Asbestos Certification (ASB) · Lesson 4 of 6

Medical Surveillance and Recordkeeping: The 30-Day Trigger and How Long to Keep Records

"Medical Surveillance and Recordkeeping: The 30-Day Trigger and How Long to Keep Records" is lesson 4 of 6 in the Asbestos Certification (ASB) Learning Hub. It opens with "Who Is in the Medical Program" and works through 5 short steps, then a worked example you can check yourself against.

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Steps in this lesson

  1. Who Is in the Medical Program
  2. When the Exams Are Due
  3. What the Exam Includes
  4. The Physician's Written Opinion
  5. Records and How Long to Keep Them

The worked example in the course applies this lesson to a realistic job in 6 steps, starting with "Set the repeat schedule".

What you'll be able to do

  • Explain the main idea of "Medical Surveillance and Recordkeeping: The 30-Day Trigger and How Long to Keep Records" in plain language you can use on the exam.
  • Apply this step with confidence: "What the Exam Includes".
  • Apply this step with confidence: "The Physician's Written Opinion".
  • Apply this step with confidence: "Records and How Long to Keep Them".
  • Test yourself on the worked example and the quick-check quiz inside the classroom.
Medical Surveillance: 30 Counted Days Triggers the ExamDAYS THAT COUNT: 1529(m)(1)(A)Class I: 14Class II: 9Class III: 714 + 9 + 7 = 30 counted daysNot counted: 3 Class II days of one hour orless on intact material, full work practicesCHEST X-RAY FREQUENCY (TABLE 2)Years sincefirst exposureAge under 40Age 40+0 to 10Every 3 yearsAnnuallyover 10AnnuallyAnnuallyOblique views only every 3 years (Table 2 note)MARIA: AGE 36, NEW TO ASBESTOSDay 30 = Friday, April 17Exam within 10 working days after:April 20-24, then April 27 - May 1Exam due by Friday, May 1After that: at least annuallyX-ray: under 40, 0-10 yrs = every 3 yrsLeaves Nov 20, exposed at or above a limit:exit exam Oct 21 through Dec 20(30 calendar days before or after)HOW LONG TO KEEP THE RECORDS: 1529(n)Exposure measurements: at least 30 yearsMedical records: duration of employment plus 30 yearsTraining records: 1 year beyond last date of employment (Maria: until Nov 20 of the next year)Source: 8 CCR 1529(m)(1)-(4) incl. Table 2, 1529(n)(2)-(4); compare 29 CFR 1926.1101(m), (n)CC
The diagram for this lesson, exactly as it appears in the Learning Hub.

The first steps of this lesson

Step 1: Who Is in the Medical Program

Section 1529(m)(1)(A) requires a medical surveillance program for every employee who, for a combined total of 30 or more days per year, does Class I, II and III work or is exposed at or above the PEL. A day of Class II or III work on intact material for one hour or less, including clean-up, does not count if the employee followed the work practices of the standard. Anyone required to wear a negative-pressure respirator must also be shown physically able to do the work and use the equipment, determined under the supervision of a physician. All exams are done by or under a licensed physician, at no cost to the employee, at a reasonable time and place (1529(m)(1)(B)).

Step 2: When the Exams Are Due

Section 1529(m)(2)(A) sets the schedule: before assignment to an area where negative-pressure respirators are worn; within 10 working days following the thirtieth day of Class I, II, III work or exposure at or above the PEL; and at least annually after that. No exam is due if adequate records show an exam within the past year. When employment ends, the employer must provide an exam within 30 calendar days before or after the termination date for any employee who was exposed at or above the PEL and/or excursion limit. The physician may call for more frequent exams.

The remaining 3 steps, the worked example and the quiz are in the course. This is a preview. The full lesson, with the step-by-step explanations, a worked example and a quick-check quiz, is inside the classroom.

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