Medical surveillance, run through one clinic
Every exam your standards require, performed by occupational medicine clinicians and filed where the last one is — so a periodic exam is read against a real baseline instead of somebody else’s paperwork.
For employers
One provider, one file, one history per employee
Surveillance spread across three clinics is three sets of records and no comparison. Run it through one and every periodic exam is read against that employee’s own baseline — and the file is whole when an inspector asks for it.
What surveillance includes
Every exam the standards require, in one place
A surveillance obligation is rarely one test. It is a list of who is exposed, what each job class triggers, what counts as an action level, and what has to be written down and kept — and the results are only worth anything if each one can be read against the one before it.
That is the argument for keeping them together. You decide who is due and when; we perform the exams, issue the opinions, and hold one file per employee that reads as a history rather than a stack of unrelated visits.
- Employers under a substance-specific standard
- Hearing conservation programs
- Respirator users
- Multi-site and multi-job-class employers
Baseline exam
The entry exam before or shortly after first exposure, establishing the comparison every later result is read against.
Periodic exam and monitoring
The repeat exam and biological monitoring the standard calls for, with results read against action levels.
Respirator clearance
Medical evaluation before fit-testing, and re-evaluation when the questionnaire or a change in health calls for it.
Audiometric testing
Baseline and annual audiograms, standard threshold shift review, and the retest when a shift appears.
Exit and change-of-job exam
The exam at termination or transfer out of exposure, closing the record for that employee.
Enrolment mapping
At setup we work through your exposure assessment and job classes so you know which roles trigger which exams — the schedule itself stays yours.
The exams themselves are described on our OSHA exams, exposure testing, respirator evaluations, and vision and hearing testing pages. This page is about running all of them through one provider so the file holds together.
How it works
Set up once, then send people when they are due
Intervals, action levels and removal criteria follow the applicable standard.
Map roles to exams
Job classes and exposures in; which roles trigger which exams, and at what interval the standard sets, out.
Baseline
The entry exam and any required monitoring, recorded as the comparison point for everything after.
Periodic exams
You tell us who is due; we run the exam against that employee’s own baseline, not a generic one.
Opinions, action, records
Written medical opinions issued, any removal or restriction flagged immediately, records retained.
Before you come in
What we need to set surveillance up
Most of the work on an employer’s side happens once, at setup. What we need to start is the paperwork you already hold.
From the employer
- Your exposure assessment or air-monitoring results, if you have them.
- Job descriptions or job classes, so the mapping follows the role rather than the name.
- Any prior surveillance records, including exams done at another clinic.
From the employee, at each visit
- Photo ID and employer authorization
- Your job title and the exposures in your role
- Prior surveillance records, if your history is with another clinic
- A list of current medications
Results
What each side receives, and what stays private
Surveillance is one of the few settings where what the employer may be told is written into the regulation. The employer gets a written medical opinion — fit, restricted, or removed, and why in terms of the exposure. The findings behind it stay with the clinic and the employee.
Employee
After each exam
- A copy of their own results and the clinician’s findings
- Written notice when a result crosses a threshold that requires one
- An explanation of any restriction, removal or referral
Employer
Written medical opinion
- Fit, restricted or removed, with the reason stated in terms of exposure
- Recommended limits on exposure or respirator use
- Return-to-work determinations when a removed employee qualifies
Surveillance record
Retained
- Every exam, result and opinion for the duration of employment plus thirty years
- The baseline each later result was read against
- Available to the employee and to OSHA on request
Common questions
Medical surveillance, answered
Answers from our collectors and clinicians. General information, not medical or legal advice.
How is this different from the OSHA exams page?
That page describes what each standard requires of a single exam. This one is about running all of them through one provider, so the results are comparable and the records are in one place. Most employers need both pages; you only buy one service.
Who decides when an employee is due?
The applicable standard sets the interval, and the employer holds the schedule. We map which roles trigger which exams at setup, and we perform the exam when you send someone in. General information, not legal advice.
What happens when a result crosses an action level?
It is flagged when it is received, not at the end of a reporting cycle, and the clinician tells you what the standard requires next — closer monitoring, a restriction, or removal from exposure.
We have records at three different clinics. Can you take it over?
Yes. Prior records come in as the baseline where they qualify, and where they do not, we re-baseline and say so in the file rather than quietly starting the clock again.
Set up surveillance for your workforce
Monday–Friday, 7am to 5pm at Denver, Lakewood, Parker, and Thornton. Hablamos Español.
- Denver(303) 531-4144
- Thornton720-531-8377
- Parker720-409-0007
- Lakewood(720) 689-9655