[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 |