Mich. Admin. Code R. 325.51991 - Content of medical examinations
Rule 91.
(1)
This rule replaces OSHA 1926.62(j)(3)(ii).
(2) The content of medical examinations made
available pursuant to R 325.51990(2) (b) and (c) of these rules shall be
determined by an examining physician and, if requested by an employee, shall
include pregnancy testing or laboratory evaluation of male fertility.
(3) Medical examinations made available
pursuant to R 325.51990(2)(a) of these rules include all of the following
elements:
(a) A detailed work history and a
medical history, with particular attention to past occupational and
non-occupational lead exposure in all of the following:
(i) Personal habits, such as smoking and
hygiene.
(ii) Past
gastrointestinal.
(iii)
Hematologic.
(iv) Renal.
(v) Cardiovascular.
(vi) Reproductive.
(vii) Neurological problems.
(b) A thorough physical
examination, with particular attention to all of the following:
(i) Teeth.
(ii) Gums.
(iii) Hematologic.
(iv) Gastrointestinal.
(v) Renal.
(vi) Cardiovascular.
(vii) Neurological systems.
(viii) Pulmonary status should be evaluated
if respiratory protection will be used.
(c) A blood pressure measurement.
(d) A blood sample and an analysis which
determines all of the following:
(i) Blood
lead level.
(ii) Hemoglobin and
hematocrit determinations, red cell indices, and examination of peripheral
smear morphology.
(iii) Blood urea
nitrogen.
(iv) Serum
creatinine.
(e) A
routine urinalysis with microscopic examination.
(f) Any laboratory or other test relevant to
lead exposure which the examining physician deems necessary by sound medical
practice.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.