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File: 011696_103_6_047.txt
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                TG No. 144                                                           August 1987

                    b. Medical surveillance guidelines for individual chemical hazards may be
                obtained through the Medical Information Module of the OHMIS, in NIOSH
                Publication No. 81-123 or DOD 6055.5-M. Also see USAEHA TG No. 154 to develop
                the physical assessment protocol.

                    c. Medical surveillance for the HDI present in CARC follows:

                        (1) Preplacement or baseline.

                               (a) Medical and occupational history with attention to
                previous exposure to HDI, allergies, respiratory disease, and smoking.

                               (b)  A physical exam with attention to the respiratory system.

                               (c)  Clinical laboratory tests. Specifically--

                                  - Chest x-ray, 14 x 17 inches, posterior-anterior

                                  - Pulmonary function tests to include FEVT. forced vital
                capacity (FVC). and FEVI/FVC ratio (see TB MED 509).

                        (2) Periodic.

                               (a) Annually.

                               (b) Same as preplacement ercept no chest x-ray.

                    d. Those workers required to wear respirators will be medically evaluated
                to determine if they are physically able to perform their work while wearing
                this equipment. (See TB MED 502 and TB MED 509.)

















                                                       7-3
Box ID = BX000000
Unit = VII CORPS       
Parent Organization = ARCENT          
Folder Title = PORT OPERATIONS CARC PAINTING POLICY                                                            
Subject = ARMY REGULATION 11-34 (RESPIRATORY PROTECTION PROGRAM
Document Number =        103
Image file name = 00000131.tif

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