Employee Health Coordinator
From: Adamo, Philip
Sent: Wednesday, July 23, 2014 11:09 AM
Subject: re: Temp and contract workers
As you know OSHA and JACHO require employers to treat temp workers and apply same safety measures as regular employees. I would like to get a sense on how your organization applies the pre-employment requirements such as the collection and storage of the records.
We use a form with all the requirements (same as our employees) that we send to the staffing agency and expect them to check off the completion date and send the form when completed(HR staffing employment specialist) with no supporting medical documents. If we need the documents in the case of a JACHO inspection or exposure, they are expected to produce the records within an hour. I have some concerns about this. There are gaps and in some cases we do not know there are contractors in the clinical areas. Some work for a couple of days and some work for more than a year and everything in between.
1. What is the process at your institution? We have contracted employees, volunteers, externs, students and observers. Employee Health provides immunization review for all in addition to employees. The requirements are pretty much the same except one TST for Jr Volunteers.(under 18 years old) All others require two-step TST.
2. If data is collected where is it stored? Employee Health maintains immunization records only. Supporting medical documents are only required for employees and volunteers. All others just complete a form to record dates. (attached)
3. What do you do in the event of an exposure and how are those temp workers identified? They do not routinely come through Employee Health. Industrial Medicine or ER.
4. We perform drug testing pre-placement for our employees and this is required of the temp agencies to obtain. What about contractors(such as maintenance workers, project workers) who come in for a few days. Do you require drug testing? No.
5. For annual TB surveillance doyou include them for compliance to Infection Control? no
Thanks for your assistance with this.
Be well and be safe
Philip Adamo, M.D., MPH, FACOEM
Associate Vice President and
Medical Director, Employee Health &
Occupational Injury Care and Wellness
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