Medical Surveillance

All employees who work with the below list of hazardous chemicals will have the assigned BUMED IH determine if medical surveillance enrolment is necessary through exposure assessment or monitoring. If medical surveillance is necessary, a pre-employment or an initial medical history and/or physical is completed through Presidio of Monterey Occupational Health Services. The NPS OSHE Directorate can help schedule this examination. OSHA's expanded standards mandate medical surveillance for employees with potential occupational exposure to: asbestos, alpha-naphthylamine, methyl chloromethyl ether, 3,3'-dichlorobenzidine, bis-chloromethyl ether, beta- napththylamine, benzidine, 4-aminodiphenyl, ethyleneimine, beta-propiolactone, 2- acetylaminofluorene, 4-dimethylaminoazobenzene, N-nitrosodimethylamine, vinyl chloride, arsenic, lead, cadmium, benzene, coke oven emissions, cotton dust, 1,2-dibromo-3- chloropropane, acrylonitrile, ethylene oxide, formaldehyde, methylenedianiline, 1,3-butadiene, and methylene chloride under the following circumstances:

1. When a student or an employee has developed signs or symptoms associated with exposure.
2. When occupational exposure monitoring indicates exposures above the OSHA action levels.

Whenever an employee is involved in a spill, leak, explosion or other occurrence resulting in a possible overexposure to hazardous chemicals, laboratory employees and/or students will be provided with the opportunity to receive medical attention at POM medical facilities.

Employees may obtain free medical consultation regarding concerns about chemical or other occupational exposures by contacting the NPS OSHE Directorate. Students with concerns about chemical or other occupational exposures should inform their PI and if unable to get their concern resolved, they should also contact the NPS OSHE Directorate. Counseling on reproductive health matters may be obtained by contacting NPS OSHE Directorate.