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Simplex3 03-15-2007 04:52 AM

1. For DOE contractor employees, the DOE contractor office that is directly responsible for the safety and health of DOE contractor employees while performing a beryllium activity or other activity at a DOE facility.

Simplex3 03-15-2007 04:53 AM

2. For DOE employees, the DOE office that is directly responsible for the safety and health of DOE Federal employees while performing a beryllium activity or other activity at a DOE facility.

Simplex3 03-15-2007 04:53 AM

3. Any person acting directly or indirectly for either of the above offices with respect to the terms and conditions of employment of beryllium-associated workers.

Simplex3 03-15-2007 04:53 AM

SCBA

Simplex3 03-15-2007 04:54 AM

Self-contained breathing apparatus.

Simplex3 03-15-2007 04:54 AM

Shipment or shipping

Simplex3 03-15-2007 04:54 AM

Movement of an item over public roads.

Simplex3 03-15-2007 04:55 AM

Transfer

Simplex3 03-15-2007 04:55 AM

Movement of an item within the geographically contiguous property owned by, or under the control of, LLNL.

Simplex3 03-15-2007 04:55 AM

Unique identifier

Simplex3 03-15-2007 04:55 AM

The part of a paired set of labels, used in records that contain confidential information, that does not identify individuals except by using the matching label.

Simplex3 03-15-2007 04:56 AM

Visitor

Simplex3 03-15-2007 04:56 AM

A person who is not assigned to a beryllium work area but has an irregular or intermittent need to be in that area

Simplex3 03-15-2007 04:56 AM

WAL

Simplex3 03-15-2007 04:57 AM

Work authorization level.

Simplex3 03-15-2007 04:57 AM

Worker

Simplex3 03-15-2007 04:57 AM

A person who performs work for or on behalf of DOE, including a DOE employee, an independent contractor, a DOE contractor or subcontractor employee, or any other person who performs work at a DOE facility.

Simplex3 03-15-2007 04:58 AM

Worker exposure

Simplex3 03-15-2007 04:58 AM

The exposure of a worker to airborne beryllium that would occur if the worker were not using respiratory protective equipment. This is synonymous with "exposure."

Simplex3 03-15-2007 04:58 AM

Appendix B

Simplex3 03-15-2007 04:59 AM

Medical Protection Requirements

Simplex3 03-15-2007 04:59 AM

for Current and Prospective Beryllium Workers

Simplex3 03-15-2007 04:59 AM

B.1 Summary

Simplex3 03-15-2007 04:59 AM

LLNL recognizes the need for medical safeguards for beryllium workers at its facilities. LLNL offers medical examination and evaluation for LLNL employees and undertakes notification procedures in beryllium work areas and regulated beryllium work areas in support of workplace safety and health. LLNL strives to inform all employees in beryllium work areas and regulated beryllium work areas that exposures to airborne levels of beryllium, including those less than regulatory limits, may trigger sensitization among some individuals and that such sensitization has, in some cases, led to CBD. Programs and services offered to LLNL employees include tests for beryllium sensitivity and CBD, a medical examination program, and management assistance in seeking alternative assignments, when appropriate. The medical surveillance and notification requirement applies to current and prospective LLNL employees. Testing for beryllium sensitivity is recommended for employees assigned to beryllium work areas or regulated beryllium work areas.

Simplex3 03-15-2007 05:00 AM

B.2 Beryllium Sensitivity Tests

Simplex3 03-15-2007 05:00 AM

LLNL offers all LLNL workers who are beryllium-associated workers periodic tests for beryllium sensitivity. The tests are offered as a medical examination (either initial or periodic) that includes the Be-LPT or other blood tests for beryllium sensitivity as designated by the LLNL Medical Director. Workers who are, or may become, beryllium-associated workers are encouraged to accept either the Be-LPT or an equivalent designated test. Such workers shall be asked to acknowledge receiving information concerning beryllium sensitization and disease and being offered the beryllium sensitization test. The Health Services Department informs each individual of the test results, including the risks associated with developing CBD, if sensitivity to beryllium is shown. Test results are treated as confidential medical information and are released only with the individual's consent (consistent with current LLNL requirements) or as required by law, including 10 CFR 850 (Chronic Beryllium Prevention Program). Testing for beryllium sensitivity is recommended for all LLNL employees who are beryllium-associated workers and for any LLNL and UC employees transferring to an assignment in a beryllium work area or regulated beryllium work area.

Simplex3 03-15-2007 05:00 AM

The Be-LPT or equivalent test is offered as a part of a preplacement medical examination for new hires (i.e., accepted applicants) prior to beginning an assignment in a beryllium work area or regulated beryllium work area.

Simplex3 03-15-2007 05:01 AM

B.3 Reassignment Options

Simplex3 03-15-2007 05:01 AM

Described below are LLNL workers' options for reassignment from beryllium work.

Simplex3 03-15-2007 05:01 AM

B.3.1 Temporary Reassignment

Simplex3 03-15-2007 05:02 AM

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.

Simplex3 03-15-2007 05:02 AM

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.

Simplex3 03-15-2007 05:02 AM

B.3.2 Permanent Reassignment

Simplex3 03-15-2007 05:03 AM

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.

Simplex3 03-15-2007 05:03 AM

B.3.3 New Hires from Outside LLNL

Simplex3 03-15-2007 05:03 AM

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.

Simplex3 03-15-2007 05:03 AM

B.3.4 Other LLNL or UC Employees

Simplex3 03-15-2007 05:04 AM

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.

Simplex3 03-15-2007 05:04 AM

B.4 NonLLNL and NonUC Employees

Simplex3 03-15-2007 05:04 AM

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

Simplex3 03-15-2007 05:05 AM

B.5 Responsibilities

Simplex3 03-15-2007 05:05 AM

This section lists organizations' responsibilities regarding medical protection.

Simplex3 03-15-2007 05:05 AM

B.5.1 Health Services Department

Simplex3 03-15-2007 05:06 AM

Health Services Department is responsible for:

Simplex3 03-15-2007 05:06 AM

o Providing medical surveillance examinations.

Simplex3 03-15-2007 05:06 AM

o Providing results of medical examinations to workers,

Simplex3 03-15-2007 05:06 AM

o Recommending temporary or permanent removal, as appropriate, from beryllium work.

Simplex3 03-15-2007 05:07 AM

o Providing necessary information to affected workers so they can make an informed decision concerning reassignment (current employees) or employment (prospective new hires), if necessary.

Simplex3 03-15-2007 05:07 AM

B.5.2 Payroll Organizations

Simplex3 03-15-2007 05:07 AM

The payroll organization is responsible for ensuring that the requirements in this appendix are followed. The requirements apply whether an individual works for a short time or indefinitely in a beryllium work area or regulated beryllium work area. These requirements include ensuring:

Simplex3 03-15-2007 05:08 AM

o Medical surveillance exams are offered to workers.

Simplex3 03-15-2007 05:08 AM

o Information on beryllium hazards is provided to workers.

Simplex3 03-15-2007 05:08 AM

o Assisting in alternate placement, if appropriate.

Simplex3 03-15-2007 05:09 AM

B.5.3 ES

Simplex3 03-15-2007 05:09 AM

ES

Simplex3 03-15-2007 05:09 AM

B.5.4 Human Resources Department

Simplex3 03-15-2007 05:10 AM

The Human Resources Department is responsible for assisting program management in finding alternate work assignments.

Simplex3 03-15-2007 05:10 AM

Appendix C

Simplex3 03-15-2007 05:10 AM

Statistical Analysis of Beryllium Data

Simplex3 03-15-2007 05:10 AM

C.1 General

Simplex3 03-15-2007 05:11 AM

The use of a statistics-based sampling protocol to characterize worker exposures to airborne beryllium is required by 10 CFR 850, as is routine surface sampling to verify compliance with the housekeeping standard. The rule is performance based and does not prescribe statistical protocols. General guidance is provided in DOE G 440.1-7A, "Implementation Guide for use with 10 CFR 850, Chronic Beryllium Disease Prevention Program," which states:

Simplex3 03-15-2007 05:11 AM

Sampling activities should include a sufficient number of samples to ensure at least a 95 percent confidence level that the results represent the sample population.

Simplex3 03-15-2007 05:11 AM

Although numerous publications about statistical data analysis and quality control are available, the following two references are widely used for industrial hygiene sampling:

Simplex3 03-15-2007 05:12 AM

* Nelson A. Leidel, Kenneth A. Busch, and Jeremiah R. Lynch, "Occupational Exposure Sampling Strategy Manual," U.S. Department of Health, Education, and Welfare, Publication 77-173, January 1977.

Simplex3 03-15-2007 05:12 AM

* John R. Mulhausen and Joseph Damiano, "A Strategy for Assessing and Managing Occupational Exposures," 2nd Edition, AIHA Press, Fairfax, VA 1998.

Simplex3 03-15-2007 05:12 AM

The following guidance can be used for initial and periodic air sampling, for establishing and disestablishing regulated areas, and for routine surface sampling for housekeeping.

Simplex3 03-15-2007 05:13 AM

C.2 Suggested Protocol

Simplex3 03-15-2007 05:13 AM

The following is a suggested protocol:

Simplex3 03-15-2007 05:13 AM

1. Using the hazard assessment described in Section 3.5.3, identify:

Simplex3 03-15-2007 05:14 AM

* The similar exposure group [i.e., process, job, task, agent (i.e., beryllium) and specific population at risk].

Simplex3 03-15-2007 05:14 AM

* The appropriate standard for airborne exposure or surface contamination.

Simplex3 03-15-2007 05:14 AM

2. Conduct a sampling campaign.

Simplex3 03-15-2007 05:14 AM

1. Determine the number of samples to take.

Simplex3 03-15-2007 05:15 AM

2. Take the samples.

Simplex3 03-15-2007 05:15 AM

3. Determine the data distribution (e.g., normal or log normal) and calculate the appropriate descriptive statistics.

Simplex3 03-15-2007 05:15 AM

4. Compare the results with the appropriate standard.

SLAG 03-27-2007 09:59 PM

"beryllium"


pussy

Simply Red 04-23-2007 01:34 PM

where does Lysol fit in with all of this madness?

crazycoffey 04-24-2007 03:45 PM

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crazycoffey 04-24-2007 03:48 PM

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