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A QUESTIONS AND ANSWERS APPROACH TO A+ IN CSST EXAM. ( EXAM TERMINOLOGIES)

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A QUESTIONS AND ANSWERS APPROACH TO A+ IN CSST EXAM. ( EXAM TERMINOLOGIES) When are asbestos medical surveillance physical exams required ? 1. Prior to assignment of the employee to an area where negative- pressure respirators are worn; 2. When the employee is assigned to an area where exposure to asbestos may be at or above the permissible exposure limit for 30 or more days per year, or engage in Class I, II or III work for a combined total of 30 or more days per year, a medical examination must be given within 10 working days following the thirtieth day of exposure; 3. And at least annually thereafter. 4. If the examining physician determines that any of the examinations should be provided more frequently than specified, the employer shall provide such examinations to affected employees at the frequencies specified by the physician. 5. Exception: No medical examination is required of any employee if adequate records show that the employee has been examined in accordance with this subsection within the past 1 year period. 6. Employers shall provide a medical examination at the termination of employment for any employee who has been exposed to airborne concentrations of asbestos at or above the permissible exposure limit and/or excursion limit. The medical examination shall be given within 30 calendar days before or after the date of termination of employment. What should be performed at an asbestos medical surveillance exam ? 1. A medical and work history with special emphasis directed to the pulmonary, cardiovascular, and gastrointestinal systems. 2. On initial examination, the standardized questionnaire contained in Part 1 of Appendix D in 8 CCR 1529, and, on annual examination, the abbreviated standardized questionnaire contained in Part 2 in 8 CCR 1529. 3. A physical examination directed to the pulmonary and gastrointestinal systems, including a chest roentgenogram to be administered in accordance with Table 2 [8 CCR 1529 (m) (2)(B)3], and pulmonary function tests of forced vital capacity (FVC) and forced expiratory volume at one second (FEV(1)). Interpretation and classification of chest roentgenograms shall be conducted in accordance with Appendix E in 8 CCR 1529 4. Any other examinations or tests deemed necessary by the examining physician. According to CalOSHA how often should you have a chest roentgenogram (X-ray) Years since first occupational exposure: 0-10 years - Once every three years if under 40 years old. Annually if 40 years old or over. 10+ years - Annually Is there a safe level of asbestos exposure ? No What are the 7 major components of the AHERA regulation? Originally, to whom did they apply ? inspection and reinspection requirements, sampling and inspection procedures, lab approval process, accredited and non accredited training programs, clearance air testing, management plan requirements, notification requirements. Originally applied to K through 12 schools. How many days is the required accredited training for a Building Inspector , Management Planner , Project Supervisor, Abatement Worker , Project Designer ? Building Inspector - 3 days Management Planner - 2 days Contractor Supervisor - 5 days Abatement Worker - 4 days Project Designer - 3 days When is unaccredited in-house training acceptable ? Class III (16 hours), Class IV (minimum 2 hours), and asbestos awareness trainings. What regulation and agency requires an asbestos inspection be done prior to renovations and demolitions and requires removal of friable ACM prior to demolition ? National Emission Standards for Hazardous Air Pollutants (NESHAP) enforced by the EPA and it's delegated Air Quality Management Districts. CalOSHA also requires inspections for worker safety. What are the 3 categories of materials identified in a NESHAP building inspection ? Friable Materials , Category 1 non friable, and Category 2 Non Friable What is a friable asbestos material according to NESHAP? Any material containing more than 1 percent asbestos as determined using the PLM method, that, when dry, can be crumbled, pulverized, or reduced to powder by hand pressure. What does NESHAP stand for? National Emissions Standards for Hazardous Air Pollutants What is a Category 1 nonfriable ACM, and Category 2 nonfriable ACM according to NESHAP? Category 1 nonfriable asbestos-containing material means asbestos-containing packings, gaskets, resilient floor coverings, and asphalt roofing products containing more than 1 percent asbestos as determined by PLM. Category 2 nonfriable ACM means any material, excluding Category 1 nonfriable ACM, containing more than 1 percent asbestos as determined by PLM. What is RACM? Regulated asbestos containing material (RACM) means (a) Friable asbestos material (b) Category 1 nonfriable ACM that has become friable, (c) Category 1 nonfriable ACM that will be or has been subjected to sanding, grinding, cutting or abrading, or (D) Category 2 nonfriable ACM that has a high probability of becoming or has become

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When are asbestos medical surveillance physical exams required ?
1. Prior to assignment of the employee to an area where negative- pressure respirators
are worn;


2. When the employee is assigned to an area where exposure to asbestos may be at or
above the permissible exposure limit for 30 or more days per year, or engage in Class I,
II or III work for a combined total of 30 or more days per year, a medical examination
must be given within 10 working days following the thirtieth day of exposure;


3. And at least annually thereafter.


4. If the examining physician determines that any of the examinations should be
provided more frequently than specified, the employer shall provide such examinations
to affected employees at the frequencies specified by the physician.


5. Exception: No medical examination is required of any employee if adequate records
show that the employee has been examined in accordance with this subsection within
the past 1 year period.


6. Employers shall provide a medical examination at the termination of employment for
any employee who has been exposed to airborne concentrations of asbestos at or
above the permissible exposure limit and/or excursion limit. The medical examination
shall be given within 30 calendar days before or after the date of termination of
employment.
What should be performed at an asbestos medical surveillance exam ?
1. A medical and work history with special emphasis directed to the pulmonary,
cardiovascular, and gastrointestinal systems.


2. On initial examination, the standardized questionnaire contained in Part 1 of
Appendix D in 8 CCR 1529, and, on annual examination, the abbreviated standardized
questionnaire contained in Part 2 in 8 CCR 1529.

,3. A physical examination directed to the pulmonary and gastrointestinal systems,
including a chest roentgenogram to be administered in accordance with Table 2 [8 CCR
1529 (m) (2)(B)3], and pulmonary function tests of forced vital capacity (FVC) and
forced expiratory volume at one second (FEV(1)). Interpretation and classification of
chest roentgenograms shall be conducted in accordance with Appendix E in 8 CCR
1529


4. Any other examinations or tests deemed necessary by the examining physician.
According to CalOSHA how often should you have a chest roentgenogram (X-ray)
Years since first occupational exposure:
0-10 years - Once every three years if under 40 years old. Annually if 40 years old or
over.
10+ years - Annually
Is there a safe level of asbestos exposure ?
No
What are the 7 major components of the AHERA regulation? Originally, to whom
did they apply ?
inspection and reinspection requirements, sampling and inspection procedures, lab
approval process, accredited and non accredited training programs, clearance air
testing, management plan requirements, notification requirements. Originally applied to
K through 12 schools.
How many days is the required accredited training for a Building Inspector ,
Management Planner , Project Supervisor, Abatement Worker , Project Designer ?
Building Inspector - 3 days
Management Planner - 2 days
Contractor Supervisor - 5 days
Abatement Worker - 4 days
Project Designer - 3 days
When is unaccredited in-house training acceptable ?
Class III (16 hours), Class IV (minimum 2 hours), and asbestos awareness trainings.

, What regulation and agency requires an asbestos inspection be done prior to
renovations and demolitions and requires removal of friable ACM prior to
demolition ?
National Emission Standards for Hazardous Air Pollutants (NESHAP) enforced by the
EPA and it's delegated Air Quality Management Districts. CalOSHA also requires
inspections for worker safety.
What are the 3 categories of materials identified in a NESHAP building
inspection ?
Friable Materials , Category 1 non friable, and Category 2 Non Friable
What is a friable asbestos material according to NESHAP?
Any material containing more than 1 percent asbestos as determined using the PLM
method, that, when dry, can be crumbled, pulverized, or reduced to powder by hand
pressure.
What does NESHAP stand for?
National Emissions Standards for Hazardous Air Pollutants
What is a Category 1 nonfriable ACM, and Category 2 nonfriable ACM according
to NESHAP?
Category 1 nonfriable asbestos-containing material means asbestos-containing
packings, gaskets, resilient floor coverings, and asphalt roofing products containing
more than 1 percent asbestos as determined by PLM. Category 2 nonfriable ACM
means any material, excluding Category 1 nonfriable ACM, containing more than 1
percent asbestos as determined by PLM.
What is RACM?
Regulated asbestos containing material (RACM) means (a) Friable asbestos material
(b) Category 1 nonfriable ACM that has become friable, (c) Category 1 nonfriable ACM
that will be or has been subjected to sanding, grinding, cutting or abrading, or (D)
Category 2 nonfriable ACM that has a high probability of becoming or has become
crumbled, pulverized, or reduced to powder by the forces expected to act on the
material in the course of demolition or renovation operations regulated by the NESHAP.
Is a NESHAP notification required for demolition of a facility even if no asbestos
was found during the inspection?

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