medical evaluation will be forwarded to the designated company representative.
  • All records are maintained in a confidential file. Any additional questions you have may be answered by calling UHS Occupational Medicine at (607) 762-2333 in Binghamton and (607) 337-4777 in Norwich.


The Company must develop an Exposure Control Plan that identifies all employees with occupational exposure, the procedure for evaluation of exposure incidents, a schedule for implementing all provisions of the standard and educate employees on company plan/policy/procedure.

UHS Occupational Medicine staff can provide the following training and education:

  • Explanation of the OSHA Blood borne Standard.
  • Explanation of Hepatitis B and its implications.
  • Explanation of Hepatitis B Vaccine.
  • Explanation of Hepatitis C and its implications.
  • Explanation of HIV and its implications.

Formaldehyde

Formaldehyde Medical Surveillance (29 CFR 1910.1048)

The following services will be routinely performed for Formaldehyde Medical Surveillance Exams:

  • Completion of initial “Formaldehyde Medical Surveillance” Questionnaire or an Update
  • Medical Exam and Counseling Report
  • Height/Weight
  • Blood Pressure
  • Urine Dip for sugar and protein
  • Pulmonary Function Screen 

With successful completion of the examination, the company will receive a “Physician Statement” on respirator suitability and a medical clearance for risk to exposure for the file as required by OSHA.

Hazardous Materials Response Team (HAZMAT)

Hazardous Waste Operations (29 CFR 1910.120)

The following services will be routinely performed as part of the Hazardous Waste Operations Examination:

  • OSHA Respirator Medical Evaluation Questionnaire
  • Review of Medical/Occupational History
  • Height/Weight
  • Blood Pressure
  • Vision
  • Audiogram
  • Pulmonary Function Screen
  • Complete Blood Count
  • Chemistry Profile
  • Liver Profile
  • Lipid Profile
  • Blood Lead
  • RBC Cholinesterase
  • Hemoccult Test
  • Urinalysis
  • Urine Heavy Metal Screen


With successful completion of the examination the company will receive a “Physician Statement” on respirator suitability and a medical clearance for risk to exposure.

Hazardous Waste Operations

Hazardous Waste Operations (29 CFR 1910.120)


The following services will be routinely performed as part of the Hazardous Waste Operations Examination:

  • OSHA Respirator Medical Evaluation Questionnaire
  • Review of Medical/Occupational History
  • Height/Weight
  • Blood Pressure
  • Vision
  • Audiogram
  • Pulmonary Function Screen
  • Complete Blood Count
  • Chemistry Profile
  • Liver Profile
  • Lipid Profile
  • Blood Lead
  • RBC Cholinesterase
  • Hemoccult Test
  • Urinalysis
  • Urine Heavy Metal Screen

With successful completion of the examination the company will receive a “Physician Statement” on respirator suitability and a medical clearance for risk to exposure.

Hepatitis B Immunizations

UHS Occupational Medicine will provide a series of Hepatitis B Immunizations to all employees designated by the Company and desiring the vaccinations. The vaccine is a series of three (3)
injections given over a six (6) month period. Prior to receiving the vaccine, each recipient will be given the opportunity to have any questions or concerns about the vaccine answered. Each recipient will be required to sign a United Health Services Hospitals “Hepatitis B Immunization Consent/Declination” form prior to receiving the vaccine.

Lead

Lead Medical Surveillance (29 CFR 1910.1025)

The following services will be routinely performed as part of a Lead Medical Surveillance Examination:

OSHA Respirator Medical Evaluation Questionnaire

Review of Medical & Occupational History

Physical Examination

Height/Weight

Blood Pressure

Pulmonary Function Screen

Complete Blood Count

Chemistry Profile

Routine Urinalysis

Blood Lead

Zinc Protoporphyrin

With successful completion of the examination, the company will receive a “Physician Statement” on respiratory suitability and a medical clearance for risk to exposure.

Pulmonary Function Screens

Pulmonary Function Screen (SPIROMETRY)

UHS Occupational Medicine will perform pulmonary function screens as part of medical clearance for respirator use. All staff members performing the screens have completed the NIOSH Industrial Pulmonary Function Course. Each individual will be required to provide any relevant history and sign a “United Health Services Hospitals consent for Release of Medical Information” form prior to the medical information being forwarded to the Company.

Spirometry will not be performed if the subject is acutely ill from any cause, has smoked or used an aerosol bronchodilator within the past hour or has a significant upper or lower respiratory tract infection. At least two maneuvers, a forced vital capacity (FVC) and a forced expiratory volume-1 second (FEV1) will be completed. The individual will be requested to provide at least three consistent efforts. If the FVC is less than 80% or the FEV1 is less than 70%, restriction from respirator use may be considered.

Respirator Suitability

Respirator Suitability Examinations (29 CFR 1910.134)

Respiratory Clearance Exams are performed prior to the employee being fit tested or required to use a respirator and to current employees who annually give any positive responses to questions on the questionnaire. The following services will be routinely performed as part of a Respirator Clearance Examination:

OSHA Respirator Medical History Questionnaire

Review of Medical & Occupational History

Medical Exam & Counseling Report

Height/Weight

Blood Pressure

Pulmonary Function Screen

Urine Dip for Sugar & Protein

With successful completion of the examination the company will receive a “Physician Statement” on respirator suitability for the file as required by OSHA.

Respirator Fit Testing

Respirator Fit Testing

UHS Occupational Medicine can perform quantitative and qualitative fit testing for your employees.

Quantitative Fit Test

UHS Occupational Medicine uses the Quantafit Testing Machine, which is controlled negative pressure (CNP) method and is the fastest and most accuarate measurement tools for respirator leakage.

  • Proven Technologoy - OSHA approved
  • Fast Fit Method - less than 5 minutes per test
  • Most accurate - defects 98% of all leaks

Qualitative Fit Test

Qualitative (N95) fit testing using the QLFT50, which meets the performance criteria for fit testing half mask respirators under current OSHA standards.

*Fit testing is also available offsite upon request. Quantitative fit testing has availability restrictions. Please call 607-762-2333 for information. 

Companies requesting exams that require medical clearance for respirator use must provide a completed “Required Employer Information for Respirator Suitability/Clearance” form.

The Company must also provide the UHS Occupational Medicine provider with a copy of the standard specific to the requested surveillance. Both the form and the standard should be available to the provider at the time of the exam.

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