STANDARDS PRESENTATION Page 14 of 19 TO
CALIFORNIA OCCUPATIONAL SAFETY AND HEALTH STANDARDS BOARD
TITLE 8 , DIVISION 1 , CHAPTER 4
1 . Any recommended limitations on the employee ' s exposure to respirable crystalline silica ;
2 . A statement that the employee should be examined by a specialist ( pursuant to subsection ( ji )( 7 )) if the chest X-ray provided in accordance with this section is classified as 1 / 0 or higher by the B Reader , or if referral to a specialist is otherwise deemed appropriate by the PLHCP .
( C ) The employer shall ensure that each employee receives a copy of the written medical opinion described in subsection ( ji )( 6 )( A ) and ( B ) within 30 days of each medical examination performed .
( 7 ) Additional examinations .
( A ) If the PLHCP ' s written medical opinion indicates that an employee should be examined by a specialist , the employer shall make available a medical examination by a specialist within 30 days after receiving the PLHCP ' s written opinion .
( B ) The employer shall ensure that the examining specialist is provided with all of the information that the employer is obligated to provide to the PLHCP in accordance with subsection ( ij )( 4 ).
( C ) The employer shall ensure that the specialist explains to the employee the results of the medical examination and provides each employee with a written medical report within 30 days of the examination . The written report shall meet the requirements of subsection ( ij )( 5 ) ( except subsection ( ji )( 5 )( D )).
( D ) The employer shall obtain a written opinion from the specialist within 30 days of the medical examination . The written opinion shall meet the requirements of subsection ( ji )( 6 ) ( except subsection ( ji )( 6 )( A ) 2 . and ( ji )( 6 )( B ) 12 .).
( kj ) Communication of respirable crystalline silica hazards to employees .
( 1 ) Any training , communications , signs , labels , and written information required by subsection ( k ) shall be provided in a language understood by employees and shall be appropriate for their level of education and literacy .
( 2 )( 1 ) Hazard communication . The employer shall include respirable crystalline silica in the program established to comply with the hazard communication standard ( HCS ) ( Section 5194 ). The employer shall ensure that each employee has access to labels on containers of crystalline silica and safety data sheets , and is trained in accordance with the provisions of HCS and subsection ( kj )( 34 ). The employer shall ensure that at least the following hazards are addressed : Cancer , lung effects , immune system effects , and kidney effects .
OSHSB-98 ( 2 / 98 )