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DOE-EM-STD-5503-94
7.6. EXAMINATION AFTER ILLNESS OR INJURY
Follow-up examinations should be provided as soon as possible to the employee due to any of
the following situations:
Notification to the supervision, management, the Medical Program Administrator or
physician that the employee has developed signs or symptoms indicating sensitivity or
overexposure,
Potential exposure above the permissible exposure limit or published exposure limit,
Lost time illness of three working days or more,
Any recordable injury to the employee, or
Contamination incident.
In the case of injury or illness, the Site Safety and Health Officer (SSHO) or his/her
designated alternate is responsible for notifying the Medical Program Administrator of the
incident and the suspected substance involved. If the substance is unknown, it should be
identified as such.
The examination will be carried out by a licensed occupational medical provider. The scope
of the examination will be determined by the physician. The employee will not return to work
until the physician certifies that the employee is fit to return to work, activity restrictions are
identified, and documentation of fitness for duty is provided.
7.7. TERMINATION EXAMINATION
The employer should provide a termination medical examination when an employee is
terminated or reassigned to an area or activity where the employee is not exposed to hazardous
substances or radiological constituents. The termination examination content will be
determined by the physician. If termination occurs within six months of a periodic
examination, the physician may determine that an additional examination is not necessary.
Documentation of the decision not to provide a termination examination, and its basis, should
be provided in the medical file for the employee.
7.8. MAINTENANCE AND AVAILABILITY OF MEDICAL RECORDS
The employee should be notified of recommended limitations upon his/her assigned work.
The physician should provide a written opinion to the records indicating that the employee has
been informed of the results of the exam and of any medical conditions which require further
examination or treatment. In addition, the following specific records should be maintained:
Name and Social Security number of employee;
Physician's written opinion, recommended limitations and results of exam;
7-8


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