1. Standard 29 CFR Part 1910.1020 Access to Employee Exposure and Medical Records Training

2. Today’s agenda Medical and exposure records - what are they? Medical records and your privacy Communication of exposure record information Records location and person responsible Obtaining copies

3. What are medical records? Medical and employment questionnaires or histories Results of medical examinations Medical opinions, diagnoses, progress notes, etc. First-aid records Descriptions of treatments and prescriptions Employee medical complaints Medical records are a record concerning the health status of an employee, which is made by or maintained by a health care professional and includes:

4. What are exposure records? Biological monitoring, which assess the absorption of a toxic substance or harmful physical agent into the body but not including results which assess the biological effect of the substance or agent or which assess the employee’s use of alcohol or drugs. Environmental monitoring or measuring of toxic substances or harmful physical agents, including personal, area, grab, wipe, or other forms of sampling, as well as related collection and analytical methodologies, calculations, and other background data relevant to interpretation of the results obtained. Material Safety Data Sheets (MSDS) In the absence of an MSDS, a chemical inventory or other record that reveals the identity, where and when used, for toxic substances or harmful physical agents Exposure records are a record containing any of the following information:

5. Medical records privacy Medical records are personal and confidential Medical records can only be released to: 1.You or a another party with your written authorization 2.A designated representative with your written authorization 3.OSHA

6. Exposure record information Our facility policy is to share the results of exposure monitoring with employees who participated in the studies to develop the data Often, the exposure monitoring data will also be shared with other personnel who work in the same area but were not involved directly in the sampling. The exposure is generally the same for several people, and it is not practical to monitor everyone When we share exposure monitoring data, it will always be free of any personal medical or health data and will contain the results of the monitoring only

7. Exposure and medical record location and responsibility Exposure and medical records are kept in a secure location within our facility. The individual who is responsible for record maintenance and storage is: _______________________

8. Obtaining exposure and medical records If you ever desire to obtain exposure or medical records, you should contact: _____________________ Our facility will provide you with requested copies within a reasonable time frame You will be asked to submit your request in writing and to sign a receipt for copies of records so that our facility can maintain an accurate record of releasing your records

9. Conclusion Our facility maintains exposure and medical records as part of our ongoing employee safety and health process. You have access to these records, and we support this availability and will fulfill requests in a timely manner.

10. For more information For more information regarding access to Exposure and Medical Records or other safety issues, please contact: Gregory & Appel Insurance Mike Salazar, Vice President Direct: 317-686-6407 Email: msalazar@gregoryappel.com