Medical surveillance is the analysis of health information to look for problems that may be occurring in the workplace that require targeted prevention. Thus, surveillance serves as a feedback loop to the employer. Surveillance may be based on a single case or sentinel event, but more typically uses screening results from the group of employees being evaluated to look for abnormal trends in health status. Surveillance can also be conducted on a single employee over time. Review of group results helps to identify potential problem areas and the effectiveness of existing worksite preventive strategies. The following resources contain medical surveillance information including specific hazards and surveillance guidelines.
Surveillance. National Institute for Occupational Safety and Health (NIOSH) Workplace Safety and Health Topic.
Health Hazard Evaluations. National Institute for Occupational Safety and Health (NIOSH). NIOSH conducts investigations of possible health hazards in the workplace to determine whether any substance normally found in the place of employment has potentially toxic effects in such concentrations as used or found.
The Work-Related Lung Disease Surveillance Report, 2002 (PDF). US Department of Human Health Services (DHHS), National Institute for Occupation Safety and Health (NIOSH) Publication No. 2003-111, (2002). Provides national and state-specific data of pneumoconiosis and other work-related respiratory conditions.
TLV®/BEI® Guidelines. American Conference of Governmental Industrial Hygienists (ACGIH). This organization of government and industrial hygienists publishes biological exposure indices for use which can be used for criteria for evaluating biological samples collected for medical surveillance.
Occupational Medical Examinations and Surveillance Manual (PDF). US Department of Defense (DoD). Provides minimum standards for medial surveillance programs to help occupational health professionals and others recognize and evaluate health risks associated with specific workplace exposures.
General Information. Chapter 1. Describes the general requirements for medical surveillance, types of examinations, and record keeping.
Medical Surveillance for OSHA-Regulated Exposures. Chapter 2. Describes OSHA related medical surveillance.
Medical Surveillance Endorsed by the Department of Defense. Chapter 3. Includes additional medical surveillance protocols endorsed by the DoD, where OSHA does not provide guidance.
All other documents, that are not PDF materials or formatted for the web, are available as Microsoft Office® formats and videos and are noted accordingly. If additional assistance is needed with reading, reviewing or accessing these documents or any figures and illustrations, please also contact OSHA's Directorate of Technical Support and Emergency Management at (202) 693-2300.
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