SCHEDULE 14 - Requirements for SCHEDULE 14 - Requirements for Health Monitoring

Regulations 368 , 370 and 406

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Table 14.1 – Hazardous chemicals (other than lead) requiring health monitoring

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| Column 1 | Column 2 | Column 3 | | Item | Hazardous chemical | Type of health monitoring | | 1. | Acrylonitrile | Demographic, medical and occupational history | | | | Records of personal exposure | | | | Physical examination | | 2. | Arsenic (inorganic) | Demographic, medical and occupational history | | | | Records of personal exposure | | | | Physical examination with emphasis on the peripheral nervous system and skin | | | | Urinary inorganic arsenic | | 3. | Benzene | Demographic, medical and occupational history | | | | Records of personal exposure | | | | Physical examination | | | | Baseline blood sample for haematological profile | | 4. | Cadmium | Demographic, medical and occupational history | | | | Records of personal exposure | | | | Physical examination with emphasis on the respiratory system | | | | Standard respiratory questionnaire to be completed | | | | Standardised respiratory function tests including for example, FEV1, FVC and FEV1/FVC | | | | Urinary cadmium and β2-microglobulin | | | | Health advice, including counselling on the effect of smoking on cadmium exposure | | 5. | Chromium (inorganic) | Demographic, medical and occupational history | | | | Physical examination with emphasis on the respiratory system and skin | | | | Weekly skin inspection of hands and forearms by a competent person | | 6. | Creosote | Demographic, medical and occupational history | | | | Health advice, including recognition of photosensitivity and skin changes | | | | Physical examination with emphasis on the neurological system and skin, noting any abnormal lesions and evidence of skin sensitisation | | | | Records of personal exposure, including photosensitivity | | 7. | Crystalline silica | Demographic, medical and occupational history | | | | Records of personal exposure | | | | Standardised respiratory questionnaire to be completed | | | | Standardised respiratory function tests, for example, FEV1, FVC and FEV1/FVC | | | | Chest X-ray full size PA view | | 8. | Isocyanates | Demographic, medical and occupational history | | | | Completion of a standardised respiratory questionnaire | | | | Physical examination of the respiratory system and skin | | | | Standardised respiratory function tests, for example, FEV1, FVC and FEV1/FVC | | 9. | Mercury (inorganic) | Demographic, medical and occupational history | | | | Physical examination with emphasis on dermatological, gastrointestinal, neurological and renal systems | | | | Urinary inorganic mercury | | 10. | 4,4'-Methylene bis (2-chloroaniline) (MOCA) | Demographic, medical and occupational history | | | | Physical examination | | | | Urinary total MOCA | | | | Dipstick analysis of urine for haematuria | | | | Urine cytology | | 11. | Organophosphate pesticides | Demographic, medical and occupational history including pattern of use | | | | Physical examination | | | | Baseline estimation of red cell and plasma cholinesterase activity levels by the Ellman or equivalent method | | | | Estimation of red cell and plasma cholinesterase activity towards the end of the working day on which organophosphate pesticides have been used | | 12. | Pentachlorophenol (PCP) | Demographic, medical and occupational history | | | | Records of personal exposure | | | | Physical examination with emphasis on the skin, noting any abnormal lesions or effects of irritancy | | | | Urinary total pentachlorophenol | | | | Dipstick urinalysis for haematuria and proteinuria | | 13. | Polycyclic aromatic hydrocarbons (PAH) | Demographic, medical and occupational history | | | | Physical examination | | | | Records of personal exposure, including photosensitivity | | | | Health advice, including recognition of photosensitivity and skin changes | | 14. | Thallium | Demographic, medical and occupational history | | | | Physical examination | | | | Urinary thallium | | 15. | Vinyl chloride | Demographic, medical and occupational history | | | | Physical examination | | | | Records of personal exposure |