Occupational Health Guidelines or the Evaluation and Control of

1,47

MB

Occupational Exposure to Nerve Agents GA, GB, GD, GF, and VX

93

stron

4579

ID

Department of Defense

2003

rok

Contents

Chapter 1 - Introduction

Purpose 1-1

References 1-2

Explanation of abbreviations and terms 1-3

Background 1-4

Goals 1-5

Implementation 1-6

Waivers and exceptions 1-7

Technical assistance 1-8

Chapter 2 - Airborne Exposure Limits and Exposure Monitoring

Introduction 2-1

Work practices 2-2

Airborne exposure limits 2-3

Exposure monitoring 2-4

Chapter 3 - Administrative Requirements

Record keeping 3-1

Information and reporting requirements 3-2

Employee health education 3-3

Material safety data sheets 3-4

Chapter 4 – Nerve Agent Medical Surveillance Program

Introduction 4-1

Nerve agent medical surveillance categories 4-2

Medical surveillance examinations 4-3

Post-offer, pre-placement examinations 4-4

Periodic job-related examinations 4-5

Termination examinations 4-6

Post-exposure and potential exposure evaluations 4-7

Documentation of medical opinion 4-8

Red blood cell-cholinesterase activity determinations 4-9

Appendices

A. References

B. Medical Surveillance Program for Personnel with a Significant Exposure Potential to Nerve

Agents

C. Medical Evaluation of Respirator Wearers and Potential Exposures to Nerve Agents

D. Diagnosis and Treatment of Nerve Agent Intoxication

E. Potential Exposure Evaluation Criteria for GB and VX Nerve Agents

F. Toxicologic Basis for Derivation of Airborne Exposure Limits

Glossary