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Volume: 0000 General Administration Part : 0500 Health and Safety Chapte.s-0521. MEDICAL INVESTIGATION OF ALLEGED DISABILITIES FROM SPECIAL HAZARDS 0521-01 POLICY if the source is newspaper, television o r radio publicity) of alleged disabilities from special hazards.To the extent permitted by law, and to the extent consistent with the best interests of the Atomic Energy Commission, medical investigations will be conducted of injuries or diseases alleged by former AEG contractor employees to have resulted from radiation exposure o r exposures to toxic materials peculiar in kind o r degree to atomic energy operations during employment with the AEC contractor. 033 The Director, Division of Operaa. informs the Divisions of Public Information and Biology and Medicine and the Offices of the Controller and General Counsel immediately of a notice of alleged To assure that alleged cases of injury o r disease a s noted above will be medically investigated to the extent necessary. 031 'Managers of Field Offices: b. advises, upon request, the field office manager of the medical might assist in making the inve stiga tion. c. provides, upon request, a current list of available medical consultants holding consultant contracts with the AEC. d. advises Managers of Fieldoffices on financing of medical examinaa. inform the Director, Division of Operational Safety, by telephone o r teletype, upon notice (even if the source is newspaper, television o r radio publicity) of alleged disabilities from special hazards. arrange and conduct medical investigations in accordance with the requirements of this chapter. provide required reports to the Division of Operational Safety. make advaqce arrangements, with the advice of the Director, Division of Operational Safety, for payment for medical examina041 Medical investigation is an inquiry into the background and facts of the alleged d is abi 1i t y which could include medical 042 Medical examination is a pertinent medical history, physical examination and laboratory examinations a s indicated, the examination being performed by a physician(s) (M.D.) withspecial qualifications for evaluating the hazard concerned.contact, a s this may be appropriate, the former employer of the employee alleging disability froma special hazard. inform, and consult with, the Chief 043 Special hazards means radiation exposure o r exposures to toxic materials peculiar in kind or degree to atomic energy \ 044 Toxic materials means chemicals and/or other materials used in the atomic energy industry operations but which may also be used in other industries. 032 Heads of Divisions and Offices, Headquarters, inform the Director of Operational Safety, by telephone, upon notice (even
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AEC 0521-05 DISABILITIES FROM SPECLAL HAZARDS The responsible field office manager will: Determine whether o r not the complainant alleges that his injury o r disease was incurred in the e mpl oF ent of an AEC contractor, and ifso, shall obtain and transmit to the 'medical advisor o r consultant as much of the following information as is immeplace of employment, name of employer and dates of employtype of work performed. identification of known exposures and material involved, including extent to which exposures have f. obtaining an accurate detailed radiation survey of the body and/ o r tissues obtained from the aug. obtaining environmental history and/or other pertinent data, such as details of exposure, types of work performed, etc., during employment and subsequent thereto, port of the case to the field office manager a s soon a s possible. records of all previous reports of injuries o r claims filed and action copy o r photostatic copy of all available medical records pertaining to the complainant. 061 Reimbursement of Medical Advis or s or Consultants. 052 Request the medical advisor o r consultant, to the extent deemed advisable o r practicable, to assist in the following: arranging for the medical examination of the complainant, o r in the case of death obtain, if possible, an autopsy and examination of tissue specimens. obtaining transcripts of all pertinent clinical records, including inations and all laboratory examinations. both during employment by contractor and subsequent thereto, when possible. making an accurate clinical appraisal of the case. attending the autopsy, if such is performed, and obtain a copy of the formal report when possible. obtaining the proper tissue specimens in sufficient quantity for whatever analyses may be indicated, as well a s for detailed pathological study, and insure examination is made by competent medical facility, and secure reServices performed by medical advisors o r consultants should normally be reimbursed by the office which executed the prime contract. If necessary, an appropriate adjustment in financial plans may be requested by field offices involved to cover the cost manager should request that the Division of Operational Safety consult with the Office of the Controller which will furnish advice as to other possible methods for native is feasible, the field office I -. Medical advisors o r consultants will be reimbursed for their o w n personal services and travel expenses under the terms of their consultant contracts and such other items of expense as may be required by the provisions of his agreement and should incur no other expenses o r obligations. 062 Medical Examination by Insurance Carrier. If the alleged injury or disease is covered by insurance, the field office manaEer shall determine whether it is feasible o r ;esirable to enlist the aid of the insurance carrier in financing o r obtaining any medical examination recommended by the medical advisor o r consultant. If not, arrangements for such examination shall be made by the Manager in accordance with subsection 063. 063 Medical Examination by Research Laboratory or Medical Facility. In anticipation of the necessity of performing medical examinations, each field office manager, with
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DISABILITIES FROM SPECLAL HAZARDS AEC 0521-07 the advice of the Director, Division of Operational Safety, shall make such appropriate advance arrangements as he deems necessary with a research laboratory o r medical facility. The arrangements will provide that the perform on a reimbursable basis medical examinations of complainants. The managers will also arrange, with the advice of the medical advisor o r consultant, for medical examination of complainants a t such locations a s may appear advisable. The research laboratory o r medical facility should be authorized in each case to incur reasonable expenses and to make necessary commitments required in connection with physical examinations and necessary laboratory tests to determine the medical facts with regard to the alleged injury o r disease. Such expenses and commitments may include the cost of transportation of the complainant to and froma hospital, clinic o r place of examination for medical examination. Expenditures f o r hospitalizatjon, laboratory tests, and medical services shall be at reasonable rates ' prevailing in the community. Semiprivate facilities should be used unless private facilities a r e certified by the medical advisor o r consultant a s required by the nature of the examination. Expenditures and commitments are not to be incurred for specific treatment of the alleged disability. 07 1 Applicability. The provisions of this chapter are normally applicable to all activities which a r e required by contract to be conducted in compliance with health, safety and fire protection regulations and requirements (including reporting requirements) of the Commission; they a r e also applicable to such other activities a s may be designated by the General Manager. 072 Coverage. This chapter covers all personnel previously employed by AEC contractors. It does not cover personnel currently employed on the project a t the time an allegation of disability is made o r presented to insurance carriers through normal channels; except a s the field office manager concerned may find it useful to resort to these provisions. This chapter does not cover (a) specific treatment of the alleged disability, o r (b) the actual processing of claims. The provisions of this chapter do not apply to injuries alleged to have arisen in connection with present o r former AEC Federal employment. Such' alleged disabilities a r e processed under the regulations of the Federal ministered by the Bureau of Employees' Coma. Progress reports of the medical investigation will be provided the Director, Division of Operational Safety, a t appropriate intervals. b. A copy of the medical advisor's with all other pertinent information, will be provided the Divisions of Operational Safety and Biology
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0 5 2 1- 03 Resnons ill il it j.es and Aut1lor it ies 031 Managers of Field Offices. 1, Carries out thc responsibilities set forth in Subsection 2 , Consults with and utilizes the services of the Chief Counsel ,the Organization and Personnel Division ,the Laboratory and Univcrsity Division, Area Offices, DTIE, and 'other staff Divisions as appropriate jn ascertaining wliethcr allegations pertain to employment with the AEC orits contractors and i n developing the information rcquircd by Sulmxtion AEC-0521-051 ;), The Qiief Counsel reviews a l l cases of allegations and -furnishes advice on legai matters pertaining tothe allegations, including release of infonnation and reports c o Division Dircctors Area hfanapxs and the Extension Marmger , W?E,- inmediately notify the Safety Division by telephone or teletype of holm ;~ll.eg;ltionswithin the scope of Chapters contractors reearding the alle1:ations i s also furnished t o and ensure that inforniati.on received by The provisions o f Chapters AEC and OR-0521 are applicable toall Divisions, Arca Officcs, DTIE, and contractorsn
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MEDICAL INVESTIGATION OF ALLEGED . Chapter OR- 0 5 02, "NO tif i c a t ion, Invest ign t ion, and Reporting of Occurrences, It (N) 0521-09 National Emergency Application, "lie provisions of this OR Chapter will remain in effect during a national emergency (as defined i n Section AEC-QGOL-Oil) unless suspended i n wholc o r in part by authority of the Manager, Oak Ridge Operations,