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WORK HEALTH AND SAFETY ( GENERAL ) REGULATIONS 2022 - SCHEDULE 14

[r. 368, 370 and 406]

Table 14.1 — Hazardous chemicals (other than lead) requiring health monitoring

Column 1

Item

Column 2

Hazardous chemical

Column 3

Type of health monitoring

1.

Acrylonitrile

Demographic, medical and occupational history

Records of personal exposure

Physical examination

2.

Arsenic (inorganic)

Demographic, medical and occupational history

Records of personal exposure

Physical examination with emphasis on the peripheral nervous system and skin

Urinary inorganic arsenic

3.

Benzene

Demographic, medical and occupational history

Records of personal exposure

Physical examination

Baseline blood sample for haematological profile

4.

Cadmium

Demographic, medical and occupational history

Records of personal exposure

Physical examination with emphasis on the respiratory system

Standard respiratory questionnaire to be completed

Standardised respiratory function tests including for example, FEV 1 , FVC and FEV 1 /FVC

Urinary cadmium and β 2 ‑microglobulin

Health advice, including counselling on the effect of smoking on cadmium exposure

5.

Chromium (inorganic)

Demographic, medical and occupational history

Physical examination with emphasis on the respiratory system and skin

Weekly skin inspection of hands and forearms by a competent person

6.

Creosote

Demographic, medical and occupational history

Health advice, including recognition of photosensitivity and skin changes

Physical examination with emphasis on the neurological system and skin, noting any abnormal lesions and evidence of skin sensitisation

Records of personal exposure, including photosensitivity

7.

Crystalline silica

Demographic, medical and occupational history

Records of personal exposure

Standardised respiratory questionnaire to be completed

Standardised respiratory function test, for example, FEV 1 , FVC and FEV 1 /FVC

Low dose high resolution computed tomography of the chest at less than 1 millisievert equivalent dose for the entire study. The study must image the whole of each lung on inspiration at 1.5 mm slice thickness or less, without an interslice gap, and must include expiratory imaging. The images must be of adequate quality to detect subtle abnormalities, including groundglass opacities and small nodules.

8.

Isocyanates

Demographic, medical and occupational history

Completion of a standardised respiratory questionnaire

Physical examination of the respiratory system and skin

Standardised respiratory function tests, for example, FEV 1 , FVC and FEV 1 /FVC

9.

Mercury (inorganic)

Demographic, medical and occupational history

Physical examination with emphasis on dermatological, gastrointestinal, neurological and renal systems

Urinary inorganic mercury

10.

4,4’‑Methylene bis (2 chloroaniline) (MOCA)

Demographic, medical and occupational history

Physical examination

Urinary total MOCA

Dipstick analysis of urine for haematuria

Urine cytology

11.

Organophosphate pesticides

Demographic, medical and occupational history including pattern of use

Physical examination

Baseline estimation of red cell and plasma cholinesterase activity levels by the Ellman or equivalent method

Estimation of red cell and plasma cholinesterase activity towards the end of the working day on which organophosphate pesticides have been used

12.

Pentachlorophenol (PCP)

Demographic, medical and occupational history

Records of personal exposure

Physical examination with emphasis on the skin, noting any abnormal lesions or effects of irritancy

Urinary total pentachlorophenol

Dipstick urinalysis for haematuria and proteinuria

13.

Polycyclic aromatic hydrocarbons (PAH)

Demographic, medical and occupational history

Physical examination

Records of personal exposure, including photosensitivity

Health advice, including recognition of photosensitivity and skin changes

14.

Thallium

Demographic, medical and occupational history

Physical examination

Urinary thallium

15.

Vinyl chloride

Demographic, medical and occupational history

Physical examination

Records of personal exposure

Table 14.2 — Lead requiring health monitoring

Column 1

Item

Column 2

Lead

Column 3

Type of health monitoring

1.

Lead (inorganic)

Demographic, medical and occupational history

Physical examination

Biological monitoring



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