High turnover in the industry is a problem. Employers do not follow employees that leave the firm and have few contract employees. There is a need for government regulation to ensure that all employers provide the same medical surveillance. There is no silicosis problem in the precast concrete industry. A stakeholder from the construction industry stated that medical surveillance in the construction industry was nearly non-existent due to high employee turnover.
Medical surveillance is essential for effective program evaluation.
Silica panel supports standard with sampling, surveillance, etc. Silicosis prevention is an important management task and should receive management support. Management bonuses should be keyed to reduction in silica exposure. Epidemiology studies have very questionable data. OSHA should keep the current PEL and adopt ancillary provisions.