Examination After Illness or Injury

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

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