DA PAM 40–173

Occupational Health Guidelines for the Evaluation and Control of Occupational Exposure to Mustard Agents H, HD, and HT

This revision dated 3 June 2003–

o Updates office symbols (suggested improvements paragraph and para 1-4b).

o Deletes the requirement for a slit lamp examination during the preplacement, periodic, and termination medical surveillance examinations for categories A and B (paras 4-1b and B-1).

o Deletes the requirement to test intraocular pressure during the preplacement and periodic medical surveillance examinations for categories A and B (paras 4-1b and B-1).

This pamphlet is a health related publication developed to complement existing and future Occupational Safety and Health Administration and safety requirements. It–

o Explains how to request a waiver or exception (para 1-4).

o Presents guidance about exposure limits (para 2-1), engineering controls and work practices (para 2-3), respiratory protection (para 2-4), optical inserts (para 2-4c), contact lenses (para 2-4d), exposure monitoring (para 2-5), recordkeeping requirements (para 3-1), hazard communication information (para 3-3d),and material safety data sheets (para 3-4).

o Provides guidance for a medical surveillance program for all personnel potentially exposed to mustard agents H, HD, and HT (chap 4 and app B).

o Provides medical personnel with general information about the diagnosis and treatment of mustard intoxication(app D).

o Explains the policies with regard to qualitative fit testing using isoamyl acetate and irritant fume (para 2-4e and app C).

o Reduces the number of atmospheric monitoring records that must be maintained in the occupational health record by defining criteria for exposure and potential exposure (para 3-lc(2)).

o Explains the role of the surety officer or safety officer in categorizing exposure potential (para 4-2).

o Explains the roles of the installation or activity commander and installation medical authority or designated contract physician in the medical surveillance program (paras 4-4 and 4-5).


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