P & D Environmental Services, Inc.

Striving To Provide the Most Professional Products and Services for
Promoting A Safe Workplace Environment.


SAMPLE TOPICS COVERED IN THE
MEDICAL SURVEILLANCE PROGRAM


PURPOSE

In order to access and monitor the health and fitness of employees working with hazardous substances at (Company Name) , both prior to employment and during the course of work, (Company Name) has established the following medical surveillance program. (Name or Title of person) will be the Medical Surveillance Coordinator .

The effectiveness of a medical program depends on active workers involvement. In addition,
(Company Name) is firmly committed to the health and safety of its workers and encourages its workers to maintain their good health through exercise, proper diet, and avoidance of tobacco, alcohol, and drug abuse.

(Company Name) urges all prospective employees to provide a complete and detailed occupational and medical history. All information received either prior to employment or anytime during employment will be kept confidential. All employees are required to report any suspected exposures, regardless of the degree to the medical surveillance coordinator. Any unusual physical or psychological conditions should be brought to the physician's attention. (Even the vaguest disturbances or apparent minor complaint such as skin irritation or a headache may be important.)

EMPLOYEES COVERED

FREQUENCY OF MEDICAL EXAMINATIONS

CONTENTS OF THE MEDICAL EXAMINATIONS

PRE?EMPLOYMENT EXAMINATION

PERIODIC MEDICAL EXAMINATIONS

TERMINATION EXAMINATION

INFORMATION PROVIDED TO THE PHYSICIAN

PHYSICIAN'S WRITTEN OPINION

EMERGENCY TREATMENT

MEDICAL RECORDS

PROGRAM REVIEW


 


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