Medical Surveillance Program Exam
UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Medical Surveillance Program - CORRECT ANSWER serves to assess critical
variables in employee health before, during and after employment, as well as provide medical
care during the site activities. There are several reasons for the existence of such programs --
the most important of which is the protection of worker health. In addition, OSHA regulations
require medical programs under various conditions.
Development. - CORRECT ANSWER A medical surveillance program should be
developed for each site based on the specific needs, location and potential exposures of
employees at the site. The program should be designed by an experienced occupational health
physician or other qualified occupational health consultant in conjunction with the Site Safety
Officer. The director of a site medical surveillance program should be a physician who is
board-certified in occupational medicine or a medical doctor who has had extensive
experience managing occupational health services.
A site medical program should provide the following components:
1. Surveillance.
a. Pre-employment screening.
b. Periodic medical examination (and follow-up examination when appropriate).
c. Termination examination.
2. Treatment.
a. Emergency.
, b. Non-emergency (on a case-by-case basis).
3. Record Keeping.
Table 5-1 outlines a recommended medical program; screening and examination protocols are
described in the following sections. These recommendations are based on known health risks
for hazardous waste workers, a review of available data on their exposures, and an
assessment of several established medical programs. Because conditions and hazards vary
considerably at each site, only general guidelines are given.
Table 5-1: Recommended Medical Program
A. Pre-Employment Screening.
1. Medical history.
2. Occupational history.
3. Physical examination.
4. Determination of fitness to work wearing protective clothing.
B. Periodic Medical Examination.
1. Yearly update of medical and occupational history; yearly physical examinations.
Testing based on:
• Examination results.
• Exposures.
• Job class and task.
2. More frequent testing based on specific exposures.
UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Medical Surveillance Program - CORRECT ANSWER serves to assess critical
variables in employee health before, during and after employment, as well as provide medical
care during the site activities. There are several reasons for the existence of such programs --
the most important of which is the protection of worker health. In addition, OSHA regulations
require medical programs under various conditions.
Development. - CORRECT ANSWER A medical surveillance program should be
developed for each site based on the specific needs, location and potential exposures of
employees at the site. The program should be designed by an experienced occupational health
physician or other qualified occupational health consultant in conjunction with the Site Safety
Officer. The director of a site medical surveillance program should be a physician who is
board-certified in occupational medicine or a medical doctor who has had extensive
experience managing occupational health services.
A site medical program should provide the following components:
1. Surveillance.
a. Pre-employment screening.
b. Periodic medical examination (and follow-up examination when appropriate).
c. Termination examination.
2. Treatment.
a. Emergency.
, b. Non-emergency (on a case-by-case basis).
3. Record Keeping.
Table 5-1 outlines a recommended medical program; screening and examination protocols are
described in the following sections. These recommendations are based on known health risks
for hazardous waste workers, a review of available data on their exposures, and an
assessment of several established medical programs. Because conditions and hazards vary
considerably at each site, only general guidelines are given.
Table 5-1: Recommended Medical Program
A. Pre-Employment Screening.
1. Medical history.
2. Occupational history.
3. Physical examination.
4. Determination of fitness to work wearing protective clothing.
B. Periodic Medical Examination.
1. Yearly update of medical and occupational history; yearly physical examinations.
Testing based on:
• Examination results.
• Exposures.
• Job class and task.
2. More frequent testing based on specific exposures.
