• The employer must provide the physician who examines an employee with information about HAZWOPER and the employee’s work conditions, including duties, accompanying hazards, and PPE.
• After the exam, the examining physician must provide the employer with information about the employee’s medical risks and conditions that are related to the work, along with recommendations for work limitations.

Prior to an employee’s examination, the employer must furnish the physician with specific information, including:

• A copy of the Hazardous Waste Operations and Emergency Response (HAZWOPER) Standard and its appendices;
• A description of the employee’s duties as they relate to hazardous substance exposure;
• The employee’s expected physical work effort;
• The employee’s anticipated or real chemical exposure levels;
• Temperature and humidity extremes that may be encountered;
• A description of any personal protective equipment (PPE) the employee has used or will be required to use, including the respirator type and weight, the duration and frequency of respirator use, and protective clothing and equipment to be worn; and
• Information from previous medical exams, if that information is not readily available to the physician.

Going the other direction, the examining physician will furnish the employer with a written opinion that includes:

• Whether the employee has any detected medical conditions that would cause increased risk on the job or with respirator use,
• The physician’s recommended limitations for the employee,
• The results of any medical exams and tests requested by the employee, and
• A statement that the employee has been informed of the medical exam results and any medical conditions which require further examination or treatment.

Any conditions discovered during a medical exam that are not related to the employee’s work must remain confidential and not be revealed to the employer.