43 Pa. Stat. § 478
Every physician making an examination, under section six, and finding what he believes to be symptoms of lead-poisoning, shall enter, in a book kept for that purpose in the office of the employer, a record of such examination, containing the name and address of the employee so examined, the particular work or process in which he is engaged, the date, place, and finding of such examination, and the directions given in each case by the physician. The record shall be open to inspection at all reasonable times by the State Department of Labor and Industry and by the State Department of Health.
Within forty-eight hours after such examination and finding the examining physician shall send a report thereof, in duplicate,--one copy to the State Department of Labor and Industry and one to the State Department of Health. The report shall be on, or in conformity with, blanks to be prepared and furnished by the State Department of Health, free of cost, to every employer included in section two, and shall state:
The examination physician shall, also, within the said forty-eight hours, report such examination and finding to the employer; and after five days from such report the employer shall not continue the said employee in any work or process where he will be exposed to lead dusts, lead fumes, or lead solutions, included in section two of this act.
43 P.S. § 478