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DOE-HDBK-1139/3-2003
Sources10
Consolidated Requirements
4.6.6 The employer shall provide one copy of 29CFR1910.120 and
29CFR1910.120(f)(6);
its appendices to the attending physician and in addition the
29CFR1910.134
following for each employee:
a description of the employee's duties as they relate to
the employee's exposures;
the employee's exposure levels or anticipated exposure
levels;
a description of any personal protective equipment used
or to be used;
information from previous medical examinations of the
employee which is not readily available to the
examining physician; and,
information required by 29CFR1910.134 (Respiratory
Protection).
4.6.7 The employer shall obtain and furnish the employee with a
29CFR1910.120(f)(7)
copy of a written opinion from the examining physician. The
written opinion obtained by the employer shall not reveal
specific findings or diagnoses unrelated to occupational
exposure, but shall contain the following:
 the physician's opinion as to whether the employee has
any detected medical conditions which would place the
employee at increased risk of material impairment of the
employee's health from work in hazardous waste
operations or emergency response, or from respirator
use;
 the physician's recommended limitations upon the
employees assigned work;
 the results of the medical examination and tests if
requested by the employee; and,
 a statement that the employee has been informed by the
physician of the results of the medical examination and
any medical conditions which require further
examination or treatment.
4.6.8 An accurate record of the medical surveillance required by
29CFR1910.120(f)(8);
this section shall be retained. This record shall be retained for
29CFR1910.1020
the period specified and meet the criteria of 29CFR1910.20.
The record required of this section shall include at least the
following information:
the name and social security number of the employee;
physicians' written opinions, recommended limitations
and results of examinations and tests;
any employee medical complaints related to exposure to
hazardous substances; and,
a copy of the information provided to the examining
physician by the employer, with the exception of the
standard and its appendices.
93


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