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The Occupational Health 
Professional’s Services 
and Qualifications: 
Questions and Answers 


U.S. Department of Labor 

Occupational Safety and Health Administration 

OSHA 3160 
1999 (Revised) 




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The Occupational Health Professional s Services and 
Qualifications: Questions and Answers 

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U.S. Department of Labor Occupational Safety & Health 
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OSH A 3160 

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This informational booklet is 
intended to provide a generic, 
non-exhaustive overview of a 
particular standards-related topic. 
This publication does not itself 
alter or determine compliance 
responsibilities, which are set 
forth in OSH A standards them¬ 
selves and the Occupational 
Safety and Health Act. Moreover, 
because interpretations and 
enforcement policy may change 
over time, for additional guidance 
on OSHA compliance require¬ 
ments, the reader should consult 
current and administrative inter¬ 
pretations and decisions by the 
Occupational Safety and Health 
Review Commission and the 
Courts. 

Material contained in this publica¬ 
tion is in the public domain and 
may be reproduced, fully or 
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Occupational Health Professional’s Services and Qualifications: Questions and Answers 



The Occupational Health 
Professional’s Services 
and Qualifications: 
Questions and Answers 


U.S. Department of Labor 

Occupational Safety and Health Administration 


OSHA 3160 
1999 (Revised) 





Page 


The Occupational Health Professional’s Services 

and Qualifications: Questions and Answers. 1 

What Issues Should be Considered in Selecting 
a Health Care Professional?. 2 

What Unique Contributions Can an Occupational 
Health Care Professional Make to Workplace Safety 
and Health?. 3 

Who Are Qualified Occupational Health Care 
Professionals?. 5 

Physicians. 5 

Registered Nurses. 6 

Physician Assistants. 7 

Other Health Care Providers. 7 

How Can an Employer Verify the Scope of Practice 

for Health Care Professionals in the Licensing State?. 8 

Medical Doctor. 8 

Doctor of Osteopathy. 8 

Registered Nurse and Nurse Practitioner. 8 

Physician Assistant. 9 

Emergency Medical Technician. 9 

Licensed Vocational/Practical Nurse. 9 

What Qualifications Should an Employer Look 

for in an Occupational Health Care Professional?.10 

Is There a Good Way to Evaluate the Qualifications 

of an Occupational Health Care Professional?.11 




















What Is the Difference Between Occupational Health 


Care Professionals and Other Occupational Safety 

and Health Professionals. 13 

Industrial Hygienists.13 

Industrial Engineers.14 

Safety Professionals.14 

What OSHA Standards for General Industry Require 

Screening and Surveillance or Occupational 

Health Services?. 15 

General Industry Standards.15 

Some OSHA Standards that Require Occupational 

Health Services?.16 

Resources. 17 

Medical Doctors.17 

Osteopathic Doctors.18 

Occupational Health Nurses.18 

Nurse Practitioners.18 

Registered Nurses.18 

Physician Assistants.19 

Emergency Medical Technicians. 19 

Industrial Hygienists.20 

Safety Professionals.20 

References. 21 

Related OSHA Publications .22 

States with Approved Plans .23 

OSHA Consultation Project Directory .27 

OSHA Area Offices .29 


Occupational Health Professional’s Services and Qualifications: Questions and Answers 




























Controlling occupational injuries and illnesses and related expen¬ 
ditures is a top priority in most companies. Selecting a qualified 
health care professional to participate in the workplace safety and 
health activities can be a vital step in this process. The following 
questions and answers are to provide guidance and serve as a re¬ 
source for those considering such a selection. 




Occupational Health Professional’s Services and Qualifications: Questions and Answers 






A variety of health care professionals are 
available to employers. Selecting an appropriate 
provider for the worksite depends on a number of 
factors, including: 

• The Occupational Safety and Health 
Administration’s (OSHA) screening and surveil¬ 
lance requirements for specific substances or 
hazards associated with the worksite; 

The number, diversity, size, and seriousness of the hazards 
involved at the worksite(s); and 

The level of resources committed to an occupational health 
care service as part of a comprehensive safety and health 
program; and 

Distance to the closest trauma center or health care facility. 


At a minimum, workplace safety and health involves management 
support, employee involvement, worksite analysis, hazard prevention 
and control, occupational health care management (including screen¬ 
ing and surveillance for disease and injury), and training and educa¬ 
tion. 

Qualified occupational health care professionals can assist the 
employer in achieving a safe and healthful work environment. 

Along with other safety and health professionals, health care profes¬ 
sionals work collaboratively with labor and management to: 

• Identify potential hazards and to find ways to prevent, elimi¬ 
nate, minimize, or reduce hazards; 

• Develop and manage training programs to promote workplace 
health and safety; and 

• Enhance the accuracy of OSH A recordkeeping. 


Occupational Health Professional’s Services and Qualifications: Questions and Answers 



What Unique Contributions Can an 
Occupational Health Care Profession 
to Workplace Safety and 





Health care professionals are uniquely quali¬ 
fied to assess and treat illnesses and injuries. 
Health care professionals must have the appropri¬ 
ate licensure, registration, or certification. 
Additionally, they should have occupational 
health experience and expertise in management 
and be available on a full- or part-time basis, 
depending on the nature and size of worksite(s). 
They may be a permanent employee or hired on a contractual basis. 

In addition to working collaboratively with other safety and health 
professionals, a qualified health care professional may be selected to: 

• Provide screening related to specific chemicals or exposures, 
including preplacement (post-offer) physical examinations, job 
placement assessments, periodic examinations, and mainte¬ 
nance of confidential employee health records, including 
individual screening results. 

• Manage and/or treat work-related illnesses and injuries, with 
emphasis on early recognition and intervention; make recom¬ 
mendations about work restrictions or removal; and follow up 
and monitor workers as they return to work. 

• Develop and implement health promotion programs. 

• Provide guidance for case management of employees who have 
prolonged or complex illnesses and injuries. 

For small employers, or those with limited resources, one of 
several models for delivering occupational health care at the work¬ 
place can be considered. This might involve sharing the services of 
health care professionals within a business or industrial park, or 
contracting with a larger firm whose occupational health service 
includes an occupational health care professional as part of its total 
safety and health program. (See References: B. Burgel Innovation 
at the Worksite .) 


JHi.' C Hfik 



What Unique Contributions Can an Occupational Health Care Professional Make 
to Workplace Safety and Health? 







Health care providers such as licensed practical nurses (LPNs) 
and emergency medical technicians/paramedics (EMTs) can aug¬ 
ment the services of the physicians or registered nurse. Physician 
assistants (PAs) also contribute valuable services. 

Whatever health care professional is chosen, the employer should 
ensure that the provider has expertise or experience in occupational 
health and safety as well as an understanding of occupational ill¬ 
nesses and injuries. 


Occupational Health Professional’s Services and Qualifications: Questions and Answers 






Health care professionals qualified to design, 
manage, supervise, and deliver health care in 
occupational settings include a variety of practitio¬ 
ners. It is imperative, however, that the legal 
“scope of practice” unique to each state be consid¬ 
ered prior to hiring or contracting for services. 

The “scope of practice” refers to the credentials, responsibilities, 
and legally authorized practice of health care professionals. 

Physicians, physician assistants, and registered nurses, including 
nurse practitioners, receive standardized educations with core 
curricula (individualized to their profession) necessary to pass 
national or state boards and to be licensed in a particular state. 
Physicians and registered nurses are then eligible to become 
certified in a specialty practice, such as occupational medicine 
(physicians and physician assistants) or occupational health 
nursing (registered nurses and nurse practitioners), through a 
combination of additional specific education and experience. 

The additional educational training in occupational health 
typically includes course work in epidemiology, toxicology, 
industrial hygiene, recognition and management of occupational 
illnesses and inj uries, research, and general management of a 
comprehensive occupational health program. 



Physicians 

Medical Doctors (MDs) have completed study at the college 
level and training at an accredited school. Licensed MDs have 
passed the National Medical Board Exam or equivalent examina¬ 
tions and have a license to practice within a given state(s). 

Doctors of Osteopathy (DOs) graduate from college and an 
osteopathic school approved by the American Osteopathic Asso¬ 
ciation. They must pass a state board examination to qualify for a 
license to practice within a given state(s). 

Occupational Medicine Physicians are medical doctors or 


Who are Qualified Occupational Health Care Professionals? 




doctors of osteopathy who have completed additional occupational 
medicine training or acquired on-site experience. Completion of 
additional residency training and further practice in occupational 
medicine enables physicians to pursue certification in occupational 
medicine after meeting rigorous qualifying standards and success¬ 
fully completing an examination in occupational medicine given by 
the American Board of Preventive Medicine (ABPM). 


Registered Nurses 

Registered Nurses (RNs) receive training and education at the 
college level and graduate from a state-approved school of nursing. 
They pass a state board examination and are granted a license to 
practice within a given state(s). 

Nurse Practitioners (NPs) are registered nurses who are licensed 
in their state and have completed formal advanced education, usually 
at the master’s level. NPs practice under their state Nurse Practice 
Act . Some NPs are certified in occupational health as a specialty 
area. NPs independently perform many health evaluation and care 
activities—including physical exams, common diagnostic and 
laboratory tests—and diagnose and treat employees who are ill or 
injured. They also can prescribe medications in most states. Addi¬ 
tionally, NPs work collaboratively with physicians. 

Occupational Health Nurses (OHNs) are registered nurses and 
nurse practitioners with experience and additional education in 
occupational health. Certified occupational health nurses (COHN or 
COHN-S) obtain certification from the American Board for Occupa¬ 
tional Health Nurses after meeting rigorous qualifying educational 
and experience standards and successfully passing an occupational 
health nursing examination. 


Occupational Health Professional’s Services and Qualifications: Questions and Answers 







Physician Assistants 

Physician Assistants (PAs) provide services with the supervision 
of a doctor of medicine or osteopathy. PAs may perform physical 
examinations, diagnose and treat illnesses, order and interpret tests, 
prescribe medications in most states, and plan and implement 
therapeutic interventions. PAs must graduate from an accredited 
physician assistant’s program, pass a national certification exam, 
and be licensed by the state. Some PAs specialize in occupational 
medicine. 


Other Health Care Providers 

Other health care providers include licensed practical or voca¬ 
tional nurses and emergency medical technicians. Traditionally, 
these individuals are not licensed to practice independently. They 
have specific training and are usually certified or licensed by the 
educational institution where they received the training. Sometimes 
the state licenses or certifies these providers and usually the state’s 
scope of practice outlines the specific work restrictions for these 
individuals. For example, usually these providers are required 
to work under the supervision of, or implement orders given by, 
licensed health care professionals such as MDs, DOs, RNs, PAs, 
and NPs, except when delivering first aid. 

Licensed Practical/Vocational Nurses (LPN/LVNs) graduate 
from a program of practical nursing and must pass the state board 
examination. They are licensed by the state to perform certain 
specific health care activities, under the direct supervision of a 
physician or registered nurse. 

Emergency Medical Technicians/Paramedics (EMTs) are pre¬ 
hospital providers trained to provide specific and limited emergency 
care. Some EMTs receive advanced training to become paramedics, 
which allows them to perform more advanced emergency proce¬ 
dures. EMTs are authorized to perform their duties by standing 
orders or protocols from physicians. They respond primarily to 
injuries and acute illnesses on a temporary basis and are not inde¬ 
pendently licensed to provide other medical care. 


Who are Qualified Occupational Health Care Professionals? 





■ How Can an Employer Verify the Scope 
8 I of Practice for Health Care Professionals 
I in the Licensing State? 



Each state has a unique legal description of the 
scope of practice for health care professionals. When 
it is necessary to verify a health care professional’s 
scope of practice for the occupational setting, the 
individual state’s licensing or certification board 
should be contacted, as follows: 


Medical Doctor 

State boards of medical examiners and professional licensure can 
provide information about an occupational physician’s educational 
training and type of practice. The American Board of Medical 
Specialties (ABMS) publishes an annual list of certified occupational 
medicine specialists. The employer may refer to the ABMS listings 
in the reference department of most public libraries or call the Office 
of ABMS at (800) 776-2378. 


Doctor of Osteopathy 

Doctors of osteopathy are licensed by a board in each state. 
Listings may include Board of Medical Examiners, Licensing 
Examiners, Board of Osteopathic Examiners, Board of Medical 
Practice, or Medical Licensing Board of (name of particular state). 
The American Board of Medical Specialties (ABMS) publishes an 
annual list of certified occupational medicine specialists (see MD 
listing above). 


Registered Nurse and Nurse Practitioner 

The National Council of State Boards of Nursing [(312) 787-6555] 
has information on the regulation of nursing in each state. Gener¬ 
ally, the American Nurses Association (ANA) [(202) 651-7000] 
certifies NPs. The American Board for Occupational Health Nurses 
(ABOHN) [(630) 789-5799] certifies RNs in the specialty of occupa¬ 
tional health. 


Occupational Health Professional’s Services and Qualifications: Questions and Answers 



Physician Assistant 

All states except Mississippi license physician assistants. PAs 
are licensed by the state medical board or by a separate licensing 
board. PAs are certified by the National Commission on Certifica¬ 
tion of Physician Assistants (NCCPA) [(770) 734-4500]. 


Emergency Medical Technician 

The scope of practice for emergency medical technicians 
(EMTs) also varies from state to state. There are several practice 
levels of EMTs each determined by the number of hours of 
training and the range of procedures authorized. Each state has 
a director of EMTs listed in the telephone directory under State 
Government. The appropriate office may be contacted under 
the telephone directory subheading listed as either the Department 
of Health, Department of Public Health, or Department of Emer¬ 
gency Medical Services. 


Licensed Vocational/Practical Nurse 

The state board of nursing in each state is listed in the telephone 
directory and defines the scope of practice issues for licensed 
vocational or practical nurses LVNs/LPNs. 


How Can an Employer Verify the Scope of Practice for Health Care Professionals 
in the Licensing State? 






An occupational health care professional evalu¬ 
ates the interactions between employees’ work and 
health in the workplace. To do this effectively, the 
occupational health care professional should 
possess the following skills and competencies: 

• General knowledge of the work environment, 
including worksite operations; familiarity with the 
toxic properties of materials used by employees as well as the 
potential hazards and stressors of work processes and jobs or 
tasks. 

• Ability to determine an employee’s physical and emotional 
fitness for work. 

• Ability to recognize, evaluate, treat, and/or refer occupational 
illnesses and injuries. 

• Knowledge of workers’ compensation laws; local, state, and 
federal regulatory requirements; and systems for maintaining 
health records. 

• Ability to organize and manage the delivery of health care 
services. 

• Knowledge of legal and ethical issues related to occupational 
health care practice. 

In addition to administering the health care program and supervis¬ 
ing health care personnel, the occupational health care professional 
should communicate with workers and managers at all levels. Most 
importantly, the health care professional must maintain con fidenti¬ 
ality between the health care professional and the employee as 
required by OS HA, professional ethics codes, and individual state 
privacy acts. Management should only be provided the necessary 
information to make an informed and competent decision on occupa¬ 
tional health and safety issues. 



Occupational Health Professional’s Services and Qualifications: Questions and Answers 





11 


During the interview process, the following 
kinds of questions and issues are appropriate to 
evaluate prospective occupational health care 
professionals: 


• What type of education/training does the candidate have? 

- Note graduation date and all degrees and type of specialty 
certification; 

- Titles of continuing education courses taken in the last 
2 years; 

- Where and when licensed, registered, or certified (ask for 
documentation); and 

- Years of experience in occupational health. 

• In what type of industries has the candidate had experience? 

• What kind of management experience(s) has the candidate 
had? For how long? 

• What does the candidate know about OSHA recordkeeping 
requirements? 

• Has the candidate ever prepared for and/or participated in an 
OSHA inspection? 

• Does the candidate know about workers’ compensation laws in 
your state? 

• Is the candidate familiar with the Americans with Disabilities 
Act? 

• What kind of information does the candidate want to know 
about your business? 

• How can the candidate develop or improve your safety and 
health program? 



Is There a Good Way to Evaluate the Qualifications of an Occupational Health Care 
Professional? 



You should expect the candidate to ask you about the following: 

- Facilities (type, location) 

- Number of employees 

- Work processes 

- Known or potential hazards 

- Application of standards and/or regulations 

- Current method of providing occupational health care 
services 

- Other health care providers involved in providing services 

- Existence and specifics of a safety and health program 

- Medical surveillance programs 

- Collective bargaining contracts 

- Previous OSHA citations 

• References from current/previous employers or educational 
institutions should be requested. 


Occupational Health Professional’s Services and Qualifications: Questions and Answers 




All occupational health and safety profes¬ 
sionals are educated to have a proactive, 
preventive orientation, with the health and 
well-being of the employee as their primary 
focus. As mandated by each individual state, 
however, only health care professionals, 
within the scope of their practice, can assess 
and treat illness and injury beyond first aid. 
Additionally, health care professionals, based upon their education 
and training, can provide high-quality preventive health care 
information and programs. 



The following descriptions highlight the overall skills and areas 
of competency of other occupational safety and health profession¬ 
als who might be part of an effective safety and health program at 
your work site. 


Industrial Hygienists 

Industrial hygiene focuses on the identification and control of 
occupational health hazards arising as a result of or during work. 
The industrial hygienist focuses on the recognition, evaluation, and 
control of chemical, biological, or physical factors or stressors 
arising from the workplace, that may cause sickness, impaired 
health and well-being, or significant discomfort and inefficiency 
among workers or in the community. Professional industrial 
hygienists possess either a baccalaureate or master’s degree in 
engineering, chemistry, biology, physics, or industrial hygiene. 

The industrial hygienist monitors and uses analytical methods to 
detect the extent of occupational chemical, biological, or physical 
exposure and implements engineering controls and work practices 
to correct, reduce, or eliminate workplace hazards. Industrial 
hygienists can give expert opinion as to the magnitude of chemical, 
biological, or physical exposure, and the degree of associated risk. 
Certified industrial hygienists have passed a rigorous qualifying 
examination. 


What is the Difference Between Occupational Health Care Professionals and Other 
Occupational Safety and Health Professionais? 





Industrial Engineers 

Industrial engineering is the design, installation, and improvement 
of integrated systems of people, material, information, equipment, 
and energy. Industrial engineering draws upon specialized knowl¬ 
edge and skills in the mathematical, physical, and social sciences, 
together with principles and methods of engineering analysis and 
design to specify, predict, and evaluate the results obtained from 
such systems. 

The Institute of Industrial Engineers has a special division devoted 
to ergonomics, and many industrial engineers elect to receive ad¬ 
vanced training in this increasingly complex and growing specialty. 


Safety Professionals 

Safety professionals focus on developing procedures, standards, or 
systems to achieve the control or reduction of hazards and exposures 
that would be detrimental to people, property, and/or the environ¬ 
ment. Certified safety professionals (CSPs) graduate from accredited 
college or university programs with a baccalaureate degree in safety 
and must have at least 4 years of professional safety experience prior 
to taking the Safety Fundamentals exam. 


Occupational Health Professional’s Services and Qualifications: Questions and Answers 



The following OSHA General Industry Stan¬ 
dards regulating toxic and hazardous substances 
have specific medical surveillance requirements in 
Title 29 Code of Federal Regulations, Part 1910. 

Copies of OSHA regulations are available at 
cost from the Superintendent of Documents, U.S. 
Government Printing Office, Washington, DC 
20402. 

Please be advised that this list is subject to revision and expansion. 
It is the employer’s responsibility to know the general and specific 
OSHA standards that apply to the industry and workplace. 



General Industry Standards 

2-Acetylaminofluorene 

1910.1014 

Acrylonitrile 

1910.1045 

alpha-Naphthylamine 

1910.1004 

4 - Aminodipheny 1 

1910.1011 

Arsenic, Inorganic 

1910.1018 

Asbestos 

1910.1001 

Benzene 

1910.1028 

Benzidine 

1910.1010 

beta-Naphthylamine 

1910.1009 

beta-Propiolactone 

1910.1013 

bis-Chloromethyl Ether 

1910.1008 

Bloodbome Pathogens 

1910.1030 

1,3 Butadiene 

1910.1051 

Cadmium 

1910.1027 

Coke Ovens 

1910.1029 

Cotton Dust 

1910.1043 

1,2-dibromo-3-chloropropane 

1910.1044 

3,3' Dichlorobenzidiene 

1910.1007 

(and its salts) 

4-Dimethylaminoazobenzene 

1910.1015 

Ethylene Oxide 

1910.1047 

Ethyleneimine 

1910.1012 

Formaldehyde 

1910.1048 

Hazard Communication 

1910.1200 


What OSHA Standards for General Industry Require Screening and Surveillance 
or Occupational Health Services? 



Hazardous Waste and 

1910.120 

Emergency Response 

Lead 

1910.1025 

Methylene Chloride 

1910.1052 

Methyl Chloromethyl Ether 

1910.1006 

Methylenedi aniline 

1910.1050 

4-Nitrobiphenyl 

1910.1003 

N-Nitrosodimethylamine 

1910.1016 

Occupational Exposure 

1910.1456 

to Hazardous Chemicals 
in Laboratories 

Respirators 

1910.134 

Vinyl Chloride 

1910.1017 


Some OSHA Standards that Require Occupational 
Health Services 


Access to Employee Exposure 
and Medical Records 

1910.1020 

Confined Space 

1910.146 

Fire Protection 

1910.156 

Labor Camps 

1910.142 

Medical Services/First Aid 

1910.151 

Noise 

1910.95 

Pulpwood Logging 

1910.266 

T elecommunications 

1910.268 

Textiles 

1910.262 

Welding 

1910.152 


Occupational Health Professional’s Services and Qualifications: Questions and Answers 







The following resources may be useful for additional informa¬ 
tion on occupational health care professionals in your area. The 
associations are typically the professional organizations for 
members of the profession. They work to increase awareness of 
the profession, as well as offer educational, service, and placement 
benefits for the members. Most have local, state, and/or regional 
chapters. Boards are generally the certification bodies for occupa¬ 
tional health professionals and determine eligibility requirements. 
They also administer the certification exam and maintain directo¬ 
ries of all certified professionals in a particular specialty. All 
telephone and fax numbers are accurate as of the date of printing; 
however, changes can be verified by local telephone directory 
assistance. 


Medical Doctors 

American College of Occupational 
and Environmental Medicine 

55 West Seegers Road 
Arlington Heights, IL 60005 
Phone (708) 228-6850 
Fax (708) 228-1856 
www.acoem.org 

American Board of Preventive Medicine, Inc. 

9950 West Lawrence Avenue, Suite 106 
Schiller Park, IL 60176 
Phone (847) 671-1750 
Fax (847) 671-1751 
www. abpremed. org 


Osteopathic Doctors 

American Osteopathic Association 

142 E. Ontario Street 
Chicago, IL 60611 
Phone (312) 202-8000 
Fax (312)280-5893 

www.aoa-net.org/affiliatedorg/ state.htm 


Resources 



Occupational Health Nurses 

American Association of Occupational Health Nurses 

2920 Brandywine Road 
Suite 100 

Atlanta, GA 30341 
Phone (770) 455-7757 
Fax (770) 455-7271 
www.aaohn.org 

American Board for Occupational Health Nurses, Inc. 

201 East Ogden Road 
Suite 114 

Hinsdale, IL 60521-3652 
Phone (630) 789-5799 
Fax (630) 789-8901 
www.abohn.org 


Nurse Practitioners 

American Academy of Nurse Practitioners 

P.O. Box 12846 
Austin, TX 78711 
Phone (512) 442-4262 
Fax (512) 442-6469 
www.aanp.org 


Registered Nurses 

American Nurses Association 

600 Maryland Avenue, S.W., Suite 100 

Washington, DC 20024 

Phone (202) 651-7000 

Fax (202) 651-7001 

www.ana.org 


Occupational Health Professional’s Services and Qualifications: Questions and Answers 







Physician Assistants 

American Academy of Physician Assistants 

950 N. Washington Street 
Alexandria, VA 22314-1552 
Phone (703) 836-2272 
Fax (703) 684-1924 
www.aapa.org 

American Academy of Physician Assistants 
in Occupational Medicine 

950 N. Washington Street 
Alexandria, VA 22314’ 

Phone (800) 596-4398 
Fax (703) 684-1924 
www. aapaom. org 


Emergency Medical Technicians 

National Registry of Emergency Medical Technicians 

P.O. Box 29233 
Columbus, OH 43229 
Phone (614) 888-4484 
Fax (614) 888-8920 
www.nremt.org 

National Association of Emergency Medical Technicians 

408 Monroe Street 
Clinton, MS 39056-4210 
Phone (800) 34NAEMT 
Phone (601) 924-7744 
Fax (601) 924-7325 
www.naemt.org 


Resources 






Industrial Hygienists 

American Board of Industrial Hygiene 

4600 W. Saginaw Street 
Suite 101 

Lansing, MI 48917 
Phone (517)321-2638 
www.aiha.org 


Safety Professionals 

Board of Certified Safety Professionals of America 

208 Burwash Avenue 
Savory, II 61874-9510 
Phone (217) 359-9263 
Fax (217) 359-0055 


Occupational Health Professional’s Services and Qualifications: Questions and Answers 



American Association of Occupational Health Nurses, Inc. 
(AAOHN). Occupational Health Nursing: The Answer to Health 
Care Cost Containment. Atlanta, GA: AAOHN. 1991. 

American Academy of Nurse Practitioners (AANP). Scope of 
Practice for Nurse Practitioners. Austin, TX: AANP. 1993 
(Revised). 

American Academy of Physician Assistants (AAPA). Physician 
Assistants: State Laws & Regulations. 7th ed., Alexandria, 
VA:AAPA, 1998. 

_. “Various government and professional practice 

issue briefs.” Alexandria, VA:AAPA, 1999. Online at http:// 
www.aapa.org/. 

American College of Occupational and Environmental Medicine. 
“Scope of Occupational and Environmental Health Programs and 
Practices,” Journal of Occupational Medicine 34(4): 436-440, 
April 1992. 

American College of Occupational and Environmental Medicine. 
“Code of Ethical Conduct,” Journal of Occupational Medicine 
36(1): 27-30, January, 1994. 

Burgel, B. Innovation at the Worksite. American Nurses Publish¬ 
ing, 600 Maryland Avenue, S.W., Washington, DC 20024, 1993. 

U.S. Department of Labor. Occupational Safety and Health 
Administration. OSHA Handbook for Small Businesses (OSHA 
2209). Washington, DC: U.S. Government Printing Office, 1996 
(Revised). Order Number 029-016-00176-0. $7.00 

_. “Safety and Health Program Management Guide¬ 
lines; Issuance of Voluntary Guidelines Notice.” Federal Register 
54(16):3904-3916, January 26, 1989. 


References 



Single, free copies of the following and other publications can be 
obtained from OSHA field offices or the OSHA Publications Office, 
200 Constitution Avenue, NW, Room N3101, Washington, DC 
20210, (202) 693-1888, (202) 693-2498 (Fax). 

All About OSHA - OSHA 2056 

Access to Medical and Exposure Records - OSHA 3110 
Asbestos Standards for General Industry - OSHA 3095 
Chemical Hazard Communication - OSHA 3084 
Consultation Services for the Employer - OSHA 3047 
Employee Workplace Rights - OSHA 3021 
Hearing Conservation - OSHA 3074 

How to Prevent Needlestick Injuries: Answers to Some 
Important Questions - OSHA 3161 

How to Prepare for Workplace Emergencies - OSHA 3088 
Occupational Exposure to Bloodborne Pathogens - OSHA 3127 

Occupational Exposure to Cadmium in the Construction 
Industry - OSHA 3139 

Process Safety Management Guidelines 
for Compliance - OSHA 3133 

Respiratory Protection - OSHA 3079 

Working with Lead in the Construction Industry - OSHA 3142 

The following publications are available from the Superintendent 
of Documents, U.S. Government Printing Office, Washington, DC 
20402, (202) 512-1800. Include GPO Order No. and make checks 
payable to Superintendent of Documents. 

OSHA Handbook for Small Businesses OSHA 2209 - Order 
Number 029-016-00176-0. $7.00. 

Principal Emergency Response and Preparedness Requirements 
in OSHA Standards and Guidance for Safety and Health Programs 
OSHA 3122 - Order No. 029-016-00154-9; Cost $3.75. 

Framework for a Comprehensive Health and Safety Program in 
the Hospital Environment - Order No.029-016-00149-2; Cost $3.50. 

Code of Federal Regulations (CFR) Title 29 - General Industry 
1901.1 to 1910.999 - Order No. 869-034-00104-1; Cost $44.00. 
1910.1000 to End - Order No. 869-034-00105-0; Cost $27.00. 


Occupational Health Professional’s Services and Qualifications: Questions and Answers 



States administering their own occupational safety and health 
programs through plans approved under section 18(b) of the 
Occupational Safety and Health Act of 1970 must adopt standards 
and enforce requirements that are at least as effective as Federal 
requirements. There are currently 25 state plans: 23 cover private 
and public (State and local government) sectors and 2 cover the 
public sector only (Connecticut and New York). 


COMMISSIONER 

Alaska Department of Labor 
1111 West 8th Street 
P.O. Box 21149 
Room 306 

Juneau, AK 99802-1149 
(907) 465-2700 

DIRECTOR 

Industrial Commissioner 
of Arizona 
800 W. Washington 
Phoenix, AZ 85007 
(602) 542-5795 

DIRECTOR 

California Department 
of Industrial Relations 
455 Golden Gate Avenue 
10th Floor 

San Francisco, CA 94102 
(415) 703-5050 

COMMISSIONER 

Connecticut Department 
of Labor 

200 Folly Brooke Boulevard 
Wethersfield, CT 06109 
(860) 566-2211 


DIRECTOR 

Connecticut Department 
of Labor 

38 Wolcott Hill Road 
Wethersfield, CT 06109 
(860) 566-4550 

DIRECTOR 

Hawaii Department of Labor 
and Industrial Relations 
830 Punchbowl Street 
Honolulu, HI 96813 
(808) 586-8844 

COMMISSIONER 

Indiana Department of Labor 
State Office Building 
402 West Washington Street 
Room W195 
Indianapolis, IN 46204 
(317) 232-2378 

COMMISSIONER 

Iowa Division of Labor Services 
1000 E. Grand Avenue 
Des Moines, IA 50319 
(515) 281-3447 


States with Approved Plans 




SECRETARY 

Kentucky Labor Cabinet 
1047 U.S. Highway, 127 South, 
Suite 2 

Frankfort, KY 40601 
(502) 564-3070 

COMMISSIONER 

Maryland Division of Labor 
and Industry 
Department of Licensing 
and Regulation 
1100 N. Eutaw Street 
Room 613 

Baltimore, MD 21201 -2206 
(410) 767-2215 

DIRECTOR 

Michigan Department 
of Consumer 
and Industry Services 
4th Floor, Law Building 
P.O. Box 30004 
Lansing, MI 48909 
(517) 373-7230 

COMMISSIONER 

Minnesota Department 
of Labor and Industry 
443 Lafayette Road 
St Paul, MN 55155 
(612) 296-2342 
ADMINISTRATOR 
Nevada Division of Industrial 
Relations 

400 West King Street 
Carson City, NV 89703 
(702) 687-3032 


SECRETARY 

New Mexico Environment 
Department 
1190 St Francis Drive 
P.O. Box 26110 
Santa Fe, NM 87502 
(505) 827-2850 

COMMISSIONER 

New York Department of Labor 
W. Averell Harriman State Office 
Building - 12, Room 500 
Albany, NY 12240 
(518) 457-2741 

COMMISSIONER 

North Carolina Department 
of Labor 

4 West Edenton Street 
Raleigh, NC 27601-1092 
(919) 807-2900 

ADMINISTRATOR 

Oregon Department of Consumer 
and Business Services 
Occupational Safety and Health 
Division (OR-OSHA) 

350 Winter Street, NE 
Room 430 

Salem, OR 97310-0220 
(503) 378-3272 


Occupational Health Professional’s Services and Qualifications: Questions and Answers 





SECRETARY 

Puerto Rico Secretary 
of Labor and Human 
Resources 

DOL and Human Resources 
Prudencio Rivera Martinez 
Building 

505 Munoz Rivera Avenue 
Hato Rey, PR 00918 
(787) 754-2119 

COMMISSIONER 

South Carolina Department 
of Labor Licensing 
and Regulation 
Koger Office Park 
Kingstree Building 
110 Centerview Drive 
P.O. Box 11329 
Columbia, SC 29210 
(803) 896-4300 

COMMISSIONER 

Tennessee Department 
of Labor 

710 James Robertson 
Parkway 

Nashville, TN 37243-0659 
(615) 741-2582 

COMMISSIONER 

Labor Commission of Utah 
160 East 300 Street 
3rd Floor 
P.O. Box 146650 
Salt Lake City, UT 
84114-6650 
(801) 530-6901 


COMMISSIONER 

Vermont Department 
of Labor and Industry 
National Life Building 
Drawer 20 
120 State Street 
Montpelier, VT 05620-3401 
(802) 828-2288 

COMMISSIONER 

Virginia Department of Labor 
and Industry 
Powers-Taylor Building 
13 South 13th Street 
Richmond, VA 23219 
(804) 786-2377 

COMMISSIONER 

Virgin Islands Department 
of Labor 

2203 Church Street 
Christiansted St. Croix, 

VI 00820-4660 
(340) 773-1990 

DIRECTOR 

Washington Department 
of Labor and Industries 
P.O. Box 44001 
Olympia, WA 98504-4001 
(360) 902-4200 


States with Approved Plans 



ADMINISTRATOR 

Worker’s Safety and Compensa¬ 
tion Division (WSC) 
Wyoming Department 
of Employment 
Herschler Building, 2nd Floor 
East 

122 West 25th Street 
Cheyenne, WY 82002 
(307) 777-7786 


Occupational Health Professional’s Services and Qualifications: Questions and Answers 




Consultation programs provide free services to employers who 
request help in identifying and correcting specific hazards, want to 
improve their safety and health programs, and/or need further 
assistance in training and education. Funded by OSHA and deliv¬ 
ered by well-trained professional staff of state governments, 
consultation services are comprehensive, and include an appraisal 
of all workplace hazards, practices, and job safety and health 
programs; conferences and agreements with management; assis¬ 
tance in implementing recommendations; and a follow-up ap¬ 
praisal to ensure that any required corrections are made. 

For more information on consultation programs, contact the 
appropriate office in your state listed below. 


State Telephone 

Alabama.(205) 348-3033 

Alaska.(907) 269-4957 

Arizona.(602) 542-5795 

Arkansas.(501) 682-4522 

California.(415) 703-5270 

Colorado.(970) 491-6151 

Connecticut.(860) 566-4550 

Delaware.(302) 761-8219 

District of Columbia.(202) 576-6339 

Florida.(850) 922-8955 

Georgia.(404) 894-2643 

Guam.011(671)475-0136 

Hawaii.(808) 586-9100 

Idaho.(208) 426-3283 

Illinois.(312) 814-2337 

Indiana.(317) 232-2688 

Iowa.(515) 965-7162 

Kansas.(785) 296-7476 

Kentucky.(502) 564-6895 

Louisiana.(225) 342-9601 

Maine.(207) 624-6460 

Maryland.(410) 880-4970 


OSHA Consultation Project Directory 

























Massachusetts.(617) 727-3982 

Michigan.(517) 322-6823 (H) 

.(517) 322-1809® 

Minnesota.(612) 297-2393 

Mississippi.(601) 987-3981 

Missouri.(573)751-3403 

Montana.(406) 444-6418 

Nebraska.(402) 471-4717 

Nevada.(702) 486-9140 

New Hampshire.(603) 271-2024 

New Jersey.(609) 292-3923 

New Mexico.(505) 827-4230 

New York.(518) 457-2238 

North Carolina.(919) 807-2905 

North Dakota.(701) 328-5188 

Ohio.(614) 644-2246 

Oklahoma.(405) 528-1500 

Oregon.(503) 378-3272 

Pennsylvania.(724) 357-2396 

Puerto Rico.(787) 754-2171 

Rhode Island.(401) 222-2438 

South Carolina.(803) 734-9614 

South Dakota.(605) 688-4101 

Tennessee.(615) 741-7036 

Texas.(512)440-3854 

Utah.(801) 530-6901 

Vermont.(802) 828-2765 

Virginia.(804) 786-6359 

Virgin Islands.(809) 772-1315 

Washington.(360) 902-5638 

West Virginia.(304) 558-7890 

Wisconsin.(608) 266-8579(H) 

.(414) 521-5063® 

Wyoming.(307) 777-7786 


(H) - Health (S) - Safety 


Occupational Health Professional’s Services and Qualifications: Questions and An? 









































Area 


Telephone 


Albany, NY.(518) 464-4338 

Albuquerque, NM.(505) 248-5302 

Allentown, PA.(610) 776-0592 

Anchorage, AK.(907) 271-5152 

Appleton, WI.(920) 734-4521 

Austin, TX.(512) 916-5783 

Avenel, NJ.(908) 750-3270 

Bangor, ME.(207) 941-8177 

Baton Rouge, LA.(225) 389-0474 

Bayside, NY.(718) 279-9060 

Bellevue, WA.(206) 553-7520 

Billings, MT.(406) 247-7499 

Birmingham, AL.(205) 731-1534 

Bismarck, ND.(701) 250-4521 

Boise, ID.(208) 321-2960 

Bowmansville, NY.(716) 684-3891 

Braintree, MA.(617) 565-6924 

Bridgeport, CT.(203) 579-5581 

Calumet City, IL.(708) 891-3800 

Carson City, NV.(702) 885-6963 

Charleston, WV.(304) 347-5937 

Cincinnati, OH.(513) 841-4132 

Cleveland, OH.(216) 522-3818 

Columbia, SC.(803) 765-5904 

Columbus, OH.(614) 469-5582 

Concord, NH.(603) 225-1629 

Corpus Christi, TX.(512) 888-3420 

Dallas, TX.(214) 320-2400 

Denver, CO.(303) 844-5285 

Des Plaines, IL.(847) 803-4800 

Des Moines, IA.(515) 284-4794 

Englewood, CO.(303) 843-4515 

Erie, PA.(814) 833-5758 

Fort Lauderdale, FL.(954) 424-0242 


0SHA Area Offices 






































Fort Worth, TX.(817) 428-2470 

Frankfort, KY.(502) 227-7024 

Harrisburg, PA.(717) 782-3902 

Hartford, CT.(860) 240-3152 

Hasbrouck Heights, NJ.(201) 288-1700 

Guaynabo, PR.(787) 277-1560 

Honolulu, HI.(808) 541-2685 

Houston, TX.(281) 286-0583 

Houston, TX.(281) 591-2438 

Indianapolis, IN.(317) 226-7290 

Jackson, MS.(601) 965-4606 

Jacksonville, FL.(904) 232-2895 

Kansas City, MO.(816) 483-9531 

Lansing, MI.(517) 377-1892 

Linthicum, MD.(410) 865-2055 

Little Rock, AR.(501) 324-6291 

Lubbock, TX.(806) 472-7681 

Madison, WI.(608) 264-5388 

Marlton, NJ.(609) 757-5181 

Methuen, MA.(617) 565-8110 

Milwaukee, WI.(414) 297-3315 

Minneapolis, MN.(612) 664-5460 

Mobile, AL.(334) 441-6131 

Nashville, TN.(615) 781-5423 

New York, NY.(212) 466-2482 

Norfolk, VA.(757) 441-3820 

North Aurora, IL.(630) 896-8700 

Oklahoma City, OK.(405) 231-5351 

Omaha, NE.(402) 221-3182 

Parsippany, NJ.(973) 263-1003 

Peoria, IL.(309) 671-7033 

Philadelphia, PA.(215) 597-4955 

Phoenix, AZ.(602) 640-2007 

Pittsburgh, PA.(412) 395-4903 

Portland, OR.(503) 326-2251 

Providence, RI.(401) 528-4669 


Occupational Health Professional’s Services and Qualifications: Questions and Answers 











































Raleigh, NC.(919) 856-4770 

Salt Lake City, UT.(801) 487-0680 

San Diego, CA.(619) 557-2909 

Savannah, GA.(912) 652-4393 

Smyrna, GA.(770) 984-8700 

Springfield, MA.(413) 785-0123 

St. Louis, MO.(314) 425-4249 

Syracuse, NY.(315)451 -0808 

Tampa, FL.(813) 626-1177 

Tarrytown, NY.(914) 524-7510 

Toledo, OH.(419) 259-7542 

Tucker, GA.(770) 493-6644 

Westbury, NY.(516) 334-3344 

Wichita, KS.(316) 269-6644 

Wilkes-Barre, PA.(717) 826-6538 

Wilmington, DE.(302) 573-6115 


0SHA Area Offices 




















U.S. Department of Labor 

Occupational Safety and Health Administration 

Regional Offices 


Region I 

(CT,* MA, ME, NH, RI, VT*) 
JFK Federal Building 
Room E-430 
Boston, MA 02203 
Telephone: (617) 565-9860 

Region II 

(NJ, NY,* PR,* VI*) 

201 Varick Street 
Room 670 

New York, NY 10014 
Telephone: (212) 337-2378 

Region III 

(DC, DE, MD,* PA, VA,* 

WV) 

Gateway Building, Suite 2100 
3535 Market Street 
Philadelphia, PA 19104 
Telephone: (215) 596-1201 

Region IV 

(AL, FL, GA, KY,* MS, NC,* 
SC,* TN*) 

Atlanta Federal Center 
61 Forsyth Street, SW, 

Room 6T50 
Atlanta, GA 30303 
Telephone: (404) 562-2300 

Region V 

(IL, IN,* MI,* MN,* OH, WI) 
230 South Dearborn Street 
Room 3244 
Chicago, IL 60604 
Telephone: (312) 353-2220 


Region VI 

(AR, LA, NM,* OK, TX) 

525 Griffin Street 
Room 602 
Dallas, TX 75202 
Telephone: (214) 767-4731 

Region VII 
(IA,* KS, MO, NE) 

City Center Square 
1100 Main Street, Suite 800 
Kansas City, MO 64105 
Telephone: (816) 426-5861 

Region VIII 

(CO, MT, ND, SD, UT,* WY*) 
1999 Broadway, Suite 1690 
Denver, CO 80202-5716 
Telephone: (303) 844-1600 

Region IX 

(American Samoa, AZ,* CA,* 
Guam, HI,* NV,* Trust 
Territories of the Pacific) 

71 Stevenson Street 
Room 420 

San Francisco, CA 94105 
Telephone: (415) 975-4310 

Region X 

(AK,* ID, OR,* WA*) 

1111 Third Avenue 
Suite 715 

Seattle, WA 98101-3212 
Telephone: (206) 553-5930 


*These states and territories operate their own OSHA-approved job safety and health 
programs (Connecticut and New York plans cover public employees only). States 
with approved programs must have a standard that is identical to, or at least as 
effective as, the federal standard.