Appendix F is not included in this standard due to limited
employer/employee application. The following is a brief synopsis of the content
of Appendix F to 29 C.F.R.
1910.1027, Cadmium.
(1) The medical monitoring program for
cadmium requires that blood and urine samples must be collected at defined
intervals from workers by physicians responsible for medical monitoring. These
samples are sent to commercial laboratories that perform the required analyses
and report results of these analyses to the responsible physicians. To ensure
the accuracy and reliability of these laboratory analyses, the laboratories to
which samples are submitted should participate in an ongoing and efficacious
proficiency testing program.
(2)
This nonmandatory protocol is intended to provide guidelines and
recommendations for physicians and laboratories to improve the accuracy and
reliability of the procedures used to analyze the biological samples collected
as part of the medical monitoring program for cadmium. This protocol provides
procedures for characterizing and maintaining the quality of analytic results
derived from the analyses of cadmium in blood (CDB), cadmium in urine (CDU),
and beta-2-microglobulin in urine (B2MU) by commercial laboratories.
Laboratories conforming to the provisions of this nonmandatory protocol shall
be known as "participating laboratories."
(3) This protocol describes procedures that
may be used by the responsible physicians to identify laboratories most likely
to be proficient in the analysis of samples used in the biological monitoring
of cadmium. It also provides procedures for record keeping and reporting by
laboratories participating in proficiency testing programs, and recommendations
to assist these physicians in interpreting analytical results determined by
participating laboratories.
(4) For
those needing Appendix F, 29
C.F.R.
1910.1027, in its entirety, a copy may
be obtained by request to:
Department of Labor and Industries
Division of Industrial Safety and Health
Standards and Information
Post Office Box 44620
Olympia, Washington 98504-4620 or telephone (360)
956-5527
