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Requirements:
General (5.1)

First Aid and Emergency Care (5.1.1)

Medical will provide emergency care and first aid to all personnel on a walk-in basis, and medical support for emergency responses during disasters, accidents, or fires.

First Aid Kits (5.1.1.1)

Area supervisors and managers may purchase from SLAC Stores OSHA-approved first aid kits. First aid kits will be clearly marked and readily available to all area personnel, and periodically inspected and re-stocked. Medical will ensure first aid kits offered from SLAC Stores comply with OSHA regulations.

Where modified versions of the Stores first aid kit are wanted, approval by the Medical Department is required. All first aid materials will be replenished as necessary and inspected frequently. Employees who use first aid kits to treat injuries themselves must still report to Medical and fill out a SLAC Occupational Accident Report form (SLAC SU-17).

Primary Care (5.1.2)

Medical will provide primary care for acute illness (such as the flu, colds, and headaches) and non-emergency injuries (such as cuts, abrasions and sprains) to employees on a walk-in basis. Employees requiring primary care involving specialized treatment will be referred to outside medical services providers.

Preventive and Occupational Medicine (5.1.3)

Medical will provide preventive medicine services (such as physical examinations, medical surveillance, and immunizations) and initial treatment and referral for occupational injuries and illness to employees.

For workplace accidents and illnesses, see Chapter 28, "Incident Investigation", for notification and reporting requirements.

Physical Examinations (5.1.3.1)

For full-time employees only, Medical offers employees free physical exams every five years.

Medical Surveillance (5.1.3.2)

Medical will provide physical examinations and all associated preventive medical care to employees required to participate in medical surveillance programs.

Managers and supervisors will identify employees required to participate in medical surveillance programs by

• Submitting a physical requirements and exposures checklist (PREC) to the Human Resources Department for evaluation and determination for each new job opening
• Using the SLAC Training Assessment (STA) to identify employees required to participate in medical surveillance programs (see “Medical Surveillance Programs” for a summary)
• Following Chemical and General Safety (CGS) Department recommendations resulting from work area hazard evaluations

Managers and supervisors will ensure employees complete all required medical examinations associated with medical surveillance prior to commencing work that requires medical surveillance.

Immunizations (5.1.3.3)

Medical offers employees the following immunizations:

• Hepatitis A and B
• Diphtheria/tetanus
• Travel and pre-travel immunization in accordance with World Health Organization guidelines
• Annual flu vaccines
• B12 shots (as prescribed by a physician)
• Tuberculosis skin tests

Ergonomics (5.1.3.4)

Medical will perform ergonomic-related medical evaluations and computer workstation ergonomic evaluations for employees. ES&H will provide computer-based training for ergonomics. (See the SLAC Ergonomic Workstation Checklist for the elements of an ergonomic evaluation.

Medical Records (5.1.4)

Maintaining Employee Medical Records (5.1.4.1)

Employee medical, psychological, and employee assistance program (EAP) records must be kept confidential, protected from unauthorized access, and stored under conditions that ensure their long-term preservation. Psychological records must be maintained separately from medical records and in the custody the designated psychologist in accordance with 10 CFR 712.38(b)(2).

Medical will maintain all employee medical records. These records include information on employee illnesses, lab test results, and other related documents. Separate, less detailed records will be maintained for non-SLAC employees by Medical. Medical will retain all medical records for a period of 75 years. Medical records are strictly confidential and will not be released by medical without written consent from the patient or patient representative.

Employee Access to Medical Records (5.1.4.2)

Whenever an employee or designated representative requests access to a medical record, Medical will ensure access is provided in a reasonable time, place, and manner.

Other (5.1.5)

Magnetic Fields (5.1.5.1)

SLAC workers, users, subcontractors, and visitors who wear a medical electronic implant such as a cardiac pacemaker, or who have ferromagnetic implants are strongly encouraged to obtain medical clearance from their treating physician (who has knowledge of the implanted device) before working at or visiting SLAC.

Employee Examinations for Impaired Performance (5.1.5.2)

In accordance with the SLAC Substance Abuse policy, Medical will provide examinations for employees whose performance is impaired by the suspected use of alcohol or other controlled substances.

Reporting (5.1.6)

The Medical Department will provide the ES&H Coordinating Council, at least once a year, a report on the occupational medicine program, summarizing the key activities, statistics, findings, and recommendations.

continue to Requirements, Roles & Responsibilities (5.1.7)