update PWS.pdf

Sierra Nevada Region Annual Physical Requirements

Redding and Keswick Personnel

Introduction:

A. Western Area Power Administration (WAPA) employees shall be provided a physical in accordance with the requirements of WAPA’s Medical Order 340.1, Federal Employee Occupational Medical Program (attachment). Absolutely no additional tests are implied or authorized without prior consent from WAPA.

B. A list of employees authorized to obtain an occupational health exam as a result of this purchase order will be provided to the medical provider in advance. The list also identifies those individuals whose physical examination testing must meet the requirements for a commercial driver’s license (CDL) and/or medical DMV certificate for their job classification.

C. The Occupational Medical Physician will provide services as a Medical Advisor. As such, the Medical Advisor will assist, on a case-by-case basis by providing medical services in worker’s compensation reviews, accommodation reviews, annual flu shot for at around 25 employees, fitness for duty reviews, Automated External Defibrillator review, and other medical opinions and reviews as called upon.

--SUBMISSION REQUIREMENTS--

A. Must be licensed physician in the state of California. Proof required.

B. Must be licensed to provide Department of Transportation (DOT) Medical Exam and

Certificate. Proof required.

C. Must have facility where employees can go to and must be within 50 miles of duty stations located in Redding, CA. Duty Stations are located at: WAPA Redding Maintenance Facility, 1545 Beltline Road, Redding, CA 96003 and WAPA Keswick Maintenance Facility, 16599 Keswick Dam Road, Redding, CA 96003.

D. If coming onto WAPA site must have valid identification of US Citizenship (ie. state driver’s license).

-- SECTION I REQUIREMENTS --

A. The following actions will take place for medical evaluation and review:

1. The employee shall:

a. Provide a signed medical release form to release appropriate medical records after the exam to Western Area Power Administration;

b. Provide a completed checklist with “Instructions to the Examining Physician” of required testing and examinations protocols;

c. Complete Occupational Medical Program Medical History Update Form, WAPA Form 5400.30;

d. Complete Part A of Medical Examination Form, OPM Form OF 178;

e. Complete Part A of Certificate of Medical Examination, WAPA Form

5400.32;

f. Complete required personal information on Audiometry Questionnaire/Test, WAPA Form 5400.34; and

g. As appropriate, complete Respirator Medical Evaluation Questionnaire, WAPA Form 5400.33.

2. The physician shall:

a. Provide the annual physical examination.

b. Medical History: The Genetic Information Non-Discrimination Act of

2008 prohibits WAPA from acquiring or using information about an employee or applicant’s genetic information, including family medical history. The contractor, physician or physician-designee are not to inquire about an individual’s family medical history or other genetic information. If such information is disclosed to the contractor, the physician or the physician-designee, the information must be redacted and/or withheld from any findings reported to WAPA. The respiratory questionnaire (Respirator Medical Evaluation Questionnaire, WAPA Form5400.33), if applicable to patient, must be completed by the employee and reviewed by the physician in determining medical suitability to utilize a respirator. This completed evaluation shall not be returned to WAPA.

The Audiometry Questionnaire/Test, WAPA Form 5400.34 must be completed. All results shall be discussed with patient;

c. Fully complete all portions of Part B and Part C of Medical Examination Form, OPM Form OF 178 to include any limitations, restrictions or comments and physician’s signature;

d. Complete Part C of Certificate of Medical Examination, WAPA Form

5400.32 with physician’s name and signature; and

e. Review and complete medical qualifications and/or medical physical examination requirements for California Commercial Driver’s License (CDL) requirements (State of California, Department of Motor Vehicle testing, Form DL 51 or DL 546), as applicable.

3. The medical provider or vendor will follow distribution of physical packet and return to Western Area Power Administration the following original paperwork:

a. The signed medical release form to release appropriate medical records;

b. The completed Medical Examination Form, OPM Form OF 178 containing only the job-related portions of the examination;

c. The completed Certificate of Medical Examination, WAPA Form 5400.32;

d. The completed Audiometry Questionnaire/Test, WAPA Form 5400.34;

e. Distribution of Physical Packets:

1. Notify Safety Department physical completed and provide CDL expire date. WAPA Human Resources needs a printed hard copy of the physical packet mailed to them within 4 weeks of employee completing physical.

Contractor to send to:

Don Gerrish, Human Resources, A7210 P.O. Box 281213 Lakewood, CO 80228-8213

2. Employees need hard copy of physical packet and all documents. Upon employee completing physical, please send hard copy to employee within 4 weeks. Contractor to send to:

(Enter Employee Name who completed physical) 1545 Beltline Road Redding, CA 96003

For Personnel who are in RDQ/Require follow-up before a determination is made.

a. Call WAPA Human Resources (HR) Don Gerrish at 720-281-6065 or Michelle Brown at 916-353-4458 or Allison Burnette at 720-962-7121.

b. Follow up discussion with a fax copy which HR can provide the fax number.

c. HR needs information if they are reviewing and why not clearing employee or if employee needs reasonable accommodation, contractor to contact HR.

Physical appointment requirements

a. Sierra Nevada Region allows employees at least 4 months to complete their physicals (typically from 2nd week of December to April 30). Sierra Nevada reserves the right to change the due by date.

b. Employees appointment dates and times need to be flexible. Tiffany Cooney, Mike Pellan, Eric Olsen or any SNR WAPA Safety Department representative can work with contractor to schedule and authorize appointments by giving dates and times of employee availability or if an employee cannot make they can work with contractor to schedule for different date/time.

c. If employees miss their appointment an email can be sent to Tiffany Cooney at Cooney@wapa.gov; Mike Pellan at Pellan@wapa.gov and Eric Olsen at EOlsen@wapa.gov.

d. Some locations see customers with symptoms of COVID. Sierra Nevada Region does not want employees going to facilities that sees customers with COVID symptoms.

4. The medical provider will not return to WAPA:

a. Occupational Medical Program Medical History Update Form, WAPA Form mailto:Cooney@wapa.gov mailto:Olsen@wapa.gov

5400.30 and

b. Respirator Medical Evaluation Questionnaire, WAPA Form 5400.33).

5. The examining physician will discuss his/her findings with the employee and submit a written report to the employee after review by designated regional Medical Advisor.

6. For those employees requiring State of California, Department of Motor Vehicle testing for medical qualifications or for commercial driver’s licensing, Form DL 51 or DL 546 will be utilized and mailed to the California Department of Motor Vehicles by the health provider or provided to the employee for self certification.

-- SECTION II REQUIREMENTS --

1. When providing the examination, the physician will consider, depending on job requirements and classification and exposure, the employee’s medical history, and the environmental factors associated with the individual’s duties. Environmental factors may include:

a. Chemical exposures such as chemicals controlling vegetation and insects. Concrete work, painting (possibly leas based), or equipment cleaning and repair. May be exposed to wood preservatives during climbing and handling wood poles. May be exposed to solvents. May be involved in spill clean-up. May be exposed to solder and soldering fluxes. Some equipment exposure may include polychlorinated biphenyl (PCB) in dielectric fluid. May be exposed to welding fumes.

b. Dust. During construction work, and possibly wind borne dust. Dust from sandblasting, carpentry, and shop work (asbestos).

c. Elevation: Any work above 10,000 feet elevation involves the stresses of high elevation. Work between about 6,000 feet and 10,000 feet elevation may involve high altitude stress if the worker is not acclimated to the altitude.

d. Noise: High levels related to operation of heavy equipment, jack hammers, air tools, carpentry equipment, and repair shop.

e. Nonionizing Radiation: May be exposed to microwaves.

f. Temperature: Hot in summer, particularly in the sun, with little chance for shade.

Cold in winter in the more northern regions, or ones with higher elevations.

g. Vegetation and Insects: Consistent with a variety of ecosystems. Of most concern would be stinging and biting insects and contact with allergenic plants such as poison ivy, oak or sumac.

2. The General Physical Examination will be comprised of the following:

a. Review of Occupational Medical Program Medical History Update Form, WAPA Form 5400.30;

b. Medical examination, OPM Form OF 178 and 5400.32 --with particular focus on pulmonary, cardiovascular, neurologic, dermatologic and musculoskeletal systems;

c. Audiogram;

d. Chest X-Ray. Only if indicated by history, pulmonary function changes, or dust exposures.

e. ECG/EKG: Every 3 years after age 40; 2 years after age 50 and annually after age 60.

f. Pulmonary Function Test: If regular respirator use is required. (Re-evaluation is recommended for those workers who are having difficulties with respirators as soon as a difficulty is encountered. Otherwise testing should be every 3 years after age 40, 2 years after age 50, annually after age 60.)

g. Visual: Depth perception, ability to read chart, color vision.

h. And as applicable, Commercial’s Driver’s License (CDL) Medical

Examination and DMV Certificate for commercial driver fitness determination or CDL Medical Examination Only.

3. In addition, the following may be provided:

a. Provide immunization against tetanus, if authorized.

b. Provide Hepatitis B Shot Series, if authorized.

c. Provide Antibody Hepatitis B Testing, if authorized.

d. Provide Influenza Vaccination, if authorized.

4. All employees shall be provided information on interpretation of the printout and test results.

-- SECTION III REQUIREMENTS --

Each employee will provide the appropriate forms and completed medical history requirements to the medical provider. Each employee will provide a medical release form.

Sample Medical Release Form.

To: Name of Physician Address of Physician

I hereby authorize you to release all records resulting from my medical examination to:

(Sierra Nevada Region, Safety Office, N1900, 114 Parkshore Drive, Folsom, CA 95630-4710.)

Employee’s Name Employee’s Signature Date

-- SECTION IV REQUIREMENTS --

The following six positions are covered under the medical program for Sierra Nevada Region.

1. PROTECTION AND COMMUNICATIONS CRAFTSMAN (WB-2610)

A Protection and Communication Craftsman is responsible for installing, maintaining, modifying, troubleshooting, repairing, testing, calibrating, and aligning a variety of complex electronic and electromechanical equipment and systems including communication equipment, metering equipment, computers, and a variety of equipment for controlling the transmission of electric power. The communication equipment includes both stationary and mobile radios, ultrahigh frequency (UHF) and microwave transmitting and receiving equipment, power line carrier systems, and telephone systems. The employee is also responsible for high voltage insulation testing and high voltage switching.

Although much of the work is indoors, the craftsman may have to operate heavy equipment, climb communication towers and may be required to reach remote tower locations on foot or by airlift.

Environmental factors which may be important in this job include:

a. Chemical Exposures. May be exposed to solvents, vegetation control chemicals, as well as other chemicals. May be involved in spill cleanup. Also may be exposed to solder and soldering fluxes.

b. Dust. Possibly wind borne.

c. Elevation. Any work above 10,000 feet elevation involves the stresses of high elevation. Work between about 6,000 feet and 10,000 feet elevation may involve high altitude stress if the worker is not acclimated to the altitude.

d. Noise. High noise levels from operation of equipment.

e. Non-ionizing Radiation. May be exposed to microwaves.

f. Temperature (particularly for outside work). Hot in summer. Cold in winter in the more northern Regions, or ones with higher elevations.

Physical Effort.

May lift and carry loads over 50 pounds, often in outdoor environments that pose difficult terrain issues. May work in close, restricted quarters. Standing, bending, or stooping for long periods of time may be required. May be required to hike, climb, or use other methods to get to remote equipment sites as local terrain and climate conditions require. Must be able to climb communication towers up to 400 feet or as required. Tower work includes tower inspection, hanging coax, changing tower lamps, installing various antenna and associated hardware, and tightening or loosening hardware.

Working Conditions.

Work is indoors; however, outdoor activities are frequently encountered. Work is on or around energized sources. Work often requires much driving, often alone and in adverse weather conditions. Work can require considerable travel requiring temporary lodging away from duty station. May be required to travel in a fixed wing aircraft, helicopter, snow mobile, or snow cat to work sites.

NOTE - Applicable Standards:

a. The Federal Motor Carrier Safety Regulations (49 C.F.R. 391.41 to 391.49) dated 10-01-11 cover many aspects of physical and mental requirements for driving heavy duty trucks.

b. OSHA has standards for hearing conservation programs for when an employee’s noise exposure equals or exceeds an 8-hour time-weighted average sound level of 85 decibels measured on the A scale or, equivalently, a dose of 50 percent of permissible exposure. This standard includes standards for the audiometric testing equipment, the frequency and conduct of the tests, and the interpretation of the results. These standards are found in 29 C.F.R part 1910 §1910.95 (c) through (n), and appendices C, D, E, and F, dated 07-01-12.

2. ELECTRONIC EQUIPMENT CRAFTSMAN (WB-2610)

An Electronic Equipment Craftsman is responsible for installing, maintaining, modifying, troubleshooting and repairing a variety of simple to complex electronic equipment used in communications, control process computers, and/or supervisory control systems. Although much of the work is indoors, the craftsman may have to climb communication towers and may be required to reach remote tower locations on foot or by airlift. In some Regions, mobile over-snow vehicles and snow removal equipment may also be used.

Environmental factors which may be important in this job include:

a. Chemical Exposures. May be exposed to solvents during cleaning of equipment. May be involved in spill cleanup. Also may be exposed to solder and soldering fluxes.

b. Elevation. Any work above 10,000 feet elevation involves the stresses of high elevation. Work between about 6,000 feet and 10,000 feet elevation may involve high altitude stress if the worker is not acclimated to the altitude.

c. Non-ionizing Radiation. May be exposed to microwaves.

d. Temperature (particularly for outside work). Hot in summer. Cold in winter in the more northern Regions, or ones with higher elevations.

Physical Effort. Work is indoors; however, outdoor activities are frequently encountered. May lift and carry loads over 50 pounds, often in outdoor environments that pose difficult terrain issues. May work in close, restricted quarters. Standing, bending, stooping for long periods of time may be required. May be required to hike, climb, or use other methods to get to remote equipment sites as local terrain and climate conditions require. Must be able to climb communication towers up to 400 feet or as required.

Working Conditions. Work is done both indoors and outside in variable weather conditions.

Work often requires much driving, some in rugged isolated areas requiring four wheel drive, often alone. Work can require considerable travel requiring temporary lodging away from duty station. May be required to travel in a fixed wing aircraft, helicopter, snow mobile, or snow cat to work sites.

NOTE - Applicable Standards.

a. The Federal Motor Carrier Safety Regulations (49 C.F.R. 391.41 - 391.49), dated 10-01-11, cover many aspects of physical and mental requirements for driving heavy duty trucks.

b. OSHA has standards for hearing conservation programs for when an employee’s noise exposure equals or exceeds an 8-hour time-weighted average sound level of 85 decibels measured on the A scale or, equivalently, a dose of 50 percent of permissible exposure. This standard includes standards for the audiometric testing equipment, the frequency and conduct of the tests, and the interpretation of the results. These standards are found in 29 C.F.R. part 1910 §1910.95 (c) through (n), and appendices C, D, E, and F, dated 07-01-12

3. METER AND RELAY CRAFTSMAN AND METER CRAFTSMAN (WB-2610)

Meter and Relay Craftsman maintains, repairs, and tests metering and relay equipment at substations. The employee also installs and wires switchboard equipment. Although the work is primarily indoors, some outside work is encountered. May operate motor vehicles and climb communication towers.

Environmental factors which may be important in these jobs include:

a. Chemical Exposures. May be exposed to solvents during cleaning of equipment, vegetation control, and polychlorinated biphenyl (PCB), paint, and spill cleanup. Also may be exposed to solder and soldering fluxes.

b. Noise. High noise levels from the operation of equipment.

c. Temperature. Cold in winter in the more northern Regions, or ones with higher elevations.

Physical Effort.

May lift and carry loads over 50 pounds, often in outdoor environments that pose difficult terrain issues. May work in close, restricted quarters. Standing, bending, stooping for long periods of time may be required.

Working Conditions.

Work is indoors; however, outdoor activities are frequently encountered. Work is on or around energized sources. Work often requires much driving, often alone and in adverse weather conditions. Work can require considerable travel requiring temporary lodging away from duty station. May be required to travel in a fixed wing aircraft, helicopter, snow mobile, or snow cat to work sites.

NOTE - Applicable Standards:

a. The Federal Motor Carrier Safety Regulations (49 C.F.R. 391.41 - 391.49) dated 10-01-11 cover many aspects of physical and mental requirements for driving heavy duty trucks.

b. OSHA has standards for hearing conservation programs for when an employee’s noise exposure equals or exceeds an 8-hour time-weighted average sound level of 85 decibels measured on the A scale or, equivalently, a dose of 50 percent of permissible exposure. This standard includes standards for the audiometric testing equipment, the frequency and conduct of the tests, and the interpretation of the results. These standards are found in 29 C.F.R. part 1910 §1910.95 (c) through (n), and appendices C, D, E, and F, dated 07-01-12.

4. ELECTRICIAN (WB-2810)

The major duties of an Electrician are installation, maintenance, troubleshooting, and repair in high voltage electrical switch yards, substations, and power operations centers. The work may involve climbing substation support structures, working from aerial lifting devices, and working from elevated platforms. The employee also performs high voltage switching.

Ancillary duties include.

Minor maintenance and housekeeping on substation structures, buildings, fences, and grounds including painting, snow removal, and application of soil sterilant. May require truck driving and the operation of heavy equipment.

Environmental factors which may be important in this job include:

a. Chemical Exposures. Likely to be exposed to chemicals for controlling vegetation and insects.

During occasional or incidental duties may be exposed to concrete work, painting (possibly lead-based), equipment cleaning and repair, and/or welding fumes. In some Regions; transformers, capacitors, or other such equipment may contain polychlorinated biphenyl (PCB) in the dielectric fluid or residue or gas from SF6 breakers.

b. Dust. Possibly wind borne.

c. Elevation. Any work above 10,000 feet elevation involves the stresses of high elevation. Work between about 6,000 feet and 10,000 feet elevation may involve high altitude stress if the worker is not acclimated to the altitude.

d. Noise. High noise levels from the operation of equipment and maintenance of power circuit breakers.

e. Temperature. Hot in summer, particularly in the sun, with little chance for shade while working outdoors (all Regions). Cold in winter in the more northern Regions, or ones with higher elevations.

Physical Effort.

Active climbing, lifting, working in strained positions. Work from ladders, scaffolds, and man lift devices. May work from substation's support structures which require the use of appropriate fall protection equipment. Install and repair equipment in confined and enclosed spaces.

Regularly lift and carry items weighing 50 pounds or more.

Working Conditions.

Be able to wear protective apparel (such as respirators, steel-toed footwear) when required for worker safety. Work is both inside and out-of-doors with exposure to hazardous materials and the possibility of electric shock, falls, bruises, cuts, burns, strains, and inclement weather. May be required to fly to work sites by either fixed wing aircraft or helicopter. Work may require considerable travel requiring temporary lodging away from the duty station.

NOTE – Applicable Standards:

a. The Federal Motor Carrier Safety Regulations (49 CFR 391.41 to 391.49) cover many aspects of physical and mental requirements for driving heavy duty trucks.

b. OSHA has standards for hearing conservation programs for when an employee’s noise exposure equals or exceeds an 8-hour time-weighted average sound level of 85 decibels measured on the A scale or, equivalently, a dose of 50 percent of permissible exposure. This standard includes standards for the audiometric testing equipment, the frequency and conduct of the tests, and the interpretation of the results. These standards are found in 29 CFR Part 1910 section 1910.95 (c) through (n), and appendices C, D, E, and F.

5. LINEMAN (WB-2801)

The major duties of a Lineman are inspection, maintenance, and repair of high tension electrical transmission lines with some related construction work. Inspections can be from the ground, from aircraft, or by climbing poles or towers. Working on the lines involves climbing transmission line structures, working from aerial lifting devices, and working from elevated platforms. The lines may be de energized or energized (live) while being worked upon.

Ancillary duties include.

a. Maintaining the transmission line right-of-way which involves access road building and repair, and tree trimming and other work to control vegetation. The Lineman may operate heavy equipment and trucks. In some Regions mobile over-snow vehicles and snow removal equipment may also be used.

b. The Lineman may assist in maintenance, installation, and repair work on substation, metering, and communication equipment by working on elevated equipment. May also perform welding.

Environmental factors which may be important in this job include.

a. Chemical Exposures. Likely to be exposed to chemicals for controlling vegetation and insects.

May be exposed to wood preservatives during climbing and handling wood poles. During occasional or incidental duties may be exposed to concrete work, painting (possibly lead-based), welding fumes, or equipment cleaning and repair.

In some Regions; transformers, capacitors, or other such equipment may contain polychlorinated biphenyl (PCB) in the dielectric fluid.

b. Dust. Exposure during construction work, and possibly wind-borne dust at other times.

c. Elevation. Any work above 10,000 feet elevation involves the stresses of high elevation. Work between about 6,000 feet and 10,000 feet elevation may involve high altitude stress if the worker is not acclimated to the altitude.

d. Noise. High levels related to operation of heavy equipment and tools.

e. Temperature. Hot in summer, particularly in the sun, with little chance for shade (all Regions).

Cold in winter in the more northern Regions, or ones with higher elevations.

f. Vegetation and Insects. Consistent with a variety of ecosystems. Of most concern would be stinging and biting insects and contact with allergenic plants such as poison ivy, oak, or sumac.

Physical Effort.

Work under conditions of high physical demand related to climbing. Frequently required to lift items weighing over 50 pounds in order to install, inspect, and/or repair transmission lines. Climb and work aloft on structures.

Work at ground level and in ground trenches where work requires bending, stooping, climbing, and standing for long periods. Coordination of eyes, hands, legs, and body is needed in installing and repairing equipment in confined spaces and on overhead structures.

Working Conditions.

a. Majority of work takes place outside. Is subject to hazardous materials and extreme weather conditions. Work in close proximity to high voltage lines and equipment. Work requires climbing transmission structures averaging 65 feet, but up to 500 feet on occasion, and communication towers up to 400 feet.

b. Subject to potential for injury by contact with high voltage lines, broken bones in falls from poles or structures, muscle strains from awkward positions, and cuts and bruises when handling tools and materials. Work may require considerable travel requiring temporary lodging away from duty station. May occasionally perform aerial transmission line patrol and use aerial transportation to access work sites.

NOTE - Applicable Standards:

a. The Federal Motor Carrier Safety Regulations (49 C.F.R. 391.41 - 391.49), dated 10-01-11, cover many aspects of physical and mental requirements for driving heavy duty trucks.

b. OSHA has standards for hearing conservation programs for when an employee’s noise exposure equals or exceeds an 8-hour time-weighted average sound level of 85 decibels measured on the A scale or, equivalently, a dose of 50 percent of permissible exposure. This standard includes standards for the audiometric testing equipment, the frequency and conduct of the tests, and the interpretation of the results. These standards are found in 29 C.F.R. part 1910 §1910.95 (c) through (n), and appendices C, D, E, and F, dated 07-01-12.

6. LINEMAN – AERIAL OBSERVER (WB-2801)

Work under conditions of high physical demand related to climbing. Frequently required to lift items weighing over 50 pounds in order to install, inspect, and/or repair transmission lines.

Climb and work aloft on structures. Work at ground level and in ground trenches where work requires bending, stooping, climbing, and standing for long periods. Coordination of eyes, hands, legs, and body is needed in installing and repairing equipment in confined spaces and on overhead structures.

Working Conditions.

a. Work takes place in a helicopter, fixed wing aircraft, or an office. Is subject to hazardous materials and extreme weather conditions. Work in close proximity to high voltage lines and equipment. Work requires occasional climbing of transmission structures averaging 65 feet, but up to 500 feet on occasion, and communication towers up to 400 feet. Subject to potential for injury by contact with high voltage lines, broken bones in falls from poles or structures, muscle strains from awkward positions, and cuts and bruises when handling tools and materials. Work may require considerable travel requiring temporary lodging away from duty station.

b. Normally works in aircraft, using a helicopter, under low-level flight conditions and in close proximity to energized high voltage transmission lines. Work daily in close contact with the pilot. May work for long periods of time under marginal flight conditions and in emergency situations. Work environment includes high noise levels, emergencies, and critical system conditions. Outage limitations may require that work be done at night and/or under time restraints. System priorities and emergencies may require extended periods of time working outside of normal working hours.

Environmental factors which may be important in this job include:

a. Chemical Exposures: Likely to be exposed to chemicals for controlling vegetation and insects.

May be exposed to wood preservatives during climbing and handling wood poles. During occasional or incidental duties may be exposed to concrete work, painting (possibly lead-based), welding fumes, or equipment cleaning and repair. In some Regions transformers, capacitors, or other such equipment may contain polychlorinated biphenyl (PCB) in the dielectric fluid.

b. Dust: Exposure during construction work, and possibly wind borne dust at other times.

c. Elevation: Any work above 10,000 feet elevation involves the stresses of high elevation.

Work between about 6,000 feet and 10,000 feet elevation may involve high altitude stress if the worker is not acclimated to the altitude.

d. Noise: High levels related to operation of heavy equipment and tools.

e. Temperature: Hot in summer, particularly in the sun, with little chance for shade (all Regions). Cold in winter in the more northern Regions, or ones with higher elevations.

f. Vegetation and Insects: Consistent with a variety of ecosystems. Of most concern would be stinging and biting insects and contact with allergenic plants such as poison ivy, oak, or sumac.

NOTE - APPLICABLE STANDARDS:

a. The Federal Motor Carrier Safety Regulations (49 CFR 391.41 to 391.49) cover many aspects of physical and mental requirements for driving heavy duty trucks.

b. OSHA has standards for hearing conservation programs for when an employee’s noise exposure equals or exceeds an 8-hour time-weighted average sound level of 85 decibels measured on the A scale or, equivalently, a dose of 50 percent of permissible exposure.

Sierra Nevada Region Annual Physical Requirements

Elverta, Folsom, and Tracy Personnel South/Central Medical Surveillance

Introduction:

A. Western Area Power Administration (WAPA) employees shall be provided a physical in accordance with the requirements of WAPA’s Medical Order 340.1, Federal Employee Occupational Medical Program (attachment). Absolutely no additional tests are implied or authorized without prior consent from WAPA.

B. A list of employees authorized to obtain an occupational health exam as a result of this purchase order will be provided to the medical provider in advance. The list also identifies those individuals whose physical examination testing must meet the requirements for a commercial driver’s license (CDL) and/or medical DMV certificate for their job classification.

C. The Occupational Medical Physician will provide services as a Medical Advisor. As such, the Medical Advisor will assist, on a case-by-case basis by providing medical services in worker’s compensation reviews, accommodation reviews, annual flu shot for at around 25 employees, fitness for duty reviews, Automated External Defibrillator review, and other medical opinions and reviews as called upon.

--SUBMISSION REQUIREMENTS--

A. Must be licensed physician in the state of California. Proof required.

B. Must be licensed to provide Department of Transportation (DOT) Medical Exam and

Certificate. Proof required.

-- SECTION I REQUIREMENTS --

A. The following actions will take place for medical evaluation and review:

1. The employee shall:

a. Provide a signed medical release form to release appropriate medical records after the exam to Western Area Power Administration;

b. Provide a completed checklist with “Instructions to the Examining Physician” of required testing and examinations protocols;

c. Complete Occupational Medical Program Medical History Update Form,

d. Complete Part A of Medical Examination Form, OPM Form OF 178;

e. Complete Part A of Certificate of Medical Examination, WAPA Form

5400.32;

f. Complete required personal information on Audiometry Questionnaire/Test, WAPA Form 5400.34; and

g. As appropriate, complete Respirator Medical Evaluation Questionnaire, WAPA Form 5400.33.

2. The physician shall:

a. Provide the annual physical examination.

b. Medical History: The Genetic Information Non-Discrimination Act of

2008 prohibits WAPA from acquiring or using information about an employee or applicant’s genetic information, including family medical history. The contractor, physician or physician-designee are not to inquire about an individual’s family medical history or other genetic information. If such information is disclosed to the contractor, the physician or the physician-designee, the information must be redacted and/or withheld from any findings reported to WAPA. The respiratory questionnaire (Respirator Medical Evaluation Questionnaire, WAPA Form5400.33), if applicable to patient, must be completed by the employee and reviewed by the physician in determining medical suitability to utilize a respirator. This completed evaluation shall not be returned to WAPA.

The Audiometry Questionnaire/Test, WAPA Form 5400.34 must be completed. All results shall be discussed with patient;

c. Fully complete all portions of Part B and Part C of Medical Examination Form, OPM Form OF 178 to include any limitations, restrictions or comments and physician’s signature;

d. Complete Part C of Certificate of Medical Examination, WAPA Form

5400.32 with physician’s name and signature; and

e. Review and complete medical qualifications and/or medical physical examination requirements for California Commercial Driver’s License requirements (State of California, Department of Motor Vehicle testing, Form DL 51 or DL 546), as applicable.

3. The medical provider will return to Western Area Power the following original paperwork:

a. The signed medical release form to release appropriate medical records;

b. The completed Medical Examination Form, OPM Form OF 178 containing only the job-related portions of the examination;

c. The completed Certificate of Medical Examination, WAPA Form 5400.32;

d. The completed Audiometry Questionnaire/Test, WAPA Form 5400.34; and

The above will be returned in a sealed envelope marked “Confidential-Medical” and addressed to the:

Western Area Power Administration Sierra Nevada Region Safety Office

Safety Department, N1900 114 Parkshore Drive, Folsom, CA 95630-4710.

4. The medical provider will not return to WAPA:

a. Occupational Medical Program Medical History Update Form, WAPA Form

5400.30 and

b. Respirator Medical Evaluation Questionnaire, WAPA Form 5400.33).

5. The examining physician will discuss his/her findings with the employee and submit a written report to the employee after review by designated regional Medical Advisor.

6. For those employees requiring State of California, Department of Motor Vehicle testing for medical qualifications or for commercial driver’s licensing, Form DL 51 or DL 546 will be utilized and mailed to the California Department of Motor Vehicles by the health provider or provided to the employee for self certification.

-- SECTION II REQUIREMENTS --

1. When providing the examination, the physician will consider, depending on job requirements and classification and exposure, the employee’s medical history, and the environmental factors associated with the individual’s duties. Environmental factors may include:

a. Chemical exposures such as chemicals controlling vegetation and insects. Concrete work, painting (possibly leas based), or equipment cleaning and repair. May be exposed to wood preservatives during climbing and handling wood poles. May be exposed to solvents. May be involved in spill clean-up. May be exposed to solder and soldering fluxes. Some equipment exposure may include polychlorinated biphenyl (PCB) in dielectric fluid. May be exposed to welding fumes.

b. Dust. During construction work, and possibly wind borne dust. Dust from sandblasting, carpentry, and shop work (asbestos).

c. Elevation: Any work above 10,000 feet elevation involves the stresses of high elevation. Work between about 6,000 feet and 10,000 feet elevation may involve high altitude stress if the worker is not acclimated to the altitude.

d. Noise: High levels related to operation of heavy equipment, jack hammers, air tools, carpentry equipment, and repair shop.

e. Nonionizing Radiation: May be exposed to microwaves.

f. Temperature: Hot in summer, particularly in the sun, with little chance for shade.

Cold in winter in the more northern regions, or ones with higher elevations.

g. Vegetation and Insects: Consistent with a variety of ecosystems. Of most concern would be stinging and biting insects and contact with allergenic plants such as poison ivy, oak or sumac.

2. The General Physical Examination will be comprised of the following:

a. Review of Occupational Medical Program Medical History Update Form,

b. Medical examination, OPM Form OF 178 and 5400.32 --with particular focus on pulmonary, cardiovascular, neurologic, dermatologic and musculoskeletal systems;

c. Audiogram;

d. Chest X-Ray. Only if indicated by history, pulmonary function changes, or dust exposures.

e. ECG/EKG: Every 3 years after age 40; 2 years after age 50 and annually after age 60.

f. Pulmonary Function Test: If regular respirator use is required. (Re-evaluation is recommended for those workers who are having difficulties with respirators as soon as a difficulty is encountered. Otherwise testing should be every 3 years after age 40, 2 years after age 50, annually after age 60.)

g. Visual: Depth perception, ability to read chart, color vision.

h. And as applicable, Commercial’s Driver’s License (CDL) Medical

Examination and DMV Certificate for commercial driver fitness determination or CDL Medical Examination Only.

3. In addition, the following may be provided:

a. Provide immunization against tetanus, if authorized.

b. Provide Hepatitis B Shot Series, if authorized.

c. Provide Antibody Hepatitis B Testing, if authorized.

d. Provide Influenza Vaccination, if authorized.

4. All employees shall be provided information on interpretation of the printout and test results.

-- SECTION III REQUIREMENTS --

Each employee will provide the appropriate forms and completed medical history requirements to the medical provider. Each employee will provide a medical release form.

Sample Medical Release Form.

To: Name of Physician Address of Physician

I hereby authorize you to release all records resulting from my medical examination to:

(Sierra Nevada Region, Safety Office, N1900, 114 Parkshore Drive, Folsom, CA 95630-4710.)

Employee’s Name Employee’s Signature Date

-- SECTION IV REQUIREMENTS --

The following six positions are covered under the medical program for Sierra Nevada Region.

1. PROTECTION AND COMMUNICATIONS CRAFTSMAN (WB-2610)

A Protection and Communication Craftsman is responsible for installing, maintaining, modifying, troubleshooting, repairing, testing, calibrating, and aligning a variety of complex electronic and electromechanical equipment and systems including communication equipment, metering equipment, computers, and a variety of equipment for controlling the transmission of electric power. The communication equipment includes both stationary and mobile radios, ultrahigh frequency (UHF) and microwave transmitting and receiving equipment, power line carrier systems, and telephone systems. The employee is also responsible for high voltage insulation testing and high voltage switching.

Although much of the work is indoors, the craftsman may have to operate heavy equipment, climb communication towers and may be required to reach remote tower locations on foot or by airlift.

Environmental factors which may be important in this job include:

a. Chemical Exposures. May be exposed to solvents, vegetation control chemicals, as well as other chemicals. May be involved in spill cleanup. Also may be exposed to solder and soldering fluxes.

b. Dust. Possibly wind borne.

c. Elevation. Any work above 10,000 feet elevation involves the stresses of high elevation. Work between about 6,000 feet and 10,000 feet elevation may involve high altitude stress if the worker is not acclimated to the altitude.

d. Noise. High noise levels from operation of equipment.

e. Non-ionizing Radiation. May be exposed to microwaves.

f. Temperature (particularly for outside work). Hot in summer. Cold in winter in the more northern Regions, or ones with higher elevations.

Physical Effort.

May lift and carry loads over 50 pounds, often in outdoor environments that pose difficult terrain issues. May work in close, restricted quarters. Standing, bending, or stooping for long periods of time may be required. May be required to hike, climb, or use other methods to get to remote equipment sites as local terrain and climate conditions require. Must be able to climb communication towers up to 400 feet or as required. Tower work includes tower inspection, hanging coax, changing tower lamps, installing various antenna and associated hardware, and tightening or loosening hardware.

Working Conditions.

Work is indoors; however, outdoor activities are frequently encountered. Work is on or around energized sources. Work often requires much driving, often alone and in adverse weather conditions. Work can require considerable travel requiring temporary lodging away from duty station. May be required to travel in a fixed wing aircraft, helicopter, snow mobile, or snow cat to work sites.

NOTE - Applicable Standards:

a. The Federal Motor Carrier Safety Regulations (49 C.F.R. 391.41 to 391.49) dated 10-01-11 cover many aspects of physical and mental requirements for driving heavy duty trucks.

b. OSHA has standards for hearing conservation programs for when an employee’s noise exposure equals or exceeds an 8-hour time-weighted average sound level of 85 decibels measured on the A scale or, equivalently, a dose of 50 percent of permissible exposure. This standard includes standards for the audiometric testing equipment, the frequency and conduct of the tests, and the interpretation of the results. These standards are found in 29 C.F.R part 1910 §1910.95 (c) through (n), and appendices C, D, E, and F, dated 07-01-12.

2. ELECTRONIC EQUIPMENT CRAFTSMAN (WB-2610)

An Electronic Equipment Craftsman is responsible for installing, maintaining, modifying, troubleshooting and repairing a variety of simple to complex electronic equipment used in communications, control process computers, and/or supervisory control systems. Although much of the work is indoors, the craftsman may have to climb communication towers and may be required to reach remote tower locations on foot or by airlift. In some Regions, mobile over-snow vehicles and snow removal equipment may also be used.

a. Chemical Exposures. May be exposed to solvents during cleaning of equipment. May be involved in spill cleanup. Also may be exposed to solder and soldering fluxes.

b. Elevation. Any work above 10,000 feet elevation involves the stresses of high elevation. Work between about 6,000 feet and 10,000 feet elevation may involve high altitude stress if the worker is not acclimated to the altitude.

c. Non-ionizing Radiation. May be exposed to microwaves.

d. Temperature (particularly for outside work). Hot in summer. Cold in winter in the more northern Regions, or ones with higher elevations.

Physical Effort. Work is indoors; however, outdoor activities are frequently encountered. May lift and carry loads over 50 pounds, often in outdoor environments that pose difficult terrain issues. May work in close, restricted quarters. Standing, bending, stooping for long periods of time may be required. May be required to hike, climb, or use other methods to get to remote equipment sites as local terrain and climate conditions require. Must be able to climb communication towers up to 400 feet or as required.

Working Conditions. Work is done both indoors and outside in variable weather conditions.

Work often requires much driving, some in rugged isolated areas requiring four wheel drive, often alone. Work can require considerable travel requiring temporary lodging away from duty station. May be required to travel in a fixed wing aircraft, helicopter, snow mobile, or snow cat to work sites.

NOTE - Applicable Standards.

a. The Federal Motor Carrier Safety Regulations (49 C.F.R. 391.41 - 391.49), dated 10-01-11, cover many aspects of physical and mental requirements for driving heavy duty trucks.

b. OSHA has standards for hearing conservation programs for when an employee’s noise exposure equals or exceeds an 8-hour time-weighted average sound level of 85 decibels measured on the A scale or, equivalently, a dose of 50 percent of permissible exposure. This standard includes standards for the audiometric testing equipment, the frequency and conduct of the tests, and the interpretation of the results. These standards are found in 29 C.F.R. part 1910 §1910.95 (c) through (n), and appendices C, D, E, and F, dated 07-01-12

3. METER AND RELAY CRAFTSMAN AND METER CRAFTSMAN (WB-2610)

Meter and Relay Craftsman maintains, repairs, and tests metering and relay equipment at substations. The employee also installs and wires switchboard equipment. Although the work is primarily indoors, some outside work is encountered. May operate motor vehicles and climb communication towers.

Environmental factors which may be important in these jobs include:

a. Chemical Exposures. May be exposed to solvents during cleaning of equipment, vegetation control, and polychlorinated biphenyl (PCB), paint, and spill cleanup. Also may be exposed to solder and soldering fluxes.

b. Noise. High noise levels from the operation of equipment.

c. Temperature. Cold in winter in the more northern Regions, or ones with higher elevations.

Physical Effort.

May lift and carry loads over 50 pounds, often in outdoor environments that pose difficult terrain issues. May work in close, restricted quarters. Standing, bending, stooping for long periods of time may be required.

Working Conditions.

Work is indoors; however, outdoor activities are frequently encountered. Work is on or around energized sources. Work often requires much driving, often alone and in adverse weather conditions. Work can require considerable travel requiring temporary lodging away from duty station. May be required to travel in a fixed wing aircraft, helicopter, snow mobile, or snow cat to work sites.

NOTE - Applicable Standards:

a. The Federal Motor Carrier Safety Regulations (49 C.F.R. 391.41 - 391.49) dated 10-01-11 cover many aspects of physical and mental requirements for driving heavy duty trucks.

b. OSHA has standards for hearing conservation programs for when an employee’s noise exposure equals or exceeds an 8-hour time-weighted average sound level of 85 decibels measured on the A scale or, equivalently, a dose of 50 percent of permissible exposure. This standard includes standards for the audiometric testing equipment, the frequency and conduct of the tests, and the interpretation of the results. These standards are found in 29 C.F.R. part 1910 §1910.95 (c) through (n), and appendices C, D, E, and F, dated 07-01-12.

4. ELECTRICIAN (WB-2810)

The major duties of an Electrician are installation, maintenance, troubleshooting, and repair in high voltage electrical switch yards, substations, and power operations centers. The work may involve climbing substation support structures, working from aerial lifting devices, and working from elevated platforms. The employee also performs high voltage switching.

Ancillary duties include.

Minor maintenance and housekeeping on substation structures, buildings, fences, and grounds including painting, snow removal, and application of soil sterilant. May require truck driving and the operation of heavy equipment.

Environmental factors which may be important in this job include:

a. Chemical Exposures. Likely to be exposed to chemicals for controlling vegetation and insects.

During occasional or incidental duties may be exposed to concrete work, painting (possibly lead-based), equipment cleaning and repair, and/or welding fumes. In some Regions; transformers, capacitors, or other such equipment may contain polychlorinated biphenyl (PCB) in the dielectric fluid or residue or gas from SF6 breakers.

b. Dust. Possibly wind borne.

c. Elevation. Any work above 10,000 feet elevation involves the stresses of high elevation. Work between about 6,000 feet and 10,000 feet elevation may involve high altitude stress if the worker is not acclimated to the altitude.

d. Noise. High noise levels from the operation of equipment and maintenance of power circuit breakers.

e. Temperature. Hot in summer, particularly in the sun, with little chance for shade while working outdoors (all Regions). Cold in winter in the more northern Regions, or ones with higher elevations.

Physical Effort.

Active climbing, lifting, working in strained positions. Work from ladders, scaffolds, and man lift devices. May work from substation's support structures which require the use of appropriate fall protection equipment. Install and repair equipment in confined and enclosed spaces.

Regularly lift and carry items weighing 50 pounds or more.

Working Conditions.

Be able to wear protective apparel (such as respirators, steel-toed footwear) when required for worker safety. Work is both inside and out-of-doors with exposure to hazardous materials and the possibility of electric shock, falls, bruises, cuts, burns, strains, and inclement weather. May be required to fly to work sites by either fixed wing aircraft or helicopter. Work may require considerable travel requiring temporary lodging away from the duty station.

NOTE – Applicable Standards:

a. The Federal Motor Carrier…