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Requirements for Chemical Emergency Management cont'd - hdbk11392003vol30115
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Chemical Management (Volume 3 of 3) Consolidated Chemical User Safety and Health Requirements - index
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Requirements for Chemical Emergency Management cont'd - hdbk11392003vol30117


DOE-HDBK-1139/3-2003
Sources10
Consolidated Requirements
NFPA 471, Chapter 1053;
4.6.2 Any emergency response employees who exhibit signs or
symptoms which may have resulted from exposure to
hazardous substances during the course of an emergency
29CFR1910.1450(g)(1)(iii)
incident either immediately or subsequently and all
employees who are injured, become ill or develop signs or
symptoms due to possible overexposure involving hazardous
substances or health hazards from an emergency response,
shall be provided with medical consultation as follows:
 as soon as possible following the emergency incident or
development of signs or symptoms;
 at additional times, if the examining physician
determines that follow-up examinations or consultations
are medically necessary.
4.6.3 Medical examinations required by section 4.6 shall include a
29CFR1910.120(f)(4)
medical and work history (or updated history if one is in the
employee's file) with special emphasis on symptoms related
to the handling of hazardous substances and health hazards,
and to fitness for duty including the ability to wear any
required PPE under conditions (i.e., temperature extremes)
that may be expected at the work site. The content of medical
examinations or consultations made available to employees
shall be determined by the attending physician. The
guidelines in the Occupational Safety and Health Guidance
Manual for Hazardous Waste Site Activities should be
consulted.
4.6.4
Where a treating physician or nurse determines that a medical
29CFR1910.1200(i)(2)
emergency exists and the specific chemical identity is
necessary for emergency or first-aid treatment, the chemical
manufacturer, importer, or employer shall immediately
disclose the specific chemical identity of a trade secret
chemical to that treating physician or nurse, regardless of the
existence of a written statement of need or a confidentiality
agreement. The chemical manufacturer, importer, or
employer may require a written statement of need and
confidentiality agreement as soon as circumstances permit.
4.6.5 All medical examinations and procedures shall be performed
29CFR1910.120(f)(5)
by or under the supervision of a licensed physician,
preferably one knowledgeable in occupational medicine, and
shall be provided without cost to the employee, without loss
of pay, and at a reasonable time and place.
53
NFPA 471, Chapter 10, addresses not only post-entry medical examination requirements, but also requires pre-
entry, during entry, follow-up, and treatment procedures.
92


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