b. Industrial Hygiene Surveys. Industrial hygiene surveys will be conducted
by industrial hygiene personnel to evaluate operations or practices involving actual or
potential health hazards US Army Environmental Hygiene Agency (USAEHA) may
provide assistance in the form of special studies, consultations, or comprehensive
surveys. This corresponds to the second phase of classic industrial hygiene evaluation.
Quantification is essential. The current American Conference of Government Industrial
Hygienists (ACGIH) threshold limit values (TLV)'s will be used whenever they impose a
more stringent limit than OSHA or when OSHA has not promulgated a standard for a
particular substance under 29 CFR 1910.1000. The evaluation of exposures will
include operations that have:
Ergonomic hazards (human/operation interface).
Other environmental conditions.
c. Health Examinations. Health examinations constitute the second basic
element of an occupational health program. Such examinations include pre-placement,
periodic job related, and administrative examinations together with voluntary health
maintenance examinations, as personnel and other resources permit. Priorities of care
within Army MTF, as defined in AR 40-3, place job-related health examinations within
category 1, and voluntary health examinations in category five. In many instances, the
health examinations may not require extensive physical examination by a physician and
may be accomplished most expeditiously by the occupational health nurse with
appropriate minimal input from the occupational health physician. Such delegation of
functions facilitates optimal use of the professional skills of both physician and nurse.
(1) Pre-placement examinations. Pre-placement examinations will be
provided in accordance with Federal Personnel Manual (FPM) Chapter 339, 24 Mar 69,
and whenever medical evaluation is necessary for work assignment. Pre-placement
examinations may be required for new hires, job transfers, oversea assignments, or
promotions. The new employee should be referred to the occupational health services
for in processing and initiation of the medical record. At this time, the employee should
be provided, or scheduled for a baseline health screening to include a health history,
audiogram, vision screening, and blood pressure reading.