Environmental Health & Safety Office

Programs > Medical Surveillance

Medical Surveillance Program

The Medical Surveillance Program is designed to assist employees in the evaluation of medical services that may be recommended or required, based on job duties. Medical surveillance consists of services rendered by a Physician or Other Licensed Healthcare Professional (PLHCP) for the primary and secondary prevention of occupational injuries and illnesses, including a review of occupational and medical history, physical exams, diagnostic and performance testing, vaccinations, and post-exposure treatment and prophylaxis. Job hazards that may require inclusion in the medical surveillance program include but are not limited to:

• Exposure to animals
• Exposure to human blood and body fluids
• Exposure to loud noise
• Exposure to OSHA regulated chemicals
• Respirator use (link to appropriate section of program)

The following documents and forms provide additional information and resources for implementation of the Medical Surveillance Program:

• First Report of Accident Form
• Hepatitis B Vaccination Declination Form
• Release of Immunization Records Form
• Respirator Medical Evaluation Questionnaire
• Supervisor Request for Air Monitoring Evaluation Form
• Supervisor Request for Occupational Noise Evaluation Form

Related Information:

• Bloodborne Pathogens Program
• Hearing Conservation Program
• Laboratory Safety Manual
• Personal Protective Equipment (PPE) Program
• Respiratory Protection Program
• Workers' Compensation department within Human Resources and Payroll