Employee Medical
and Exposure Records
Chapter 296-802, WAC
|
Effective
Date: 08/01/04 |
Contents Helpful
Tools Index Download
Access
The right and opportunity to examine
and copy and employee record.
Analysis using exposure or medical records
Any collection of data or a statistical
study based on either:
– Information from individual employee
exposure or medical records
or
– Information collected from health
insurance claim records.
Designated representative
Means the following:
– Any individual or organization
to which an employee gives written authorization
– A recognized or certified
collective bargaining agent without regard to written employee
authorization
– The legal representative of
a deceased or legally incapacitated employee.
Employee exposure record
Means a record containing any of the
following kinds of information:
– Environmental (workplace)
monitoring or measuring of a toxic substance or harmful physical
agent, including personal, area, grab, wipe, or other form
of sampling, as well as related collection and analytical
methodologies, calculations, and other background data relevant
to interpretation of the results obtained.
– Biological monitoring results
which directly assess the absorption of a toxic substance
or harmful physical agent by body systems (such as the level
of a chemical in the blood, urine, breath, hair, or fingernails)
but not including results which assess the biological effect
of a substance or agent or which assess an employee’s
use of alcohol or drugs.
– Materials safety data sheets
indicating that the material may pose a hazard to human health;
or
– In the absence of the above:
A chemical inventory of any other
record that reveals where and when used and the identity
(e.g., chemical, common or trade name) of a toxic substance
or harmful physical agent.
Exposure records of other employees with
past or present job duties or related working conditions.
Employee medical record
A record containing the health status
of an employee which is made or maintained by a physician, nurse,
or other health care personnel, or technician, including:
– Medical and employment questionnaires
or histories (including job description and occupational exposures).
– The results of medical examinations
(preemployment, preassignment, periodic, or episodic) and
laboratory tests (including chest and other x-ray examinations
taken for purposes of establishing a baseline or detecting
occupational illness, and all biological monitoring not defined
as an “employee exposure record”).
– Medical opinions, diagnoses,
progress notes, and recommendations.
– First-aid records.
– Descriptions of treatments
and prescriptions.
– Employee medical complaints.
An employee medical record does not
include any of these types of medical information:
– Physical specimens (for example,
blood or urine samples), which are routinely discarded as
a part of normal medical practice.
– Records concerning health
insurance claims if maintained separately from the employer’s
medical program and its records, and not accessible to the
employer by employee name or other direct personal identifier,
such as Social Security number, or payroll number.
– Records created solely in
preparation for litigation that are privileged from discovery
under applicable rules of procedure or evidence.
– Records concerning voluntary
employee assistance programs, such as alcohol, drug abuse,
or personal counseling programs, if maintained separately
from the employer’s medical program and records.
Exposure or exposed
The contact an employee has with a
toxic substance, harmful physical agent or oxygen deficient
condition. Exposure can occur through various routes, such an
inhalation, ingestion, skin contact, or skin absorption.
First aid
Any of the following are considered
first aid:
– Using a nonprescription medication
at nonprescription strength
– Administering tetanus immunizations.
Other immunizations, such as Hepatitis B vaccine or rabies
vaccine, are considered medical treatment
– Cleaning, flushing or soaking
wounds on the surface of the skin
– Using wound coverings such
as bandages, Band-Aids™, or gauze pads
– Using butterfly bandages or
Steri-Strips™
– Using hot or cold therapy
– Using any nonrigid means of
support, such as elastic bandages, wraps, or nonrigid back
belts
– Using temporary immobilization
devices, such as splints, slings, neck collars, or back boards,
while transporting an accident victim.
– Drilling a fingernail or toenail
to relieve pressure
– Draining fluid from a blister
– Using eye patches
– Removing foreign bodies from
the eye using only irrigation or a cotton swab.
– Removing splinters or foreign
material from areas other than the eye by irrigation, tweezers,
cotton swabs or other simple means
– Using finger guards
– Using massages
– Drinking fluids for relief
of heat stress.
Harmful physical agent
Any physical stress such as noise,
vibration, repetitive motion, heat, cold, ionizing and nonionizing
radiation, and hypo- or hyperbaric pressure which:
– Is listed in the latest edition
of the National Institute for Occupational Safety and Health
(NIOSH) Registry of Toxic Effects of Chemical Substances (RTECS)
or
– Has shown positive evidence of an
acute or chronic health hazard in testing conducted by, or
known to, the employer
or
– Is the subject of a material safety
data sheet kept by or known to the employer showing that the
material may pose a hazard to human health.
Health professional
A physician, occupational health nurse,
industrial hygienist, toxicologist, or epidemiologist, who provides
medical or other occupational health services to exposed employees.
Record
Any item, collection, or grouping of
information. Examples include:
– Paper document
– Microfiche
– Microfilm
– X-ray film
– Computer record.
Specific chemical identity
Any other information that reveals
the precise chemical designation of the substance, such as:
– Chemical name
or
– Chemical abstracts service (CAS)
registry number.
Specific written authorization
A written authorization containing
at least the following:
– The name and signature of the employee
authorizing the release of medical information
– The date of the written authorization
– The name of the individual
or organization that is authorized to release the medical
information
– The name of the designated
representative (individual or organization) that is authorized
to receive the information
– A general description of the
medical information that is authorized to be released
– A general description of the
purpose for the release of the medical information
– A date or condition upon which
the written authorization will expire.
Toxic substance
Any chemical substance or biological
agent, such as bacteria, virus, and fungus, which is any of
the following:
– Listed in the latest edition of
the National Institute for Occupational Safety and Health
(NIOSH) Registry of Toxic Effects of Chemical Substances (RTECS)
– Shows positive evidence of an acute
or chronic health hazard in testing conducted by, or known
to, the employer
– The subject of a material safety
data sheet kept by or known to the employer showing the material
may pose a hazard to human health.
Trade secrets
Any confidential information that is
used in an employer’s business and gives an opportunity
to gain an advantage over competitors who don’t know or
use it. It can be a:
– Formula
– Pattern
– Process
– Device
– Information
– Collection of information.
|