Crystalline Silica Medical Surveillance!

Medical Surveillance Requirements for Constructions Industries.

Fourstar Health and Safety, LLC has expanded its role in medical surveillance providing the necessary medical examination procedures, and documentation required by OSHA for all Construction contractors. PLEASE CALL FOR PRICING, ASK FOR PAUL AUSTIN! (855)944-7827 or email

OSHA Mandated Services Include:

  • Detailed Questionnaire for the Employee regarding past and current exposures to crystalline silica.
  • Detailed Medical History
  • Examination: Required every 3 years after the initial examination.  Medical examination with emphasis on the respiratory/cardiac system as well as an examination of the extremities and/or other organ systems identified during the history.
  • TB Testing: Baseline Testing for TB on initial examination. Referrals to appropriate healthcare providers when necessary.
  • Pulmonary Function Surveillance:    PFT with Spirometry with a NIOSH Certification licensed healthcare provider.
  • Chest X-ray:   Digital PA View using ILO International Classification of Radiographs of Pneumoconiosis, by a NIOSH-certified B reader. Monitor the progression of silicosis and identify associated conditions such as TB.
  • Necessary Referrals: Required by the Physician for any pathology found during the examination process.

Silica Dust Exposure in the Construction Industry.

OSHA’s Final Rule to Protect Workers from Exposure to Respirable Crystalline Silica.

OSHA began enforcement of the respirable crystalline silica standard for construction on September 23rd, while offering compliance assistance to employers making good faith efforts to comply during the first 30 days. See the September 20, 2017 memorandum.

Compliance Schedule

Both standards contained in the final rule took effect on June 23, 2016, after which industries have one to five years to comply with most requirements, based on the following schedule:

Construction – September 23, 2017. OSHA delayed enforcement in order to conduct additional outreach and provide educational materials and guidance for the employer. See the memorandum.

 General Industry and Maritime – June 23, 2018, two years after the effective date.

 Hydraulic Fracturing – June 23, 2018, two years after the effective date for all provisions except Engineering Controls, which have a compliance date of June 23, 2021.