USACEOH-Crane Operator Medical Clearance.pdf

Crane Operator Medical Clearance

This form provides guidance to the Physician and verification of U.S. Army Corps of Engineers crane operator physical qualification/examination requirements. It does not replace any of the crane operator requirements in EM 385-1-1.

Note: Crane operators must refer to the EM 385-1-1 for all crane operator qualification requirements.

Date of Examination: ____________________

Crane Company/Employer Name: Phone:

This is to certify that __________________________________________ was administered a physical examination and meets the Crane Operator Physical Qualification/Examination Requirements set forth in the U.S. Army Corps of Engineers EM 385-1-1 (30 Nov 14), Section 16.B.05.

MD DO

Provider's Signature and Title Name (Print) and Phone No.

Note: A DOT Medical Examiners Certificate in accordance with the Federal Motor Carrier Regulation (49 CFR 391.41-391.49) does not meet the EM 381-1-1 crane operator physical requirements.

EM 385-1-1 Crane Operator Physical Qualification/Examination Requirements:

a. Operators shall have a current physician's certification, dated within the past 3 years, that states the operator meets the following physical qualifications:

(1) Vision of at least 20/30 Snellen in one eye and 20/50 in the other, with or without corrective lenses;

(2) Normal depth perception and field of vision;

(3) Ability to distinguish colors, regardless of position;

(4) Adequate hearing, with or without hearing aid, for the specific operation;

(5) Sufficient strength, endurance, agility, coordination, manual dexterity, and speed of reaction to meet the demands of equipment operation;

(6) No evidence that the operator is subject to seizures or loss of physical control. If evidence of this nature is found, it may be sufficient cause for disqualification. In such cases, specialized medical tests may be required to evaluate these conditions and determine their impact;

(7) No evidence of physical, emotional or psychological limitations that could result in a hazard to the operator, or that in the opinion of the examiner could interfere with the operator’s performance. If evidence of this nature is found, it may be sufficient cause for disqualification. Specialized medical tests may be required to determine these conditions.

b. Deviations from Physical Qualification Requirements. (See Page 2)

c. All contractor crane/derrick operators shall participate in a drug testing program and have a negative result for a substance abuse test. The level of testing will be in accordance with standard practices for industry or by the agency’s random drug testing program. This test will be confirmed by a recognized laboratory service.

* Provider can be MD, DO, or active member of the FMCSA National Registry of Certified Medical Examiners.

Crane Operator Medical Clearance

This form provides guidance to the Physician and verification of U.S. Army Corps of Engineers crane operator physical qualification/examination requirements. It does not replace any of the crane operator requirements in EM 385-1-1.

Note: Crane operators must refer to the EM 385-1-1 for all crane operator qualification requirements.

b. Deviations from Physical Qualification Requirements.

(1) Deviations from the physical requirements are not necessarily totally disqualifying.

(2) However, where such deviations exist, competent medical and management authorities shall give special consideration to each individual case and may recommend waivers.

(3) Waivers may be approved by the local Safety and Occupational Health office (SOHO) and must be re-issued every 2 years, based on results of operator's medical clearance examination. A copy shall be provided to HQ, SOHO.

(4) Normally, waivers shall not be granted for applicants who have never before established operator qualifications. However, an evaluation on an individual basis shall be made per the above requirements.

Any limitations identified shall be noted on the operator’s license and license record.

Comments:

US ARMY CORPS OF ENGINEERS, MOBILE DISTRICT

109 ST. JOSEPH STREET

MOBILE, AL 36602

Industrial Hygienist POC: Shawn Mallory

Occupational Health POC: Alice Kiker