Blood Lead Triggers for Medical Removal Protection Sample Clauses

Blood Lead Triggers for Medical Removal Protection. 1. Requirements for Medical Removal OSHA’s general industry standard for lead requires an employer to remove an employee from work involving exposure to lead at or above the action level (30 mg/m3) when two consecutive blood lead tests are at or above 60 mg/dL or when the average of the last three tests is at or above 50 mg/dL. OSHA’s construction standard requires an employer to remove an employee from work involving exposure to lead at or above the AL when the employee’s BLL is at or above 50 mg/dL for two consecutive tests. (See Section I.C, Health Effects of Lead Exposure, for a full description of OSHA’s blood lead requirements for Medical Removal Protection (MRP)). ACOEM has recommended medical removal of workers who have repeat BLLs over 20 mg/dL (measured in four weeks), or if any single BLL exceeds 30 mg/dL (ACOEM 2016, p. e372, Table 1). MIOSHA’s 2019 update to Michigan’s occupational lead standard changed the BLL at which an employee in general industry or construction is to be removed from lead exposure, previously 50 mg/dL, to 30 mg/dL for both standards. Cal/OSHA’s discussion draft includes a medical removal BLL of ≥ 30 mg/dL; when the last two monthly blood lead tests are ≥ 20 mg/dL; or when the average of the results of all blood lead tests conducted in the last six months is at or above 20 mg/dL of whole blood. Washington DOSH’s stakeholder review draft would lower its medical removal BLL to ≥ 30 mg/dL for a single test result and ≥ 20 mg/dL for multi-test results for both general industry and construction lead standards. After commissioning the National Research Council (NRC) to conduct a study to determine whether current OSHA exposure standards used on firing ranges are protective (NRC, 2013), DOD lowered the medical removal triggers for BLLs in military and civilian DOD personnel, which previously were aligned with OSHA’s standards. DOD’s medical removal is now based on BLLs at or greater than 20 mg/dL (DOD, 2018, p. 55; Table C4.T2, pp. 57–61)).
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