Article IX - MEDICAL SURVEILLANCE A. General Requirements - 1. FMC shall institute a medical surveillance program for all employees who are assigned to plant operating . areas at least 60 days per year.
- 2. Section 27 - 287 of the Wyoming Occupational Health and Safety Act permits any employer to require an employee to submit to a physical examination before employment or at any time during employment. FMC will require examinations to be taken by all employees assigned to the plant operating areas in accordance with provisions of this Article IX.
- a. Physical examination of an employee may not be required if such employee objects to such examination on religious grounds except where such examination is necessary for the protection of the health or safety of others.
- 3. FMC shall assure that all medical examinations and procedures are performed by or under the supervision of a licensed physician, and are provided without cost to the employee.
B. Content of Examinations
FMC shall provide, following the pre-employment examination, a medical examination for employees including the following elements:
- 1. A work history and medical history which shall include smoking history and the presence and degree of respiratory symptoms, such as breathlessness, cough, sputum production and wheezing.
- 2. A 14@' x 17" posterior-anterior chest X-ray and International Labor Office UICC/Cincinnati (ILO U/C) rating;
- 3. Pulmonary function tests including forced vital capacity (FVC) and forced expiratory volume at one second (FEV 1.0) with recording of type of equipment used;
- 6. Urinalysis for sugar, albumin, and hematuria;
- 7. A sputum cytology examination and;
- 8. A urinary cytology examination.
C. Periodic Examinations - 1. FMC shall provide the examinations specified in paragraphs B.1.-6. of this Article ai least annually for employees.
- 2. FMC shall provide the examinations specified in paragraphs B.1.-8. of this section at least semi-annually for employees 45 years of age or older or with five (5) or more years employment in the plant production area.
- 3. Whenever an employee has not taken the examinations specified in paragraph C. 1. and 2. of this Article within the six (6) months preceding the termination of employment, the employer shall provide such examinations to the employee upon termination of employment.
- 4. Annual and semi-annual examination requirements specified above may be given with a plus-or-minus two month variation.
D. Information Provided to the Physician
FMC shall provide the following information to the examining physician:
- 1. A copy of this Article IX
E. Physician's Written Opinion - 1. FMC shall obtain a written opinion from the examining physician which shall include:
- a. The results of the medical examinations;
- b. The physician's opinion as to whether the employee has any detected medical conditions which would place the employee at increased risk of material impairment of the employee's health from exposure to coke oven emissions;
- c. Any recommended limitations upon the employee's exposure to coke oven emissions or upon the use of protective clothing or equipment such as respirators; and
- d. A statement that the employee has been informed by the physician of the results of the medical examination and any medical conditions which require further explanation or treatment.
- 2. FMC shall provide a copy of the written opinion to the I affected employee.