CHICAGO — A comprehensive worker health program — including medical surveillance, exposure monitoring, and health education — is both a legal requirement under OSHA regulations and a competitive advantage for restoration contractors who want to attract and retain skilled workers in a tight labor market.
Medical surveillance is required by OSHA for workers who are exposed to specific hazards above defined action levels, including asbestos, lead, silica, and noise. Medical surveillance programs typically include baseline and periodic medical examinations, biological monitoring (such as blood lead testing), and pulmonary function testing for workers with respiratory hazard exposure.
Exposure monitoring — measuring the actual concentrations of hazardous substances in the work environment — is required by OSHA for many specific hazards and is a best practice for all restoration work. Exposure monitoring data provides the basis for selecting appropriate engineering controls and personal protective equipment.
Health education is a critical component of any worker health program. Workers who understand the health hazards they face and the controls that protect them are more likely to use those controls correctly and consistently. Health education should be provided in the worker's primary language and should be updated whenever new hazards are introduced.
Restoration contractors who invest in comprehensive worker health programs benefit from reduced workers' compensation costs, lower turnover, and a stronger reputation as an employer of choice. Several industry associations, including the RIA and the AIHA, offer resources and guidance for developing worker health programs.


