Hazardous Chemicals Health Monitoring Requirement Checklist
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Hazardous Chemicals Health Monitoring Requirement Checklist If a person is exposed as a result of University activities to a hazardous chemical requiring health monitoring at levels likely to cause adverse health effects, then in accordance with the Work Health and Safety Regulations 2012 Schedule 14 health monitoring must be arranged. Testing must be performed by a competent person (a medical practitioner or a person acting under the supervision of a medical practitioner), with all records to be kept for at least 30 years. The following table of hazardous chemicals is taken from Schedule 14 of the Work Health and Safety Regulations (with the addition of asbestos) and serves as a check when determining if health monitoring is required. The table is subject to change. Documentation: A fully documented risk assessment is to be completed and approved prior to using any of the listed hazardous chemicals. This should reference relevant codes of practices, safety data sheets, manufacturer or supplier guidelines and equipment operating manuals. Table 1 Hazardous chemicals requiring health monitoring Hazardous chemical Acrylonitrile Arsenic (inorganic) Asbestos Type of health monitoring - Benzene Cadmium - Demographic, medical and occupational history Records of personal exposure Physical examination Demographic, medical and occupational history Records of personal exposure Physical examination with emphasis on the peripheral nervous system and skin Urinary inorganic arsenic Consideration of: (i) the worker's demographic, medical and occupational history; and (ii) records of the worker's personal exposure; and A physical examination of the worker – unless another type of health monitoring is recommended by a registered medical practitioner. Demographic, medical and occupational history Records of personal exposure Physical examination Baseline blood sample for haematological profile Demographic, medical and occupational history Records of personal exposure Physical examination with emphasis on the respiratory system Standard respiratory questionnaire to be completed Standardised respiratory function tests including for example, FEV 1, FVC and FEV1/FVC Risk Assessment completed Reference Documentation* Health Surveillance required? Hazardous Chemicals Health Monitoring Requirement Checklist Hazardous chemical Type of health monitoring - Chromium (inorganic) Creosote Crystalline silica Isocyanates Lead (inorganic) Mercury (inorganic) 4,4'-Methylene bis (2-chloroaniline) (MOCA) Organophosphate pesticides - Urinary cadmium and β2-microglobulin Health advice, including counselling on the effect of smoking on cadmium exposure Demographic, medical and occupational history Physical examination with emphasis on the respiratory system and skin Weekly skin inspection of hands and forearms by a competent person Demographic, medical and occupational history Health advice, including recognition of photosensitivity and skin changes Physical examination with emphasis on the neurological system and skin, noting any abnormal lesions and evidence of skin sensitisation Records of personal exposure, including photosensitivity Demographic, medical and occupational history Records of personal exposure Standardised respiratory questionnaire to be completed Standardised respiratory function tests, for example, FEV1, FVC and FEV1/FVC Chest X-ray full size PA view Demographic, medical and occupational history Completion of a standardised respiratory questionnaire Physical examination of the respiratory system and skin Standardised respiratory function tests, for example, FEV1, FVC and FEV1/FVC Demographic, medical and occupational history Physical examination Biological monitoring Demographic, medical and occupational history Physical examination with emphasis on dermatological, gastrointestinal, neurological and renal systems Urinary inorganic mercury Demographic, medical and occupational history Physical examination Urinary total MOCA Dipstick analysis of urine for haematuria Urine cytology Demographic, medical and occupational history including pattern of use Physical examination Baseline estimation of red cell and plasma cholinesterase activity levels by the Ellman or equivalent method Risk Assessment completed Reference Documentation* Health Surveillance required? Hazardous Chemicals Health Monitoring Requirement Checklist Hazardous chemical Type of health monitoring - Pentachloropheno l (PCP) Polycyclic aromatic hydrocarbons (PAH) Thallium Vinyl chloride - Estimation of red cell and plasma cholinesterase activity towards the end of the working day on which organophosphate pesticides have been used Demographic, medical and occupational history Records of personal exposure Physical examination with emphasis on the skin, noting any abnormal lesions or effects of irritancy Urinary total pentachlorophenol Dipstick urinalysis for haematuria and proteinuria Demographic, medical and occupational history Physical examination Records of personal exposure, including photosensitivity Health advice, including recognition of photosensitivity and skin changes Demographic, medical and occupational history Physical examination Urinary thallium Demographic, medical and occupational history Physical examination Records of personal exposure Risk Assessment completed Reference Documentation* Health Surveillance required?
