Section 325.51166. Medical examinations and consultation; frequency and content.

Rule  16.  (1)  An   employer  shall   make  medical  examinations  and  consultations available to each employee covered in R 325.51165 as follows:

(a)   Before assignment to a work area where exposure may be at or above the action level or short-term exposure limit for at least 30 days a year.

(b)   At least annually each employee exposed at or above the action level for at least 30 days in the past year.

(c)   At termination of employment or reassignment to an area where exposure to EtO is not at or above the action level or short-term exposure limit for at least 30 days a year.

(d)  As medically appropriate for any employee exposed in an emergency.

(e)    As soon as possible after notification by an employee that the employee has developed signs or symptoms indicating possible overexposure to EtO or that the employee desires medical advice concerning the effects of current or past exposure to EtO on the employee's ability to produce a healthy child.

(f)      An  employer   shall  provide  additional  medical  examinations   to  affected employees at the frequency recommended by the examining physician.

(2)    Medical examinations made available pursuant to subrule (1) of this rule shall include all of the following:

(a)   A medical and work history, with emphasis given to eyes, skin, and pulmonary, hematologic, neurologic, and reproductive systems.

(b)     A physical examination with emphasis given to eyes, skin, and pulmonary, hematologic, neurologic, and reproductive systems.

(c)   A complete blood count, including at least a white cell count with differential, red cell count, hematocrit, and hemoglobin.

(d)      Additional  tests   which,  in  the  opinion  of   the  examining   physician,  are appropriate.

(e)     Pregnancy  testing   or  laboratory  evaluation  of  fertility  shall  be  provided   if requested by the employee and deemed appropriate by the physician.

History: 1988 AACS; 2015 AACS.