Chapter 03: Medical

Overview (1)

This chapter describes the services offered by the SLAC Medical Department (Medical). Medical provides emergency care and first aid to all personnel and provides SLAC employees with primary, preventive, and occupational medical care and wellness services. The department manages and provides medical surveillance for employees exposed to specific occupational hazards regulated by the federal Department of Energy (DOE) and the Occupational Safety and Health Administration (OSHA). Primary, preventive, and occupational medical services are provided as part of the comprehensive health management program prescribed by the DOE Office of Worker Advocacy.

Scope (2)

This chapter applies to all personnel seeking medical care or services from medical and the Medical Department staff.

SLAC must provide comprehensive occupational medical services to temporary and full-time employees who work on-site for more than 30 days in a 12-month period or are enrolled for any length of time in a medical or exposure monitoring program required by federal, California, or local regulation (for example, 10 CFR 851, 29 CFR 1910, Title 8, California Code of Regulations). Examples of such required monitoring includes respiratory protection, hearing conservation, beryllium monitoring, lead monitoring, and laser eye exams.

This chapter covers the requirements for medical services. See the Medical Department web site for specific information on obtaining first aid and emergency medical treatment, and alternative medical service providers available for after-hour medical treatment. See Chapter 37, "Emergency Management", and Chapter 28, "Incident Investigation", for specific information on obtaining emergency care and injury investigation and reporting. See hazard-specific chapter for medical-related requirements for those hazards.

Exemptions (2.1)

Non-employees

Emergency care and first aid is available to all personnel, including non-employees, through the SLAC Medical Department. Non-employees, however, are not eligible for primary, occupational, and preventive medical care, and wellness services. Medical does not offer medical surveillance program services to subcontractors and all care provided by the department to non-employees beyond first aid and emergency care must be approved and paid for by the subcontractor workers' compensation insurance provider.

Chronic Illness and Long-term Care

Chronic illness and long-term care are not provided by Medical and must be obtained through personal health care providers.

Implementation (8)

The requirements of this chapter are effective upon publication unless otherwise noted here.

continue to Standards (3)

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