This examination shall be provided prior to the employee's being assigned to a job that requires the use of a respirator or no later than 90 days after this section goes into effect, whichever date is later, to any employee without a medical examination within the preceding 12 months that satisfies the requirements of this paragraph. Occupational Safety and Health Administration, Severe Storm and Flood Recovery Assistance, Cadmium refining, casting, melting, oxide production, sinter plant, Cadmium oxide charging, crushing, drying, blending, Sinter plant, blast furnace, baghouse, yard area. The employer may condition the provision of MRPB upon the employee's participation in medical surveillance provided in accordance with this section. Exposure to cadmium and cadmium compounds can cause cancer of the lung and may cause cancer of the prostate and kidney. If the second set of biological monitoring results obtained during the medical examination does not show that a mandatory removal trigger level has been exceeded, then the employee is not required to be removed by the mandatory provisions of this paragraph. Except as otherwise provided for in this section, access to all records required to be maintained by paragraphs (n)(1) through (3) of this section shall be in accordance with the provisions of 29 CFR 1910.1020. Where the results of tests for total proteins in urine are abnormal, provide a more detailed medical evaluation of the toxic effects of cadmium on the employee's renal system. Work operations for which the employer has implemented all feasible engineering and work-practice controls and such controls are not sufficient to reduce employee exposures to or below the PEL. [57 FR 42389, Sept. 14, 1992, as amended at 57 FR 49272, Oct. 30, 1992; 58 FR 21781, Apr. A periodic medical examination shall be provided within one year after the initial examination required by paragraph (l)(2) of this section and thereafter at least biennially. If there’s a red “Warning Required” label, that chocolate bar has enough lead and/or cadmium to require a State of California warning label. The employer shall assure that contaminated protective clothing and equipment, when removed for laundering, cleaning, maintenance, or disposal, is placed and stored in sealed, impermeable bags or other closed, impermeable containers that are designed to prevent dispersion of cadmium dust. Authorized person means any person authorized by the employer and required by work duties to be present in regulated areas or any person authorized by the OSH Act or regulations issued under it to be in regulated areas. Warn others to exercise caution around cadmium and other chemicals. The employer may condition its participation in, and payment for, multiple physician review upon the employee doing the following within fifteen (15) days after receipt of this notice, or receipt of the initial physician's written opinion, whichever is later: Informing the employer that he or she intends to seek a medical opinion; and. For small businesses, initial medical examinations required by paragraph (l) of this section shall be provided as soon as possible and in any event no later than 180 days after the effective date of this standard. This written opinion shall contain: The physician's diagnosis for the employee; The physician's opinion as to whether the employee has any detected medical condition(s) that would place the employee at increased risk of material impairment to health from further exposure to cadmium, including any indications of potential cadmium toxicity; The results of any biological or other testing or related evaluations that directly assess the employee's absorption of cadmium; Any recommended removal from, or limitation on the activities or duties of the employee or on the employee's use of personal protective equipment, such as respirators; A statement that the physician has clearly and carefully explained to the employee the results of the medical examination, including all biological monitoring results and any medical conditions related to cadmium exposure that require further evaluation or treatment, and any limitation on the employee's diet or use of medications. Conduct such examinations, consultations, laboratory tests, and discussions with the other two physicians as the third physician deems necessary to resolve the disagreement among them. Face shields, vented goggles, or other appropriate protective equipment that complies with 29 CFR 1910.133. Biological monitoring that includes the following tests: Cadmium in urine (CdU), standardized to grams of creatinine (g/Cr); Cadmium in blood (CdB), standardized to liters of whole blood (lwb). If the results of the followup biological monitoring, specified in this paragraph, confirm the previous results, the employer may discontinue all periodic medical surveillance for that employee. • Cancer Hazard Signs send a clear and explicit message. In addition, warning signs shall be posted at all approaches to regulated areas so that an employee may read the signs and take necessary protective steps before entering the area. Shoveling, dry or wet sweeping, and brushing may be used only where vacuuming or other methods that minimize the likelihood of cadmium becoming airborne have been tried and found not to be effective. The employer shall provide a copy of the physician's written medical opinion to the examined employee within two weeks after receipt thereof. 150 0 obj << /Linearized 1 /O 152 /H [ 1062 848 ] /L 503125 /E 342959 /N 29 /T 500006 >> endobj xref 150 31 0000000016 00000 n 0000000971 00000 n 0000001910 00000 n 0000002068 00000 n 0000002367 00000 n 0000002438 00000 n 0000002517 00000 n 0000002558 00000 n 0000003603 00000 n 0000004017 00000 n 0000004810 00000 n 0000005607 00000 n 0000005978 00000 n 0000006050 00000 n 0000009737 00000 n 0000013901 00000 n 0000335244 00000 n 0000335384 00000 n 0000336124 00000 n 0000336262 00000 n 0000336401 00000 n 0000337202 00000 n 0000337777 00000 n 0000337829 00000 n 0000341765 00000 n 0000341931 00000 n 0000342044 00000 n 0000342333 00000 n 0000342689 00000 n 0000001062 00000 n 0000001888 00000 n trailer << /Size 181 /Info 149 0 R /Root 151 0 R /Prev 499995 /ID[] >> startxref 0 %%EOF 151 0 obj << /Type /Catalog /Pages 136 0 R /JT 148 0 R /PageLabels 134 0 R >> endobj 179 0 obj << /S 899 /L 1039 /Filter /FlateDecode /Length 180 0 R >> stream The health and safety of your workers is of critical importance. Prior to June 1, 2016, employers may use the following legend in lieu of that specified in paragraph (m)(2)(ii) of this section: Shipping and storage containers containing cadmium or cadmium compounds shall bear appropriate warning labels, as specified in paragraph (m)(1) of this section. Cd (cadmium) symbol sticker. You may have heard that coffee gives you cancer. Change rooms, showers, and lunchroom facilities shall be completed as soon as possible and in any event no later than 1 year after the effective date of this section. Or that everything gives you cancer—if you live in California. The employer is responsible for cleaning and laundering the protective clothing and equipment required by this paragraph to maintain its effectiveness and is also responsible for disposing of such clothing and equipment. At termination of employment, the employer shall provide a medical examination in accordance with paragraph (l)(4)(ii) of this section, including a chest X-ray, to any employee to whom at any prior time the employer was required to provide medical surveillance under paragraphs (l)(1)(i) or (l)(7) of this section. To determine an employee's fitness for using a respirator, the employer shall provide the limited medical examination specified in paragraph (l)(6) of this section. If the initial monitoring or periodic monitoring reveals employee exposures to be at or above the action level, the employer shall monitor at a frequency and pattern needed to represent the levels of exposure of employees and where exposures are above the PEL to assure the adequacy of respiratory selection and the effectiveness of engineering and work practice controls. The initial (preplacement) medical examination shall include: A detailed medical and work history, with emphasis on: past, present, and anticipated future exposure to cadmium; any history of renal, cardiovascular, respiratory, hematopoietic, reproductive, and/or musculo-skeletal system dysfunction; current usage of medication with potential nephrotoxic side-effects; and smoking history and current status; and. Cadmium. If the results of the initial biological monitoring tests show the employee's CdU level to be at or below 3 µg/g Cr, β2-M level to be at or below 300 µg/g Cr and CdB level to be at or below 5 µg/lwb, then: For previously exposed employees, who are subject to medical surveillance under paragraph (l)(1)(i)(B) of this section, the employer shall provide biological monitoring for CdU, β2-M, and CdB one year after the initial biological monitoring and then the employer shall comply with the requirements of paragraph (l)(4)(v) of this section. Provide semiannual medical examinations in accordance with paragraph (l)(4)(ii) of this section. The physician's determination may be based on biological monitoring results, inability to wear a respirator, evidence of illness, other signs or symptoms of cadmium-related dysfunction or disease, or any other reason deemed medically sufficient by the physician. To the extent that engineering and work practice controls cannot reduce exposures to or below the PEL, the employer shall include in the written compliance program the use of appropriate respiratory protection to achieve compliance with the PEL. Cadmium (CAS 7440-43-9) GHS Chemical Container Label; Dependable 3M adhesive vinyl that is built to resist harsh conditions. These items require the Pro65 warning to be on their labels and packaging in the State of California. A: OEHHA does not provide Proposition 65 warning signs or labels. Relevant results of previous biological monitoring and medical examinations. RoHS safety labels. Work operations for which an employee is exposed to cadmium at or above the action level, and the employee requests a respirator. The World Health Orga­nization (WHO) suggests a maximum of 0.3 micrograms per gram in dried plants. The employer shall assure that employees who are exposed to cadmium above the PEL shower during the end of the work shift. The elements that triggered this California Prop 65 labeling requirement are lead and cadmium. Periods necessary to install or implement feasible engineering and work-practice controls when employee exposure levels exceed the PEL. Provide HEPA filters for powered and non-powered air-purifying respirators. If the two physicians have been unable to quickly resolve their disagreement, then the employer and the employee, through their respective physicians, shall designate a third physician to: Review any findings, determinations, or recommendations of the other two physicians; and. Final medical determination is the written medical opinion of the employee's health status by the examining physician under paragraphs (l)(3)-(12) of this section or, if multiple physician review under paragraph (l)(13) of this section or the alternative physician determination under paragraph (l)(14) of this section is invoked, it is the final, written medical finding, recommendation or determination that emerges from that process. When ventilation is used to control exposure, measurements that demonstrate the effectiveness of the system in controlling exposure, such as capture velocity, duct velocity, or static pressure shall be made as necessary to maintain its effectiveness. Except for small businesses, defined under paragraph (p)(2)(i) of this section, employee information and training required by paragraph (m)(4) of this section shall be provided as soon as possible and in any event no later than 90 days after the effective date of this standard. Except as specified in paragraphs (f)(1) (iii) and (iv) of this section, in industries where a separate engineering control air limit (SECAL) has been specified for particular processes (See Table 1 in this paragraph (f)(1)(ii)), the employer shall implement engineering and work practice controls to reduce and maintain employee exposure at or below the SECAL, except to the extent that the employer can demonstrate that such controls are not feasible. However, when in the examining physician's opinion continued exposure to cadmium will not pose an increased risk to the employee's health and there are special circumstances that make continued medical removal an inappropriate remedy, the physician shall fully discuss these matters with the employee, and then in a written determination may return a worker to his/her former job status despite what would otherwise be unacceptably high biological monitoring results. I was so relieved to learn that my favorite colors won't be banned and that Prop 65 does not ban products but only requires warning labels. The required warning label must state: Proposition 65 Warning: Use of this tableware will expose you to [insert lead or cadmium as appropriate] , a chemical known to the State of California to cause birth defects or other reproductive harm. The written compliance programs shall be reviewed and updated at least annually, or more often if necessary, to reflect significant changes in the employer's compliance status. These examinations and procedures shall be provided without cost to the employee and at a time and place that is reasonable and convenient to employees. Provide semiannual medical reexaminations to evaluate the abnormal clinical sign(s) of cadmium toxicity until the results are normal or the employee is medically removed; and. cadmium compounds, or cadmium-contaminated clothing, equipment, waste, scrap, or debris must be labeled with the following information: Danger Contains cadmium Cancer hazard Avoid creating dust Can cause lung and kidney disease Installed cadmium products must have a visible label or other indication that cadmium … Employee exposure and similar language referring to the air cadmium level to which an employee is exposed means the exposure to airborne cadmium that would occur if the employee were not using respiratory protective equipment. 7.7 Cadmium Warning Labels 7.8 Special Labels or Markings 7.9 Material Review Board (MRB) Items 7.10 UII Serialized Parts Packaging 8.0 TMS MARKING - LABELS - RFID 27 8.1 Receiving Labels 8.1.1 Generated by TMS 8.1.1.1 Transportation Handling Unit (THU) Label 8.1.1.2 ASN Receipt Label 8.1.1.3 Additional Carton Label Regulated areas. All surfaces shall be maintained as free as practicable of accumulations of cadmium. 2020], Occupational Safety & Health Administration. If the employer selects the initial physician to conduct any medical examination or consultation provided to an employee under this section, the employee may designate a second physician to: Review any findings, determinations, or recommendations of the initial physician; and. These bags and containers shall be labeled in accordance with paragraph (m) of this section. In stock and ready to ship. The employer shall assure that this record is maintained for the duration of employment plus thirty (30) years, in accordance with 29 CFR 1910.1020. Accuracy of measurement. The employer shall promptly notify an employee of the right to seek a second medical opinion after each occasion that an initial physician provided by the employer conducts a medical examination or consultation pursuant to this section. The warning labels for containers of contaminated protective clothing, equipment, waste, scrap, or debris shall include at least the following information: Prior to June 1, 2015, employers may include the following information on shipping and storage containers containing cadmium, cadmium compounds, or cadmium contaminated clothing, equipment, waste, scrap, or debris in lieu of the labeling requirements specified in paragraphs (m)(1)(i) and (m)(3)(ii) of this section: Where feasible, installed cadmium products shall have a visible label or other indication that cadmium is present. The employer must provide an employee with a powered air-purifying respirator instead of a negative-pressure respirator when an employee who is entitled to a respirator chooses to use this type of respirator and such a respirator provides adequate protection to the employee. Supplied in rolls of 250 labels. If the physician determines that medical removal is not necessary, then until the employee's CdU level falls to or below 3 µg/g Cr, β2-M level falls to or below 300 µg/g Cr and CdB level falls to or below 5 µg/lwb, the employer shall: For all employees who are subject to medical surveillance under paragraph (l)(1)(i) of this section, if the results of the initial biological monitoring tests show the level of CdU to be in excess of 15 µg/g Cr, or the level of CdB to be in excess of 15 µg/lwb, or the level of β2-M to be in excess of 1,500 µg/g Cr, the employer shall comply with the requirements of paragraphs (l)(3)(ii)(A)-(B) of this section. Prop 65 signs must now list specific chemical names and, in some … The dark chocolate bars we tested had concentrations which were about 1/10th the amount found in … In that case, such records shall be maintained by the employer as part of the employee's medical record, and the next routine, periodic medical examination shall be made available to the employee within two years of the previous examination. The latest press releases, reports, notices and documents ... 'Cadmium' listed as known to the State to cause developmental toxicity and male reproductive toxicity. A description of the affected employee's former, current, and anticipated duties as they relate to the employee's occupational exposure to cadmium; The employee's former, current, and anticipated future levels of occupational exposure to cadmium; A description of any personal protective equipment, including respirators, used or to be used by the employee, including when and for how long the employee has used that equipment; and. It is Whenever an employee has exhibited difficulty in breathing during a respirator fit test or during use of a respirator, the employer, as soon as possible, shall provide the employee with a periodic medical examination in accordance with paragraph (l)(4)(ii) of this section to determine the employee's fitness to wear a respirator. Communication program established to comply with the requirements of this section Under California Proposition 65 List harmful. 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