Requirements for Chemical Emergency Management cont'd

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.

NFPA 471, Chapter 10, addresses not only post-entry medical examination requirements, but also requires pre-

entry, during entry, follow-up, and treatment procedures.