Medical Monitoring is a prevention strategy that is used to ensure that workers are safe and healthy. It reviews health data from an individual or group of employees over time. Medical surveillance intends to detect and remove health hazards from the work environment before any injury can occur.
Stan State intends to provide a safe and healthful workplace, minimize risks, prevent injuries and reduce costs. The University offers, at no cost to employees, a medical monitoring program for employees exposed to specific occupational hazards as part of our commitment to safety.
Employee Medical Monitoring Program (EMMP)
Code of Federal Regulations (CFR) Title 29 §1910, Title 40; California Code of Regulations (CCR) Title 3, Title 8 §5097 Hearing Conservation, 5142 – 5223 Control of Hazardous Substances, and §3203 Injury and Illness Prevention Program; CSU Employee Medical Monitoring Plan Management §1.3 and 1.4; CSU Executive Order 1039 §C
California Division of Occupational Safety and Health (DOSH), Department of Industrial Relations (Cal/OSHA)
Medical surveillance in the occupational setting is the systematic collection and analysis of the health information on groups of workers potentially exposed to harmful agents, for the purpose of identifying health effects at an early and hopefully reversible stage. Biological monitoring, or the measurement of tissue levels of contaminants or metabolites, is often included as part of a medical monitoring program, even though these tests do not measure adverse health effects.
The California Code of Regulations (CCR) requires that employees with potential exposures to certain harmful agents shall receive medical monitoring examinations. These examinations serve the purpose of detecting adverse health effects which could possibly be related to workplace exposures. Early detection of disease will result in earlier treatment and will allow for cessation of additional exposures that could aggravate a potentially serious medical condition. In addition to monitoring of employee health, biological monitoring may also be necessary. Biological monitoring provides a correlation between external exposures and internal exposure. Biological monitoring provides a reliable indication of health risk to an individual worker.
Medical physical examinations are required for employees in the following categories:
- Police Officers, pre-employment per California Peace Officer Standards and Training
- Employees exposed to specific chemical and physical agents as defined in the CCR and CFR
Employees with occupational exposure to the following conditions and chemicals may be placed in the Employee Medical Monitoring Program (EMMP). Those in the EMMP should have a physical for pre-placement, during probation, whenever an identified hazard is introduced to the job, annually thereafter and for post-employment.
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Acrylonitrile |
Confined Space Entry |
Lead |
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Aerosol Transmissible Diseases |
Ethylene Oxide |
Occupational Noise |
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Animal Handlers |
Formaldehyde |
Pesticides/Pest Control Operations |
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Asbestos |
Hazardous Waste Handling |
Respirable Crystalline Silica |
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Benzene |
Ionizing Radiation |
Respirator Use |
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Carcinogens |
Lasers |
Vinyl Chloride |
It is the policy of the CSU that medical examinations mandated by federal and state laws and regulations be enforced by each campus. Failure or refusal of an employee to undergo required medical testing, as determined by campus management, shall constitute a failure or refusal to perform the normal and reasonable duties of the position. In such event, the campus has the authority to commence appropriate disciplinary action, up to and including, termination of employment.
Updated: December 14, 2023