R 325.51991 Content of medical examinations.

Rule 91. (1) This rule replaces OSHA 1926.62(j)(3)(ii). (2) The content of medical examinations made available pursuant to R 325.51990(2) (b) and (c) of these rules shall be determined by an examining physician and, if requested by an employee, shall include pregnancy testing or laboratory evaluation of male fertility. (3) Medical examinations made available pursuant to R 325.51990(2)(a) of these rules include all of the following elements: (a) A detailed work history and a medical history, with particular attention to past occupational and non-occupational lead exposure in all of the following: (i) Personal habits, such as smoking and hygiene. (ii) Past gastrointestinal. (iii) Hematologic. (iv) Renal. (v) Cardiovascular. (vi) Reproductive. (vii) Neurological problems. (b) A thorough physical examination, with particular attention to all of the following: (i) Teeth. (ii) Gums. (iii) Hematologic. (iv) Gastrointestinal. (v) Renal. (vi) Cardiovascular. (vii) Neurological systems. (viii) Pulmonary status should be evaluated if respiratory protection will be used. (c) A blood pressure measurement. (d) A blood sample and an analysis which determines all of the following: (i) Blood lead level. (ii) Hemoglobin and hematocrit determinations, red cell indices, and examination of peripheral smear morphology. (iii) Blood urea nitrogen. (iv) Serum creatinine. (e) A routine urinalysis with microscopic examination. (f) Any laboratory or other test relevant to lead exposure which the examining physician deems necessary by sound medical practice.