TCOM assists employers of all sizes in complying with OSHA medical regulations.  From simple respirator clearance examinations to full-scale hazardous waste examinations, asbestos, lead, or carcinogen medical surveillance, our team of occupational specialists will ensure that your employees receive the best exams possible, and that the employer is in compliance with medical requirements.

Quality 

All OSHA mandated examinations are designed and reviewed by Dr. Kusnetz, our Medical Director who is board certified in Occupational Medicine.  As standards change, Dr. Kusnetz will incorporate the necessary changes into the examination protocol to ensure that exams are compliant with the latest regulations. 

Our equipment and staff are top notch.  For example, TCOMs  audiometry testing booth is not the industry standard 2 inch booth, but a 3 inch booth placed within a sound dampened room.  Although our computerized audiometry equipment is fully compliant with NIOSH and OSHA, we have staff trained in the NIOSH Hearing Conservation Program.   Our spirometry is fully NIOSH and ATS compliant, and we maintain NIOSH spirometry trained staff to perform those tests. 

Our laboratory is fully credentialed to perform toxicology screening and bio-monitoring. 

HAZMAT/ HAZWOPER

These full-scale examinations are designed to capture data that may be necessary in the future.  Hazardous waste workers are exposed to numerous and unknown toxicants that may not currently be characterized.  Because of the latency of effects from chemicals, future immunological, neurological, or oncological diseases might not be evident for decades to come.  Examinations include a complete history and physical examination, blood chemistry and blood counts, urinalysis, electrocardiograms, chest x-rays and spirometry.  Additional testing is added as necessary, but typically might include ILO-B reading for asbestos, or cholinesterase, heavy metal, and lead levels.  All examinees are issued a Physician’s Written Opinion, and are sent a personal letter with the results of the examination.  Abnormal laboratory tests are included routinely for the examinee to share with his/her personal physician.  Please call ahead to schedule these exams. 

Respirator Medical Clearance

Our Respirator Medical exam is designed to provide a baseline level of cardiopulmonary health in addition to annual medical clearance.  Medical surveillance components (e.g. skin testing for tuberculosis, blood testing, hearing tests, etc) may be added on to the basic examination based upon the employer’s needs.  Results are available immediately following the examination.  All examinees are issued a Physician’s Written Opinion.  Basic respirator medical examinations do not require an appointment and may be seen on a walk in basis.  If multiple employees need to be evaluated in a short period of time, we recommend pre-scheduling. 

NFPA Fire Fighter Medical Evaluation

NFPA 1582 Standard of Medical Requirements for Fire Fighters is incorporated into this comprehensive examination that mimics the HAZMAT/ HAZWOPER exam.  In includes scheduled cardiac stress testing and utilizes published category A and B medical conditions to provide guidance in medical clearance.  Due to the length of the examination, pre-scheduling is recommended. 

Police Officer / Candidate Medical Evaluation

Based on the Michigan Law Enforcement Training Council guidelines, this comprehensive examination screens officers and candidates for medical conditions that may impair their own or the public’s safety when performing the duties of a police officer.  Comprehensive testing including cardiac stress testing is included. 

Links

Occupational Safety and Health Administration 

NIOSH - The National Institute for Occupational Safety and Health

370 Campus Drive - Somerset, NJ
732.748.1900