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The tables cover evacuation capability, manual lifting, commercial driver requirements and exams, crane and respiratory protection, hearing protection thresholds, non-destructive testing inspection, temperature extremes, bloodborne pathogens, and multiple toxic exposures such as lead, arsenic, crystalline silica, asbestos, beryllium, HAZWOPER-related roles, and Chromium (VI).",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/appendix-6-instructions-for-the-completion-of-the-job-content-worksheet-1-15-26/513417/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/appendix-6-instructions-for-the-completion-of-the-job-content-worksheet-1-15-26/513417.png","ImageObject",300,407,{"name":42,"@type":43},"Olivia 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surveillance required for exposures like lead, arsenic, and crystalline silica?",{"text":72,"@type":64},"The worksheet specifies trigger conditions (e.g., exposure thresholds and frequency) and the corresponding exams, such as baseline and periodic blood lead/ZPP levels for lead, and chest x-ray or lung function testing schedules for arsenic and crystalline silica.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},513417,1791543986,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & 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Function or Potential Hazard/Exposure from Job Content Worksheet (JCW) | Check when   | Medical Surveillance Content |\n| --- | --- | --- |\n| Ability to quickly evacuate work location | Work in areas where emergency situations could drive the need to quickly evacuate. This typically would be in work areas where hazardous gases could be released, criticality events or large fires could occur. | Traverse 100 yards expeditiously, unassisted, without stopping |\n| Lifting Levels | Work requires manual lifting. Check lifting level(s) that are applicable. | Demonstrate ability to lift weight |\n| Department of Transportation (DOE)/CDL Driver | Drivers of Commercial Motor Vehicles | DOT Exam (minimum every 24 months) |\n| Crane Operation | Operators of cranes | Vision screen, drug test |\n| Respiratory Protection (Negative Pressure, Powered Air Purifying, Airline, Self-Contained Breathing Apparatus) | Any use of respiratory protection | Initial/annual; SOMD discretion (minimum Part 1 Respirator Questionnaire, pulmonary function test) |\n| Hearing Protection | Exposure to noise levels as an 8-hour time-weighted average (8-TWA) of > 85 A-weighted decibels (dBA) | Baseline, annual audiogram |\n| Non-Destructive Testing Inspection | Inspectors designated by Quality Assurance | Visual acuity, color examination |\n| Temperature Extremes | Workers who are routinely exposed to temperature extremes or who wear fullbody personal protective equipment (PPE) . | Initial/annual exam, review of health history |\n| Bloodborne Pathogens | Occupational exposure to blood or body fluids visibly contaminated with blood | Hepatitis B Vaccine (at employee’s discretion) |\n| Lead | Exposure > 30µg/m3 as 8-TWA >30 days/year without regard to respirator use | Exam & baseline blood lead/ZPP levels (periodic based on-air sampling results.) |\n| Arsenic | Exposure >5 µg/m3 as 8-TWA ≥ 30 days/year without regard to respirator use | Physical exam and chest x-ray, initial/annual/termination |\n| Crystalline Silica | Use of respiratory protection for silica exposure ≥ 30 days per year | Chest x-ray, lung function tests every 3 years |\n\nINSTRUCTIONS FOR THE COMPLETION OF THE JOB CONTENT WORKSHEET  \nPage 2 of 2  \n\n| Job Function or potential Hazard/Exposure from Job Content Worksheet | Check when   | Medical Surveillance Content |\n| --- | --- | --- |\n| Asbestos | Any exposure or potential for exposure > Permissible Exposure Limit without regard to respirator use | Initial/annual/termination (minimum of an exam and asbestos questionnaire, chest x-ray) |\n| Beryllium | RESERVED-Exposure to airborne beryllium | RESERVED-Historical exposure monitoring indicates no airborne beryllium exposures |\n| HAZWOPER | Designated as a HAZWOPER/ HAZMAT/Treatment, Storage, and Disposal (TSD) worker (refer to memorandum\u003Cbr>DND-IOM-ESH&Q-24-0005, Updated Guidance for HAZWOPER Training) | Initial/annual/termination exam |\n| Chromium (VI) | ≥2.5 µgm/m3 8-TWA ≥ 30 days a year without regard to respirator use | Initial/annual/termination exam. Review of health history, skin, respiratory tract |\n| Other | Substance Specific (consult Occupational Safety and Health Administration [OSHA] and American Conference of Governmental Industrial Hygienists [ACGIH] exposure limits) | As determined by exposure potential |","cbCaic8JUfX0juGh","https://ap.wps.com/l/cbCaic8JUfX0juGh","pdf",165413,"English","# Medical Surveillance Check Guidance\n## Hazard/Exposure Categories and Medical Surveillance Content","[{\"question\":\"What is the purpose of the Job Content Worksheet instructions?\",\"answer\":\"The instructions guide users on how to check relevant job functions or potential hazard/exposure categories and link them to corresponding medical surveillance requirements.\"},{\"question\":\"What medical surveillance content is indicated for respiratory protection use?\",\"answer\":\"It specifies initial/annual medical surveillance, with additional discretion noted, including minimum completion of a Part 1 Respirator Questionnaire and pulmonary function testing.\"},{\"question\":\"When is medical surveillance required for exposures like lead, arsenic, and crystalline silica?\",\"answer\":\"The worksheet specifies trigger conditions (e.g., exposure thresholds and frequency) and the corresponding exams, such as baseline and periodic blood lead/ZPP levels for lead, and chest x-ray or lung function testing schedules for arsenic and crystalline silica.\"}]","Appendix 6 - Instructions for the Completion of the Job Content Worksheet 1-15-26 | PDF",1791284677]