You must:

• Identify a physician or other licensed health care professional (LHCP) who will:

– Provide baseline and periodic cholinesterase testing through the department of health public health laboratory or a laboratory approved by the department of labor and industries.

– Interpret cholinesterase tests.

– Provide you with a written recommendation for each employee's blood test and evaluation.

• Obtain the LHCP's written recommendation for each employee's blood test and evaluation (including baseline tests) and make sure that the employee receives a copy of the LHCP's written recommendation, either through you or directly through the LHCP, within five business days after you receive the recommendation.

• Make sure the LHCP's written recommendation for each employee's blood test and evaluation is limited to the following information:

– The employee's cholinesterase status based on the LHCP's evaluation.

– Identification of changes in cholinesterase levels requiring a work practice evaluation for the employee.

– Identification of changes in cholinesterase levels requiring the employee to be removed from handling and other exposure to organophosphate and N-methyl-carbamate pesticides.

– Guidance on medical monitoring.

– Any other relevant information concerning an employee's workplace exposure to organophosphate and N-methyl-carbamate pesticides.

Note:

All testing for an employee should be conducted through the same laboratory. This will allow for accurate comparison between baseline and periodic tests.

You must:

• Instruct the LHCP to not reveal in writing or in any other communication with you any other personally identifiable medical information.

Note:

If the LHCP written recommendation contains specific findings or diagnoses unrelated to occupational exposure, you should send it back and obtain a revised version without the additional information.

You must:

• Make sure the LHCP is familiar with the requirements of this rule (for example, by providing a copy of the rule or by confirming that the provider has attended training on the rule).

• Post the name, address, and telephone number of the LHCP you have identified at the locations where employees usually start their work day.

• Make sure written recommendations from the LHCP are maintained for seven years.

Note:

You may only obtain the employee's actual test results if the employee provides the LHCP with written consent to share these results with you.

PDFWAC 296-307-14815

Identify a physician or other licensed health care professional.