Source: http://regpub.com/1910-subpart-z-1910-1020-access-to-employee-exposure-and-medical-records/
Timestamp: 2020-01-22 23:37:22
Document Index: 160875732

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Subpart Z - §1910.1020 - Access to employee exposure and medical records. - RegPub!
§1910.1020 – Access to employee exposure and medical records.
§1910.1020(a)
§1910.1020(b)
§1910.1020(b)(1)
§1910.1020(b)(2)
§1910.1020(b)(3)
This section applies to all employee exposure and medical records, and analyses thereof, made or maintained in any manner, including on an in-house or contractual (e.g., fee-for-service) basis. Each employer shall assure that the preservation and access requirements of this section are complied with regardless of the manner in which the records are made or maintained.
§1910.1020(c)
§1910.1020(c)(1)
§1910.1020(c)(2)
§1910.1020(c)(3)
§1910.1020(c)(4)
Employee means a current employee, a former employee, or an employee being assigned or transferred to work where there will be exposure to toxic substances or harmful physical agents. In the case of a deceased or legally incapacitated employee, the employee’s legal representative may directly exercise all the employee’s rights under this section.
§1910.1020(c)(5)
§1910.1020(c)(5)(i)
§1910.1020(c)(5)(ii)
Biological monitoring results which directly assess the absorption of a toxic substance or harmful physical agent by body systems (e.g., the level of a chemical in the blood, urine, breath, hair, fingernails, etc) but not including results which assess the biological effect of a substance or agent or which assess an employee’s use of alcohol or drugs;
§1910.1020(c)(5)(iii)
§1910.1020(c)(5)(iv)
§1910.1020(c)(6)
§1910.1020(c)(6)(i)
§1910.1020(c)(6)(i)(A)
§1910.1020(c)(6)(i)(B)
The results of medical examinations (pre-employment, pre-assignment, periodic, or episodic) and laboratory tests (including chest and other X-ray examinations taken for the purpose of establishing a base-line or detecting occupational illnesses, and all biological monitoring not defined as an “employee exposure record”),
§1910.1020(c)(6)(i)(C)
§1910.1020(c)(6)(i)(D)
§1910.1020(c)(6)(i)(E)
§1910.1020(c)(6)(i)(F)
§1910.1020(c)(6)(ii)
§1910.1020(c)(6)(ii)(A)
§1910.1020(c)(6)(ii)(B)
Records concerning health insurance claims if maintained separately from the employer’s medical program and its records, and not accessible to the employer by employee name or other direct personal identifier (e.g., social security number, payroll number, etc.); or
§1910.1020(c)(6)(ii)(C)
§1910.1020(c)(6)(ii)(D)
Records concerning voluntary employee assistance programs (alcohol, drug abuse, or personal counseling programs) if maintained separately from the employer’s medical program and its records.
§1910.1020(c)(7)
§1910.1020(c)(8)
§1910.1020(c)(9)
§1910.1020(c)(10)
§1910.1020(c)(11)
§1910.1020(c)(12)
§1910.1020(c)(12)(i)
§1910.1020(c)(12)(i)(A)
§1910.1020(c)(12)(i)(B)
§1910.1020(c)(12)(i)(C)
§1910.1020(c)(12)(i)(D)
§1910.1020(c)(12)(i)(E)
§1910.1020(c)(12)(i)(F)
§1910.1020(c)(12)(i)(G)
§1910.1020(c)(12)(ii)
§1910.1020(c)(12)(iii)
§1910.1020(c)(13)
§1910.1020(c)(13)(i)
Is listed in the latest printed edition of the National Institute for Occupational Safety and Health (NIOSH) Registry of Toxic Effects of Chemical Substances (RTECS), which is incorporated by reference as specified in §1910.6; or
§1910.1020(c)(13)(ii)
§1910.1020(c)(13)(iii)
§1910.1020(c)(14)
Trade secret means any confidential formula, pattern, process, device, or information or compilation of information that is used in an employer’s business and that gives the employer an opportunity to obtain an advantage over competitors who do not know or use it.
§1910.1020(d)
§1910.1020(d)(1)
§1910.1020(d)(1)(i)
§1910.1020(d)(1)(i)(A)
Health insurance claims records maintained separately from the employer’s medical program and its records,
§1910.1020(d)(1)(i)(B)
First aid records (not including medical histories) of one-time treatment and subsequent observation of minor scratches, cuts, burns, splinters, and the like which do not involve medical treatment, loss of consciousness, restriction of work or motion, or transfer to another job, if made on-site by a non-physician and if maintained separately from the employer’s medical program and its records, and
§1910.1020(d)(1)(i)(C)
§1910.1020(d)(1)(ii)
§1910.1020(d)(1)(ii)(A)
§1910.1020(d)(1)(ii)(B)
§1910.1020(d)(1)(ii)(C)
§1910.1020(d)(1)(iii)
§1910.1020(d)(2)
§1910.1020(e)
§1910.1020(e)(1)
§1910.1020(e)(1)(i)
§1910.1020(e)(1)(ii)
§1910.1020(e)(1)(iii)
§1910.1020(e)(1)(iii)(A)
§1910.1020(e)(1)(iii)(B)
§1910.1020(e)(1)(iii)(C)
§1910.1020(e)(1)(iv)
§1910.1020(e)(1)(v)
§1910.1020(e)(1)(v)(A)
§1910.1020(e)(1)(v)(B)
§1910.1020(e)(1)(vi)
§1910.1020(e)(2)
Employee and designated representative access
§1910.1020(e)(2)(i)
§1910.1020(e)(2)(i)(A)
§1910.1020(e)(2)(i)(A)(1)
§1910.1020(e)(2)(i)(A)(2)
§1910.1020(e)(2)(i)(A)(3)
§1910.1020(e)(2)(i)(B)
§1910.1020(e)(2)(i)(B)(1)
The records requested to be disclosed; and
§1910.1020(e)(2)(i)(B)(2)
§1910.1020(e)(2)(ii)
§1910.1020(e)(2)(ii)(A)
§1910.1020(e)(2)(ii)(B)
§1910.1020(e)(2)(ii)(C)
§1910.1020(e)(2)(ii)(C)(1)
§1910.1020(e)(2)(ii)(C)(2)
§1910.1020(e)(2)(ii)(C)(3)
§1910.1020(e)(2)(ii)(D)
Whenever an employee requests access to his or her employee medical records, and a physician representing the employer believes that direct employee access to information contained in the records regarding a specific diagnosis of a terminal illness or a psychiatric condition could be detrimental to the employee’s health, the employer may inform the employee that access will only be provided to a designated representative of the employee having specific written consent, and deny the employee’s request for direct access to this information only. Where a designated representative with specific written consent requests access to information so withheld, the employer shall assure the access of the designated representative to this information, even when it is known that the designated representative will give the information to the employee.
§1910.1020(e)(2)(ii)(E)
A physician, nurse, or other responsible health care personnel maintaining medical records may delete from requested medical records the identity of a family member, personal friend, or fellow employee who has provided confidential information concerning an employee’s health status.
§1910.1020(e)(2)(iii)
§1910.1020(e)(2)(iii)(A)
Each employer shall, upon request, assure the access of each employee and designated representative to each analysis using exposure or medical records concerning the employee’s working conditions or workplace.
§1910.1020(e)(2)(iii)(B)
§1910.1020(e)(3)
§1910.1020(e)(3)(i)
Each employer shall, upon request, and without derogation of any rights under the Constitution or the Occupational Safety and Health Act of 1970, 29 U.S.C. 651 et seq., that the employer chooses to exercise, assure the prompt access of representatives of the Assistant Secretary of Labor for Occupational Safety and Health to employee exposure and medical records and to analyses using exposure or medical records. Rules of agency practice and procedure governing OSHA access to employee medical records are contained in 29 CFR 1913.10.
§1910.1020(e)(3)(ii)
§1910.1020(f)
§1910.1020(f)(1)
§1910.1020(f)(2)
§1910.1020(f)(2)(i)
§1910.1020(f)(2)(ii)
§1910.1020(f)(2)(iii)
§1910.1020(f)(2)(iv)
§1910.1020(f)(3)
§1910.1020(f)(4)
§1910.1020(f)(4)(i)
§1910.1020(f)(4)(ii)
§1910.1020(f)(4)(ii)(A)
§1910.1020(f)(4)(ii)(B)
§1910.1020(f)(4)(ii)(C)
§1910.1020(f)(4)(ii)(D)
§1910.1020(f)(4)(ii)(E)
§1910.1020(f)(4)(ii)(F)
§1910.1020(f)(4)(ii)(G)
§1910.1020(f)(4)(iii)
§1910.1020(f)(4)(iii)(A)
§1910.1020(f)(4)(iii)(B)
§1910.1020(f)(4)(iii)(C)
§1910.1020(f)(4)(iii)(D)
§1910.1020(f)(4)(iv)
§1910.1020(f)(4)(v)
§1910.1020(f)(5)
§1910.1020(f)(5)(i)
§1910.1020(f)(5)(ii)
§1910.1020(f)(5)(iii)
§1910.1020(f)(6)
§1910.1020(f)(7)
§1910.1020(f)(8)
§1910.1020(f)(8)(i)
§1910.1020(f)(8)(ii)
§1910.1020(f)(8)(iii)
§1910.1020(f)(8)(iv)
§1910.1020(f)(8)(v)
§1910.1020(f)(9)
§1910.1020(f)(10)
When a heath professional, employee, or designated representative refers a denial to OSHA under paragraph (f)(9) of this section, OSHA shall consider the evidence to determine if:
§1910.1020(f)(10)(i)
§1910.1020(f)(10)(ii)
The health professional, employee, or designated representative has supported the claim that there is a medical or occupational health need for the information; and
§1910.1020(f)(10)(iii)
§1910.1020(f)(11)
§1910.1020(f)(11)(i)
§1910.1020(f)(11)(ii)
§1910.1020(f)(12)
§1910.1020(f)(13)
§1910.1020(g)
§1910.1020(g)(1)
Upon an employee’s first entering into employment, and at least annually thereafter, each employer shall inform current employees covered by this section of the following:
§1910.1020(g)(1)(i)
§1910.1020(g)(1)(ii)
§1910.1020(g)(1)(iii)
§1910.1020(g)(2)
§1910.1020(h)
§1910.1020(h)(1)
§1910.1020(h)(2)
Whenever an employer is ceasing to do business and there is no successor employer to receive and maintain the records subject to this standard, the employer shall notify affected current employees of their rights of access to records at least three (3) months prior to the cessation of the employer’s business.
§1910.1020(i)
Appendix A to §1910.1020 – Sample Authorization Letter for the Release of Employee Medical Record Information to a Designated Representative (Non-Mandatory)
I, _____ (full name of worker/patient), hereby authorize ______ (individual or organization holding the medical records) to release to ______ (individual or organization authorized to receive the medical information), the following medical information from my personal medical records:
(Describe generally the information desired to be released)
Note: Several extra lines are provided below so that you can place additional restrictions on this authorization letter if you want to. You may, however, leave these lines blank. On the other hand, you may want to (1) specify a particular expiration date for this letter (if less than one year); (2) describe medical information to be created in the future that you intend to be covered by this authorization letter; or (3) describe portions of the medical information in your records which you do not intend to be released as a result of this letter.)
Appendix B to §1910.1020 – Availability of NIOSH Registry of Toxic Effects of Chemical Substances (RTECS) (Non-Mandatory)
The final regulation, 29 CFR 1910.1020, applies to all employee exposure and medical records, and analyses thereof, of employees exposed to toxic substances or harmful physical agents (paragraph (b)(2)). The term toxic substance or harmful physical agent is defined by paragraph (c)(13) to encompass chemical substances, biological agents, and physical stresses for which there is evidence of harmful health effects. The regulation uses the latest printed edition of the National Institute for Occupational Safety and Health (NIOSH) Registry of Toxic Effects of Chemical Substances (RTECS) as one of the chief sources of information as to whether evidence of harmful health effects exists. If a substance is listed in the latest printed RTECS, the regulation applies to exposure and medical records (and analyses of these records) relevant to employees exposed to the substance.
It is appropriate to note that the final regulation does not require that employers purchase a copy of RTECS, and many employers need not consult RTECS to ascertain whether their employee exposure or medical records are subject to the rule. Employers who do not currently have the latest printed edition of the NIOSH RTECS, however, may desire to obtain a copy. The RTECS is issued in an annual printed edition as mandated by section 20(a)(6) of the Occupational Safety and Health Act (29 U.S.C. 669(a)(6)).
“The 1980 edition of the Registry of Toxic Effects of Chemical Substances, formerly known as the Toxic Substances list, is the ninth revision prepared in compliance with the requirements of Section 20(a)(6) of the Occupational Safety and Health Act of 1970 (Public Law 91-596). The original list was completed on June 28, 1971, and has been updated annually in book format. Beginning in October 1977, quarterly revisions have been provided in microfiche. This edition of the Registry contains 168,096 listings of chemical substances: 45,156 are names of different chemicals with their associated toxicity data and 122,940 are synonyms. This edition includes approximately 5,900 new chemical compounds that did not appear in the 1979 Registry. (p. xi)
“The Registry’s purposes are many, and it serves a variety of users. It is a single source document for basic toxicity information and for other data, such as chemical identifiers and information necessary for the preparation of safety directives and hazard evaluations for chemical substances. The various types of toxic effects linked to literature citations provide researchers and occupational health scientists with an introduction to the toxicological literature, making their own review of the toxic hazards of a given substance easier. By presenting data on the lowest reported doses that produce effects by several routes of entry in various species, the Registry furnishes valuable information to those responsible for preparing safety data sheets for chemical substances in the workplace. Chemical and production engineers can use the Registry to identify the hazards which may be associated with chemical intermediates in the development of final products, and thus can more readily select substitutes or alternative processes which may be less hazardous. Some organizations, including health agencies and chemical companies, have included the NIOSH Registry accession numbers with the listing of chemicals in their files to reference toxicity information associated with those chemicals. By including foreign language chemical names, a start has been made toward providing rapid identification of substances produced in other countries. (p. xi)
“In this edition of the Registry, the editors intend to identify “all known toxic substances” which may exist in the environment and to provide pertinent data on the toxic effects from known doses entering an organism by any route described. (p xi)
“It must be reemphasized that the entry of a substance in the Registry does not automatically mean that it must be avoided. A listing does mean, however, that the substance has the documented potential of being harmful if misused, and care must be exercised to prevent tragic consequences. Thus, the Registry lists many substances that are common in everyday life and are in nearly every household in the United States. One can name a variety of such dangerous substances: prescription and non-prescription drugs; food additives; pesticide concentrates, sprays, and dusts; fungicides; herbicides; paints; glazes, dyes; bleaches and other household cleaning agents; alkalies; and various solvents and diluents. The list is extensive because chemicals have become an integral part of our existence.”
The RTECS printed edition may be purchased from the Superintendent of Documents, U.S. Government Printing Office (GPO), Washington, DC 20402 (202-783-3238).
Some employers may desire to subscribe to the quarterly update to the RTECS which is published in a microfiche edition. An annual subscription to the quarterly microfiche may be purchased from the GPO (Order the “Microfiche Edition, Registry of Toxic Effects of Chemical Substances”). Both the printed edition and the microfiche edition of RTECS are available for review at many university and public libraries throughout the country. The latest RTECS editions may also be examined at the OSHA Technical Data Center, Room N2439 — Rear, United States Department of Labor, 200 Constitution Avenue, NW., Washington, DC 20210 (202-523-9700), or at any OSHA Regional or Area Office (See, major city telephone directories under United States Government-Labor Department).
Subpart Z - §1910.1024 - Beryllium.
Subpart Z - §1910.1018 - Inorganic arsenic.