NASA GSFC Occupational Exams and Vaccinations.pdf

NASA Goddard Space Flight Center Occupational Evaluations and Vaccinations

The vendor shall provide occupational medical and health services for NASA Goddard Space Flight Center (GSFC). The primary purpose is to provide medical evaluations and services for Goddard Occupational Surveillance Program. NASA requirements are outlined in the latest version of NASA Procedural Requirement (NPR) 1800.1, entitled “Occupational Health Program Procedures” and duplicates or expands upon other federal requirements, as promulgated through the Occupational, Safety and Health Administration (OSHA), the United States Environmental Protection Agency (EPA), and various standards-setting organizations. Services are required for GSFC facilities located in Greenbelt, Maryland and Wallops Flight Facility (WFF), Wallops Island, Virginia. The following tables provide the quantities and types of physicals and vaccinations provided in calendar years 2023 and 2024 for the Greenbelt and Wallops facilities.

Occupational services shall be provided offsite at the vendor’s facility (no greater than 100 miles from either NASA facility) and/or a vendor provided mobile health unit to be deployed to either the Greenbelt, Maryland facility or WFF per the request of NASA. The facility shall be fully staffed and equipped to provide medical evaluations as per NPR 1800.1, including audiogram, spirometry, electrocardiogram, complete vision exams, laboratory testing, and exercise stress testing.

Medical/occupational histories, examination findings, and testing results shall be provided using GSFC Medical Surveillance Medical forms and documentation shall be transmitted directly to Goddard Medical for review and final clearance. A vendor medical provider shall be available for discussion and review of medical evaluations as needed. Records of all physical and medical services performed for NASA Civil Servants must be transmitted electronically to the GSFC Medical Director upon completion of the service provided.

SECTION II

MEDICAL Surveillance Exam Requirements

Table C.3-1. Surveillance Examinations for Employees who Require a Medical

Certification Table Exam Regulation

C.3-3 Permit Entry Confined Space/Tank Entry

DHHS (NIOSH) Publication Number 80-106, Criteria for a Recommended Standard: Working in Confined Spaces Respiratory Protection, 29 CFR § 1910.134 Permit-Required Confined Spaces, 29 CFR § 1910.146

C.3-4 Crane Operator NASA STD 8719.9, Lifting Standard ASME B30.3, Tower Cranes ASME B30.5, Mobile and Locomotive Cranes Operator Training, Certification, and Evaluation, 49 CFR § 1926.1427

Powered Industrial Trucks, 29 CFR § 1910.178

C.3-6 Diver Examples of Conditions Which May Restrict or Limit Exposure to Hyperbaric Conditions, 29 CFR

pt. 1910 subpt. T, Appendix A International Consensus Standards for Commercial Diving and Underwater Operations, Association of Diving Contractors International

C.3-7 DOT/Commercial Driver License/Motor Vehicle Certification/Multiple Passenger Van

Commercial Driver’s License Standards;

Requirements and Penalties, 49 CFR pt. 383

C.3-8 Down Range/Shipboard Duty Medical Certification, 46 CFR pt. 10 subpt. C

C.3-9 Fire Fighter National Fire Protection Association (NFPA) 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments

C.3-10 Forklift, Powered Industrial Truck, and High Lift Industrial Truck Operator

NASA STD 8719.9; 29 CFR 1910.67; 29 CFR

1910.178; Standard Interpretation of 1910.178, Disabled (vision impaired) forklift operators;

Standard Interpretation of 1910.178(l)(1)(i), Disabled (hearing impaired) forklift operators;

ANSI B56.1-1969

C.3-11 Locomotive Engineer Criteria for Vision and Hearing Acuity Data, 49

CFR § 240.121

C.3-12 Motive (Heavy) Equipment Operator

29 CFR pt. 1926 subpt. O, Motor Vehicles, Mechanized Equipment, and Marine Operations

Table Exam Regulation

C.3-13 Occupational Respirator Use 29 CFR § 1910.134 Fit Testing Procedures (Mandatory), 29 CFR § 1910.134, Appendix A User Seal Check Procedures (Mandatory), 29 CFR § 1910.134, Appendix B-1 Respiratory Cleaning Procedures (Mandatory), 29 CFR § 1910.134, Appendix B-2 OSHA Respiratory Medical Evaluation Questionnaire (Mandatory), 29 CFR § 1910.134, Appendix C

C.3-14 Ordnance Handler NAVMED P-117, Manual of the Medical Department (MANMED), section 15-107, Explosives Motor Vehicle Operator and Explosives Handler Examinations and Standards ANSI/AIAA G-095, Guide to Safety of Hydrogen and Hydrogen Systems 29 CFR § 1910.119, Process Safety Management of Highly Hazardous Chemicals

C.3-16 Health Stabilization Program CDC Immunization Schedules

C.3-17 Security OPM Policy, Data, Oversight Classification & Qualifications: Security Guard Series, 0085, Security Guard Series 0085 (opm.gov)

C.3-18 Self-Contained Atmospheric Protective Ensemble (SCAPE)

29 CFR § 1910.134

C.3-19 Soldering IPC J-STD-001FS, Space Applications Electronic Hardware Addendum to IPC J-STD-001F Requirements for Soldered Electrical and Electronic Assemblies

C.3-20 Voluntary Respirator Use 29 CFR § 1910.134 29 CFR § 1910.134 Appendices A, B-1, B-2, and C (Mandatory) Information for Employees Using Respirators When Not Required Under the Standard, 29 CFR § 1910.134 Appendix D

C.3-21 Range Safety Officer (RSO) and Flight Safety Officer

(FSO)

NASA STD 8719.25, Range Flight Safety Requirements and OCHMO-STD-1880.1, NASA Aviation Medical Certification Standards

Table C.3-3. Permit Entry Confined Space/Tank Entry Permit-Entry Confined Space/Tank Entry

Reference NIOSH Publication 80-106

29 CFR 1910.134

29 CFR 1910.146

Frequency 1. Baseline evaluation

2. Evaluation frequency age determined

a. Annual, if age 50 or older

b. Every three years, if under age 50

Laboratory 1. Audiogram

2. Visual acuity, depth perception, and color vision (or demonstration of employee’s ability to see and hear warnings, such as flashing lights, buzzers, and sirens)

3. ECG. Baseline and with each exam over age 40 or clinically indicated

4. Urinalysis (dipstick)

5. Discretionary tests

a. Chest x-ray (Baseline)

b. Pulmonary function

Physical Exam 1. Medical and occupational history

2. Physical examination with focus on employee’s ability to carry out assigned duties and detection of any disease or abnormality that would make it difficult to work within confined spaces

3. Evaluation of ability to wear respirator may be required, see Table C.3-11, Occupational Respirator UseUse

4. Evaluation of other exposures may be required

Written Opinion Job Certification with any limitations

Employee Counseling Counseling on evaluation results and conditions of increased risk

Table C.3-4. Crane Operator Crane Operator Note: Includes ground floor, remote operation, high, cabin, pulpit cranes

Reference NASA STD 8719.9 ASME B30.3 and B30.5

49 CFR § 1926.1427

29 CFR § 1910.178

Frequency 1. Baseline evaluation

2. Evaluation every 3 years

Laboratory 1. Audiogram: Hearing threshold average in better ear < 40 dB (500, 1000, 2000 Hz)

2. Visual acuity: Minimum of 20/40 Snellen in each eye without

Crane Operator Note: Includes ground floor, remote operation, high, cabin, pulpit cranes correction or separately corrected to 20/40 Snellen in both eyes with or without corrective lenses

3. Depth perception

4. Field of vision at least 70 degrees in the horizontal median in each eye

5. Color vision

6. Discretionary tests

a. ECG

b. Urinalysis (dipstick)

c. Pulmonary function

d. Hgb and Hct

e. Hemoglobin A1c (HbA1c)

Physical Exam Complete examination

1. History to ascertain any condition that may cause any sudden incapacitation or inability to perform duties

2. Evaluation for reaction time, manual dexterity, and coordination

3. No tendencies to seizures, dizziness, claustrophobia, sudden incapacitation, loss of physical control, or similar undesirable conditions such as insulin-controlled diabetes

4. No evidence of physical defects, or emotional instability, that in the opinion of the examiner, would present a hazard to self or others

Written Opinion 1. Equipment/machinery operation certification with or without limitations or restrictions

2. The Center’s evaluating provider will review:

a. The examination and laboratory results

b. Any required documentation from the employee’s treating physician or referred specialist

i. Insulin-treated diabetics will provide documentation from their treating physician or provider describing their current condition severity and stability, treatment, and complications.

ii. The required elements are detailed in the Insulin-Treated Diabetes Medical Assessment checklist Medical Surveillance and Certification Examinations and the information can be provided via the template or any documentation format

c. Any letters from the employee’s supervisor

3. For persons not meeting medical certification requirements, OCHMO will review waiver requests.

Employee Counseling Counseling on evaluation results and conditions of increased risk.

Table C.3-5. Crew Food Handler/Technician

Table C.3-6. Diver Diver

Reference 29 CFR pt. 1910 subpt. T, Appendix A International Consensus Standards for Commercial Diving and Underwater Operations

Frequency 1. Baseline evaluation

2. Annual evaluation

Laboratory 1. Audiogram

2. Baseline and annual ECG

3. Baseline chest x-ray (PA and lateral) every 3 years

4. Pulmonary function (vital capacity)

5. Urinalysis (dipstick)

6. Blood chemistry panel

7. CBC

8. TB screening (baseline)

9. Visual acuity and color discrimination

10. Discretionary tests

a. Exercise stress test

Physical Exam 1. Medical and occupational history to include predisposition to unconsciousness, vomiting, cardiac arrest, impairment of oxygen transport, serious blood loss, or anything that interferes with effective underwater work

2. Physical examination

Written Opinion Job certification with any limitations, or recommend further specialized clinical evaluation or testing

Employee Counseling Counseling on evaluation results and conditions of increased risk

Table C.3-7. DOT/Commercial Driver License/Motor Vehicle Certification/Multiple Passenger Van DOT/Commercial Driver License/Motor Vehicle Certification/Multiple Passenger Van

Reference 49 CFR pt. 383

Frequency 1. Baseline evaluation

2. Biennial evaluation unless more frequent evaluation is required by the examining provider (per DOT regulations)

Laboratory 1. Forced whisper voice in better ear at not less than 5 feet with or without hearing aid or audiogram: Hearing threshold average loss in better ear not > 40 dB at 500, 1,000, 2,000 Hz with or without hearing aid

DOT/Commercial Driver License/Motor Vehicle Certification/Multiple Passenger Van

2. Visual acuity: At least 20/40 (Snellen) in each eye without corrective lenses or visual acuity separately corrected to 20/40 or better with corrective lenses, distant binocular acuity of at least 20/40 in both eyes with or without corrective lenses

3. Depth perception

4. Gross field of vision: 70 degrees in each eye

5. Traffic signal color perception

6. Urinalysis (dipstick)

7. Discretionary tests

a. Chest x-ray

b. CBC

c. Blood chemistry panel

d. ECG

e. Exercise stress test

f. Pulmonary function

Physical Exam 1. Medical and occupational history

2. Physical examination with focus on any condition that may cause any sudden incapacitation or inability to perform duties, tendencies to seizures, dizziness, claustrophobia, loss of physical control, or similar undesirable conditions Cannot qualify if diabetic on insulin or if currently on medication for seizure disorder/epilepsy

Written Opinion 1. Job certification with any limitations or referral for additional specialized clinical evaluation or testing

2. If an employee has ITDM a FMCSA-compliant waiver is required to obtain a 12-month certification

3. Each Center with drivers requiring DOT certification will have a certified medical examiner

4. The Center’s certified medical examiner employees will review

a. The MCSA-5870, Insulin-Treated Diabetes Mellitus Assessment Form, from the employee’s treating physician

b. A letter from employee’s supervisor stating the workplace can meet requirements to accommodate the employee such as mitigating hypoglycemic symptoms, monitoring glucose levels, and training the employee to recognize hypoglycemic episodes.

5. OCHMO will issue certifications for Centers without a certified medical examiner. Occupational health clinic physicians at Centers without a certified medical examiner will submit the information requested in paragraphs 1 and 2 above, along with a waiver recommendation to OCHMO within 30 days of receipt of the required MCSA-5870

Table C.3-8. Down Range/Shipboard Duty Down Range/Shipboard Duty

Reference 46 CFR pt. 10 subpt. C

Frequency 1. Baseline evaluation (temporary assignment to ships, submarines, or NASA test range shipboard)

2. Annual evaluation (for masters, chief mates, chief engineers, 1st assistant engineer, food handlers, or anyone 60 years and up, or temporary assignments)

3. Variable (if none of the above)

a. Every 5 years for 17 to 24 years of age

b. Every 3 years for 25-49 years of age

c. Every 2 years for 50 to 59 years of age

Laboratory 1. Audiogram

2. Visual acuity: 20/200 correctable to 20/40 (Snellen) for deck responsibility; correctable to 20/50 for engineering responsibility

3. TB screening

4. Gross visual fields: If otherwise qualified, may have lost vision in one eye if remaining good eye's vision is passing

5. Color perception (pseudoisochromatic plates or Eldridge--Green color perception lantern)

6. Discretionary tests

a. Chest x-ray

b. ECG

c. Travel immunizations (offered)

Physical Exam 1. Medical and occupational history

2. Physical Examination

3. Shipboard food handlers will abide by the FDA Food Code

Written Opinion Job Certification with limitations

Employee Counseling Counseling on evaluation results and conditions of increased risk.

Table C.3-9. Fire Fighter Fire Fighter

Reference NFPA 1582

Frequency 1. Baseline evaluation

2. Annual evaluation

3. Variable or exposure-determined evaluation

4. Exit/reassignment evaluation

Laboratory 1. Audiogram: Average hearing loss in the unaided better ear less than 40 dB at 500, 1000, 2000, and 3000 Hz.

2. Lab tests baseline, every 3 years under age 40. Annually over 40:

Fire Fighter

a. Comprehensive metabolic panel (including cholesterol, High Density Lipoprotein (HDL), Low Density Lipoprotein (LDL), triglycerides, lipid ratios, LFTs)

b. CBC

3. Chest x-ray, baseline and clinically indicated

4. ECG, Baseline and annually over age 40 or clinically indicated

5. Pulmonary function: Ratio of Forced Expiratory Volume in 1 second/Forced Vital Capacity (FEV1/FVC) will be greater than

0.70 if both FEV1 and FVC are below normal

6. Urinalysis (dipstick)

7. Visual acuity: Far (Snellen) at least 20/40 binocular corrected and at least 20/100 binocular uncorrected for those routinely using corrective lenses. Far visual acuity better than 20/100 in the worse eye, corrected or uncorrected. Near visual acuity no worse than 20/40 binocular, uncorrected or corrected.

8. Color perception

9. Stress test with imaging for 2 to 4 percent risk of ASCVD over the next 2 years or 10 to <20 percent risk of ASCVD over the next 10 years and as clinically indicated by history or symptoms.

10. Perform appropriate cancer screening counseling

11. TB Screening, baseline (PPD or blood)

12. Atherosclerotic cardiovascular disease risk stratification, age 40 and over

13. Discretionary tests

a. Hepatitis C screen, baseline

b. Immunizations offered:

i. Hepatitis B vaccine

ii. Td Vaccine

iii. MMR vaccine

iv. Polio vaccine

v. Varicella vaccine

vi. Influenza vaccine

c. HIV screen, baseline

d. Depth perception

e. Gross visual fields

Physical Exam 1. Medical and occupational history

2. Physical examination with focus on any condition that may cause any sudden incapacitation or inability to perform duties, tendencies to seizures, dizziness, claustrophobia, loss of physical control, or similar undesirable conditions

3. Evaluation of ability to wear respirator may be required, see Table C.3-11, Occupational Respirator Use

Written Opinion Job certification with

Fire Fighter

1. Statement that the employee has enough strength, endurance, and emotional stability to perform the work

2. An opinion the employee would not be a hazard to self or others

3. Any limitations in job functions or ability to wear PPE

Employee Counseling Counseling on evaluation results and conditions of increased risk.

Table C.3-10. Forklift, Powered Industrial Truck (PIT), and High Lift Industrial Truck Operator Forklift, Powered Industrial Truck, and High Lift Industrial Truck Operator Note: Includes other devices (e.g., Mobile Elevated Work Platforms {MEWPs}) as referenced in NASA STD 8719.9, Section 10, unless otherwise covered by another certification exam (e.g., Crane Operator, Table C.3-4 or Motive (Heavy) Equipment, Table C.3-12).

Reference NASA STD 8719.9; 29 CFR 1910.178; Standard Interpretation of 1910.178, Disabled (vision impaired) forklift operators; Standard Interpretation of 1910.178(l)(1)(i), Disabled (hearing impaired) forklift operators, ANSI B56.1-1969

Frequency 1. Preplacement/baseline

2. Biennial evaluation

Laboratory 1. Audiogram: Hearing threshold average <40 dB in better ear (at 500, 1000, 2000 Hz)

2. ECG: at baseline, then as clinically indicated

3. Visual acuity: minimum of 20/40 in each eye without correction or separately corrected to 20/40 in each eye

4. Depth Perception 5.Gross visual fields: minimum 70 degrees in each eye

6. Color vision: recognize and distinguish between red, yellow, and green

7. Urine dipstick, to include glucose

8. Additional tests, as clinically indicated

a. Chest x-ray

b. Pulmonary function tests

c. Blood chemistry panel

d. CBC

e. HbA1c

Physical Exam

1. Occupational and medical history

2. Physical exam with focus on assessing any condition affecting vision or hearing or that may cause any sudden incapacitation or inability to perform duties

3. Evaluation of reaction time, manual dexterity, and coordination

Written Opinion

1. Equipment/machinery operation certification with or without limitations or restrictions

Forklift, Powered Industrial Truck, and High Lift Industrial Truck Operator Note: Includes other devices (e.g., Mobile Elevated Work Platforms {MEWPs}) as referenced in NASA STD 8719.9, Section 10, unless otherwise covered by another certification exam (e.g., Crane Operator, Table C.3-4 or Motive (Heavy) Equipment, Table C.3-12).

2. The Center’s evaluating provider will review:

a. The examination and laboratory results

b. Any required documentation from the employee’s treating physician or referred specialist

i. Insulin-treated diabetics will provide documentation from their treating physician or provider describing their current condition severity and stability, treatment, and complications.

ii. The required elements are detailed in the Insulin-Treated Diabetes Medical Assessment checklist Medical Surveillance and Certification Examinations and the information can be provided via the template or any documentation format

c. Any letters from the employee’s supervisor

3. For persons not meeting medical certification requirements, OCHMO will review waiver requests.

Employee Counseling

Counseling on evaluation results and conditions of increased risk.

Table C.3-11. Locomotive Engineer Locomotive Engineer

Reference 49 CFR § 240.121

Frequency 1. Baseline evaluation

2. Triennial evaluation

Laboratory 1. Audiogram: Hearing loss in better ear < 40 dB at 500, 1000, 2000 Hz with or without hearing aid

2. Visual acuity: 20/40 with or without corrective lenses

3. Visual fields: At least 70 degrees in each eye

4. Color: Recognize and distinguish between the colors of railroad signals

Physical Exam

1. Medical and occupational history

2. Focused physical examination with focus on assessing any condition affecting vision and/or hearing that may cause any sudden incapacitation or inability to perform duties, tendencies to seizures, loss of physical control, or similar undesirable conditions

Written Opinion

Job certification with any limitations

Employee

Counseling on evaluation results and conditions of increased risk

Table C.3-12. Motive (Heavy) Equipment Operator Motive (Heavy) Equipment Operator Note: Includes specialized maintenance and construction equipment such as bulldozers, dump trucks, etc.

Reference 29 CFR pt. 1926 subpt. O, Motor Vehicles, Mechanized Equipment, and Marine Operations

Frequency 1. Pre-placement/baseline evaluation

2. Biennial evaluation

3. If Commercial Driver License (CDL) required, refer to DOT/CDL

Laboratory 1. Audiogram: Hearing threshold average in better ear < 40 dB (500, 1000, 2000 Hz)

2. ECG-baseline, and clinically indicated

3. Visual acuity: Minimum of 20/40 Snellen in each eye without correction or separately corrected to 20/40 Snellen in both eyes with or without corrective lenses

4. Gross visual fields: 70 degrees in each eye

5. Color: Recognize and distinguish between the colors

6. Urinalysis (dipstick)

7. Discretionary tests

a. Chest x-ray

b. Pulmonary function

c. Blood chemistry panel

d. CBC

e. HbA1c

f. Depth perception

Physical Exam

1. Occupational and medical history

2. Physical examination with focus on assessing any condition affecting vision and/or hearing that may cause any sudden incapacitation or inability to perform duties, tendencies to seizures, loss of physical control, or similar undesirable conditions

Written Opinion

1. Equipment/machinery operation certification with or without limitations or restrictions

2. The Center’s evaluating provider will review:

a. The examination and laboratory results

b. Any required documentation from the employee’s treating physician or referred specialist.

i. Insulin-treated diabetics will provide documentation from their treating physician or provider describing their current condition severity and stability, treatment, and complications.

ii. The required elements are detailed in the Insulin-Treated Diabetes Medical Assessment checklist Medical Surveillance and Certification Examinations and the information can be provided via the template or any documentation format.

Motive (Heavy) Equipment Operator Note: Includes specialized maintenance and construction equipment such as bulldozers, dump trucks, etc.

c. Any letters from the employee’s supervisor

3. For persons not meeting medical certification requirements, OCHMO will review waiver requests.

Employee

Counseling on evaluation results and conditions of increased risk.

Table C.3-13. Occupational Respirator Use Occupational Respirator Use

Reference 29 CFR § 1910.134 29 CFR § 1910.134, Appendices A, B-1, B-2, and C

Frequency 1. Baseline evaluation

2. Baseline and annual respirator questionnaire

3. Variable or exposure-determined evaluation

Laboratory Discretionary

Physical Exam 1. OSHA Respirator Medical Evaluation Questionnaire – annually

2. Focused physical examination with a focus on employee’s ability to use a respirator for baseline

3. Annual focused physical examinations required only if positive responses to 29 CFR § 1910.134, Appendix C, part A, section 2, questions 1-8, or at the discretion of the physician

4. Discretionary tests

a. Chest x-ray

b. Pulmonary function (spirometry), performed by employees who maintain certification from a NIOSH approved course, as required by OSHA

Written Opinion Required standard written medical opinion including

1. Statement employee is medically able to use the respirator, or any limitations on respirator use related to a medical condition or related to workplace conditions in which respirator will be used

2. The need for any medical follow-up

3. A statement that employee has been given a copy of the written opinion

4. If the respirator is a negative pressure respirator and the Physician or Licensed Health Care Professional finds a medical condition that may place the employee’s health at increased risk if the respirator is used, the employer will provide a Powered Air Purifying Respirator (PAPR) if the medical evaluation finds that the employee can use such a respirator; if a subsequent medical evaluation finds that the employee is medically able to use a

Occupational Respirator Use negative pressure respirator, then the employer is no longer required to provide a PAPR

Employee Counseling Counseling on evaluation results, conditions of increased risk and copy of written opinion provided to employer.

Medical Removal No requirement in standard

Table C.3-14. Ordnance and Hydrogen Handler Ordnance Handler

Reference NAVMED P-117, section 15-107

ANSI/AIAA G-095

29 CFR § 1910.119

Frequency 1. Baseline evaluation

2. Every 2 years evaluation

Laboratory 1. Audiogram

2. Visual acuity

3. Depth perception

4. Color perception (as related to specific job requirements)

5. Urinalysis (dipstick)

6. Discretionary tests

a. ECG

b. CBC

c. Blood chemistry panel

d. Chest x-ray

e. Pulmonary function

Physical Exam 1. Medical and occupational history to ascertain any condition that may cause any sudden incapacitation or inability to perform duties, tendencies to seizures, dizziness, claustrophobia, loss of physical control, or similar undesirable conditions

2. Physical examination focusing on strength, endurance, agility, coordination, adequate visual acuity and hearing, and emotional stability

Written Opinion Job certification with any limitations

Table C.3-16. Health Stabilization Program Health Stabilization Program

Reference CDC Immunization Schedules

Frequency 1. Initial pre-quarantine medical screening at ~L-21 to L-14 days

2. Subsequent periodic screening as required

Laboratory 1. Required:

a. Immunizations per CDC immunization schedules, FDA or WHO-approved vaccine manufacturer instructions, or history of disease

2. Discretionary Tests for all others

a. Serological testing

b. Bacterial, parasitic, or viral testing

c. CBC with differential

d. Urinalysis (dipstick)

e. TB screening

f. Chest x-ray

Physical Exam Electronic or in-person medical screening with focus on detection of infectious disease

Written Opinion Job certification with any limitations

Employee Counseling Counseling on evaluation results and conditions of increased risk.

Table C.3-17. Security Security

Reference OPM Policy, Data, Oversight Classification & Qualifications:

Security Guard Series, 0085

Frequency 1. Baseline evaluation

2. Annual evaluation

Laboratory 1. Audiogram

2. Visual acuity, color vision, visual field

3. ECG

4. Urinalysis (dipstick)

5. TB test (skin or blood) at baseline with TB screening annually

6. Discretionary tests

a. Pulmonary function

b. Exercise stress test

Physical Exam 1. Medical and occupational History

2. Physical examination with focus on ability to perform the essential functions of the job and maintain emotional stability

Written Opinion Required

1. Certification statement that the employee has emotional stability

Security to perform the work

2. In the opinion of the examiner that no medical condition was detected which would place the employee at increased risk of material impairment of the employee’s health or would be a hazard to self or others

3. Any limitations in job functions

Employee Counseling Counseling on evaluation results and conditions of increased risk.

Table C.3-18. Self-Contained Atmospheric Protective Ensemble Self-Contained Atmospheric Protective Ensemble (SCAPE)

Reference 29 CFR § 1910.134

Frequency 1. Baseline evaluation

2. Annual evaluation

Laboratory 1. Blood chemistry panel

2. CBC

3. Baseline chest x-ray

4. Pulmonary function

5. Audiogram: Hearing threshold ≤ 40 dB average hearing loss at 500, 1000, 2000, and 3000 Hz in the better ear

6. Visual acuity

a. Far (Snellen) at least 20/70 in one eye and 20/100 in the other eye corrected to 20/20 in one eye and 20/40 in the other eye

b. Near vision correctable to 20/40 (Snellen equivalent) bilaterally

7. Color perception

8. Depth perception

9. Gross visual fields intact

10. Discretionary tests:

a. Annual chest x-ray

b. Urinalysis with microscopic

c. ECG

Physical Exam 1. OSHA Respirator Medical Evaluation Questionnaire

2. Physical Examination with focus on employee’s ability to use a respirator under the conditions of use (i.e., temperature extremes)

3. Have sufficient strength, endurance, agility, coordination, and emotional stability to avoid interference with performance

Written Opinion Required:

1. Statement that the employee is medically able to use the SCAPE, or any limitations on SCAPE use related to a medical condition or related to workplace conditions in which the SCAPE will be used

2. Any need for medical follow-up

Self-Contained Atmospheric Protective Ensemble (SCAPE)

3. Statement that employer/employee has been given a copy of the written opinion

Employee Counseling Counseling on evaluation results, conditions of increased risk and copy of written opinion provided to employer.

Medical Removal No requirement in standard

Table C.3-19. Soldering Soldering

Reference IPC J-STD-001FS

Frequency 1. Baseline evaluation

2. Biennial evaluation

3. Variable or exposure-determined evaluation

Laboratory 1. Pulmonary function (baseline only)

2. Visual acuity: Near vision 20/20 with or without correction.

Binocular vision not required

3. Color discrimination: Ability to distinguish red, green, blue and yellow

Physical Exam 1. Medical and occupational history

2. Physical examination with focus on skin and respiratory tract

3. Evaluation of ability to wear respirator may be required, see Table C.3-11, Occupational Respirator Use

4. Evaluation of other potential exposures, e.g., lead

Target Organs Respiratory, skin, varies with type of solder used

Written Opinion

Table C.3-20. Voluntary Respirator Use Voluntary Respirator Use

Reference 29 CFR § 1910.134 Appendices A, B1, B2, C, and D

Frequency Baseline evaluation

Physical Exam 1. Focused physical examination

2. History to ascertain any condition that may cause any sudden incapacitation, inability to perform duties.

3. Evaluation of ability to wear respirator under expected use conditions (i.e., temperature extremes).

4. OSHA Respirator Medical Evaluation Questionnaire

Written Opinion Required

Voluntary Respirator Use

1. Any limitations in job functions or ability to wear PPE

Employee Counseling Counseling on evaluation results and conditions of increased risk.

Table C.3-21. Range Safety Officer (RSO) and Flight Safety Officer (FSO) Range Safety Officer (RSO) and Flight Safety Officer (FSO)

Reference NASA STD 8719.25 and OCHMO-STD-1880.1

Frequency 1. Baseline evaluation

2. Every 2 years evaluation

Laboratory 1. Audiogram

2. Visual acuity (distance 20/20), depth perception, color perception (as related to specific job requirements)

3. Urinalysis (dipstick)

4. Discretionary tests

a. ECG

b. CBC

c. Blood chemistry panel

d. Chest x-ray

e. Pulmonary function

Physical Exam 1. Medical and occupational history to ascertain any condition that may cause any sudden incapacitation or inability to perform duties, tendencies to seizures, dizziness, claustrophobia, loss of physical control, or similar undesirable conditions

2. Physical examination focusing on strength, endurance, agility, coordination, adequate visual acuity and hearing, and emotional stability

Written Opinion Job certification with any limitations