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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<div class=”om-stat”><div class=”om-num”>15,000</div><div class=”om-lbl”>Provider locations nationwide</div></div>
<div class=”om-stat”><div class=”om-num”>30 Year</div><div class=”om-lbl”>Record retention, audit-ready</div></div>
<div class=”om-stat”><div class=”om-num”>12+</div><div class=”om-lbl”>OSHA standards we administer</div></div>
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GETTING STARTED

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, 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 most common are shown here &#8212; select any standard for the exposure explained in full detail.

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<div class=”om-card”><div class=”om-ic”><i class=”fa-solid fa-lungs”></i></div><h4>Asbestos</h4><div class=”om-code”>29 CFR 1910.1001 &amp; 1926.1101</div><p>Baseline and annual exams with chest imaging and spirometry for exposed workers.</p></div>
<div class=”om-card”><div class=”om-ic”><i class=”fa-solid fa-atom”></i></div><h4>Lead</h4><div class=”om-code”>29 CFR 1910.1025 &amp; 1926.62</div><p>Blood-lead and ZPP monitoring with periodic medical exams; construction thresholds differ from general industry.</p></div>
<div class=”om-card”><div class=”om-ic”><i class=”fa-solid fa-wind”></i></div><h4>Respirable Crystalline Silica</h4><div class=”om-code”>29 CFR 1910.1053 &amp; 1926.1153</div><p>Exams including chest X-ray and spirometry for workers above the action level 30+ days a year.</p></div>
<div class=”om-card”><div class=”om-ic”><i class=”fa-solid fa-volume-high”></i></div><h4>Occupational Noise</h4><div class=”om-code”>29 CFR 1910.95</div><p>Baseline and annual audiograms once noise reaches the 85 dBA action level, with follow-up on any standard threshold shift.</p></div>
<div class=”om-card-img” style=”background-image:url(‘https://www.occu-med.com/wp-content/uploads/2026/05/Section-01.jpg’)”></div>
<div class=”om-card”><div class=”om-ic”><i class=”fa-solid fa-mask-face”></i></div><h4>Respiratory Protection</h4><div class=”om-code”>29 CFR 1910.134</div><p>Medical evaluation before an employee wears any respirator, with re-evaluation when health or working conditions change.</p></div>
<div class=”om-card”><div class=”om-ic”><i class=”fa-solid fa-shield-virus”></i></div><h4>Bloodborne Pathogens</h4><div class=”om-code”>29 CFR 1910.1030</div><p>Hepatitis B vaccination and confidential post-exposure evaluation and follow-up.</p></div>
<div class=”om-card”><div class=”om-ic”><i class=”fa-solid fa-helmet-safety”></i></div><h4>HAZWOPER</h4><div class=”om-code”>29 CFR 1910.120</div><p>Baseline, annual, and exit exams for hazardous-waste and emergency-response workers.</p></div>
<div class=”om-card”><div class=”om-ic”><i class=”fa-solid fa-flask”></i></div><h4>Substance-Specific Standards</h4><div class=”om-code”>Subpart Z</div><p>Benzene, cadmium, formaldehyde, hexavalent chromium and more &#8212; each with its own exam triggers and frequency.</p></div>
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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 &#8212; and we run it from design through day-to-day management.

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<div class=”om-step”><div class=”om-circle”>1</div><h4>Bespoke program design</h4><p>We map your exposures, job classifications, and sites against the standards that apply, and design a surveillance program around your operations.</p></div>
<div class=”om-step”><div class=”om-circle”>2</div><h4>Implementation</h4><p>We stand the program up: enroll your workforce, line up providers, schedule exams, and run the first surveillance cycle end to end.</p></div>
<div class=”om-step”><div class=”om-circle”>3</div><h4>Ongoing Management</h4><p>We track who is due, schedule and chase each exam to completion, record results, and keep the program current as your workforce changes.</p></div>
<div class=”om-step”><div class=”om-circle”>4</div><h4>Turnkey for you</h4><p>The result is a turnkey program: one accountable partner runs the entire surveillance lifecycle while your team stays focused on the work.</p></div>
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ADVANTAGES

We directly manage cost, turnaround, impact, and legal defensibility

Occu-Med does more than book appointments. We directly manage the four things that decide whether a surveillance program actually works for you.

Cost

We manage program cost head-on: the right exam with the right provider, no duplicate or unnecessary testing, and pricing we hold our network to.

Turnaround time

We drive scheduling and results to completion on a defined timeline, so fitness decisions are never waiting on paperwork.

Operational impact

We coordinate around your shifts and sites so surveillance happens with the least possible disruption to production and to your people.

Legal defensibility

Every determination and notice is documented to the governing standard and retained for the required period, so your records stand up to an OSHA audit or a challenge.


COMPLIANCE

California employers: Cal/OSHA goes further

If you operate in California, federal compliance is not the finish line. Cal/OSHA standards layer extra surveillance and reporting requirements on top of their federal counterparts, and some have no federal equivalent, so an employer with multiple sites can have different obligations state to state. Occu-Med is headquartered in Fresno and builds California programs to the state requirement, not the federal floor.

  • Cal/OSHA Title 8 can exceed federal OSHA requirements
  • California-only programs apply, including Aerosol Transmissible Diseases (8 CCR 5199)
  • Occu-Med is Fresno-based and coordinates California programs daily

Related surveillance programs we also administer

OSHA is not the only framework that mandates medical surveillance. We administer these related programs as well &#8212; each is covered in depth on its own page.

Cal/OSHA medical surveillance

California layers additional surveillance and reporting obligations on top of the federal standards, including programs with no federal equivalent.

Mine safety surveillance

Mine Safety and Health Administration surveillance for surface and underground mining operators (30 CFR).

DoD / DoW prescribed surveillance

Occupational and deployment medical surveillance required of defense contractors and personnel.


GLOBAL

Wherever your people work, we coordinate the exams

Your OSHA obligations follow your employees even when the work doesn’t stay in the United States. If you are a US employer, workers posted or traveling overseas can still fall under OSHA medical-surveillance requirements, and the duty to schedule exams, act on results, and keep records stays with you. Occu-Med facilitates these evaluations globally: we coordinate the required exams in the countries where your people are, then bring the results back into one consistent, audit-ready program.

  • US employers remain responsible for OSHA surveillance even for employees working abroad
  • We arrange the required exams in-country, near where your people are based
  • Results and records flow back into one program, in the same audit-ready format

EXPLORE

Who needs a program

If your workforce is exposed to regulated substances or conditions, you likely have surveillance obligations. We run programs across:

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<div class=”om-card-img” style=”position:relative;min-height:320px;display:flex;align-items:flex-end;background-image:linear-gradient(180deg,rgba(5,25,32,0) 30%,rgba(5,25,32,0.85) 100%),url(‘https://www.occu-med.com/wp-content/uploads/2026/05/Section-01.jpg’)”><div style=”padding:26px”><h4 style=”color:#fff;font-size:22px;font-weight:700;margin:0 0 6px”>Construction &amp; heavy work</h4><p style=”color:#dfe6ea;font-size:14px;line-height:1.6;margin:0″>Lead, silica, asbestos, and HAZWOPER surveillance across demolition, abatement, and civil sites.</p></div></div>
<div class=”om-card-img” style=”position:relative;min-height:320px;display:flex;align-items:flex-end;background-image:linear-gradient(180deg,rgba(5,25,32,0) 30%,rgba(5,25,32,0.85) 100%),url(‘https://www.occu-med.com/wp-content/uploads/2026/05/Section-01.jpg’)”><div style=”padding:26px”><h4 style=”color:#fff;font-size:22px;font-weight:700;margin:0 0 6px”>Manufacturing &amp; heavy industry</h4><p style=”color:#dfe6ea;font-size:14px;line-height:1.6;margin:0″>Noise, respirator, and chemical-exposure programs on the production floor.</p></div></div>
<div class=”om-card-img” style=”position:relative;min-height:320px;display:flex;align-items:flex-end;background-image:linear-gradient(180deg,rgba(5,25,32,0) 30%,rgba(5,25,32,0.85) 100%),url(‘https://www.occu-med.com/wp-content/uploads/2026/05/Section-01.jpg’)”><div style=”padding:26px”><h4 style=”color:#fff;font-size:22px;font-weight:700;margin:0 0 6px”>Healthcare &amp; laboratories</h4><p style=”color:#dfe6ea;font-size:14px;line-height:1.6;margin:0″>Bloodborne pathogens, aerosol transmissible diseases, and formaldehyde surveillance.</p></div></div>
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FAQS

Frequently Asked Questions

OSHA medical surveillance is 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 are run, and who must report results to the employer; the obligation to schedule, act, and retain records sits with the employer.

It is required when a specific standard applies to your workforce &#8212; commonly triggered by measured exposure crossing an action level, by job classification, or by required use of respirators or hazardous-task assignment.

It depends on the governing standard. Programs can include physical exams, spirometry, audiometry, chest imaging, and substance-specific blood or urine testing &#8212; matched to the exposure.

Under 29 CFR 1910.1020, most exposure and medical records must be kept for the duration of employment plus 30 years. Occu-Med retains them in audit-ready form.

The employer’s. The clinic performs exams, but scheduling, acting on results, notifying employees, and recordkeeping are all the employer’s legal duty &#8212; which is what Occu-Med manages on your behalf.

Occu-Med manages the program and coordinates exams through a nationwide provider network of roughly 15,000 locations, then reviews and records the results &#8212; so you have one accountable partner rather than many clinics.

Yes. We coordinate exams wherever your people are located, normalize results into one program, and account for state-specific rules such as Cal/OSHA where they apply.

Cal/OSHA Title 8 can impose requirements beyond the federal standards and includes California-only programs such as Aerosol Transmissible Diseases. We build California programs to the state requirement.

Yes. Every workforce and exposure profile is different, so we design the program around your operations rather than fitting you to a template, then run it day to day.

Yes. US employers retain OSHA surveillance obligations for employees abroad, and we coordinate the required in-country exams and bring records back into one consistent program.

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&#8217;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 audit-ready.