| 1. Professional Expertise | 2. Safety and Health Rules | 3. Personal Protective Equipment |
| 4. Preventive Maintenance | 5. Emergency Preparedness | 6. Radiation Protection Program |
| 7. Medical Programs | 8. List of Occupational Safety and Health Programs |

7. Medical Programs

Employee Job Task Analysis

The Employee Job Task Analysis (EJTA) identifies the hazards to which a workers (Battelle staff and non-Battelle personnel whose work is under the direction of Battelle) are potentially exposed and the physical demands that may be placed on the staff member by the work or the work environment. EJTA is an electronic tool by which the manager, Safety and Health Representative, and Hanford Site Medical Contractor determine which workers must participate in occupational medical qualification or surveillance examinations. EJTAs must be completed for staff who work 15 or more days per year, and approved EJTAs must be transmitted to the Hanford Site Medical Contractor within 30 days of:

• the staff member's hire date (the manager is notified)
• the staff member's job transfer or change in work scope/assignment (the manager must recognize when the staff member has new work scope)
• receipt by the manager of an EJTA review request.

Managers review EJTAs for changes when the staffmember's job changes and at least annually. This process may also be requested by the medical scheduler. The medical scheduler is prompted by the Hanford Environmental Health Foundation when reviews are due.

Managers may also be requested to complete EJTAs for workers who work less than 15 days a year when there is a potential for exposure to hazards at levels that trigger examination requirements. The Safety and Health Representative provides assistance with this process.

The EJTA is completed using an online system, which is also used for offsite PNNL staff. Offsite examinations are scheduled and performed by local medical providers or according to specific agreements. The Standards-Based Management System (SBMS) subject area, Occupational Medical Examinations, establishes the minimum required procedures for initiating, reviewing, and closing out occupational medical examinations for onsite and offsite staff.

Occupational Medical Examinations Subject Area

The Occupational Medical Examinations subject area is applied when:

• a medical examination is clearly needed to determine baseline and ongoing physical conditions resulting from hazards in the workplace, including various key jobs (e.g., staff are included in special occupational fitness groups)
• hiring new employees or appointing workers (an EJTA will be completed as part of this process)
• staff members' work activities have changed (including transfers to different jobs)
• a work-related injury or illness resulted in 1 or more days away from work
• a non-occupational injury or illness resulted in an absence of 5 or more consecutive workdays
• staff members wish to be included in voluntary health maintenance examinations.

The Occupational Medical Examinations subject area defines the process used to determine the need for and to schedule necessary medical qualification and surveillance examinations for Battelle staff and non-Battelle personnel under the direction of Battelle [all of whom are referred to as "staff member(s)" for the purposes of this subject area]. While all new staff are required to receive an initial medical examination, the subject area also defines the process for obtaining voluntary health maintenance examinations. The need for additional medical qualification and surveillance is based on the requirements of the job, the hazards, potential and real exposures, and overall risk associated with the assigned work.

Medical qualification and surveillance needs are identified using the EJTA, which serves as a tool for collecting the necessary information to evaluate those needs. A medical examination determines the physical condition and other capabilities of an individual and compares them with the capabilities required to perform the assigned duties safely and reliably. The EJTA also triggers special medical examinations that may be required, including respiratory protection, hearing conservation, and bioassay for certain chemical or radiological hazards (such as lead or beryllium).

Results from medical examinations are also used by the Hanford Site Medical Contractor or other designated physician to authorize staff members to return to work following a medical absence.

Hanford Occupational Health Process Advisory Council

A PNNL Environment, Safety and Health staff member represents PNNL on the Hanford Occupational Health Process (HOHP) Advisory Council. The purpose of the advisory council is to help the U.S. Department of Energy, Richland Operations Office ensure that the HOHP provides an adequate basis for a preventive and risk-based approach to occupational health at the Hanford Site.

First Aid Program

PNNL has a first aid program in place to provide emergency support to injured staff until professional medical assistance can be obtained. The requirements of that program are contained in the SBMS subject area, Injury or Illness. First aid stations are provided in major facilities. (See the Map Information Tool – Emergency Equipment). Currently, qualified first aid providers can be identified using another aspect of the same tool (see the Map Information Tool – First Aid Providers). This information can be accessed through a number of links, including the Map Information Tool home page and the LabWeb "Emergency Information" page.

7. Medical Programs