Section 325.77109b. Periodic examinations.

b. (1)  An  employer  shall   provide  each  employee  who  is  subject  to R 325.77109 with an annual medical examination. An annual examination shall include, at a minimum, all of the following elements:

(a)   A brief history regarding any new exposure to potential marrow toxins, changes in medicinal drug use, or the appearance of physical signs relating to blood disorders.

(b)   A complete blood count, including all of the following:

(i)   A leukocyte count with differential.

(ii)   A quantitative thrombocyte count.

(iii)   Hemoglobin.

(iv)   Hematocrit.

(v)   Erythrocyte count and erythrocyte indices (MCV, MCH, MCHC).

(c)   Appropriate additional tests that the examining physician deems necessary due to alterations in the components of the blood or other signs which may be related to benzene exposure.

(2)   If an employee develops signs and symptoms commonly associated with toxic exposure to benzene, then an employer shall provide the employee with an additional

medical  examination  that   shall  include  the   elements  considered  appropriate  by  the examining physician.

(3)    For employees who are required to use respirators for not less than 30 days a year, a pulmonary function test shall be performed every 3 years. A specific evaluation of the cardiopulmonary system shall be made at the time of the pulmonary function test.

History: 2014 AACS.