The LLNL Medical Director (or designee) may recommend to the individual, in a written medical opinion based on one or more positive Be-LPT results, CBD diagnosis, an examining physician's recommendation, or any other signs or symptoms that the Medical Director deems medically sufficient, that he or she be temporarily removed from beryllium exposure. When such a determination is made, the employee is offered temporary reassignment (pending a final medical determination) to a non-beryllium worker position with equivalent employment benefits, pay, and other terms and conditions of employment. The Medical Director shall provide the worker a copy of 10 CFR 850, its preamble, and other appropriate information regarding beryllium exposure in discussing the benefits of removal.

The worker may also be offered the option of continuing to work in the current position with beryllium. If the worker chooses to do so, he or she shall sign an acknowledgement of disclosure of health effects, and his or her participation in ongoing medical surveillance, as determined by the Medical Director, shall be mandatory. If a worker who has been confirmed positive for beryllium sensitivity chooses to be placed in an alternative assignment, LLNL management will use its best efforts, working with the worker's organization and with the Health Services and Human Resources Departments, to identify an alternative work assignment. If no temporary reassignment can be found, the worker shall maintain equivalent employment benefits, pay, and other terms and conditions of employment, as specified in 10 CFR 850.35, until a position becomes available or for 1 year, whichever comes first.

B.3.2 Permanent Reassignment

The Medical Director or designee shall make a recommendation to the individual, in writing, regarding permanent removal for individuals with beryllium-related conditions. If a final medical determination for permanent medical removal has been made, alternate placement shall be made in the same manner as temporary medical removal. If a position is not available, permanent medical removal protection benefits expire after 2 years. The worker shall also have the option of continuing in his or her original position. A worker who chooses to do so shall sign an acknowledgement of disclosure of health effects, and agreement to participate in ongoing medical surveillance, as determined by the Medical Director, shall be mandatory.

B.3.3 New Hires from Outside LLNL

New hires (i.e., accepted applicants) who have a confirmed positive sensitivity test have the option of accepting the beryllium assignment or having the employment offer withdrawn and applying for open, non-beryllium work positions through the LLNL employment process. If a new hire has a confirmed positive sensitivity test and decides to accept the beryllium work assignment, the applicant shall sign, prior to beginning the assignment, an acknowledgment form that the Medical Director has provided the worker a copy of 10 CFR 850 and other appropriate information regarding the health effects of beryllium exposure The signed form shall be included with his or her medical record. Participation in the medical surveillance program shall be mandatory.

B.3.4 Other LLNL or UC Employees

Internal LLNL transferees or UC employees who have a confirmed positive sensitivity test have the option of accepting the beryllium work assignment, remaining in the current position, or applying for another non-beryllium position within LLNL. If an internal LLNL transferee or UC employee assigned to a beryllium work area or regulated beryllium work area decides to continue in the beryllium work assignment, the employees shall sign, as a condition of continuation in the assignment, an acknowledgment form that the Medical Director has provided the worker, along with a copy of 10 CFR 850 and other appropriate information regarding the health effects of beryllium exposure. The signed form shall be included with his or her medical record. Participation in the medical surveillance program shall be mandatory.

B.4 NonLLNL and NonUC Employees

The safety of work done by subcontract workers shall be managed as required by Document 2.5, "Procured Services ES

B.5 Responsibilities

This section lists organizations' responsibilities regarding medical protection.

B.5.1 Health Services Department

Health Services Department is responsible for:

o Providing medical surveillance examinations.