Employer Services • Medical Surveillance

OSHA Medical Surveillance Programs, Managed End-to-End

When an OSHA standard requires medical surveillance, the burden falls on the employer: schedule the right exams, act on every result, and keep records for decades. Occu‑Med runs that program for you — across every site you operate.

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OSHA standards we administer

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What OSHA medical surveillance requires

Medical surveillance is ongoing medical monitoring of employees exposed to specific workplace hazards, required so health effects are caught early. It is triggered by exposure crossing an action level, not by job title, and the duty to schedule exams, act on results, and retain records sits with the employer, not the clinic.

  • Triggered by measured exposure crossing an action level
  • Each standard sets the required exams, frequency, and provider reporting
  • Most records kept for employment plus 30 years (29 CFR 1910.1020)
  • Compliance and recordkeeping are the employer’s legal burden

Standards we administer

Which OSHA standards require it

Dozens of standards mandate surveillance. The ones employers encounter most often are below — select any standard for the exposure explained in full detail.

Asbestos

29 CFR 1910.1001 & 1926.1101

Baseline and annual exams with chest imaging and spirometry for exposed workers.

Lead

29 CFR 1910.1025 & 1926.62

Blood-lead and ZPP monitoring with periodic medical exams; construction thresholds differ from general industry.

Respirable Crystalline Silica

29 CFR 1910.1053 & 1926.1153

Exams including chest X-ray and spirometry for workers above the action level 30 or more days a year.

Occupational Noise

Occupational Noise

Baseline and annual audiograms once noise reaches the 85 dBA action level, with follow-up on any standard threshold shift.

Respiratory Protection

29 CFR 1910.134

Medical evaluation before an employee wears any respirator, and re-evaluation when health or working conditions change.

Bloodborne Pathogens

29 CFR 1910.1030

Hepatitis B vaccination and confidential post-exposure evaluation and follow-up.

HAZWOPER

29 CFR 1910.120

Baseline, annual, and exit examinations for hazardous-waste and emergency-response workers.

Substance-Specific Standards

Benzene, cadmium, formaldehyde, hexavalent chromium, and more — each with its own exam triggers and frequency.

simple easy steps

Bespoke program design, implementation, and management

Every workforce and exposure profile is different, so we build your program around your operations instead of forcing you into a template — and we run it from design through day-to-day management.

Who we serve

Built for employers where readiness and compliance aren’t optional.

Our programs are structured to support workforce readiness, document accuracy, regulatory compliance, and
manifestation of your organization’s goals.

Explore how our team supports:

  • Defense & Government Contractors
    Deployment-focused evaluations and readiness support for federal requirements.
  • Public Agencies
    Job analysis and evaluations for state agencies, municipalities, and special districts.
  • Private Companies
    Pre-placement, OSHA screening support, and role-specific evaluations across industries.
  • Public Safety
    Evaluations for law enforcement, fire services, EMS, and safety-sensitive roles.

Who we serve

15,000+ medical and dental providers

Our network supports occupational and primary care providers plus specialists, giving employers flexibility in how, when, and where evaluations happen—without losing consistency.

FAQs

FAQS Commonly Asked Questions

What is OSHA medical surveillance?

OSHA medical surveillance is the ongoing medical monitoring of employees exposed to specific workplace hazards, required by individual OSHA standards so exposure-related health effects are detected early. A program defines which exams are required, how often they repeat, what the provider must report to the employer, and how long records are kept. It is monitoring tied to exposure, not a one-time pre-hire physical.

What’s the difference between a pre-placement and a pre-employment?

Both terms describe the same evaluation: a medical assessment conducted after a conditional job offer to confirm a candidate can safely perform essential job functions.

How long do results take?

Most evaluations are completed and reported within 24–48 hours, depending on the scope of testing required.

Can Occu-Med manage surveillance across multiple states and sites?

Yes. Occu-Med runs one consistent program across every location through a national provider network, so a multi-site employer gets the same protocols, quality, and recordkeeping everywhere, instead of managing a separate clinic relationship at each site and reconciling records by hand.

Are employees required to participate?

Occu-Med ensures all requests comply with legal standards.

What happens if accommodations are needed?

Analyzing work restrictions and accommodations to lead employers to valid defensible decisions of
reasonableness or undue hardship.

Ready to start?

Make your surveillance program someone else’s full-time job

Tell us the hazards your workforce faces and where you operate. We’ll map your OSHA and Cal/OSHA obligations and run the program end-to-end, so exams happen on schedule and your records are always inspection-ready.

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