• Work with animals or unfixed animal tissue.

• This covers MSU employees that have occupational exposure to animals or unfixed animal tissue, including employees caring for animals and cleaning animal environments, such as cages or stalls. This includes veterinarians, veterinary technicians, animal farm workers, animal caretakers, or lab workers that handle animal tissues.

The type of monitoring and training needed is based on the type of animal(s) and the type of contact.

• Required monitoring/training:
• Review of the questionnaire will determine additional requirements and follow-up.

Educational materials (from UC Davis):

• Staying Healthy and the Vivarium
• Allergy to Animals
• Enteric Bacteria
• Specific Information on Different Types of Animals

Resources:

• Initial Questionnaire
• Follow-up Questionnaire

• Drive a University vehicle which requires a commercial driver's license.

• Federal law requires that an employee must obtain and carry a Commercial Driver License (CDL) with appropriate endorsements if they operate:

• Vehicles: With a gross vehicle weight rating (GVWR) of 26,001 pounds or more.

• Combination Vehicles: Towing a trailer or other vehicles with a GVWR of 10,001 pounds or more and a GVWR of 26,001 pounds or more.

Any vehicles:

• Designed or used to transport more than eight passengers (including the driver) for compensation.

• Designed to transport 16 or more people (including the driver).

• Carrying hazardous materials in amounts requiring placards.

Required monitoring/training:

• Physical exam by University Health and Wellbeing Occupational Health. Call 517-353-9137 to schedule. Please indicate if the employee works off campus.

• Participation in random drug screening program

• Review of training packet for commercial driver

• Exposure to human blood, serum, tissue, other body fluids, or materials covered under Universal Precautions.
• This covers MSU employees that have a reasonable risk of exposure to human blood and other potentially infectious materials, including Hepatitis B Virus (HBV), Human Immunodeficiency Virus (HIV), and other bloodborne pathogens that are included in MSU's Environmental Health and Safety Bloodborne Pathogens Exposure Control Plan.

The Exposure Control Plan requires all employees to attend an initial training, as well as an annual retraining on bloodborne pathogens. Employees covered under this program must be offered free Hepatitis B vaccination within the first 10 days of employment.

• Required monitoring/training:
• Complete Environmental Health and Safety Bloodborne Pathogens Training
• Complete Hepatitis B Surveillance Form (only one time) received during Bloodborne Pathogens Training. Form must be completed, sent to UHW Occupational Health, with appropriate follow-up arranged within 10 days of assignment to duties involving potential exposure to bloodborne pathogens.

Resources:

• Hepatitis B Surveillance Form

• Employees who work within three feet of human patients in a healthcare setting.
• This covers MSU employees working in a healthcare setting that may be exposed to measles, mumps, rubella, chicken pox, pertussis, or influenza. This includes, but is not limited to, physicians, nurses, aides, dental workers, technicians, some workers in laboratories and morgues, emergency medical service (EMS) personnel, healthcare student employees, part-time personnel, and temporary staff.

Required monitoring/training:

• Review of immunization record by University Health and Wellbeing Occupational Health to review immunization record. Call 517-353-9137 to schedule. Please bring immunization and titer records to your appointment.

Resources:

• Declination of Influenza Vaccination Form
• FAQs regarding Influenza Vaccination Requirement for MSU Healthcare Workers

• Work in noisy areas at or above 85 decibels.

• This covers MSU employees who work in an area that has been evaluated to be above 85 decibels. These employees should be scheduled for hearing testing by their department.

Initial hearing evaluations should be completed after hire and on an annual basis.

If you are concerned that your area needs to be evaluated, call the Office of Environmental Health and Safety at 517-355-0153 to arrange for a noise evaluation.

MSU Police must have initial hearing testing prior to placement; Call University Health and Wellbeing Occupational Health at 517-353-9137 to schedule an appointment.

• Required monitoring/training:
• Annual hearing testing
• Complete Environmental Health and Safety Hearing Conservation Training

• Drive a University vehicle that does not require a commercial driver's license, but does require medical certification.

State of Michigan law requires that an employee obtain and carry a medical certification, irrespective of whether driving is an Incidental or Primary Duty, if they operate:

• Vehicles: With a gross vehicle weight rating (GVWR)) of 10,001 pounds or more, but less than 26,000 pounds.

• Combination Vehicles: Towing a trailer or other vehicles with a GVWR of 10,001 pounds or more.

Required monitoring/training:

• Physical exam by University Health and Wellbeing Occupational Health. Call 517-353-9137 to schedule. Please indicate if the employee works off campus.

• Spray or mix organophosphates or carbamate insecticides.

• This covers MSU employees that spray, handle, or potentially have significant exposure to pesticides, such as greenhouse workers, grounds employees, and farm workers who spray insecticides.

Contact your supervisor to inquire if you will be applying insecticides.

Supervisors should call University Health and Wellbeing Occupational Health at 517-353-9137 to determine if medical monitoring is appropriate.

Required monitoring/training:

• Discussion about frequency and amount of exposure to determine if blood testing is advised.

Resources:

• Organophosphate/Carbamate Letter: Summarizes the medical monitoring for MSU employees who mix or spray organophosphate or carbamate insecticides.

• Organophosphate/carbamate Questionnaire: Medical questionnaire for individuals who spray or handle organophosphate or carbamate insecticides.

• List of organophosphate insecticides registered for use in Michigan

• List of carbamate insecticides registered for use in Michigan

• Physical demands testing is required for any employee (except students) in a physically intensive job before the employee may begin work.

Required monitoring/training:

• Supervisor must complete the Physical Demands section of the Exposure to Health Risks Form, indicating the physical demands of the job.

• Fax 517-355-0332 or email occhealth@msu.edu a copy of the completed form and a brief description of the job or posting to University Health and Wellbeing Occupational Health.

• Schedule the pre-placement physical demands testing by calling University Health and Wellbeing Occupational Health at 517-353-9137.

• The supervisor will be notified of any restrictions.

• If an employee is physically incapable in any essential function, the supervisor should review the restriction to see if a reasonable accommodation can be made. Please call Staffing Services in Human Resources at 517-353-3720 for assistance. If it is determined that the candidate cannot perform the essential functions of the job with an accommodation, the job offer should be withdrawn.

• Rabies risk is assigned to almost all employees who are exposed to cats, dogs, wild carnivores, some omnivores and ungulates, or unfixed necropsy of non-laboratory animals.

Required monitoring/training:

• If you have not had at least two doses of rabies vaccine and want to get it, call 517-353-9137 to make an appointment.

• If you have completed the rabies series but have not send in your information OR have chosen not to be vaccinated, please complete the Rabies Surveillance Record.

• If you have already reported your rabies information and it has been at least two years since your last vaccine or titer, you may be due for a titer. Visit Occupational Health in Olin Health Center Monday-Friday 8 am-5 pm.

Resources:

• Rabies Surveillance Record

• Wear a respirator (does not include paper dust mask worn for comfort).

• Any MSU employee who works in an area or who may work in an area that requires respiratory protection must complete an initial respirator questionnaire and provide it to University Health and Wellbeing Occupational Health. It will be reviewed prior to the employee being fitted for or using the respirator. Even if the respirator does not have to be fitted (ie, PAPR), the employee must still complete the respirator questionnaire.

After submitting the questionnaire, the employee may sign up for a fit test. Employees who wear a dust mask for comfort (sweeping floors or erasing chalk boards) do not need to comply with the requirements.

Required monitoring/training:

• Completion of initial questionnaire and submission to University Health and Wellbeing Occupational Health. Review of the questionnaire will determine additional follow-up.

• If you need to be fit tested, click: respirator fit testing.

Resources:

• Initial Questionnaire

• Follow-up Questionnaire

• This includes skilled trades engaged in aggressive activities including welding, torch cutting, or grinding on lead coatings. The EHS Lead Management Program provides more detail on this requirement.

Required monitoring/training:

• Annual blood lead testing at University Health and Wellbeing Occupational Health

• Two-hour lead awareness training and annual refresher training is required.

• Call the Office of Environmental Health and Safety at 517-355-0153 to arrange for initial training.

• This includes skilled trades engaged in aggressive activities including welding, torch cutting, or grinding on lead coatings. The EHS Lead Management Program provides more detail on this requirement.

Required monitoring/training:

• Annual blood lead testing at University Health and Wellbeing Occupational Health

• Two-hour lead awareness training and annual refresher training is required.

• Call the Office of Environmental Health and Safety at 517-355-0153 to arrange for initial training.

• This includes some MSU employees in anatomy, pathology or histology labs. Other examples are the human and veterinary anatomy technicians, workers in the placenta lab, and some EHS employees. Generally, those who work with formaldehyde, or formalin in a fume hood, or who work with small quantities and have low exposures, do not meet the exposure criteria. For more information, call the Office of Environmental Health and Safety at 517-355-0153.

Required monitoring/training:

• Annual medical monitoring at University Health and Wellbeing Occupational Health

• Examples include EHS workers who pick up and consolidate hazardous waste and incinerator workers. It does not include employees that generate hazardous waste.

Required monitoring/training:

• Biannual medical monitoring at University Health and Wellbeing Occupational Health

• Central Sterile Supply workers at the Clinical Center and the Veterinary Medical Center are the only known users of ethylene oxide and they have low exposures. Any use of ethylene oxide outside of a fume hood may have exposure above the limits. Currently there is no one in this program. For more information, call the Office of Environmental Health and Safety at 517-355-0153.

Required monitoring/training:

• Annual medical monitoring at University Health and Wellbeing Occupational Health

• 2-Acetylaminofluorene

• 4-Aminodiphenyl

• Benzidine

• Bis-chloromethyl ether

• 3,3-Dichlorobenzidine(and salts)

• 4-Dimethylaminoazobenzene

• Ethyleneimine

• Methyl chloromethyl ether

• Alpha-naphthylamine

• Beta-naphthylamine

• 4-Nitrobiphenyl

• N-nitrosodimethylamine

Exposure is with or without respiratory protection devices. Laboratory workers do not routinely have significant exposures unless a spill or leak occurs. Significant exposures can occur if fume hoods, or containment devices fail, or if safe work practices are not followed. Using large quantities of volatile chemicals outside of a fume hood, or in confined or poorly ventilated areas may result in significant exposures.

Required monitoring/training:

• To be determined based on evaluation by University Health and Wellbeing Occupational Health and Office of Environmental Health and Safety.

TB risk is assigned to MSU employees that work within three feet of patients in a healthcare setting, work in a laboratory that handles TB specimens, and those that work in areas that evaluate TB suspects. It is also assigned to almost all MSU employees who work with cats, dogs, wild carnivores, some omnivores and ungulates, or unfixed necropsy of non-laboratory animals.

Required monitoring/training:

• Baseline TB monitoring is required within the first 10 days of employment or start of risk for everyone in the situations above. Annual TB monitoring is required for those working in a moderate risk area. TB risk is assessed annually according to Michigan Occupational Safety and Health Administration (MIOSHA) and Centers for Disease Control and Prevention guidelines.

• Fax 517-355-0332 or email occhealth@msu.edu a copy of your TB information to University Health and Wellbeing Occupational Health.

To schedule TB monitoring or if you have questions about your risk assignment, please call University Health and Wellbeing Occupational Health at 517-353-9137.

Resources:

• Initial Questionnaire: Initial TB symptom monitor for employees with a previous reactive TB test.

• Follow-up Questionnaire: Annual TB symptom monitor for employees with a previous reactive TB test.