OAR 437-002-1062
Medical Surveillance


This rule describes the medical monitoring requirements of this subdivision.

(1)

Make medical surveillance available to each employee who:

(a)

Is engaged in construction (or construction-like) activity and will be required under this subdivision to use a respirator for 30 or more days per year.

(b)

Is not engaged in construction activity and will be occupationally exposed to respirable crystalline silica at or above the permissible exposure limit for 30 or more days per year. This requirement, in accordance with 437-002-1065 (Dates), is applicable between July 1, 2018 and June 30, 2020.

(c)

Is not engaged in construction activity and will be occupationally exposed to respirable crystalline silica at or above the action level for 30 or more days per year. This requirement, in accordance with 437-002-1065 (Dates), is applicable as of July 1, 2020.
NOTE: The medical evaluation requirements of the respiratory protection rule, 1910.134, still apply for employees wearing respiratory protection.

(2)

Medical surveillance must be provided at no cost to the employee and at a reasonable time and place.

(3)

Ensure that all medical examinations and procedures required by this rule are performed by a PLHCP as defined in 437-002-1054 (Definitions).

(4)

Make an initial (baseline) medical examination available within 30 days after initial assignment, unless the employee has received a medical examination that meets the requirements of this rule within the last three years. The examination must consist of:

(a)

A medical and work history, with emphasis on: Past, present, and anticipated exposure to respirable crystalline silica, dust, and other agents affecting the respiratory system; any history of respiratory system dysfunction, including signs and symptoms of respiratory disease (e.g., shortness of breath, cough, wheezing); history of tuberculosis; and smoking status and history;

(b)

A physical examination with special emphasis on the respiratory system;

(c)

A chest X-ray (a single posteroanterior radiographic projection or radiograph of the chest at full inspiration recorded on either film (no less than 14 x 17 inches and no more than 16 x 17 inches) or digital radiography systems), interpreted and classified according to the International Labour Office (ILO) International Classification of Radiographs of Pneumoconioses by a NIOSH-certified B Reader;

(d)

A pulmonary function test to include forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) and FEV1/FVC ratio, administered by a spirometry technician with a current certificate from a NIOSH approved spirometry course;

(e)

Testing for latent tuberculosis infection; and

(f)

Any other tests deemed appropriate by the PLHCP.

(5)

Make medical examinations available that include the procedures described in 437-002-1062 (Medical Surveillance)(4) (except 437-002-1062 (Medical Surveillance)(4)(e)) at least every three years, or more frequently if recommended by the PLHCP.

(6)

Ensure that the examining PLHCP has a copy of this rule, and provide the PLHCP with the following information:

(a)

A description of the employee’s former, current, and anticipated duties as they relate to the employee’s occupational exposure to respirable crystalline silica;

(b)

The employee’s former, current, and anticipated levels of occupational exposure to respirable crystalline silica;

(c)

A description of any personal protective equipment used or to be used by the employee, including when and for how long the employee has used or will use that equipment; and

(d)

Information from records of employment-related medical examinations previously provided to the employee and currently within the control of the employer.

(7)

Ensure that the PLHCP explains to the employee the results of the medical examination and provides each employee with a written medical report within 30 days of each medical examination performed. Ensure the written report contains:

(a)

A statement indicating the results of the medical examination, including any medical condition(s) that would place the employee at increased risk of material impairment to health from exposure to respirable crystalline silica and any medical conditions that require further evaluation or treatment;

(b)

Any recommended limitations on the employee’s use of respirators;

(c)

Any recommended limitations on the employee’s exposure to respirable crystalline silica; and

(d)

A statement that the employee should be examined by a specialist (pursuant to 437-002-1062 (Medical Surveillance)(9)) if the chest X-ray provided in accordance with this rule is classified as 10 or higher by the B Reader, or if referral to a specialist is otherwise deemed appropriate by the PLHCP.

(8)

Obtain a written medical opinion from the PLHCP within 30 days of the medical examination. The written opinion must contain only the following:

(a)

The date of the examination;

(b)

A statement that the examination has met the requirements of this rule; and

(c)

Any recommended limitations on the employee’s use of respirators.

(9)

If the employee provides written authorization, the written opinion must also contain either or both of the following:

(a)

Any recommended limitations on the employee’s exposure to respirable crystalline silica;

(b)

A statement that the employee should be examined by a specialist (pursuant to 437-002-1062 (Medical Surveillance)(11)) if the chest X-ray provided in accordance with this rule is classified as 10 or higher by the B Reader, or if referral to a specialist is otherwise deemed appropriate by the PLHCP.

(10)

Ensure that each employee receives a copy of the written medical opinion within 30 days of each medical examination performed.

(11)

If the PLHCP’s written medical opinion indicates that an employee should be examined by a specialist, make a medical examination by a specialist available within 30 days after receiving the PLHCP’s written opinion.

(a)

Ensure that the examining specialist is provided with all of the information that the employer is obligated to provide to the PLHCP in accordance with this rule.

(b)

Ensure that the specialist explains to the employee the results of the medical examination and provides each employee with a written medical report within 30 days of the examination. The written report must meet the requirements this rule.

(c)

Obtain a written opinion from the specialist within 30 days of the medical examination. The written opinion must meet the requirements of this rule.

Source: Rule 437-002-1062 — Medical Surveillance, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=437-002-1062.

437–002–0005
Adoption by Reference
437–002–0006
General Oregon Definitions
437–002–0007
Testing and Certification
437–002–0010
Adoption by Reference
437–002–0015
Adoption by Reference
437–002–0020
Adoption by Reference
437–002–0022
Additional Oregon General Requirements
437–002–0026
Portable Ladders
437–002–0032
Ramps and Runways
437–002–0033
Piers and Wharves
437–002–0040
Adoption by Reference
437–002–0041
Exits and Exit Routes
437–002–0042
Emergency Action Plan
437–002–0043
Fire Prevention Plan
437–002–0047
Working Near Overhead High Voltage Lines and Equipment
437–002–0060
Adoption by Reference
437–002–0080
Adoption by Reference
437–002–0081
Oregon Ventilation Regulations
437–002–0095
Audiometric Testing in Oregon
437–002–0098
Additional Applicability
437–002–0100
Adoption by Reference
437–002–0101
Oregon Start-Up Dates
437–002–0107
Spray Finishing
437–002–0109
Explosives and Blasting Agents
437–002–0118
Oregon Rules for Reinforced Plastics Manufacturing
437–002–0119
Oregon Effective Dates
437–002–0120
Adoption by Reference
437–002–0122
Dipping and Coating
437–002–0134
Personal Protective Equipment
437–002–0139
Working Underway on Water.
437–002–0140
Adoption by Reference
437–002–0141
Additional Oregon Sanitation Requirements
437–002–0142
Labor Camps
437–002–0144
Additional Oregon Rules for General Environmental Controls
437–002–0145
Additional Oregon Rules for Accident Prevention and Tags
437–002–0146
Confined Spaces
437–002–0154
Individual Locks
437–002–0161
Medical Services and First Aid
437–002–0170
Worker Protection Standard
437–002–0180
Adoption by Reference
437–002–0182
Oregon Rules for Fire Fighters
437–002–0187
Portable Fire Extinguishers
437–002–0200
Adoption by Reference
437–002–0210
Additional Oregon Rules for Compressed Air and Compressed Gas Equipment
437–002–0220
Adoption by Reference
437–002–0221
Additional Oregon Rules for Handling Materials
437–002–0223
Oregon Rules for Commercial and Industrial Vehicles
437–002–0227
Additional Oregon Rules for Powered Industrial Trucks
437–002–0228
Oregon General Requirements for Cranes
437–002–0229
Additional Oregon Rules for Overhead and Gantry Cranes
437–002–0230
Additional Oregon Rule for Crawler, Locomotive and Truck Cranes
437–002–0232
Additional Oregon Rule for Derricks
437–002–0233
Oregon Rules for Hammerhead Cranes
437–002–0235
Additional Oregon Rule for Slings
437–002–0240
Adoption by Reference
437–002–0242
Oregon Rules for Machinery and Machine Guarding
437–002–0256
Stationary Compactors, Self-Contained Compactors, and Balers
437–002–0260
Adoption by Reference
437–002–0262
Additional Definitions in Oregon
437–002–0264
Additional General Requirements for Hand Tools
437–002–0266
Additional Oregon Rules for Guarding Portable Powered Tools
437–002–0268
Oregon Rules for Hand-Powered Equipment
437–002–0280
Adoption by Reference
437–002–0282
Job Planning and Layout
437–002–0283
Eye Protection and Protective Clothing
437–002–0284
Specifications for Protectors
437–002–0285
Special Precautions
437–002–0286
Preservative Coatings
437–002–0287
Toxic Preservative Coatings
437–002–0288
Health Protection and Ventilation — General
437–002–0297
Welding or Cutting Containers
437–002–0298
Self-Contained Units
437–002–0300
Adoption by Reference
437–002–0301
Scope and Application
437–002–0302
Definitions
437–002–0303
Training and Work Planning
437–002–0304
First Aid Requirements
437–002–0305
Traffic Control
437–002–0306
Electrical Hazards
437–002–0307
Personal Protective Equipment
437–002–0308
Portable Power Tools
437–002–0309
Hand Tools
437–002–0310
Work Procedures
437–002–0311
Mobile Equipment
437–002–0312
Oregon Rules for Pulp, Paper and Paperboard Mills
437–002–0313
Additional Oregon Rules for Sawmills
437–002–0314
Veneer and Plywood Machinery
437–002–0315
Shake and Shingle Machinery
437–002–0316
Oregon Rules for Telecommunications
437–002–0320
Adoption by Reference.
437–002–0340
Adoption by Reference
437–002–0342
Additional Oregon Definition
437–002–0345
Inland Emergency Aid
437–002–0355
Air Supply Systems (Compressed Gases and Air)
437–002–0360
Adoption by Reference
437–002–0363
Oregon Amendment
437–002–0364
Oregon Rules for MOCA (4,4’-Methylene Bis (2-chloroaniline))
437–002–0368
Deterioration
437–002–0371
Scope and Application
437–002–0373
Oregon Rules for Thiram
437–002–0377
Additional Oregon Rules for Hazard Communication
437–002–0378
Oregon Rules for Pipe Labelling
437–002–0382
Oregon Rules for Air Contaminants
437–002–0390
Oregon Effective Dates
437–002–0391
Additional Oregon Rules for Carcinogens in Laboratories
437–002–1001
Asbestos Respiratory Protection Program
437–002–1017
Vinyl Chloride Respiratory Protection Program
437–002–1018
Inorganic Arsenic Respiratory Protection Program
437–002–1025
Lead Respiratory Protection Program
437–002–1027
Cadmium Respiratory Protection Program
437–002–1028
Benzene Respiratory Protection Program
437–002–1029
Coke Oven Emissions Respiratory Protection Program
437–002–1030
Additional Oregon Rules for Bloodborne Pathogens
437–002–1035
Oregon Rule for Sharps Injury Log
437–002–1043
Cotton Dust Respiratory Protection Program
437–002–1044
1,2-Dibromo-3-Chloropropane Respiratory Protection Program
437–002–1045
Acrylonitrile Respiratory Protection Program
437–002–1047
Ethylene Oxide Respiratory Protection Program
437–002–1048
Formaldehyde Respiratory Protection Program
437–002–1050
Methylenedianiline Respiratory Protection Program
437–002–1051
1,3-Butadiene Respiratory Protection Program
437–002–1052
Methylene Chloride Respiratory Protection Program
437–002–1053
Scope and Application
437–002–1054
Definitions
437–002–1055
Permissible Exposure Limit (PEL)
437–002–1056
Exposure Assessment
437–002–1057
Specified exposure control methods
437–002–1058
Regulated and Restricted Access Areas
437–002–1059
Methods of Compliance
437–002–1060
Respiratory Protection
437–002–1061
Housekeeping
437–002–1062
Medical Surveillance
437–002–1063
Communication of Respirable Crystalline Silica Hazards to Employees
437–002–1064
Recordkeeping
437–002–1065
Dates
437–002–1139
Working Over or In Water
437–002–2021
Additional Oregon Definitions
437–002–2022
Additional Oregon Rules for Powered Platforms
437–002–2024
Scope and Application
437–002–2025
Definitions
437–002–2026
Permissible Exposure Limit (PEL)
437–002–2027
Rope Descent & Rope Access Systems
437–002–2028
Regulated and Restricted Access Areas
437–002–2029
Methods of Compliance
437–002–2030
Respiratory Protection
437–002–2031
Delayed Effective Dates for Walking-Working Surfaces
437–002–2032
Hygiene Areas and Practices
437–002–2033
Housekeeping
437–002–2034
Medical Surveillance
437–002–2035
Medical Removal
437–002–2036
Communication of Beryllium Hazards to Employees
437–002–2037
Recordkeeping
437–002–2038
Dates
437–002–2040
Exposure Assessment
437–002–2045
Personal Protective Clothing and Equipment
437–002–2101
Compressed Gases (General Requirements)
437–002–2102
Acetylene
437–002–2224
Vehicle Drivers and Riders
437–002–2225
Vehicles for Highway and Road Operation Characteristics and Maintenance
437–002–2226
Vehicles for Use on Property Other Than Public Roads and Highways Operation, Characteristics and Maintenance
437–002–2253
Oxygen-fuel Gas Welding and Cutting
437–002–2300
General
437–002–2301
Medical Services and First Aid
437–002–2302
Job Briefing
437–002–2303
Hazardous Energy Control Procedures
437–002–2304
Enclosed Spaces
437–002–2305
Excavations
437–002–2306
Personal Protective Equipment
437–002–2307
Portable Ladders and Platforms
437–002–2308
Hand and Portable Power Equipment
437–002–2309
Live-line Tools
437–002–2310
Materials Handling and Storage
437–002–2311
Working On or Near Exposed Energized Parts
437–002–2312
Deenergizing Lines and Equipment for Employee Protection
437–002–2313
Grounding for the Protection of Employees
437–002–2314
Testing and Test Facilities
437–002–2315
Mechanical Equipment
437–002–2316
Overhead Lines
437–002–2317
Line-clearance Tree Trimming
437–002–2318
Communication Facilities
437–002–2319
Underground Electrical Installations
437–002–2320
Substations
437–002–2321
Power Generation Installations
437–002–2322
Special Conditions
437–002–2323
Helicopters
437–002–2324
Definitions
Last Updated

Jun. 8, 2021

Rule 437-002-1062’s source at or​.us