The Occupational Health

Professional’s Services

and Qualifications:

Questions and Answers

U.S. Department of Labor

Occupational Safety and Health Administration

OSHA 3160

1999 (Revised)
Occupational Health Professional’s Services and Qualifications: Questions and Answers

This informational booklet is

intended to provide a generic,

non-exhaustive overview of a

particular standards-related topic.

This publication does not itself

alter or determine compliance

responsibilities, which are set

forth in OSHA standards themselves and the Occupational

Safety and Health Act. Moreover,

because interpretations and

enforcement policy may change

over time, for additional guidance

on OSHA compliance requirements, the reader should consult

current and administrative interpretations and decisions by the

Occupational Safety and Health

Review Commission and the

Courts.

Material contained in this publication is in the public domain and

may be reproduced, fully or

partially, without permission of

the Federal Government. Source

credit is requested but not

required.

This information will be made

available to sensory impaired

individuals upon request.

Voice phone: (202) 693-2120;
U.S. Department of Labor

Occupational Safety and Health Administration

OSHA 3160

1999 (Revised)

The Occupational Health

Professional’s Services

and Qualifications:

Questions and Answers
iii

 Page

The Occupational Health Professional’s Services

and Qualifications: Questions and Answers ...................... 1

What Issues Should be Considered in Selecting

a Health Care Professional? .............................................. 2

What Unique Contributions Can an Occupational

Health Care Professional Make to Workplace Safety

and Health? ........................................................................ 3

Who Are Qualified Occupational Health Care

Professionals? .................................................................... 5

 Physicians ........................................................................ 5

 Registered Nurses ............................................................ 6

 Physician Assistants ........................................................ 7

 Other Health Care Providers............................................ 7

How Can an Employer Verify the Scope of Practice

for Health Care Professionals in the Licensing State? ..... 8

 Medical Doctor ................................................................ 8

 Doctor of Osteopathy....................................................... 8

 Registered Nurse and Nurse Practitioner......................... 8

 Physician Assistant .......................................................... 9

 Emergency Medical Technician ...................................... 9

 Licensed Vocational/Practical Nurse............................... 9

What Qualifications Should an Employer Look

for in an Occupational Health Care Professional? ............ 10

Is There a Good Way to Evaluate the Qualifications

of an Occupational Health Care Professional? ................. 11

Contents
Occupational Health Professional’s Services and Qualifications: Questions and Answers

What Is the Difference Between Occupational Health

Care Professionals and Other Occupational Safety

and Health Professionals ................................................... 13

 Industrial Hygienists ........................................................ 13

 Industrial Engineers ......................................................... 14

 Safety Professionals......................................................... 14

What OSHA Standards for General Industry Require

Screening and Surveillance or Occupational

Health Services? ................................................................ 15

 General Industry Standards ............................................. 15

 Some OSHA Standards that Require Occupational

 Health Services? ......................................................... 16

Resources ........................................................................... 17

 Medical Doctors .............................................................. 17

 Osteopathic Doctors ........................................................ 18

 Occupational Health Nurses ............................................ 18

 Nurse Practitioners .......................................................... 18

 Registered Nurses ............................................................ 18

 Physician Assistants ........................................................ 19

 Emergency Medical Technicians..................................... 19

 Industrial Hygienists ........................................................ 20

 Safety Professionals......................................................... 20

References ......................................................................... 21

Related OSHA Publications ................................................ 22

States with Approved Plans ............................................... 23

OSHA Consultation Project Directory................................. 27

OSHA Area Offices .............................................................. 29

iv
Controlling occupational injuries and illnesses and related expenditures is a top priority in most companies. Selecting a qualified

health care professional to participate in the workplace safety and

health activities can be a vital step in this process. The following

questions and answers are to provide guidance and serve as a resource for those considering such a selection.

The Occupational Health Professional’s

Services and Qualifications: Questions

and Answers

1

Occupational Health Professional’s Services and Qualifications: Questions and Answers
Occupational Health Professional’s Services and Qualifications: Questions and Answers

A variety of health care professionals are

available to employers. Selecting an appropriate

provider for the worksite depends on a number of

factors, including:

• The Occupational Safety and Health

Administration’s (OSHA) screening and surveillance requirements for specific substances or

hazards associated with the worksite;

• The number, diversity, size, and seriousness of the hazards

involved at the worksite(s); and

• The level of resources committed to an occupational health

care service as part of a comprehensive safety and health

program; and

• Distance to the closest trauma center or health care facility.

At a minimum, workplace safety and health involves management

support, employee involvement, worksite analysis, hazard prevention

and control, occupational health care management (including screening and surveillance for disease and injury), and training and education.

Qualified occupational health care professionals can assist the

employer in achieving a safe and healthful work environment.

Along with other safety and health professionals, health care professionals work collaboratively with labor and management to:

• Identify potential hazards and to find ways to prevent, eliminate, minimize, or reduce hazards;

• Develop and manage training programs to promote workplace

health and safety; and

• Enhance the accuracy of OSHA recordkeeping.

2 What Issues Should be Considered in Selecting

a Health Care Professional?
Health care professionals are uniquely qualified to assess and treat illnesses and injuries.

Health care professionals must have the appropriate licensure, registration, or certification.

Additionally, they should have occupational

health experience and expertise in management

and be available on a full- or part-time basis,

depending on the nature and size of worksite(s).

They may be a permanent employee or hired on a contractual basis.

In addition to working collaboratively with other safety and health

professionals, a qualified health care professional may be selected to:

• Provide screening related to specific chemicals or exposures,

including preplacement (post-offer) physical examinations, job

placement assessments, periodic examinations, and maintenance of confidential employee health records, including

individual screening results.

• Manage and/or treat work-related illnesses and injuries, with

emphasis on early recognition and intervention; make recommendations about work restrictions or removal; and follow up

and monitor workers as they return to work.

• Develop and implement health promotion programs.

• Provide guidance for case management of employees who have

prolonged or complex illnesses and injuries.

For small employers, or those with limited resources, one of

several models for delivering occupational health care at the workplace can be considered. This might involve sharing the services of

health care professionals within a business or industrial park, or

contracting with a larger firm whose occupational health service

includes an occupational health care professional as part of its total

safety and health program. (See References: B. Burgel Innovation

at the Worksite.)

3

What Unique Contributions Can an

Occupational Health Care Professional

Make to Workplace Safety and Health?

What Unique Contributions Can an Occupational Health Care Professional Make

to Workplace Safety and Health?
Occupational Health Professional’s Services and Qualifications: Questions and Answers

Health care providers such as licensed practical nurses (LPNs)

and emergency medical technicians/paramedics (EMTs) can augment the services of the physicians or registered nurse. Physician

assistants (PAs) also contribute valuable services.

Whatever health care professional is chosen, the employer should

ensure that the provider has expertise or experience in occupational

health and safety as well as an understanding of occupational illnesses and injuries.

4
Health care professionals qualified to design,

manage, supervise, and deliver health care in

occupational settings include a variety of practitioners. It is imperative, however, that the legal

“scope of practice” unique to each state be considered prior to hiring or contracting for services.

The “scope of practice” refers to the credentials, responsibilities,

and legally authorized practice of health care professionals.

Physicians, physician assistants, and registered nurses, including

nurse practitioners, receive standardized educations with core

curricula (individualized to their profession) necessary to pass

national or state boards and to be licensed in a particular state.

Physicians and registered nurses are then eligible to become

certified in a specialty practice, such as occupational medicine

(physicians and physician assistants) or occupational health

nursing (registered nurses and nurse practitioners), through a

combination of additional specific education and experience.

The additional educational training in occupational health

typically includes course work in epidemiology, toxicology,

industrial hygiene, recognition and management of occupational

illnesses and injuries, research, and general management of a

comprehensive occupational health program.

Physicians

Medical Doctors (MDs) have completed study at the college

level and training at an accredited school. Licensed MDs have

passed the National Medical Board Exam or equivalent examinations and have a license to practice within a given state(s).

Doctors of Osteopathy (DOs) graduate from college and an

osteopathic school approved by the American Osteopathic Association. They must pass a state board examination to qualify for a

license to practice within a given state(s).

Occupational Medicine Physicians are medical doctors or

Who Are Qualified Occupational Health Care 5 Professionals?

Who are Qualified Occupational Health Care Professionals?
Occupational Health Professional’s Services and Qualifications: Questions and Answers

doctors of osteopathy who have completed additional occupational

medicine training or acquired on-site experience. Completion of

additional residency training and further practice in occupational

medicine enables physicians to pursue certification in occupational

medicine after meeting rigorous qualifying standards and successfully completing an examination in occupational medicine given by

the American Board of Preventive Medicine (ABPM).

Registered Nurses

Registered Nurses (RNs) receive training and education at the

college level and graduate from a state-approved school of nursing.

They pass a state board examination and are granted a license to

practice within a given state(s).

Nurse Practitioners (NPs) are registered nurses who are licensed

in their state and have completed formal advanced education, usually

at the master’s level. NPs practice under their state Nurse Practice

Act. Some NPs are certified in occupational health as a specialty

area. NPs independently perform many health evaluation and care

activities—including physical exams, common diagnostic and

laboratory tests—and diagnose and treat employees who are ill or

injured. They also can prescribe medications in most states. Additionally, NPs work collaboratively with physicians.

Occupational Health Nurses (OHNs) are registered nurses and

nurse practitioners with experience and additional education in

occupational health. Certified occupational health nurses (COHN or

COHN-S) obtain certification from the American Board for Occupational Health Nurses after meeting rigorous qualifying educational

and experience standards and successfully passing an occupational

health nursing examination.

6
Physician Assistants

Physician Assistants (PAs) provide services with the supervision

of a doctor of medicine or osteopathy. PAs may perform physical

examinations, diagnose and treat illnesses, order and interpret tests,

prescribe medications in most states, and plan and implement

therapeutic interventions. PAs must graduate from an accredited

physician assistant’s program, pass a national certification exam,

and be licensed by the state. Some PAs specialize in occupational

medicine.

Other Health Care Providers

Other health care providers include licensed practical or vocational nurses and emergency medical technicians. Traditionally,

these individuals are not licensed to practice independently. They

have specific training and are usually certified or licensed by the

educational institution where they received the training. Sometimes

the state licenses or certifies these providers and usually the state’s

scope of practice outlines the specific work restrictions for these

individuals. For example, usually these providers are required

to work under the supervision of, or implement orders given by,

licensed health care professionals such as MDs, DOs, RNs, PAs,

and NPs, except when delivering first aid.

Licensed Practical/Vocational Nurses (LPN/LVNs) graduate

from a program of practical nursing and must pass the state board

examination. They are licensed by the state to perform certain

specific health care activities, under the direct supervision of a

physician or registered nurse.

Emergency Medical Technicians/Paramedics (EMTs) are prehospital providers trained to provide specific and limited emergency

care. Some EMTs receive advanced training to become paramedics,

which allows them to perform more advanced emergency procedures. EMTs are authorized to perform their duties by standing

orders or protocols from physicians. They respond primarily to

injuries and acute illnesses on a temporary basis and are not independently licensed to provide other medical care.

7

Who are Qualified Occupational Health Care Professionals?
Occupational Health Professional’s Services and Qualifications: Questions and Answers

Each state has a unique legal description of the

scope of practice for health care professionals. When

it is necessary to verify a health care professional’s

scope of practice for the occupational setting, the

individual state’s licensing or certification board

should be contacted, as follows:

Medical Doctor

State boards of medical examiners and professional licensure can

provide information about an occupational physician’s educational

training and type of practice. The American Board of Medical

Specialties (ABMS) publishes an annual list of certified occupational

medicine specialists. The employer may refer to the ABMS listings

in the reference department of most public libraries or call the Office

of ABMS at (800) 776-2378.

Doctor of Osteopathy

Doctors of osteopathy are licensed by a board in each state.

Listings may include Board of Medical Examiners, Licensing

Examiners, Board of Osteopathic Examiners, Board of Medical

Practice, or Medical Licensing Board of (name of particular state).

The American Board of Medical Specialties (ABMS) publishes an

annual list of certified occupational medicine specialists (see MD

listing above).

Registered Nurse and Nurse Practitioner

The National Council of State Boards of Nursing [(312) 787-6555]

has information on the regulation of nursing in each state. Generally, the American Nurses Association (ANA) [(202) 651-7000]

certifies NPs. The American Board for Occupational Health Nurses

(ABOHN) [(630) 789-5799] certifies RNs in the specialty of occupational health.

8

How Can an Employer Verify the Scope

of Practice for Health Care Professionals

in the Licensing State?
Physician Assistant

All states except Mississippi license physician assistants. PAs

are licensed by the state medical board or by a separate licensing

board. PAs are certified by the National Commission on Certification of Physician Assistants (NCCPA) [(770) 734-4500].

Emergency Medical Technician

The scope of practice for emergency medical technicians

(EMTs) also varies from state to state. There are several practice

levels of EMTs each determined by the number of hours of

training and the range of procedures authorized. Each state has

a director of EMTs listed in the telephone directory under State

Government. The appropriate office may be contacted under

the telephone directory subheading listed as either the Department

of Health, Department of Public Health, or Department of Emergency Medical Services.

Licensed Vocational/Practical Nurse

The state board of nursing in each state is listed in the telephone

directory and defines the scope of practice issues for licensed

vocational or practical nurses LVNs/LPNs.

9

How Can an Employer Verify the Scope of Practice for Health Care Professionals

in the Licensing State?
Occupational Health Professional’s Services and Qualifications: Questions and Answers

An occupational health care professional evaluates the interactions between employees’ work and

health in the workplace. To do this effectively, the

occupational health care professional should

possess the following skills and competencies:

• General knowledge of the work environment,

including worksite operations; familiarity with the

toxic properties of materials used by employees as well as the

potential hazards and stressors of work processes and jobs or

tasks.

• Ability to determine an employee’s physical and emotional

fitness for work.

• Ability to recognize, evaluate, treat, and/or refer occupational

illnesses and injuries.

• Knowledge of workers’ compensation laws; local, state, and

federal regulatory requirements; and systems for maintaining

health records.

• Ability to organize and manage the delivery of health care

services.

• Knowledge of legal and ethical issues related to occupational

health care practice.

In addition to administering the health care program and supervising health care personnel, the occupational health care professional

should communicate with workers and managers at all levels. Most

importantly, the health care professional must maintain confidentiality between the health care professional and the employee as

required by OSHA, professional ethics codes, and individual state

privacy acts. Management should only be provided the necessary

information to make an informed and competent decision on occupational health and safety issues.

10

What Qualifications Should an Employer

Look for in an Occupational Health Care

Professional?
During the interview process, the following

kinds of questions and issues are appropriate to

evaluate prospective occupational health care

professionals:

11

Is There a Good Way to Evaluate the Qualifications of an Occupational Health Care

Professional?

Is There a Good Way to Evaluate the Qualifications of an Occupational Health Care

Professional?

• What type of education/training does the candidate have?

- Note graduation date and all degrees and type of specialty

 certification;

- Titles of continuing education courses taken in the last

 2 years;

- Where and when licensed, registered, or certified (ask for

 documentation); and

- Years of experience in occupational health.

• In what type of industries has the candidate had experience?

• What kind of management experience(s) has the candidate

had? For how long?

• What does the candidate know about OSHA recordkeeping

requirements?

• Has the candidate ever prepared for and/or participated in an

OSHA inspection?

• Does the candidate know about workers’ compensation laws in

your state?

• Is the candidate familiar with the Americans with Disabilities

Act?

• What kind of information does the candidate want to know

about your business?

• How can the candidate develop or improve your safety and

health program?
Occupational Health Professional’s Services and Qualifications: Questions and Answers

You should expect the candidate to ask you about the following:

- Facilities (type, location)

- Number of employees

- Work processes

- Known or potential hazards

- Application of standards and/or regulations

- Current method of providing occupational health care

 services

- Other health care providers involved in providing services

- Existence and specifics of a safety and health program

- Medical surveillance programs

- Collective bargaining contracts

- Previous OSHA citations

• References from current/previous employers or educational

 institutions should be requested.

12
All occupational health and safety professionals are educated to have a proactive,

preventive orientation, with the health and

well-being of the employee as their primary

focus. As mandated by each individual state,

however, only health care professionals,

within the scope of their practice, can assess

and treat illness and injury beyond first aid.

Additionally, health care professionals, based upon their education

and training, can provide high-quality preventive health care

information and programs.

The following descriptions highlight the overall skills and areas

of competency of other occupational safety and health professionals who might be part of an effective safety and health program at

your work site.

Industrial Hygienists

Industrial hygiene focuses on the identification and control of

occupational health hazards arising as a result of or during work.

The industrial hygienist focuses on the recognition, evaluation, and

control of chemical, biological, or physical factors or stressors

arising from the workplace, that may cause sickness, impaired

health and well-being, or significant discomfort and inefficiency

among workers or in the community. Professional industrial

hygienists possess either a baccalaureate or master’s degree in

engineering, chemistry, biology, physics, or industrial hygiene.

The industrial hygienist monitors and uses analytical methods to

detect the extent of occupational chemical, biological, or physical

exposure and implements engineering controls and work practices

to correct, reduce, or eliminate workplace hazards. Industrial

hygienists can give expert opinion as to the magnitude of chemical,

biological, or physical exposure, and the degree of associated risk.

Certified industrial hygienists have passed a rigorous qualifying

examination.

13

What Is the Difference Between Occupational

Health Care Professionals and Other Occupational Safety and Health Professionals?

What is the Difference Between Occupational Health Care Professionals and Other

Occupational Safety and Health Professionals?
Occupational Health Professional’s Services and Qualifications: Questions and Answers

Industrial Engineers

Industrial engineering is the design, installation, and improvement

of integrated systems of people, material, information, equipment,

and energy. Industrial engineering draws upon specialized knowledge and skills in the mathematical, physical, and social sciences,

together with principles and methods of engineering analysis and

design to specify, predict, and evaluate the results obtained from

such systems.

The Institute of Industrial Engineers has a special division devoted

to ergonomics, and many industrial engineers elect to receive advanced training in this increasingly complex and growing specialty.

Safety Professionals

Safety professionals focus on developing procedures, standards, or

systems to achieve the control or reduction of hazards and exposures

that would be detrimental to people, property, and/or the environment. Certified safety professionals (CSPs) graduate from accredited

college or university programs with a baccalaureate degree in safety

and must have at least 4 years of professional safety experience prior

to taking the Safety Fundamentals exam.

14
The following OSHA General Industry Standards regulating toxic and hazardous substances

have specific medical surveillance requirements in

Title 29 Code of Federal Regulations, Part 1910.

Copies of OSHA regulations are available at

cost from the Superintendent of Documents, U.S.

Government Printing Office, Washington, DC

20402.

Please be advised that this list is subject to revision and expansion.

It is the employer’s responsibility to know the general and specific

OSHA standards that apply to the industry and workplace.

General Industry Standards

2-Acetylaminofluorene 1910.1014

Acrylonitrile 1910.1045

alpha-Naphthylamine 1910.1004

4-Aminodiphenyl 1910.1011

Arsenic, Inorganic 1910.1018

Asbestos 1910.1001

Benzene 1910.1028

Benzidine 1910.1010

beta-Naphthylamine 1910.1009

beta-Propiolactone 1910.1013

bis-Chloromethyl Ether 1910.1008

Bloodborne Pathogens 1910.1030

1,3 Butadiene 1910.1051

Cadmium 1910.1027

Coke Ovens 1910.1029

Cotton Dust 1910.1043

1,2-dibromo-3-chloropropane 1910.1044

3,3' Dichlorobenzidiene 1910.1007

 (and its salts)

4-Dimethylaminoazobenzene 1910.1015

Ethylene Oxide 1910.1047

Ethyleneimine 1910.1012

Formaldehyde 1910.1048

Hazard Communication 1910.1200

What OSHA Standards for General Industry

Require Screening and Surveillance or

Occupational Health Services?

What OSHA Standards for General Industry Require Screening and Surveillance

or Occupational Health Services?

15
Occupational Health Professional’s Services and Qualifications: Questions and Answers

Hazardous Waste and 1910.120

 Emergency Response

Lead 1910.1025

Methylene Chloride 1910.1052

Methyl Chloromethyl Ether 1910.1006

Methylenedianiline 1910.1050

4-Nitrobiphenyl 1910.1003

N-Nitrosodimethylamine 1910.1016

Occupational Exposure 1910.1456

 to Hazardous Chemicals

 in Laboratories

Respirators 1910.134

Vinyl Chloride 1910.1017

Some OSHA Standards that Require Occupational

Health Services

Access to Employee Exposure 1910.1020

 and Medical Records

Confined Space 1910.146

Fire Protection 1910.156

Labor Camps 1910.142

Medical Services/First Aid 1910.151

Noise 1910.95

Pulpwood Logging 1910.266

Telecommunications 1910.268

Textiles 1910.262

Welding 1910.152

16
The following resources may be useful for additional information on occupational health care professionals in your area. The

associations are typically the professional organizations for

members of the profession. They work to increase awareness of

the profession, as well as offer educational, service, and placement

benefits for the members. Most have local, state, and/or regional

chapters. Boards are generally the certification bodies for occupational health professionals and determine eligibility requirements.

They also administer the certification exam and maintain directories of all certified professionals in a particular specialty. All

telephone and fax numbers are accurate as of the date of printing;

however, changes can be verified by local telephone directory

assistance.

Medical Doctors

American College of Occupational

and Environmental Medicine

55 West Seegers Road

Arlington Heights, IL 60005

Phone (708) 228-6850

Fax (708) 228-1856

www.acoem.org

American Board of Preventive Medicine, Inc.

9950 West Lawrence Avenue, Suite 106

Schiller Park, IL 60176

Phone (847) 671-1750

Fax (847) 671-1751

www.abpremed.org

Osteopathic Doctors

American Osteopathic Association

142 E. Ontario Street

Chicago, IL 60611

Phone (312) 202-8000

Fax (312) 280-5893

www.aoa-net.org/affiliatedorg/state.htm

Resources 17

Resources
Occupational Health Professional’s Services and Qualifications: Questions and Answers

Occupational Health Nurses

American Association of Occupational Health Nurses

2920 Brandywine Road

Suite 100

Atlanta, GA 30341

Phone (770) 455-7757

Fax (770) 455-7271

www.aaohn.org

American Board for Occupational Health Nurses, Inc.

201 East Ogden Road

Suite 114

Hinsdale, IL 60521-3652

Phone (630) 789-5799

Fax (630) 789-8901

www.abohn.org

Nurse Practitioners

American Academy of Nurse Practitioners

P.O. Box 12846

Austin, TX 78711

Phone (512) 442-4262

Fax (512) 442-6469

www.aanp.org

Registered Nurses

American Nurses Association

600 Maryland Avenue, S.W., Suite 100

Washington, DC 20024

Phone (202) 651-7000

Fax (202) 651-7001

www.ana.org

18
Physician Assistants

American Academy of Physician Assistants

950 N. Washington Street

Alexandria, VA 22314-1552

Phone (703) 836-2272

Fax (703) 684-1924

www.aapa.org

American Academy of Physician Assistants

 in Occupational Medicine

950 N. Washington Street

Alexandria, VA 22314’

Phone (800) 596-4398

Fax (703) 684-1924

www.aapaom.org

Emergency Medical Technicians

National Registry of Emergency Medical Technicians

P.O. Box 29233

Columbus, OH 43229

Phone (614) 888-4484

Fax (614) 888-8920

www.nremt.org

National Association of Emergency Medical Technicians

408 Monroe Street

Clinton, MS 39056-4210

Phone (800) 34NAEMT

Phone (601) 924-7744

Fax (601) 924-7325

www.naemt.org

19

Resources
Occupational Health Professional’s Services and Qualifications: Questions and Answers

Industrial Hygienists

American Board of Industrial Hygiene

4600 W. Saginaw Street

Suite 101

Lansing, MI 48917

Phone (517) 321-2638

www.aiha.org

Safety Professionals

Board of Certified Safety Professionals of America

208 Burwash Avenue

Savory, Il 61874-9510

Phone (217) 359-9263

Fax (217) 359-0055

20
21

References

References

American Association of Occupational Health Nurses, Inc.

(AAOHN). Occupational Health Nursing: The Answer to Health

Care Cost Containment. Atlanta, GA: AAOHN. 1991.

American Academy of Nurse Practitioners (AANP). Scope of

Practice for Nurse Practitioners. Austin, TX: AANP. 1993

(Revised).

American Academy of Physician Assistants (AAPA). Physician

Assistants: State Laws & Regulations. 7th ed., Alexandria,

VA:AAPA, 1998.

___________. “Various government and professional practice

issue briefs.” Alexandria, VA:AAPA, 1999. Online at http://

www.aapa.org/.

American College of Occupational and Environmental Medicine.

“Scope of Occupational and Environmental Health Programs and

Practices,” Journal of Occupational Medicine 34(4): 436-440,

April 1992.

American College of Occupational and Environmental Medicine.

“Code of Ethical Conduct,” Journal of Occupational Medicine

36(1): 27-30, January, 1994.

Burgel, B. Innovation at the Worksite. American Nurses Publishing, 600 Maryland Avenue, S.W., Washington, DC 20024, 1993.

U.S. Department of Labor. Occupational Safety and Health

Administration. OSHA Handbook for Small Businesses (OSHA

2209). Washington, DC: U.S. Government Printing Office, 1996

(Revised). Order Number 029-016-00176-0. $7.00

___________. “Safety and Health Program Management Guidelines; Issuance of Voluntary Guidelines Notice.” Federal Register

54(16):3904-3916, January 26, 1989.
Occupational Health Professional’s Services and Qualifications: Questions and Answers

22 Related OSHA Publications

Single, free copies of the following and other publications can be

obtained from OSHA field offices or the OSHA Publications Office,

200 Constitution Avenue, NW, Room N3101, Washington, DC

20210, (202) 693-1888, (202) 693-2498 (Fax).

All About OSHA - OSHA 2056

Access to Medical and Exposure Records - OSHA 3110

Asbestos Standards for General Industry - OSHA 3095

Chemical Hazard Communication - OSHA 3084

Consultation Services for the Employer - OSHA 3047

Employee Workplace Rights - OSHA 3021

Hearing Conservation - OSHA 3074

How to Prevent Needlestick Injuries: Answers to Some

Important Questions - OSHA 3161

How to Prepare for Workplace Emergencies - OSHA 3088

Occupational Exposure to Bloodborne Pathogens - OSHA 3127

Occupational Exposure to Cadmium in the Construction

Industry - OSHA 3139

Process Safety Management Guidelines

for Compliance - OSHA 3133

Respiratory Protection - OSHA 3079

Working with Lead in the Construction Industry - OSHA 3142

The following publications are available from the Superintendent

of Documents, U.S. Government Printing Office, Washington, DC

20402, (202) 512-1800. Include GPO Order No. and make checks

payable to Superintendent of Documents.

OSHA Handbook for Small Businesses OSHA 2209 - Order

Number 029-016-00176-0. $7.00.

Principal Emergency Response and Preparedness Requirements

in OSHA Standards and Guidance for Safety and Health Programs

OSHA 3122 - Order No. 029-016-00154-9; Cost $3.75.

Framework for a Comprehensive Health and Safety Program in

the Hospital Environment - Order No.029-016-00149-2; Cost $3.50.

Code of Federal Regulations (CFR) Title 29 - General Industry

1901.1 to 1910.999 - Order No. 869-034-00104-1; Cost $44.00.

1910.1000 to End - Order No. 869-034-00105-0; Cost $27.00.
COMMISSIONER

Alaska Department of Labor

1111 West 8th Street

P.O. Box 21149

Room 306

Juneau, AK 99802-1149

(907) 465-2700

DIRECTOR

Industrial Commissioner

of Arizona

800 W. Washington

Phoenix, AZ 85007

(602) 542-5795

DIRECTOR

California Department

of Industrial Relations

455 Golden Gate Avenue

 10th Floor

San Francisco, CA 94102

(415) 703-5050

COMMISSIONER

Connecticut Department

of Labor

200 Folly Brooke Boulevard

Wethersfield, CT 06109

(860) 566-2211

States administering their own occupational safety and health

programs through plans approved under section 18(b) of the

Occupational Safety and Health Act of 1970 must adopt standards

and enforce requirements that are at least as effective as Federal

requirements. There are currently 25 state plans: 23 cover private

and public (State and local government) sectors and 2 cover the

public sector only (Connecticut and New York).

DIRECTOR

Connecticut Department

of Labor

38 Wolcott Hill Road

Wethersfield, CT 06109

(860) 566-4550

DIRECTOR

Hawaii Department of Labor

and Industrial Relations

830 Punchbowl Street

Honolulu, HI 96813

(808) 586-8844

COMMISSIONER

Indiana Department of Labor

State Office Building

402 West Washington Street

Room W195

Indianapolis, IN 46204

(317) 232-2378

COMMISSIONER

Iowa Division of Labor Services

1000 E. Grand Avenue

Des Moines, IA 50319

(515) 281-3447

States with Approved Plans 23

States with Approved Plans
Occupational Health Professional’s Services and Qualifications: Questions and Answers

24

SECRETARY

Kentucky Labor Cabinet

1047 U.S. Highway, 127 South,

Suite 2

Frankfort, KY 40601

(502) 564-3070

COMMISSIONER

Maryland Division of Labor

and Industry

Department of Licensing

and Regulation

1100 N. Eutaw Street

Room 613

Baltimore, MD 21201-2206

(410) 767-2215

DIRECTOR

Michigan Department

of Consumer

and Industry Services

4th Floor, Law Building

P.O. Box 30004

Lansing, MI 48909

(517) 373-7230

COMMISSIONER

Minnesota Department

 of Labor and Industry

443 Lafayette Road

St. Paul, MN 55155

(612) 296-2342

ADMINISTRATOR

Nevada Division of Industrial

 Relations

400 West King Street

Carson City, NV 89703

(702) 687-3032

SECRETARY

New Mexico Environment

 Department

1190 St. Francis Drive

P.O. Box 26110

Santa Fe, NM 87502

(505) 827-2850

COMMISSIONER

New York Department of Labor

W. Averell Harriman State Office

Building - 12, Room 500

Albany, NY 12240

(518) 457-2741

COMMISSIONER

North Carolina Department

 of Labor

4 West Edenton Street

Raleigh, NC 27601-1092

(919) 807-2900

ADMINISTRATOR

Oregon Department of Consumer

and Business Services

Occupational Safety and Health

Division (OR-OSHA)

350 Winter Street, NE

Room 430

Salem, OR 97310-0220

(503) 378-3272
COMMISSIONER

Virginia Department of Labor

 and Industry

Powers-Taylor Building

13 South 13th Street

Richmond, VA 23219

(804) 786-2377

COMMISSIONER

Virgin Islands Department

 of Labor

2203 Church Street

Christiansted St. Croix,

 VI 00820-4660

(340) 773-1990

DIRECTOR

Washington Department

 of Labor and Industries

P.O. Box 44001

Olympia, WA 98504-4001

(360) 902-4200

SECRETARY

Puerto Rico Secretary

 of Labor and Human

 Resources

DOL and Human Resources

Prudencio Rivera Martinez

Building

505 Munoz Rivera Avenue

Hato Rey, PR 00918

(787) 754-2119

COMMISSIONER

South Carolina Department

 of Labor Licensing

 and Regulation

Koger Office Park

Kingstree Building

110 Centerview Drive

P.O. Box 11329

Columbia, SC 29210

(803) 896-4300

COMMISSIONER

Tennessee Department

 of Labor

710 James Robertson

 Parkway

Nashville, TN 37243-0659

(615) 741-2582

COMMISSIONER

Labor Commission of Utah

160 East 300 Street

3rd Floor

P.O. Box 146650

Salt Lake City, UT

 84114-6650

(801) 530-6901

States with Approved Plans

25

COMMISSIONER

Vermont Department

 of Labor and Industry

National Life Building

Drawer 20

120 State Street

Montpelier, VT 05620-3401

(802) 828-2288
Occupational Health Professional’s Services and Qualifications: Questions and Answers

26

ADMINISTRATOR

Worker’s Safety and Compensa-

 tion Division (WSC)

Wyoming Department

 of Employment

Herschler Building, 2nd Floor

 East

122 West 25th Street

Cheyenne, WY 82002

(307) 777-7786
Consultation programs provide free services to employers who

request help in identifying and correcting specific hazards, want to

improve their safety and health programs, and/or need further

assistance in training and education. Funded by OSHA and delivered by well-trained professional staff of state governments,

consultation services are comprehensive, and include an appraisal

of all workplace hazards, practices, and job safety and health

programs; conferences and agreements with management; assistance in implementing recommendations; and a follow-up appraisal to ensure that any required corrections are made.

For more information on consultation programs, contact the

appropriate office in your state listed below.

State Telephone

Alabama .............................................................(205) 348-3033

Alaska ................................................................(907) 269-4957

Arizona ..............................................................(602) 542-5795

Arkansas ............................................................(501) 682-4522

California ...........................................................(415) 703-5270

Colorado ............................................................(970) 491-6151

Connecticut ........................................................(860) 566-4550

Delaware ............................................................(302) 761-8219

District of Columbia ..........................................(202) 576-6339

Florida................................................................(850) 922-8955

Georgia ..............................................................(404) 894-2643

Guam .................................................................011(671) 475-0136

Hawaii................................................................(808) 586-9100

Idaho ..................................................................(208) 426-3283

Illinois ................................................................(312) 814-2337

Indiana ...............................................................(317) 232-2688

Iowa ...................................................................(515) 965-7162

Kansas................................................................(785) 296-7476

Kentucky............................................................(502) 564-6895

Louisiana ...........................................................(225) 342-9601

Maine .................................................................(207) 624-6460

Maryland............................................................(410) 880-4970

OSHA Consultation Project Directory

OSHA Consultation Project Directory

27
Occupational Health Professional’s Services and Qualifications: Questions and Answers

28

Massachusetts ....................................................(617) 727-3982

Michigan ............................................................(517) 322-6823(H)

...........................................................................(517) 322-1809(S)

Minnesota ..........................................................(612) 297-2393

Mississippi .........................................................(601) 987-3981

Missouri .............................................................(573) 751-3403

Montana .............................................................(406) 444-6418

Nebraska ............................................................(402) 471-4717

Nevada ...............................................................(702) 486-9140

New Hampshire .................................................(603) 271-2024

New Jersey.........................................................(609) 292-3923

New Mexico ......................................................(505) 827-4230

New York ..........................................................(518) 457-2238

North Carolina ...................................................(919) 807-2905

North Dakota .....................................................(701) 328-5188

Ohio ...................................................................(614) 644-2246

Oklahoma ..........................................................(405) 528-1500

Oregon ...............................................................(503) 378-3272

Pennsylvania ......................................................(724) 357-2396

Puerto Rico ........................................................(787) 754-2171

Rhode Island ......................................................(401) 222-2438

South Carolina ...................................................(803) 734-9614

South Dakota .....................................................(605) 688-4101

Tennessee ..........................................................(615) 741-7036

Texas..................................................................(512) 440-3854

Utah ...................................................................(801) 530-6901

Vermont .............................................................(802) 828-2765

Virginia ..............................................................(804) 786-6359

Virgin Islands ....................................................(809) 772-1315

Washington ........................................................(360) 902-5638

West Virginia.....................................................(304) 558-7890

Wisconsin ..........................................................(608) 266-8579(H)

...........................................................................(414) 521-5063(S)

Wyoming ...........................................................(307) 777-7786

(H) - Health (S) - Safety
Area Telephone

Albany, NY........................................................(518) 464-4338

Albuquerque, NM ..............................................(505) 248-5302

Allentown, PA ...................................................(610) 776-0592

Anchorage, AK ..................................................(907) 271-5152

Appleton, WI .....................................................(920) 734-4521

Austin, TX .........................................................(512) 916-5783

Avenel, NJ .........................................................(908) 750-3270

Bangor, ME .......................................................(207) 941-8177

Baton Rouge, LA ...............................................(225) 389-0474

Bayside, NY ......................................................(718) 279-9060

Bellevue, WA ....................................................(206) 553-7520

Billings, MT ......................................................(406) 247-7499

Birmingham, AL................................................(205) 731-1534

Bismarck, ND ....................................................(701) 250-4521

Boise, ID ............................................................(208) 321-2960

Bowmansville, NY ............................................(716) 684-3891

Braintree, MA ....................................................(617) 565-6924

Bridgeport, CT ...................................................(203) 579-5581

Calumet City, IL ................................................(708) 891-3800

Carson City, NV ................................................(702) 885-6963

Charleston, WV .................................................(304) 347-5937

Cincinnati, OH ...................................................(513) 841-4132

Cleveland, OH ...................................................(216) 522-3818

Columbia, SC ....................................................(803) 765-5904

Columbus, OH ...................................................(614) 469-5582

Concord, NH......................................................(603) 225-1629

Corpus Christi, TX ............................................(512) 888-3420

Dallas, TX..........................................................(214) 320-2400

Denver, CO ........................................................(303) 844-5285

Des Plaines, IL...................................................(847) 803-4800

Des Moines, IA ..................................................(515) 284-4794

Englewood, CO .................................................(303) 843-4515

Erie, PA .............................................................(814) 833-5758

Fort Lauderdale, FL ...........................................(954) 424-0242

OSHA Area Offices

OSHA Area Offices

29
Occupational Health Professional’s Services and Qualifications: Questions and Answers

30

Fort Worth, TX ..................................................(817) 428-2470

Frankfort, KY ....................................................(502) 227-7024

Harrisburg, PA ...................................................(717) 782-3902

Hartford, CT ......................................................(860) 240-3152

Hasbrouck Heights, NJ ......................................(201) 288-1700

Guaynabo, PR ....................................................(787) 277-1560

Honolulu, HI ......................................................(808) 541-2685

Houston, TX ......................................................(281) 286-0583

Houston, TX ......................................................(281) 591-2438

Indianapolis, IN .................................................(317) 226-7290

Jackson, MS .......................................................(601) 965-4606

Jacksonville, FL .................................................(904) 232-2895

Kansas City, MO ...............................................(816) 483-9531

Lansing, MI .......................................................(517) 377-1892

Linthicum, MD ..................................................(410) 865-2055

Little Rock, AR .................................................(501) 324-6291

Lubbock, TX......................................................(806) 472-7681

Madison, WI ......................................................(608) 264-5388

Marlton, NJ ........................................................(609) 757-5181

Methuen, MA ....................................................(617) 565-8110

Milwaukee, WI ..................................................(414) 297-3315

Minneapolis, MN ...............................................(612) 664-5460

Mobile, AL ........................................................(334) 441-6131

Nashville, TN ....................................................(615) 781-5423

New York, NY...................................................(212) 466-2482

Norfolk, VA .......................................................(757) 441-3820

North Aurora, IL ................................................(630) 896-8700

Oklahoma City, OK ...........................................(405) 231-5351

Omaha, NE ........................................................(402) 221-3182

Parsippany, NJ ...................................................(973) 263-1003

Peoria, IL ...........................................................(309) 671-7033

Philadelphia, PA ................................................(215) 597-4955

Phoenix, AZ .......................................................(602) 640-2007

Pittsburgh, PA....................................................(412) 395-4903

Portland, OR ......................................................(503) 326-2251

Providence, RI ...................................................(401) 528-4669
Raleigh, NC .......................................................(919) 856-4770

Salt Lake City, UT .............................................(801) 487-0680

San Diego, CA ...................................................(619) 557-2909

Savannah, GA ....................................................(912) 652-4393

Smyrna, GA .......................................................(770) 984-8700

Springfield, MA .................................................(413) 785-0123

St. Louis, MO ....................................................(314) 425-4249

Syracuse, NY .....................................................(315) 451-0808

Tampa, FL .........................................................(813) 626-1177

Tarrytown, NY ..................................................(914) 524-7510

Toledo, OH ........................................................(419) 259-7542

Tucker, GA ........................................................(770) 493-6644

Westbury, NY ....................................................(516) 334-3344

Wichita, KS .......................................................(316) 269-6644

Wilkes-Barre, PA ..............................................(717) 826-6538

Wilmington, DE ................................................(302) 573-6115

31

OSHA Area Offices
Region I

(CT,* MA, ME, NH, RI, VT*)

JFK Federal Building

Room E-430

Boston, MA 02203

Telephone: (617) 565-9860

Region II

(NJ, NY,* PR,* VI*)

201 Varick Street

Room 670

New York, NY 10014

Telephone: (212) 337-2378

Region III

(DC, DE, MD,* PA, VA,*

WV)

Gateway Building, Suite 2100

3535 Market Street

Philadelphia, PA 19104

Telephone: (215) 596-1201

Region IV

(AL, FL, GA, KY,* MS, NC,*

SC,* TN*)

Atlanta Federal Center

61 Forsyth Street, SW,

Room 6T50

Atlanta, GA 30303

Telephone: (404) 562-2300

Region V

(IL, IN,* MI,* MN,* OH, WI)

230 South Dearborn Street

Room 3244

Chicago, IL 60604

Telephone: (312) 353-2220

Region VI

(AR, LA, NM,* OK, TX)

525 Griffin Street

Room 602

Dallas, TX 75202

Telephone: (214) 767-4731

Region VII

(IA,* KS, MO, NE)

City Center Square

1100 Main Street, Suite 800

Kansas City, MO 64105

Telephone: (816) 426-5861

Region VIII

(CO, MT, ND, SD, UT,* WY*)

1999 Broadway, Suite 1690

Denver, CO 80202-5716

Telephone: (303) 844-1600

Region IX

(American Samoa, AZ,* CA,*

Guam, HI,* NV,* Trust

Territories of the Pacific)

71 Stevenson Street

Room 420

San Francisco, CA 94105

Telephone: (415) 975-4310

Region X

(AK,* ID, OR,* WA*)

1111 Third Avenue

Suite 715

Seattle, WA 98101-3212

Telephone: (206) 553-5930

*These states and territories operate their own OSHA-approved job safety and health

programs (Connecticut and New York plans cover public employees only). States

with approved programs must have a standard that is identical to, or at least as

effective as, the federal standard.

U.S. Department of Labor

Occupational Safety and Health Administration

Regional Offices