Sch 2Hazardous substances for which health surveillance is required

Schedule 2 Hazardous substances for which health surveillance is required (regulation 6.21) | Column 1Item | Column 2Substance | Column 3Description of health surveillance | | ------------ | -------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | | 1 | 4,4’ Methylenebis (2‑chloroaniline) (also known as MOCA) | Urinary total MOCADipstick analysis of urine for haematuriaUrine cytology | | 2 | Acrylonitrile | Demographic, medical and occupational historyExposure recordMedical interview if required by the doctor supervising the health surveillance | | 3 | Asbestos | Occupational and demographic dataMedical interviewRecords of personal exposure | | 4 | Cadmium | Demographic, medical and occupational historyExposure recordHealth advice including counselling about the effect of smoking on cadmium exposurePhysical examination with emphasis on the respiratory systemStandard respiratory questionnaire to be completed | | | | Standard respiratory function tests including, for example, FEV1, FVC and FEV1/FVCUrinary cadmium and β2‑microglobulin | | 5 | Crystalline silica | Demographic, medical and occupational historyCompletion of a standardised respiratory questionnaireStandardised respiratory function test, such as FEV1, FVC or FEV1/FVCChest X‑ray, full size PA view | | 6 | Inorganic arsenic | Demographic, medical and occupational historyExposure recordHealth advicePhysical examination with emphasis on the peripheral nervous system and skinUrinary total arsenic | | 7 | Inorganic mercury | Demographic, medical and occupational historyHealth advicePhysical examination with emphasis on dermatological, gastrointestinal, neurological and renal systemsUrinary inorganic mercury | | 8 | Isocyanates | Physical examination of respiratory system and skinStandardised respiratory function test, such as FEV1, FVC or FEV1/FVCStandardised respiratory questionnaire to be completed | | 9 | Organophosphate pesticides | Baseline examination of red cell and plasma cholinesterase activity levelsEstimate of red cell and plasma cholinesterase activity towards the end of the working day on which organophosphate pesticides have been usedMedical and occupational historyPhysical examination | | 10 | Polycyclic aromatic hydrocarbons | Exposure recordDemographic, medical and occupational historyHealth advice including recognition of photochemical burns and skin changesPhysical examination | | 11 | Thallium | Demographic and occupational historyPhysical examinationUrinary thallium | | 12 | Vinyl chloride | Occupational and demographic dataRecord of personal exposure | | 13 | Benzene | Demography, occupational and medical history and health adviceBaseline blood sample for haematological profileRecords of personal exposure | | 14 | Creosote | Demography, occupational and medical historyHealth advice, including recognition of photosensitivity and skin changesPhysical examination with emphasis on the neurological system and skin, noting any abnormal lesions and evidence of skin sensitisationRecords of personal exposure, including photosensitivity | | 15 | Inorganic chromium | Demography, occupational and medical history and health advicePhysical examination with emphasis on the respiratory system and skinWeekly inspection of hands and forearms by the employee’s supervisor | | 16 | Pentachlorophenol | Demography, occupational and medical history and health advicePhysical examination with emphasis on the skin, noting any abnormal lesions or effects of irritancyTest for urinary free pentachlorophenalDipstick urinalysis for haematuria and proteinuriaRecords of personal exposure |