Richard B's List: Medical

• • Scroll down to 22.09
    
• 22.09: Worker Protection and Medical Monitoring Requirements
• The physician's opinion as to whether the applicant or employee has any detected medical condition which would place his or her health at increased risk of material impairment from exposure to lead;

• (5) Blood Lead and Zpp Level Monitoring.

  (a) Frequency of Testing.

  1. Deleader-Contractors, Deleader-Supervisors and Deleader-Workers shall receive blood lead and Zpp monitoring every two months during the first six months following licensure or certification and at least quarterly thereafter.

  2. Except as specified by 454 CMR 22.09(5)(a)3., Lead-Safe Renovator Contractors, Supervisors and Workers shall receive blood lead and Zpp monitoring according to the schedule set forth at 29 CFR 1926.62(j).

  3. Persons tested pursuant to 454 CMR 22.09(5)(a)1. or 2. whose last blood lead analysis indicates a lead level at or above 25 ug/100 g of whole blood shall be tested at least every two months until two consecutive blood lead analyses indicate blood lead levels below 25 ug/100 g of whole blood.

  4. Where a person is removed from Deleading Work pursuant to 454 CMR 22.09(5)(b), said person shall receive blood lead and Zpp testing at least monthly during the period of medical removal.

• 5. Upon being hired to perform Deleading Work for a new employer, and before engaging in such work, Deleader-Contractors, Deleader-Supervisors and Deleader- Workers shall receive blood lead and Zpp monitoring in accordance with the schedule set forth at 454 CMR 22.09(5)(a) unless more frequent testing is indicated by 454 CMR22.09(5)(a)3. or 4.

  (b) Medical Removal. No person whose blood lead level is above 50 ug/100g shall be permitted to engage in Deleading Work. Said person shall immediately be removed from any lead exposure when the result of any single test of his or her blood lead level is at or above 50 ug/100 g of whole blood. In order to confirm the accuracy of the laboratory test result, a second blood test shall be taken within two weeks.

  (c) Return To Work Following Medical Removal. A person medically removed from Deleading Work pursuant to 454 CMR 22.09(5)(b) may return to his or her former job status when two consecutive blood sampling tests indicate that the blood lead level is at or below 40 ug/100 g of whole blood.

  (d) Blood Lead Testing Laboratories. Blood lead samples collected in accordance with 454 CMR 22.00 shall be analyzed by the Division of Occupational Safety, Occupational Hygiene Program, or by laboratories approved by OSHA-CDC for blood lead analysis within seven calendar days. The blood lead testing laboratory shall report the results of all blood lead analyses to the employer in writing and to the Director in accordance with 454 CMR 23.00 in such a format as the Director may prescribe within seven calendar days.

3 more annotations...