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| Medical Monitoring, Evaluation, & Reporting Recommendations | ||
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Before proceeding to the table, the following items should be noted. Based on: OSHA Lead Standard: 29 CFR 1910.1025, ADHS STATUTE: A.R.S. 36-1673 & Medical Toxicologist Consultation The text of the table follows. CONDITION Worker assigned to area where lead concentration in air is above action level: 30 ug/m3 lead in air (8 hr. average) for more than 30 days per year (set by OSHA) (Even workers wearing correct personal protective equipment), RESPONSE Evaluate employee prior to exposure to lead if possible. Workers contemplating having children may need counseling prior to beginning job. Blood lead level at least every 2 months for the first 6 months, then every 6 months, and an annual exam. CONDITION Worker with a BLL of > 10 µg/dL, RESPONSE Report to ADHS CONDITION Worker with a BLL of >25 ug/dL, RESPONSE ADHS provides educational follow-up with worker. Threshold for health effects in adults. CONDITION Worker with a BLL of >40 ug/dL any time within the last 12 months, RESPONSE Medical examination and evaluation for organ toxicity annually. BLL at least every 2 months until 2 consecutive tests are < 40 ug/dL. Workers of reproductive age may need special counseling. Industrial hygiene practices should be evaluated immediately. CONDITION Worker with BLL 50 - 59 ug/dL or Worker with a medical condition which places the employee at increased risk of material impairment to health from exposure to lead., RESPONSE May indicate medical removal from work. Monitor monthly. Consider referral for toxicology evaluation. OSHA Lead Standard requires removal of worker from the lead environment when the average of the previous three blood sampling tests (or the average of all blood lead tests conducted over the previous six months whichever is longer) is at or above 50 ug/dL. CONDITION Worker with BLL > 60 ug/dL, RESPONSE Recommend removal from lead environment. Employee should not return to lead environment until two consecutive BLL's are < 40 ug/dL. CONDITION Worker with symptoms of lead poisoning, RESPONSE Evaluate immediately. CONDITION Worker is pregnant, RESPONSE Evaluate immediately. CONDITION Worker with difficulty breathing while wearing a respirator, RESPONSE Evaluate immediately |
Last modified on December 16, 2003 Copyright 2001, AZ Department of Health Services. All rights reserved. General comments, questions, or concerns: ADHS Webmaster |