ASP Occupational Health and Medical Surveillance

Question 1

Under OSHA's Recordkeeping Rule (29 CFR 1904), which of the following criteria makes a work-related injury or illness OSHA recordable?

Accepted Answer

It results in days away from work, restricted duty, job transfer, loss of consciousness, or medical treatment beyond first aid

Answer

OSHA's recordkeeping standard requires logging work-related injuries/illnesses that result in: death, days away from work, restricted work or job transfer, medical treatment beyond first aid, loss of consciousness, or diagnosis of a significant injury/illness by a healthcare professional. First aid treatment alone does not make a case recordable.

Question 2

A medical surveillance program for workers exposed to lead would most likely include which biological monitoring test?

Accepted Answer

Blood lead level (BLL) testing

Answer

Blood lead level (BLL) is the primary biological monitoring test for lead-exposed workers. OSHA's Lead Standard (29 CFR 1910.1025) requires BLL monitoring, with medical removal protections triggered at specific BLL thresholds. Spirometry monitors lung function (for respiratory hazards), audiometry monitors hearing (for noise), and urinary creatinine is used for kidney function or some solvent exposures.

Question 3

Which OSHA form is used to record supplementary information about each recordable occupational injury or illness case?

Accepted Answer

OSHA Form 301 (Injury and Illness Incident Report)

Answer

The three OSHA recordkeeping forms are: Form 300 (the annual log listing all recordable cases), Form 300A (the annual summary posted Feb 1–Apr 30), and Form 301 (the incident report providing detailed information about each individual case—equivalent to a first report of injury). Form 302 does not exist in OSHA's standard recordkeeping system.

Question 4

An occupational health physician determines that a worker's carpal tunnel syndrome is 'work-related.' Under OSHA recordkeeping rules, this case is:

Accepted Answer

Recordable as a musculoskeletal disorder if it results in days away, restricted duty, or medical treatment beyond first aid

Answer

Musculoskeletal disorders (MSDs), including carpal tunnel syndrome, are recordable under OSHA's general recordkeeping criteria when they are work-related and meet any of the recording criteria (days away, restricted duty, MBF, etc.). OSHA previously had an MSD column on the 300 log (removed in 2003) but MSDs remain recordable cases under the standard criteria.

Question 5

A fitness-for-duty (FFD) evaluation is most appropriately used when:

Accepted Answer

An employee is returning from extended medical leave and there is a question about whether they can safely perform their essential job functions

Answer

A fitness-for-duty evaluation determines whether a specific employee can safely perform the essential functions of their specific job, typically after illness, injury, or when safety-sensitive concerns arise. Pre-employment medical exams (post-conditional offer) are a distinct process. FFD evaluations must comply with ADA requirements and focus on job-specific functional capacity.

(ASP) Associate Safety Professional Practice Test

(ASP) Associate Safety Professional Practice Test

ASP Occupational Health and Medical Surveillance