Medical Support - doe-hdbk-1139-3-20050115

DOE-HDBK-1139/3-2005

Sources11

Consolidated Requirements12

4.5.4 The level of protection provided by PPE selection shall be

29CFR1910.120(g)(3)(v);

increased when additional information or emergency

29CFR1910.120, Appendix B

conditions show that increased protection is necessary to

reduce employee exposures below permissible exposure

limits and published exposure levels for hazardous substances

and health hazards. (See Appendix B of 29CFR1910.120 for

guidance on selecting PPE ensembles.)

[EXCEPTION: The level of employee protection provided

may be decreased when additional information or site

conditions show that decreased protection will not result in

hazardous exposures to employees.]

NFPA 471, Chapter 753;

4.5.5 At a minimum, all personal protective equipment shall be

selected and used to meet the following elements:

PPE selection based upon site hazards,

29CFR1910.120(g)(3)(vi);

29CFR1910.120(g)(5);

PPE use and limitations of the equipment,

29CFR1910, Subpart I

Work mission duration,

PPE maintenance and storage,

PPE decontamination and disposal,

PPE training and proper fitting,

PPE donning and doffing procedures,

PPE inspection procedures prior to, during, and after use,

Evaluation of the effectiveness of the PPE program, and

Limitations during temperature extremes, heat stress, and

other appropriate medical considerations.

4.6 Medical Support

DOE O 151.1A, Chapter III,

Medical treatment and planning for mass casualty situations

sec. 3.c(6);

shall be provided in accordance with DOE O 440.1A.

40CFR68.95(a)(1)(ii)

In-house medical consultation and surveillance shall be as noted

in sections 4.6.1 through 4.6.8, below.

4.6.1 Members of an organized and designated HAZMAT team and

29CFR1910.120(q)(9)(I)

hazardous materials specialists shall receive a baseline

physical examination which shall be performed as described

below in sections 4.6.2 through 4.6.8.

NFPA 471 Chapter 7, has additional details on personal protective equipment requirements including four levels

protection: A when highest level of respiratory, skin, and eye protection is required; B when the highest

respiratory protection is required, but lesser skin protection is needed; C when the concentration of airborne

contaminants is known and air purifying respirators are required; D when only nuisance contamination exists.

Note: There are numerous other NFPA requirements for PPE, many of which are cited in NFPA 471, Chapter 7.