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AFC Wilmington Hazmat and Hazwoper Physicals

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Hazmat and Hazwoper Physicals

Medical Surveillance Focused On Hazardous Materials

What is a Hazmat Physical?

HazMat stands for Hazardous Materials, and a HazMat physical (or exam) is a mandatory requirement by OSHA for individuals working with hazardous chemicals or substances that could pose health risks. These medical surveillance exams are typically conducted annually—unless otherwise advised by a provider or prompted by a specific health concern—to monitor for any health changes that might signal unsafe exposure to hazardous materials.

What to Expect During a HazMat Physical

A HazMat physical, also referred to as a HazMat exam, is comparable to other medical surveillance evaluations. During the exam, the provider will carefully review the patient’s medical and work history, focusing on any past exposure to hazardous materials. They will also examine notes provided by the employer, outlining the patient’s job duties and the level of exposure to hazardous substances.

The process includes a standard physical examination. Depending on the nature of the job and exposure risks, the HazMat physical may also involve additional assessments, such as:

  • Blood and urine samples to check for signs of exposure
  • Auditory test
  • Spirometry test (checks lung function)
  • Chest x-rays
  • An EKG (checks heart function)
  • Test for Hepatitis B (plus the vaccination)

What is a HAZWOPER physical?

HAZWOPER stands for Hazardous Waste Operations and Emergency Response. A HAZWOPER physical, or HAZWOPER exam, is a mandatory evaluation for employees who:

  • Are exposed to hazardous substances or health hazards above the permissible exposure levels (PELs) set by OSHA,
  • Wear a respirator for 30 days or more a year,
  • Become sick from possible overexposure, or
  • Work on a HAZMAT team

The HAZWOPER physical must be completed before the employee starts their assignment, after they complete their assignment, and annually throughout the assignment unless the physician states a need for more frequent physicals.

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What does a HAZWOPER physical consist of?

A HAZWOPER physical or HAZWOPER exam is like most medical surveillance exams, with special attention on how potential overexposure is impacting different parts of the body. The testing physician will review work and medical history, then perform a respirator evaluation if the employee is required to wear a respirator on the job. The HAZWOPER physical will also assess any abnormalities in function, agility, and strength as appropriate to the role’s demand.
It’s also recommended that patients receive the following diagnostics for their HAZWOPER physical:

  • Vision screening
  • Spirometry (checks lung function)
  • Audiometry
  • Liver function tests
  • Complete blood count
  • Urinalysis

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