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How to use or fill out Medical Surveillance Request Form - OSEH - University of Michigan with DocHub
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Click ‘Get Form’ to open the Medical Surveillance Request Form in our editor.
Begin by entering your personal information in the designated fields, including your name, SSN, email, UMID#, job title, date of birth (DOB), department (DEPT), and work phone number.
Fill in the contact details for your department, including the department contact name, fax number, and contact phone and email.
Specify your supervisor's name and phone number to ensure proper authorization.
In the 'CHECK TYPE OF EXAMINATION(S) REQUESTED' section, select the appropriate examination(s) by checking the relevant boxes. If necessary, provide reasons for respirator use or other specific conditions in the provided spaces.
Sign and date where indicated for both supervisor/department authorization and OSEH authorization.
Once completed, save your form and return it to Donna Capron at OSEH using the provided contact details.
Start using our platform today to easily fill out your Medical Surveillance Request Form for free!
Fill out Medical Surveillance Request Form - OSEH - University of Michigan online It's free
What is the best reason for health surveillance being undertaken?
Health and safety law requires health surveillance when your workers remain exposed to health risks even after you have put controls in place. This is because control measures may not always be reliable, despite appropriate checking, training and maintenance.
What can trigger a medical surveillance program?
Some laboratory activities that might trigger medical surveillance include: Work with laboratory animals. Use of a respirator. Work with lasers. Work with bloodborne pathogens. Work with carcinogens. Work with noise-producing equipment that exceeds 85 dBA as an 8 hr-time weighted average.
What is a medical surveillance program?
Medical surveillance is the analysis of health information to look for problems that may be occurring in the workplace that require targeted prevention.
What are the three components of a medical surveillance program?
The components of a medical surveillance program include: Identifying workers for whom surveillance is needed. Identifying potential hazards and assessing the risk of exposure. Selecting appropriate tests and examinations.
What are the four components of a medical surveillance program?
The components of a medical surveillance program include: Identifying workers for whom surveillance is needed. Identifying potential hazards and assessing the risk of exposure. Selecting appropriate tests and examinations. Conducting initial tests and examinations along with medical and occupational histories.
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University of Michigan Environmental HealthUmich EHS org ChartUmich Safety
Example of Medical Surveillance in the Workplace For example, regular screening for bloodborne pathogens and providing vaccinations can docHubly reduce the risk of healthcare workers contracting infections like hepatitis or from needlestick injuries.
Which of the following is a reason for a medical surveillance program?
These exams aim to prevent workplace-related illnesses or injuries, maintain employee well-being, and ensure the workplace remains OSHA-compliant. Examples of industries that often require medical surveillance include: Manufacturing: Exposure to hazardous chemicals, such as benzene, lead, or asbestos.
Related links
OSEH
Jul 21, 2016 The long-standing practice at the University of Michigan is for OSEH- Hazardous Materials Management (OSEH-. HMM) to collect all radioactive
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