Michigan Administrative Code
Department - Labor and Economic Opportunity
MIOSHA
General Industry and Construction Safety and Occupational Health Standards
Construction Safety and Health Standard
Part 603 - LEAD EXPOSURE IN CONSTRUCTION
Section R. 325.51990 - Medical examinations and consultations, frequency

(a) At least annually for each employee for whom a blood lead sampling test conducted at any time during the preceding 12 months indicated a blood lead level at or above 15 µg/dL.

(b) As soon as possible, upon notification by an employee either that the employee has developed signs or symptoms commonly associated with lead intoxication, that the employee desires medical advice concerning the effects of current or past exposure to lead on the employee's ability to procreate a healthy child, that the employee is pregnant, or that the employee has demonstrated difficulty in breathing during a respirator fitting test or during use.

(c) As medically appropriate for each employee either removed from exposure to lead due to a risk of sustaining material impairment to health, or otherwise limited pursuant to a final medical determination.