California Code of Regulations
Title 8 - Industrial Relations
Division 1 - Department of Industrial Relations
Chapter 4 - Division of Industrial Safety
Subchapter 7 - General Industry Safety Orders
Group 26 - Driving and Pressurized Worksite Operations
Article 152 - Diving Operations
Section 6053 - Medical Requirements of Dive Team
Universal Citation: 8 CA Code of Regs 6053
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) General.
(1) The employer shall determine that dive
team members who are, or are likely to be, exposed to hyperbaric conditions
have passed a current physical examination and have been declared medically fit
to engage in diving activities.
(2)
The employer shall provide each diver with all medical examinations required by
this standard.
(3) All medical
examinations required by this standard shall be performed by, or under the
direction of, a licensed physician.
(b) Frequency of Medical Examinations. Medical examinations shall be provided:
(1)
Before an employee may dive, unless an equivalent medical examination has been
given within the preceding 12 months and the employer has obtained the results
of the examination and an opinion from the examining physician of the
employee's medical fitness to dive.
(2) At one year intervals from the date of
initial examination or last equivalent examination; and
(3) After an injury or illness requiring
hospitalization of more than twenty-four (24) hours.
(4) After an episode of unconsciousness
related to diving activity.
(c) Information Provided to Examining Physician. The employer shall provide the following information to the examining physician.
(1) A copy of the medical
requirements of this standard;
(2)
A summary of the nature and extent of the diving conditions to which the dive
team member will be exposed, including diving modes and the level of physical
activity which is expected.
(d) Content of Medical Examinations:
(1) Medical examinations conducted initially
and annually shall consist of the following:
(A) General medical history;
(B) Diving-related medical history;
(C) Basic physical examination;
(D) The tests required by Table I;
and
(E) Any additional tests the
physician considers necessary.
(2) Medical examinations conducted after an
injury or illness requiring hospitalization of more than 24 hours or after an
episode of unconsciousness related to diving activity shall be appropriate to
the nature and extent of the injury or illness as determined by the examining
physician.
Table I. Tests for Diving Medical Examination Initial Annual
Test | Initial Examination | Annual Reexamination |
Chest X-Ray | X | (b) |
Visual acuity | X | X |
Color blindness | X | |
Master's Step Test (or equivalent) | X | X(a) |
Hearing Test | X | X |
Hematocrit or hemoglobin | X | X |
Sickle cell index | X | |
White cell count | X | X |
Urinalysis | X | X |
(a) for
those age 35 or older
(b) every 2
years
(e) Physician's Written Report.
(1) After any
medical examination required by this standard, the employer shall obtain a
written report prepared by the examining physician which shall contain the
examining physician's opinion of the employee's fitness to dive, including any
recommended restrictions or limitations (See Appendix A). The report shall not
include diagnosis or details unrelated to diving.
(2) The employer shall provide the employee
with a copy of the physician's written report.
Note: Authority cited: Section 142.3, Labor Code. Reference: Section 142.3, Labor Code.
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