98-11797. Methylene Chloride; Notice of Motion for Reconsideration; Proposed Rule  

  • [Federal Register Volume 63, Number 85 (Monday, May 4, 1998)]
    [Proposed Rules]
    [Pages 24501-24515]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 98-11797]
    
    
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    DEPARTMENT OF LABOR
    
    Occupational Safety and Health Administration
    
    29 CFR Part 1910
    
    [Docket No. H-71]
    RIN 1218-AA95
    
    
    Methylene Chloride; Notice of Motion for Reconsideration; 
    Proposed Rule
    
    AGENCY: Occupational Safety and Health Administration (OSHA), 
    Department of Labor.
    
    ACTION: Notice of motion for reconsideration; proposed rule.
    
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    SUMMARY: The Occupational Safety and Health Administration (OSHA) has 
    received a motion for reconsideration of certain provisions of its 
    standard regulating occupational exposure to methylene chloride (MC), 
    62 FR 1494 (Jan. 10, 1997). The motion, filed jointly by the 
    International Union, United Automobile, Aerospace and Agricultural 
    Implement Workers of America, UAW, the Halogenated Solvents Industry 
    Alliance, Inc., and others asks OSHA to amend the methylene chloride 
    standard by adding to the medical surveillance provisions of the 
    standard a provision for temporary medical removal protection benefits 
    for employees who are temporarily removed or transferred to another job 
    because of a medical determination that exposure to methylene chloride 
    may aggravate or contribute to the employee's existing skin, heart, 
    liver, or neurological disease; and modifying certain startup dates for 
    employers in certain identified application groups, i.e., who use MC in 
    certain work operations. The standard currently requires employers with 
    fewer than 20 employees to complete installation of engineering 
    controls by April 10, 2000 and larger employers to do so by earlier 
    dates. The motion asks that the April 10, 2000 startup date for 
    engineering controls be applied to some additional small- and medium-
    sized employers in the identified application groups. Shorter startup 
    date extensions are requested for the larger employers in those same 
    application groups. The parties to the motion further request that 
    respirator use to achieve the 8-hour time-weighted-average permissible 
    exposure limit not be required before the engineering control startup 
    dates for the employers covered by the motion.
        OSHA tentatively concludes that the amendments are appropriate and 
    are supported by the rulemaking record. Accordingly, OSHA is hereby 
    proposing to amend the MC standard with the
    
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    modifications the parties have recommended. OSHA is reopening the 
    rulemaking record for the methylene chloride standard for 30 days for 
    the limited purpose of receiving public comment on the proposed 
    amendments.
    
    DATES: Comments concerning the proposed rule must be postmarked or 
    transmitted by fax on or before June 3, 1998. Comments concerning the 
    collection of information requirements must be postmarked or 
    transmitted by fax on or before July 6, 1998.
    
    ADDRESSES: Comments are to be submitted in quadruplicate to: The Docket 
    Office, Docket No. H-71, Room N-2625, United States Department of 
    Labor, 200 Constitution Avenue, NW., Washington, DC 20210, telephone 
    (202) 219-7894. Comments of 10 pages or fewer may be transmitted by fax 
    to (202) 219-5046, provided the original and three copies are sent to 
    the Docket Office thereafter. The hours of operation of the Docket 
    Office are 10:00 a.m. to 4:00 p.m.
    
    FOR FURTHER INFORMATION CONTACT:
    Bonnie Friedman, Director, OSHA Office of Public Affairs, U.S. 
    Department of Labor, Room N3647, 200 Constitution Avenue, NW., 
    Washington, DC 20210, telephone (202) 219-8151.
    
    SUPPLEMENTARY INFORMATION: 
    
    INFORMATION COLLECTION REQUIREMENTS: This proposed rule contains 
    collection of information requirements in 29 CFR 1910.1052, ``Methylene 
    Chloride,'' in paragraphs (j)(11)(B) and (j)(14)(i), (ii), and (iv). 
    Under these requirements employers must provide certain employees with 
    additional medical examinations beyond those now required under the 
    standard. The proposed rule would not change the requirement in the 
    existing standard that employers provide the employee with a copy of 
    the written medical opinion for each medical examination required by 
    the standard. Because it requires additional medical examinations than 
    does the current rule and, for some of those examinations, the 
    provision of more information about the results, the proposed rule 
    imposes additional collection of information requirements on employers 
    than the current standard. The Paperwork Reduction Act of 1995, 44 
    U.S.C. 3507(d), and 5 CFR 1320.11 require Federal agencies to submit 
    collections of information contained in proposed rules to the Office of 
    Management and Budget (OMB) for review. OSHA has submitted the 
    appropriate request to OMB for approval. OSHA currently has approval 
    for the collection of information requirements in the existing 
    Methylene Chloride standard under OMB Control Number 1218-0179.
        OSHA invites comments on whether the proposed collection of 
    information:
        1. Ensures that the collection of information is necessary for the 
    proper performance of the functions of OSHA, including whether the 
    information will have practical utility;
        2. Estimates the projected burden accurately, including whether the 
    methodology and assumptions used are valid;
        3. Enhances the quality, utility and clarity of the information to 
    be collected; and
        4. Minimizes the burden of the collection of information on those 
    who are to respond, including through the use of appropriate automated, 
    electronic, mechanical, or other technological collection techniques, 
    or other forms of information technology, e.g., permitting electronic 
    submission of responses.
        Title: Methylene Chloride (MC) (29 CFR 1910.1052).
        Description: The purpose of this standard and its information 
    collection requirements is to protect employees from adverse health 
    effects associated with occupational exposure to MC. The current 
    standard requires employers to monitor employee exposure to MC, inform 
    employees of monitoring results, and notify employees of corrective 
    action to be taken. Employers are also required to provide medical 
    surveillance to employees who are exposed to MC above the action level. 
    Employers must also provide information and training to employees on 
    the following: health effects of MC, specifics regarding use of MC in 
    the workplace, the content of the standard, and means the employees can 
    take to protect themselves from overexposure to MC.
        In response to a motion for reconsideration by the United Auto 
    Workers (UAW), the Halogenated Solvents Industry Alliance, Inc., and 
    others, the Agency is proposing to add paragraphs (j)(9)(i) (A) and 
    (B), (j)(10), (j)(11), (j)(12), (j)(13), and (j)(14), dealing with 
    medical removal protection, medical removal protection benefits, 
    voluntary removal or restriction of an employee, and multiple health 
    care professional review to the MC standard.
        Respondents: The respondents are employers whose employees have 
    occupational exposure to MC, Chemical Abstracts Service Registry Number 
    75-09-2, in general industry, construction and shipyard employment, 
    approximately 92,000 respondents.
        Estimate of Burden Hours: OSHA estimates that the total burden for 
    the proposed MC collection of information provision will be 619 burden 
    hours.
        Estimate of Costs: OSHA estimates that the total cost for the first 
    year will be $60,515 for the collection of information provision.
        Interested parties are requested to send comments regarding this 
    information collection to the Office of Information and Regulatory 
    Affairs, Attn. OSHA Desk officer, OMB New Executive Office Building, 
    725 17th Street, NW, Room 10235, Washington, DC 20503. Commenters are 
    encouraged to send a copy of their comments on the collection of 
    information to OSHA along with their other comments.
        Comments submitted in response to this notice will be summarized 
    and/or included in the request for Office of Management and Budget 
    approval of the final information collection request: They will also 
    become a matter of public record. Copies of the referenced information 
    collection request are available for inspection and copying in the OSHA 
    Docket office and will be mailed immediately to any person who requests 
    copies by telephoning Adrian Corsey at (202) 219-7075 extension 105. 
    For electronic copies of the MC information collection request, contact 
    OSHA's WebPage on the Internet at http://www.osha.gov/ and click on 
    ``Federal Register Notices''. Then click on ``Type of Publication'', 
    then ``Notices'', and lastly ``1998''. Copies of the request are also 
    available at the OMB docket office.
    
    I. Background
    
        On January 10, 1997, OSHA issued a standard regulating occupational 
    exposure to methylene chloride (MC). 62 FR 1494. The standard was 
    designed to reduce both the risk that worker exposure to MC will cause 
    cancer and the risk that MC will cause or aggravate certain other 
    adverse health effects. The standard reduced the prior 8-hour time-
    weighted-average permissible exposure limit (8-hour TWA PEL) to MC from 
    500 parts per million (ppm) to 25 ppm. It also set a short term 
    exposure limit (STEL) of 125 ppm averaged over a 15 minute period.
        The 8-hour TWA PEL was set at 25 ppm to reduce, to the extent 
    feasible, the risk that workers exposed to MC would contract cancer. 
    Data showing that MC exposure presents a risk of cancer included animal 
    bioassay data, studies detailing the metabolism of MC to carcinogenic 
    products in humans, and epidemiological studies suggesting an elevated 
    risk of biliary cancer and astrocytic brain cancer in MC-exposed 
    workers. The agency used a physiologically-based pharmacokinetic
    
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    (PBPK) model to estimate the cancer risk. OSHA's final risk assessment 
    estimated that, at the prior 8-hour TWA PEL of 500 ppm (a level that 
    the Agency found was considerably higher than the level at which most 
    affected workers were currently exposed, see 62 FR 1565), lifetime 
    occupational exposure to MC could result in approximately 125 cancer 
    deaths per 1000 exposed workers. 62 FR 1563, Table VII. At the new 8-
    hour TWA PEL of 25 ppm, OSHA estimated that the excess cancer risk 
    would be reduced to approximately 3.6 deaths per 1000 workers. Id. OSHA 
    concluded that a significant risk to workers remains at an exposure 
    level of 25 ppm but set the 8-hour TWA PEL at that level because it was 
    the lowest level for which OSHA could document feasibility across all 
    the affected application groups. 62 FR 1575.
        The STEL was set at 125 ppm to minimize the adverse health effects 
    caused by acute exposure to MC. Central nervous system (CNS) depression 
    has been observed at MC concentrations as low as 175 ppm. CNS 
    depression is characterized by fatigue, difficulty in maintaining 
    concentration, dizziness, and headaches. These consequences of MC 
    exposure constitute material impairments of health and, by reducing 
    workers' coordination and concentration, can lead to workplace 
    accidents. Also, MC is metabolized to carbon monoxide (CO) and 
    therefore causes health impairment similar to that caused by direct 
    exposure to CO. Carbon monoxide blocks the oxygen binding site on 
    hemoglobin, producing carboxyhemoglobin, or COHb. Elevated COHb levels 
    reduce the supply to oxygen to the heart and can aggravate pre-existing 
    heart disease and lead to heart attacks. Physical exertion increases 
    the concentration of COHb in MC-exposed workers and thus increases the 
    risk of a heart attack, particularly to persons with silent or 
    symptomatic cardiac disease, who may be susceptible to very small 
    increases in COHb due to an already impaired blood supply to the heart.
        The liver and skin are also susceptible to acute effects from MC 
    exposure. Chlorinated hydrocarbons as a class (of which MC is a member) 
    are generally toxic to the liver. However, animal studies indicate that 
    MC is among the least hepatotoxic of this class of compounds. The 
    limited amount of human data that are available is inconclusive but 
    supports the hypothesis that MC is toxic to the liver. 62 FR at 1515. 
    Prolonged skin contact with MC also causes irritation and skin burns. 
    62 FR at 1609.
        Employers must achieve the 8-hour TWA PEL and the STEL, to the 
    extend feasible, by engineering and work practice controls. If such 
    controls are unable to achieve the exposure limits, and during the time 
    they are being implemented, employers must provide, at no cost to 
    employees, and ensure that employees use, appropriate respirators. The 
    standard does not permit the use of air-purifying respirators to 
    protect against MC exposure because MC 1uickly penetrates all currently 
    available organic vapor cartridges, rendering air-purifying respirators 
    ineffective after a relatively brief period of time. Therefore, when 
    respiratory protection is required, the standard provides that 
    atomsphere-supplying respirators must be used.
        The standard requires employers to provide medical surveillance to 
    employees who are exposed to MC either (1) at or above the action level 
    on 30 or more days per year or at or above the 8-hour TWA PEL or STEL 
    on 10 or more days per year; (2) at or above the 8-hour TWL Pel or STEL 
    for any time period where an employee who has been identified by a 
    physician or other licensed health care professional as being at risk 
    from cardiac disease or from some other serious MC-related health 
    condition requests inclusion in the medical surveillance program; or 
    (3) during an emergency. The medical surveillance must include a 
    comprehensive medical and work history that emphasizes neurological 
    symptoms, skin conditions, history of hematologic or liver disease, 
    signs or symptoms suggestive of heart disease (angina, coronary artery 
    disease), risk factors for cardiac disease, MC exposures, and work 
    practices and personal protective equipment used during such exposures. 
    The standard's medical surveillance procedures focus on MC's 
    noncarcinogenic health effects because a medical surveillance program 
    cannot detect cancer at a preneoplastic state. 62 FR at 1589. However, 
    the standard's medical surveillance provisions can lead to early 
    detection of cancer and to higher survival rates from early treatment.
        OSHA found that the standard was both technologically and 
    economically feasible in all of the industrial applications that use 
    MC. However, the Agency recognizes that larger employers are better 
    able than smaller ones to absorb or pass through the costs associated 
    with compliance with the standard. To avoid placing an undue economic 
    burden on small businesses, OSHA provided for later startup dates for 
    small employers. Larger employers were given until April 10, 1998 (one 
    year after the standard's effective date) to complete installation of 
    engineering controls to achieve the PEL and STEL, while employers with 
    fewer than 20 employees were given a total of three years, or until 
    April 10, 2000, to do so. Employers with fewer than 20 employees were 
    also given more time than larger employers to comply with the other 
    provisions of the standard. In addition, intermediate startup dates 
    were established for polyurethane foam manufacturers with 20-99 
    employees because OSHA anticipated that firms in that group could have 
    somewhat higher capital expenditures to meet the requirements of the 
    standard.
    
    II. The Motion for Reconsideration
    
        The motion filed by the parties asks OSHA to reconsider two aspects 
    of the standard: (1) The agency's decision not to include medical 
    removal protection benefits in the medical surveillance provisions of 
    the standard; and (2) the start-up dates for engineering controls and 
    for use of respirators to achieve the 8-hour TWA PEL for employers 
    using MC in certain specific applications.
        Those applications are:
         Polyurethane foam manufacturing;
         Foam fabrication;
         Furniture refinishing;
         General aviation aircraft stripping;
         Formulation of products containing methylene chloride;
         Boat building and repair;
         Recreational vehicle manufacture;
         Van conversion;
         Upholstery; and
         Use of methylene chloride in construction work for 
    restoration and preservation of buildings, painting and paint removal, 
    cabinet making and/or floor refinishing and resurfacing.
        The motion requests that the standard's current final engineering 
    control startup date of April 10, 2000, which now applies to employers 
    with fewer than 20 employees, be applied also to employers in the 
    specified application groups with 20-49 employees and to foam 
    fabricators with 20-149 employees. (In referring to an employer's 
    number of employees, the parties to the motion explain that they intend 
    for the number of employees to refer to the total number or workers 
    employed by the particular employer, not the number who work at a 
    particular facility or the number that use methylene chloride in their 
    work.) The motion requests shorter extensions of the engineering 
    control dates for larger employers in these application groups. The 
    parties further request that respirator use to achieve the 8-hour TWA 
    PEL not be required before the
    
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    engineering control startup dates for the employers covered by the 
    motion.
        In evaluating the motion, OSHA notes that the parties are not 
    seeking to modify the fundamental protections provided to workers by 
    the standard. They are not challenging the 8-hour TWA PEL or the STEL 
    or the requirement that those limits be met, to the extent feasible, 
    through engineering and work practice controls. Nor are the parties 
    seeking modifications of the provisions in the standard for regulated 
    areas, protective work clothing and equipment, hygiene facilities, 
    hazard communication, employee information and training, and 
    recordkeeping. Moreover, the extensions of the startup dates that they 
    seek would not change the standard's current final compliance deadline 
    of April 10, 2000 but would merely give additional employers the 
    benefit of that startup date. The parties suggest that their proposed 
    changes to startup dates will enhance long-term worker protection by 
    enabling employers to use their resources effectively and efficiently 
    in developing permanent engineering solutions to reduce MC exposures in 
    their workplaces. The parties' proposed addition to the medical 
    surveillance provisions of the standard--a provision for medical 
    removal protection benefits--is also designed to enhance worker 
    protection by encouraging worker participation in medical surveillance. 
    Thus, the parties believe that the amendments they seek will promote 
    worker protection while minimizing employers' compliance burdens.
    
    III. Medical Removal Protection Benefits
    
        OSHA set the permissible exposure limits for methylene chloride to 
    eliminate significant risk, to the extent feasible, to workers exposed 
    to MC. However, individuals vary in their response to chemical 
    exposures. Some may see their health impaired, or preexisting medical 
    conditions aggravated, at an exposure level that does not provoke such 
    effects in most workers. Medical surveillance can identify those 
    workers who exhibit signs or symptoms of illnesses that could be 
    aggravated by exposure to a toxic substance and lead to treatment or 
    reduction in exposure. OSHA has therefore provided for medical 
    surveillance whenever it has issued a new standard for a single toxic 
    substance.
        Medical surveillance can result in a medical opinion that 
    particular workers should be removed from their present jobs have their 
    work activities otherwise restricted. This can lead to concern among 
    workers that participation in medical surveillance could cost them 
    their jobs. A worker who fear that medical surveillance may endanger 
    his or her livelihood may be reluctant to consent to medical tests or 
    to provide complete and accurate information during a medical 
    examination. If employees whose health could be significantly impaired 
    by continued MC exposure withhold their full cooperation, they might 
    continue to be exposed to MC without being aware that such exposure 
    poses a risk to their health. To avoid having the potential loss of a 
    job act as a disincentive to workers participating in the standard's 
    medical surveillance program, OSHA has, in certain of its toxic 
    chemical standards, provided for medical removal protection benefits 
    (MRPB). MRPB provisions require that an employer who must remove an 
    employee from continued exposure to a chemical or otherwise restrict an 
    employee's exposure to that chemical must maintain the employee's 
    earnings and other employment rights and benefits for a specified time.
        When it has included MRPB provisions in earlier standards, OSHA has 
    delineated as specifically as possible the medical conditions that 
    trigger removal. Where possible, the Agency has specified objective 
    removal criteria. For example, the lead standard (29 CFR 1910.1025) 
    requires that an employee be removed from exposure above the action 
    level when an employee's blood lead concentration exceeds a certain 
    value. Similarly, the cadmium standard (29 CFR 1910.1047) lists 
    objective biological monitoring criteria that trigger medical removal.
        OSHA has also, however, recognized that medical removal is 
    sometimes appropriate without regard to specific biological markers 
    when, in the judgment of a physician or other licenses health care 
    professional, removal is necessary to protect the health of the 
    employee. Thus, in addition to objective removal criteria, the lead and 
    cadmium standards provide for medical removal based on the discretion 
    of a health care professional. The lead standard requires medical 
    removal ``on each occasion that a final medical determination results 
    in a medical finding, determination, or opinion that the employee has a 
    detected medical condition which places the employee at increased risk 
    of material impairment to health from exposure to lead.'' Under the 
    cadmium standard, an employee must be removed if a written medical 
    opinion determines that removal is justified by ``biological monitoring 
    results, inability to wear a respirator, evidence of illness, other 
    signs or symptoms of cadmium-related dysfunction or disease, or any 
    other reason deemed medically sufficient * * *.'' The formaldehyde 
    standard (29 CFR 1910.1048) contains no objective criteria for medical 
    removal but provides for removal ``if the physician finds that 
    significant irritation of the mucosa of the eyes or of the upper 
    airways, respiratory sensitization, dermal irritation, or dermal 
    sensitization result from workplace formaldehyde exposure and 
    recommends restrictions or removal.''
        In the proposed MC rule, OSHA solicited comment on whether it 
    should provide for medical removal protection benefits in the final 
    rule. 56 FR at 57043 (Nov. 7, 1991). A number of commenters urged the 
    Agency to do so on the basis that MRPB would encourage employee 
    participation in medical surveillance. In the final rule, OSHA found, 
    as it had in the earlier standards discussed above, that MRPB would 
    increase employee participation in medical surveillance. However, the 
    Agency declined to include such a provision in the standard because it 
    did not believe it could offer substantive guidance to medical 
    professionals as to when it would be appropriate to remove an employee 
    from further MC exposure or to return a removed employee to the 
    workplace. 62 FR at 1595.
        The parties to the motion for reconsideration believe they have 
    drafted a provision that is narrowly tailored to diseases that MC 
    exposure may aggravate and that limits the scope of the provision in a 
    way that avoids any undue economic burden on small employers. Under 
    their proposal, MRPB would be required only when a physician or other 
    licensed health care professional (PLHCP) determines that the 
    employee's exposure to MC would contribute to or aggravate the 
    employee's existing cardiac, hepatic, neurological (including stroke), 
    or skin disease. The parties note that the heart, liver, central 
    nervous system, and skin are the organs and systems that OSHA 
    identified in the standard as being particularly susceptible to MC-
    induced noncarcinogenic health effects. They believe that physicians 
    and other licensed health care professionals will be able to render an 
    informed judgment as to whether MC exposure will contribute to or 
    aggravate an existing disease affecting these systems or organs.
        The parties further propose, in paragraph (j)(10), that the 
    standard require the PLHCP to presume that MC exposure below the 8-hour 
    TWA PEL
    
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    will not aggravate an existing disease of the heart, liver, central 
    nervous system, or skin. Under the proposal, a PLHCP who recommends 
    removal of an employee who is exposed below the 8-hour TWA PEL must 
    cite specific medical evidence to support the recommendation. Absent 
    such evidence, the employer need not remove the employee.
        When a medical determination indicates removal, the parties' 
    proposal requires the employer to either transfer the employee to 
    comparable work where MC exposures are below the action level or remove 
    the employee from MC exposure. For each employee thus removed or 
    transferred, the employer must maintain the employee's earnings, 
    seniority, and other employment rights and benefits for up to six 
    months. The employer may cease paying MRP benefits before the end of 
    the six-month period upon receipt of a medical determination that the 
    employee's exposure to MC will no longer aggravate any existing 
    cardiac, hepatic, neurological, or dermal disease, or upon receipt of a 
    medical determination concluding that the employee can never return to 
    MC exposure above the action level.
        The parties also propose inclusion of provisions that OSHA has 
    routinely included in previous standards that provided for MRPB. These 
    provisions (1) allow an employer to condition an employee's receipt of 
    MRPB on participation in follow-up medical surveillance; (2) provide 
    for a diminution of MRP benefits to offset any workers' compensation 
    indemnity payments the employee receives for the same period of time; 
    (3) provide an offset of such benefits against compensation from a 
    publicly or employer-funded compensation program or income the employee 
    receives from other employment that is made possible by virtue of the 
    employee's removal, and (4) require the employer to pay MRP benefits if 
    it voluntarily removes or restricts an employee due to the effects of 
    MC exposure on the employee's medical condition.
        The current standard provides for the employer to select the PLHCP 
    who conducts medical surveillance. Under the parties' proposal, the 
    health care professional selected by the employer would make the 
    medical determination whether to recommend that an employee be removed. 
    The parties also, propose to include a provision that allows employees 
    the option to have the recommendation of the employer-selected health 
    care professional reviewed by a health care professional or the 
    employee's choice. If the two health care professionals disagree, they 
    jointly designate a third, who must be a specialist in the field at 
    issue and whose written opinion is the definitive medical determination 
    under the standard. The parties note that, in previous standards that 
    have provided for MRPB, OSHA has included similar provisions for multi-
    step review to strengthen the basis for medical removal determinations 
    and to increase employee confidence in those determinations.
        The parties have also recommended a provision designed to avoid an 
    undue burden that could result if a small business would need to 
    provide medical removal protection benefits to more than one employee 
    at the same time. Paragraph (j)(11)(i)(B) of their proposal states that 
    if the employer receives a recommendation for medical removal of an 
    additional employee and comparable work that does not involve exposure 
    to MC at or above the action level is not available, the employer need 
    not remove the additional employee if the employer can demonstrate that 
    removal and the costs of MRP benefits to that employee, considering 
    feasibility in relation to the size of the employer's business and the 
    other requirements of this standard, make further reliance on MRP an 
    inappropriate remedy. In such a case, the employer may retain the 
    additional employee in the existence job until transfer or removal 
    becomes appropriate, provided: (i) The employer or the PLHCP informs 
    the additional employee of the risk to the employee's health from 
    continued MC exposure; and (ii) the employer ensures that the employee 
    receives medical surveillance, including a physical examination, at 
    least every 60 days.
        OSHA has carefully considered the parties' proposal in light of its 
    earlier concern that a MRPB provision must provide sufficient guidance 
    to licensed health care professionals as to when medical removal is 
    indicated. OSHA concludes that the MRPB provision recommended by the 
    parties delineates with sufficient specificity the circumstances that 
    can trigger medical removal protection benefits. First, the provision 
    requires MRPB only if the PLHCP finds that the employee has an 
    identifiable disease of one or more specific organs that are known to 
    be susceptible to MC exposure. Second, by providing for a rebuttable 
    presumption that such a disease will not be aggravated by exposure to 
    MC below the 8-hour TWA PEL, the parties' proposal ensures that the 
    physician or other health care professional will take into account the 
    level of methylene chloride to which the worker is exposed. OSHA 
    believes that, with these constraints, the parties' proposal will 
    improve employee confidence and participation in medical surveillance 
    while providing adequate guidance to the physicians and other licensed 
    health care professionals who will be conducting medical surveillance 
    and making recommendations for medical removal under the standard.
        OSHA also believes that the ancillary provisions of the MRPB 
    program recommended by the parties are appropriate. The parties have 
    patterned their recommendation on the existing OSHA standards that 
    provide for MRPB. OSHA agrees that provisions it has routinely included 
    as part of a MRPB program, including those providing for a multi-step 
    review process, should be included in the methylene chloride standard. 
    OSHA continues to believe that multi-step review is vital to ensuring 
    employee confidence in medical removal determinations and is a 
    necessary part of any standard that provides for medical removal 
    protection benefits.
        The one provision in the parties' proposal with no direct 
    counterpart in earlier standards that provide for MRPB is the provision 
    in proposed paragraph (j)(11)(i)(B) that would allow an employer who 
    has already removed one or more employees under paragraph (j)(11) to 
    retain an additional employee in the existing job despite a removal 
    recommendation if removal would result in undue economic burden. In 
    such a situation, the parties propose that the employer must provide 
    enhanced medical surveillance to the employee and must ensure that the 
    employee who is not removed is fully informed of the health risk 
    presented by continued MC exposure.
        OSHA agrees with the parties that, in the limited circumstances 
    specified in this provision, it is appropriate to allow an employer to 
    retain an employee in his or her present job, even when the PLHCP has 
    recommended removal, provided the employer ensures that the employee 
    receives the more frequent medical surveillance specified in the 
    proposed provision and is fully aware of the health risk. Frequent 
    medical surveillance and full information will enable the employer and 
    employee to take steps to minimize the risk under exiting workplace 
    conditions, by, for example, implementing those controls that are in 
    place and strictly following work practices that are designed to 
    minimize the employee's MC exposure. Thus, the parties' proposal 
    provides additional protection to those workers who would be retained 
    in their current jobs under paragraph (j)(11)(i)(B).
    
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    IV. Extensions of Startup Dates
    
        The motion for reconsideration requests that the standard's current 
    final engineering control startup date of April 10, 2000, which is 
    limited in the final standard to employers with fewer than 20 
    employees, also apply to employers in the specified application groups 
    who have 20-49 employees and to foam fabricators who have 20-149 
    employees. According to the parties employers in these application 
    groups and size categories, like those with fewer than 20 employees, 
    have limited resources with which to develop and implement engineering 
    controls and will be able to use those resources more efficiently if 
    given additional time to develop and install effective controls and to 
    take advantage of the compliance assistance that OSHA plans to offer. 
    The motion requests shorter extensions of the engineering control dates 
    for larger employers in these application groups.
        The parties further request that respirator use to achieve the 8-
    hour TWA PEL (currently required by Aug. 31, 1998 under a partial stay 
    issued by OSHA on Dec. 18, 1997, 62 FR 66275) not be required before 
    the engineering control startup dates for those employers covered by 
    the motion. They contend that workers would be better protected if 
    these employers can concentrate their limited resources on implementing 
    effective engineering controls rather than diverting part of those 
    resources to interim and expensive respiratory protection that would no 
    longer be needed a short time later, once full compliance with the 8-
    hour TWA PEL and STEL is achieved by engineering controls.
        The following chart shows the startup dates requested by the motion 
    for reconsideration. Where the startup date for a provision has already 
    passed, the chart lists that provision as being ``in effect.'' For the 
    reasons discussed below, OSHA is now proposing to adopt the startup 
    dates requested by the parties to the motion.
    
                                                                     Proposed Startup Dates                                                                 
    --------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                Selected applications                       
                                                                                         Selected applications   \1\ with 50 or more                        
                                          Employers with fewer      Polyurethane foam        \1\ with 1-49        employees and foam    All other employers 
                                            than 20 employees     mfrs. with 20 or more    employees and foam    fabricators with 150     with 20 or more   
                                                                        employees         fabricators with 1-     or more employees          employees      
                                                                                             149 employees                                                  
    --------------------------------------------------------------------------------------------------------------------------------------------------------
    Engineering controls to achieve 8-   April 10, 2000          October 10, 1999 \2\..  April 10, 2000 \2\...  April 10, 1999 \2\...  In effect.           
     hour TWA PEL and STEL.               (unchanged from                                                                                                   
                                          current standard).                                                                                                
    Respirators to achieve 8-hour TWA    April 10, 2000 \2\....  October 10, 2000 \2\..  April 10, 2000 \2\...  April 10, 1999 \2\...  In effect.           
     PEL.                                                                                                                                                   
    Respirators to achieve STEL........  In effect.............  In effect.............  In effect............  In effect............  In effect.           
    All other provisions...............  In effect.............  In effect.............  In effect............  In effect............  In effect.           
    --------------------------------------------------------------------------------------------------------------------------------------------------------
    \1\ As described earlier, the selected applications are furniture refinishing; general aviation aircraft stripping; product formulation; use of MC-based
      adhesive for boat building and repair, recreational vehicle manufacture, van conversion, or upholstery; and use of MC in construction work for        
      restoration and preservation of buildings, painting and paint removal, cabinet making, or floor refinishing and resurfacing.                          
    \2\ Under a partial stay issued on December 18, 1997 (62 FR 66275) these dates are now December 10, 1998 for engineering controls and August 31, 1998   
      for respirators to achieve the 8-hour TWA PEL.                                                                                                        
    
        OSHA generally agrees that worker protection against MC exposure 
    will best be achieved if employers develop and install effective 
    engineering controls as soon as practicable. OSHA has long recognized 
    that engineering controls are superior to respiratory protection as a 
    means of protecting workers against inhalation of toxic chemicals. 
    Engineering controls protect workers by reducing the airborne 
    concentrations of methylene chloride to or below permitted limits. 
    Their effectiveness does not, unlike respirator use, depend on the 
    respiratory protection functioning as designed or on employers 
    effectively supervising employees to ensure that they use and maintain 
    respiratory equipment consistently and properly. Respirators also may 
    present safety hazards by limiting workers' mobility, vision, and 
    ability to communicate.
        The agency also recognizes that employers require a reasonable 
    amount of time to develop and install engineering controls. Engineering 
    controls, such as local exhaust ventilation, must be properly designed 
    and installed if they are to work efficiently. The parties request that 
    OSHA help employers in the application groups for which relief is 
    sought to develop effective engineering controls by offering compliance 
    assistance that will give those employers guidance as to appropriate 
    engineering controls and avoid the uncertainty and expense that would 
    result if each employer were to attempt to design and implement its own 
    controls. OSHA agrees that compliance assistance would help employers 
    use their resources more efficiently and plans to offer such 
    assistance. Already, OSHA has developed Fact Sheets for a number of 
    applications that identify engineering controls and work practices that 
    employers can use to protect their employees against MC exposure. OSHA 
    has also developed a small entity compliance guide and has started 
    conducting a series of outreach seminars on the MC standard in various 
    cities around the country. OSHA intends to add to this information base 
    to further help employers to develop engineering controls that would be 
    both effective and feasible to implement in their facilities.
        Although OSHA has long recognized the superiority of engineering 
    controls, respirator use is necessary when engineering and work 
    practice controls cannot achieve the required exposure levels. The 
    Agency has consistently required that respirators be used when feasible 
    engineering and work practice controls cannot achieve permissible 
    exposure limits. OSHA also requires the use of respirators for interim 
    protection while engineering controls are being developed and 
    installed. For most toxic chemicals, air-purifying respirators, which 
    are relatively inexpensive, provide effective protection at most 
    workplace exposure levels. However, air-purifying respirators do not 
    provide effective protection against MC exposure because MC quickly 
    penetrates all currently available organic vapor cartridges. Therefore, 
    when respirators are required under the MC standard,
    
    [[Page 24507]]
    
    atmosphere-supplying respirators must be used.
        Atmosphere-supplying respirators are a relatively expensive type of 
    respiratory equipment, requiring the employer not only to purchase the 
    respiratory equipment itself but also to install an air compressor and 
    associated ductwork or rent cylinders containing breathing air. In 
    light of the relatively high cost associated with the atmosphere-
    supplying respirators required by the MC standard, OSHA agrees with the 
    parties that the standard should permit employers in the identified 
    application groups to concentrate their limited resources on developing 
    permanent engineering solutions rather than diverting part of those 
    resources to interim respiratory protection to achieve the 8-hour TWA 
    PEL.
        OSHA further notes that the parties' proposal will provide workers 
    with significant interim protection before the final compliance 
    deadline of April 10, 2000 or by whatever earlier date controls are 
    required. First, under the parties' proposal, the STEL will go into 
    effect as scheduled, and employers will be required to ensure that some 
    combination of engineering controls, work practice controls, and 
    respiratory protection reduce exposures below that level. Workers will 
    therefore be protected against acute health effects associated with 
    high short-term exposure to MC. Moreover, reduction of short-term 
    exposures to below the STEL will, in many cases, help reduce 8-hour 
    time-weighted average exposures as well and will thereby provide 
    workers with some interim protection against the chronic effects of MC 
    exposure.
        The parties' proposal will also not delay compliance with the 
    requirement that employers implement feasible work practices to reduce 
    MC exposures. Such controls can achieve significant reductions in MC 
    exposures in many workplaces at low cost. Early implementation of work 
    practice controls will also enable employers to evaluate the extent to 
    which exposures can be reduced by such controls and will enable them to 
    better determine the nature and extent of the engineering controls they 
    will need to achieve the 8-hour TWA PEL and STEL. Furthermore, the 
    remaining protections of the standard (regulated areas, protective work 
    clothing and equipment, hygiene facilities, hazard communication, 
    employee information and training, and recordkeeping) will take effect 
    as currently scheduled for all employers.
        In many workplace situations, adherence to careful work practices 
    will achieve substantial reductions in MC exposures. In its Fact 
    Sheets, OSHA has identified feasible work practices for several of the 
    application groups (furniture refinishing, polyurethane foam 
    manufacturing, construction work) for which the parties seek relief. 
    Many of the identified work practices would be feasible for and useful 
    to facilities in other application groups as well. To facilitate 
    widespread dissemination of the information on work practices in the 
    Fact Sheets, OSHA is listing them below.
    
    A. Furniture Refinishers
    
    Keep MC Vapors Contained
         Keep the door to mixing/storage areas closed at all times.
         Store and transport MC only in approved safety containers.
         Properly label all MC containers to indicate their 
    contents, hazards, and proper use, storage and disposal. Read these 
    labels and follow the directions.
         Keep solution containers closed tightly when not in use.
         Avoid unnecessary transfer or movement of stripping 
    solutions.
         Keep dip tanks and reservoir tanks covered when not in 
    use.
         Keep the stripping solution at the appropriate temperature 
    (often around 70 deg. F). At this temperature, wax in the solution will 
    form a vapor barrier that prevents the solution from evaporating too 
    quickly. If the temperature is too high or too low, the wax will not 
    form a vapor barrier.
         Do not let sludge dry on the stripping table. Place the 
    wet sludge in sealed containers for later recovery or disposal, or dry 
    it using proper engineering controls (e.g., local exhaust ventilation) 
    to capture the MC vapors.
    Avoid Breathing MC Vapors
         Turn on the dip tank or stripping table ventilation system 
    at least an hour before work begins or leave it on overnight.
         Avoid breathing air directly above the stripping solution 
    and dip tank. Do not lean over the tank when working.
         Avoid breathing the air directly above the furniture 
    during manual stripping. Do not lean over an area covered with 
    stripper.
         Do not work or stand between solution-covered furniture 
    and the exhaust system.
         Turn the solution-recycling system off when it is not 
    being used.
         Do not rely on the odor of MC to warn you of overexposure. 
    People cannot smell MC until vapor concentrations are above 300 ppm, 
    which is 12 times higher than the 8-hour time-weighted-average 
    permissible exposure limit of 25 ppm. Also, you sense of smell can 
    quickly get used to the odor of MC so that you stop noticing it.
         If you become dizzy, light-headed, or have other symptoms 
    of MC exposure, go immediately to an area with fresh air.
    Minimize the Chance of Spills and Leaks
         Develop and follow your facility's procedures for 
    detecting MC leaks from process equipment, holding tanks, and spill 
    control devices.
         Frequently inspect process equipment, holding tanks, and 
    spill control devices for cracks, loose parts, and other possible 
    sources of leaks.
         Where spills occur, follow procedures for containing them.
         Clean up all spills and leaks as quickly as possible.
         Place rags, waste, paper towels, or absorbent used to 
    clean spills in a closed container (preferably a non-aluminum, all 
    metal safety container) immediately after use.
         Make sure that leaks are repaired and spills cleaned up by 
    employees who are trained in proper cleanup methods. These employees 
    should wear appropriate personal protective equipment.
    Take Extra Precautions in Low and Confined Spaces
        MC vapors are heavier than air, so they tend to move to low, 
    unventilated spaces such as tanks and maintenance pits.
         Do not enter or lean into a storage tank, dip tank, or 
    low-lying confined area until it has been completely aired out and 
    tested. Wear proper PPE and follow the appropriate confined space entry 
    procedures outlined in OSHA's Permit Required Confined Spaces standard 
    (29 CFR 1910.146).
         Use a long-handled tool to pick up items that you drop 
    into a confined space or low-lying area.
    
    B. Polyurethane Foam Manufacturers
    
    Keep MC Vapors Contained
         Keep the doors to the pouring and cooling areas closed at 
    all times.
         Store and transport MC only in approved safety containers.
         Properly label all MC containers to indicate their 
    contents, hazards, and proper use, storage and disposal. Read these 
    labels and follow the directions.
         Keep MC containers closed tightly when not in use.
         Avoid unnecessary transfer or movement of MC.
         Keep the openings on the sides of the tunnel closed when 
    it is not in use.
    
    [[Page 24508]]
    
    This keeps MC vapors from escaping and ensures that the makeup air 
    system at the end of the tunnel runs well.
    Avoid Breathing MC Vapors
         Turn on local exhaust ventilation systems in the tunnel 
    and cooling rooms at least an hour before work begins or leave them on 
    overnight.
         Turn on the general ventilation system in the cooling room 
    at least an hour before work beings or leave it on overnight.
         Avoid breathing air directly above cooling foam.
         When possible, minimize the amount of time spent near the 
    cooling foam and tunnel openings because these areas are likely to have 
    the highest levels of MC vapors.
         Do not work or stand between cooling foam and the exhaust 
    system.
         Do not rely on the odor of MC to warn you of overexposure. 
    People cannot smell MC until vapor concentrations are above 300 ppm, 
    which is 12 times higher than the 8-hour time-weighted-average 
    permissible exposure limit of 25 ppm. Also, you sense of smell can 
    quickly get used to the odor of MC so that you stop noticing it.
         If you become dizzy, light-headed, or have other symptoms 
    of MC exposure, go immediately to an area with fresh air.
    Minimize the Chance of Spills and Leaks
         Develop and follow your facility's procedures for 
    detecting MC leaks from process equipment, holding tanks, and spill 
    control devices.
         Frequently inspect the tunnel and other equipment for 
    cracks, loose parts, and other possible sources of leaks.
         Clean up all spills and leaks as quickly as possible.
         Place rags, waste, paper towels, or absorbent used to 
    clean spills in a closed container (preferably a non-aluminum, all 
    metal safety container) immediately after use.
         Make sure that leaks are repaired and spills cleaned up by 
    employees who are trained in proper cleanup methods. These employees 
    should wear appropriate personal protective equipment.
    Take Extra Precautions in Low and Confined Spaces
        MC vapors are heavier than air, so they tend to move to low, 
    unventilated spaces.
         Do not enter or lean into a low-lying confined area until 
    it has been completely aired out and tested. Wear proper PPE and follow 
    the appropriate confined space entry procedures outlined in OSHA's 
    Permit Required Confined Spaces standard (29 CFR 1910.146).
         Use a long-handled tool to pick up items that you drop 
    into a confined space or low-lying area.
    
    C. Construction Work
    
    Keep MC Vapors Contained
         Store and transport MC products only in approved safety 
    containers.
         Properly label all MC containers to indicate their 
    contents, hazards, and proper use, storage and disposal. Read these 
    labels and follow the directions.
         Keep MC product containers closed tightly when not in use.
         Avoid unnecessary transfer or movement of MC products.
    Avoid Breathing MC Vapors
         Avoid breathing the air directly above areas covered with 
    MC. Do not lean over an area covered with MC.
         Do not work or stand between MC-covered areas and the 
    exhaust system.
         Do not rely on the odor of MC to warn you of overexposure. 
    People cannot smell MC until vapor concentrations are above 300 ppm, 
    which is 12 times higher than the 8-hour time-weighted-average 
    permissible exposure limit of 25 ppm.
        Also, your sense of smell can quickly get used to the odor of MC so 
    that you stop noticing it.
         If you become dizzy, light-headed, or have other symptoms 
    of MC exposure, go immediately to an area with fresh air.
    Minimize the Chance of Spills and Leaks
         Develop and follow procedures for containing MC spills or 
    leaks.
         Frequently inspect MC product containers for cracks or 
    other possible sources of leaks.
         Clean up all spills and leaks as quickly as possible.
         Place rags, waste, paper towels, or absorbent used to 
    clean spills in a closed container (preferably a non-aluminum, all 
    metal safety container) immediately after use.
         Make sure that leaks are repaired and spills cleaned up by 
    employees who are trained in proper cleanup methods. These employees 
    should wear appropriate personal protective equipment.
    Take extra Precautions in Low and Confined Spaces
        MC vapors are heavier than air, so they tend to move to low, 
    unventilated spaces.
         Do not enter or lean into a low-lying confined area until 
    it has been completely aired out and tested. Wear proper PPE and follow 
    the appropriate confined space entry procedures outlined in OSHA's 
    Permit Required Confined Spaces standard (29 CFR 1910.146).
         Use a long-handled tool to pick up items that you drop in 
    area where MC is being used.
    
    V. Preliminary Economic and Regulatory Flexibility Analysis
    
        OSHA is proposing to revise paragraph (j), Medical Surveillance, of 
    the final rule governing occupational exposure to methlylene chloride 
    (MC) (29 CFR 1910.1052) to add medical removal protection benefits to 
    the rule. This preliminary economic analysis estimates the costs of 
    complying with the proposed MRP provisions and then assesses the 
    economic feasibility and potential economic impacts of these costs on 
    firms in the affected sectors. The information used in this analysis is 
    taken from the exposure profile, industry profile, and economic impacts 
    analysis presented in the Final Economic Analysis (Ex. 129) that 
    accompanied OSHA's final rule for methylene chloride (Federal Register 
    Vol. 62, 7, pp. 1494 to 1619). Relying on the data developed for the 
    analysis to support this proposed revision to the final rule ensures 
    analytical consistency and comparability across the two economic 
    analysis documents.
        OSHA's final MC rule did not contain medical removal protection 
    provisions. The revisions being proposed today respond to a motion for 
    reconsideration filed by the United Auto Workers (UAW), the Halogenated 
    Solvents Industry Alliance, Inc., and others. As requested in that 
    motion, OSHA is proposing to add paragraphs (j)(9)(i) (A) and (B), 
    (j)(10), (j)(11), (j)(12), (j)(13), and (j)(14), dealing with medical 
    removal protection, medical removal protection benefits, voluntary 
    removal or restriction of an employee, and multiple health care 
    professional review, respectively, to the final rule. Medical removal 
    protection (MRP) would apply only under certain limited circumstances, 
    i.e., medical removal protection would be required only if a physician 
    or other licensed health care professional finds that exposure to MC 
    may contribute to or aggravate the employee's existing cardiac, 
    hepatic, neurological (including stroke), or dermal disease. The 
    proposed rule instructs the physician or other licensed health care 
    professional to presume that a medical condition is unlikely to require 
    removal form exposure to MC,
    
    [[Page 24509]]
    
    unless medical evidence indicates to the contrary, if the employee is 
    not exposed to MC at concentrations above the 8-hour TWA PEL of 25 ppm. 
    The physician or other licensed health care professional may also 
    recommend removal from exposure to MC for any other condition that 
    would, in the health care professional's opinion, place the employee's 
    health at risk of material impairment from exposure to MC, but MRP 
    would only be triggered by a finding that exposure to MC may contribute 
    to or aggravate the employee's existing cardiac, hepatic, neurological 
    (including stroke), or dermal disease.
        Any employee medically removed must (1) be provided with comparable 
    work where MC exposures are below the action level, or (2) be 
    completely removed from MC exposure. The employee's total pay, benefits 
    and seniority must be maintained throughout the period of medical 
    removal protection, even if the only way to remove the employee from MC 
    exposure is to send him or her home for the duration of the medical 
    removal protection period. The employer may reduce the amount paid to 
    the removed worker to the extent that the worker's previous pay has 
    been offset by other compensation (such as worker's compensation 
    payments) or by wages from another job made possible by the medical 
    removal.
        The proposal would require employers to maintain medical removal 
    protection benefits for up to six months. Medical removal protection 
    may be terminated in less than 6 months if a medical determination 
    shows that the employee may return to MC exposure, or a medical 
    determination is made that the employee can never return to MC 
    exposure.
        In situations in which no comparable work is available for the 
    medically removed employee, the proposal would allow the employer to 
    demonstrate that the medical removal and the costs of medical removal 
    protection benefits, considering feasibility in relation to the size of 
    the employer's business and the other requirements of this standard, 
    make reliance on medical removal protection an inappropriate remedy. In 
    such a situation, the employer may retain the employee in the existing 
    job until transfer or removal becomes appropriate, provided that the 
    employer ensures that the employee receives additional medical 
    surveillance, including a physical examination at least every 60 days 
    until removal or transfer occurs, and that the employer or PLHCP 
    informs the employee of the risk to the employee's health from 
    continued MC exposure.
        In conducting this economic analysis, OSHA has estimated the number 
    of workers with the four listed types of conditions (neurological, 
    hepatic, cardiac, and dermal disease) that can trigger MRP. OSHA has 
    assumed that medical removal protection would be extended only to 
    employees exposed above the PEL, as reflected by the presumption. This 
    analysis also assumes that all employers will provide medical removal 
    protection whenever a physician or other licensed health care provider 
    recommends removal, i.e., OSHA has not quantified the number of times 
    small firms may retain an employee for whom a removal recommendation 
    has been made in the employee's existing job due to the employer's 
    financial inability to remove the employee. Because some very small 
    firms may find that medical removal protection is infeasible in their 
    circumstances but this cost analysis assumes that all such employees 
    will be removed, OSHA believes that this analysis is likely to 
    overestimate the costs associated with MRP.
    
    Cost of Medical Removal Protection Provisions
    
        OSHA's estimates of the costs of the proposed medical removal 
    protection provisions are calculated based on the number of workers 
    eligible for medical removal protection times the frequency of the 
    medical conditions that would trigger medical removal protection in the 
    exposed population times the costs of medical removal protection for 
    each type of medical condition.
    Number of Workers Eligible for Medical Removal Protection Under the 
    Proposal
        Because of the presumption stated explicitly in the proposed 
    revisions, medical removal protection will be limited in almost all 
    cases to employees exposed to MC at concentrations above the PEL of 25 
    PPM as an 8-hour TWA. The Final Economic Analysis (Ex. 129) estimated 
    that approximately 55,000 employees in all affected application groups 
    are currently exposed above 25 ppm. This estimate is used here to 
    calculate the number of employees potentially eligible for medical 
    removal protection during the year in which medical removal protection 
    would be in effect but the engineering control requirements of the rule 
    would not yet be in effect for some of the application groups. Once the 
    implementation of engineering controls is required, OSHA assumes, for 
    the purposes of this analysis, that 10 percent of those employees 
    previously exposed to an 8-hour TWA above 25 ppm (5,500 employees) 
    would continue to be exposed to an 8-hour TWA above 25 ppm.
        OSHA believes that reliance on these assumptions will lead to an 
    overestimate of the number of employees eligible for medical removal 
    protection because some firms will have implemented controls and lower 
    the exposure of their employees well before the final standard requires 
    them to do so. Once the standard requires employers to implement 
    engineering controls, OSHA's Final Economic Analysis (Ex. 129) 
    estimated that the exposure of almost all employees would be reduced to 
    MC levels below 25 ppm as a 8-hour TWA. To capture all costs 
    potentially associated with the proposed medical removal protection 
    provisions, OSHA has assumed for this analysis that some employees will 
    continue to be exposed above 25 ppm.
    Frequency of Medical Removal Protection Under the Proposed Provisions
        The proposed changes to the occupational exposure to methylene 
    chloride standard allow for medical removal protection in the event 
    that exposure to methylene chloride ``may contribute to or aggravate 
    existing cardiac, hepatic, neurological (including stroke), or skin 
    disease.'' Medical removal protection does not apply if the condition 
    is such that removal from MC exposure must be permanent.
        OSHA believes that MC-induced or aggravated neurological symptoms 
    (other than stoke) occur infrequently and that when such protection is 
    triggered by neurological manifestations (other than stroke), the 
    period of time involved in the removal will be relatively brief. OSHA 
    also believes that MC-induced or aggravated heart conditions or strokes 
    are likely to result in permanent medical removal, and thus that 
    employers will not incur the costs of medical removal protection in 
    these cases. This analysis therefore focuses on medical removal 
    protection for MC-induced or aggravated dermatitis or abnormal hepatic 
    conditions. Each of these conditions is likely to resolve with time, 
    proper treatment, or both, and these are therefore the conditions 
    likely to result in a determination that temporary medical removal 
    protection, rather than permanent removal, is needed.
        Because the proposal would provide for medical removal protection 
    in situations where exposure to MC contributes to or aggravates the 
    listed condition, this analysis focuses on the frequency with which 
    each covered
    
    [[Page 24510]]
    
    condition occurs in the working population, and not simply on the 
    frequency with which MC causes these conditions. For the first year 
    after the MRP provisions are in effect, OSHA has no evidence that 
    hepatic conditions are more prevalent in workplaces that use MC than in 
    the general working age population and therefore assumes that the 
    prevalence of hepatic conditions will be the same as in the general 
    working age population (18-65). OSHA estimates that 5 percent of the 
    working population will be found on evaluation to have hepatic 
    conditions sufficiently abnormal to trigger medical removal.
        For dermatitis, which is seldom a lasting condition, OSHA similarly 
    assumes, in the absence of evidence to the contrary, that the 
    prevalence in the MC-exposed workforce is the same as the rate in the 
    general working age population. For dermatitis, Vital and Health 
    Statistics (National Center for Health Statistics, 1995) reports that, 
    in 1993, the prevalence of dermatitis was 2.93 percent for persons 
    between 18 and 45 and 2.18 percent for persons between 45 and65. 
    Weighting using the BLS data cited above, OSHA finds that 2.7 percent 
    of the MC-exposed workforce will be found on the first required medical 
    evaluation to have dermatitis and will be medically removed.
        After the proposed standard has been in effect for the first year, 
    OSHA assumes that the prevalence of dermatitis will continue at the 
    same rate. For liver conditions, OSHA assumes that most of the 
    conditions that triggered removal in the first year will have been 
    resolved and that the number of older cases that flare up and have to 
    be treated again, combined with new cases that trigger medical removal, 
    will occur at a combined rate \1/5\ that of the initial rate.
    Costs of Medical Removal Protection
        Employers incur three kinds of costs for medical removal 
    protection: costs for medical evaluations not already required; costs 
    resulting from changing the employee's job, such as those related to 
    retraining and lost productivity; and, where alternative jobs that do 
    not involve MC exposure are not available, the costs of keeping a 
    worker who is not working on the payroll.
        Employers may incur costs for medical evaluations (over and above 
    those already required for medical surveillance) for two reasons: to 
    determine if the employee can return to work, and to determine, using 
    multiple PLHCP review, whether the initial medical determination was 
    correct. Because the proposal allows employees to be removed from 
    medical removal protection status only on the basis of a new medical 
    determination, every instance of medical removal protection will 
    require one additional examination. OSHA estimated the cost of a 
    medical examination at $130 in the Final Economic Analysis (Ex. 129). 
    Every case of medical removal protection would require at least one 
    additional medical evaluation. In addition, OSHA estimates that 10 
    percent of all removed cases will require a second medical evaluation 
    either for the purpose of multiple health care professional review or 
    because the first examination showed that the employee could not yet be 
    returned to normal duty.
        The largest MRP-related costs in almost all cases will be the cost 
    of paying for time away from work for the removed employee. OSHA 
    estimates that the typical dermatitis case will involve 6 days away 
    from work. BLS (BLS, Occupational Injuries and Illnesses: Counts, 
    Rates, and Characteristics, 1994) reports that, in 1994, the typical 
    lost worktime case of dermatitis involved 3 days away from work. OSHA 
    allowed an additional three days to allow time for a return-to-work 
    determination to be made. For medical removal for hepatic conditions, 
    OSHA estimates that a 4-week period of medical removal will normally be 
    sufficient to provide for stabilization and a return to the normal 
    range for the typical case of elevated liver enzymes. Because almost no 
    cases will be resolved in less than 4 weeks and a small number of cases 
    (such as those involving serious liver disease) may take much longer to 
    resolve, OSHA's cost estimate estimates 5 weeks as the average period 
    of medical removal for these cases.
        For the short-term medical removal associated with dermatitis, OSHA 
    has conservatively assumed that the employee will be paid full wages 
    and benefits even though not at work. For the longer term medical 
    removal associated with hepatic conditions, OSHA estimates that, in 
    firms with more than 20 employees, alternative jobs not involving 
    exposure to MC will be found for affected employees. OSHA estimates the 
    costs of moving employees to alternative jobs as equivalent to the loss 
    of 20 person hours in lost productivity and/or retraining expenses. For 
    firms with fewer than 20 employees, OSHA expects that there may be more 
    difficulty finding alternative positions both because fewer alternative 
    positions are available and because more positions in the establishment 
    are likely to involve exposure to MC.
        For the very small firms in furniture stripping, where all jobs may 
    involve exposure to MC, OSHA has assumed that all cases of medical 
    removal will involve removing employees from work entirely, and thus 
    that employers will incur the full costs of the employee's wages and 
    benefits for the five weeks the employee is medically removed. Firms 
    with fewer than 20 employees in other application groups tend to be 
    somewhat larger than in furniture stripping and will therefore be more 
    likely to have work that does not involve exposure to MC at levels 
    above the action level. For example, in such small-business-dominated 
    application groups as printing shops, and in small cold cleaning and 
    paint stripping operations, exposure to MC tends to involve only a 
    single employee and is commonly intermittent even for that employee. 
    For establishments with fewer than 20 employees in application groups 
    other than furniture stripping, OSHA estimates that 50% will be able to 
    find alternative employment and 50% will need to send the employee home 
    because alternative jobs without MC exposure cannot be found.
    Annualized Cost Estimates
        Table 1 shows OSHA's estimated annualized costs for firms in each 
    application group. The total annualized costs for medical removal 
    protection are estimated to be $920,387 per year for all affected 
    employers. The greatest costs are in the cold cleaning application 
    group, the all other industrial paint stripping application group, the 
    construction application group, and the furniture stripping application 
    group. All of these application groups have annualized MRP costs in 
    excess of $100,000 per year.
    
      Table 1.--Annualized Costs of MRP for Methylene Chloride Application  
                                     Groups                                 
    ------------------------------------------------------------------------
                                                                  Annualized
                         Application group                        costs ($) 
    ------------------------------------------------------------------------
    Methylene Chloride Manufacturing...........................           70
    Distribution/Formulation of Solvents.......................        6,597
    Metal Cleaning:                                                         
        Cold Degreasing and Other Cold Cleaning................      307,216
        Open-Top Vapor Degreasing..............................        2,709
        Conveyorized Vapor Degreasing..........................          378
        Semiconductors.........................................        1,147
        Printed Circuit Boards.................................            0
    Aerosol Packaging..........................................        2,875
    Paint Remover Manufacturing................................          593
    Paint Manufacturing........................................          823
    Paint Stripping:                                                        
        Aircraft Stripping.....................................        9,662
    
    [[Page 24511]]
    
                                                                            
        Furniture Stripping....................................       80,579
        All Other Industrial Paint Stripping...................      206,619
    Flexible Polyurethane Foam Manufacturing...................        4,296
    Plastics and Adhesives Manufacturing and Use...............       52,639
    Ink and Ink Solvent Manufacturing..........................          182
    Ink Solvent Use............................................       53,298
    Pesticide Manufacturing and Formulation....................          541
    Pharmaceutical Manufacturing...............................        3,576
    Solvent Recovery...........................................            0
    Film Base Manufacturing....................................            0
    Polycarbonate Manufacturing................................            0
    Construction...............................................      115,297
    Shipyards..................................................       18,652
                                                                ------------
        Total, All Application Groups..........................      920,387
    ------------------------------------------------------------------------
    Source: Office of Regulatory Analysis; OSHA; Department of Labor.       
    
    
    Table 2.--Screening Analysis To Identify Possible Economic Impacts of the Proposed MC Standard's Medical Removal
                                                       Provisions                                                   
    ----------------------------------------------------------------------------------------------------------------
                                                                                      Annualized costs of compliance
                                                                         Number of   -------------------------------
                            Application group                            affected      as percent of   as percent of
                                                                      establishments       sales          profit    
    ----------------------------------------------------------------------------------------------------------------
    Manufacture of MC...............................................               4          0.0000          0.0004
    Distribution/Formulation of Solvents............................             320          0.0003          0.0046
    Metal Cleaning:                                                                                                 
        Cold Degreasing and Other Cold Cleaning.....................          23,717          0.0001          0.0021
        Open-Top Vapor Degreasing...................................             278          0.0001          0.0016
        Conveyorized Vapor Degreasing...............................              45          0.0001          0.0014
        Semiconductors..............................................             239          0.0000          0.0002
        Printed Circuit Boards......................................             141          0.0000          0.0000
    Aerosol Packaging...............................................              50          0.0001          0.0012
    Paint Remover Manufacturing.....................................              80          0.0001          0.0015
    Paint Manufacturing.............................................              49          0.0001          0.0027
    Paint Remover Use (Paint Stripping):                                                                            
        Aircraft Stripping..........................................             300          0.0001          0.0017
        Furniture Stripping.........................................           6,152          0.0154          0.2977
        All Other Industrial Paint Stripping........................          35,041          0.0000          0.0010
    Flexible Polyurethane Foam Manufacturing........................             100          0.0003          0.0093
    Plastics and Adhesives Manufacturing and Use....................           3,487          0.0000          0.0000
    Ink and Ink Solvent Manufacturing...............................              15          0.0000          0.0003
    Ink Solvent Use.................................................          11,869          0.0004          0.0098
    Pesticide Manufacturing and Formulation.........................              60          0.0001          0.0018
    Pharmaceutical Manufacturing....................................             108          0.0000          0.0004
    Solvent Recovery................................................              35          0.0000          0.0000
    Film Base.......................................................               1          0.0000          0.0000
    Polycarbonates..................................................               4          0.0000          0.0000
    Construction....................................................           9,504          0.0027          0.0705
    Shipyards.......................................................              25          0.0025          0.0655
                                                                     -----------------------------------------------
          All Application Groups....................................          91,624          0.0014          0.0296
    ----------------------------------------------------------------------------------------------------------------
    Source: Office of Regulatory Analysis; OSHA; Department of Labor                                                
    
    Economic Impacts
    
        Table 2 combines the cost data from Table 1 and the economic 
    profile information provided in the Final Economic Analysis for the 
    Methylene Chloride rule (Ex. 129) to provide estimates of the potential 
    impacts of these compliance costs on firms in affected application 
    groups. The proposed medical removal protection is clearly economically 
    feasible: on average, annualized compliance costs amount only to 0.0014 
    percent of estimated sales and 0.03 percent of profits. For all but one 
    application group--furniture stripping--compliance costs are less than 
    0.07 percent of profits, and less than 0.003 percent of the value of 
    sales. Even in furniture stripping, the annualized costs of medical 
    removal protection are still only 0.015 percent of sales and 0.3 
    percent of profits. Impacts of this magnitude do not threaten the 
    economic feasibility of firms in any affected application group. If 
    highly unusual circumstances were to arise that pose such a threat, the 
    proposed standard allows specifically for the cost impact to be 
    considered on a case-by-case basis.
        OSHA's cost methodology for this proposal tends to overestimate the 
    costs and economic impacts of the standard for several reasons. First, 
    OSHA has not taken into account cost savings that employers will 
    realize from the extended startup dates that are being proposed. As 
    discussed above, by extending the startup date for the use of 
    respirators to achieve the 8-hour TWA PEL, this proposal will enable 
    some employers to avoid using respirators at all because they will 
    achieve the 8-hour TWA PEL by means of engineering controls before the 
    date that respirator
    
    [[Page 24512]]
    
    use is required. Such employers will achieve significant cost savings 
    as compared to the current standard. OSHA has not, however, attempted 
    to quantify those savings.
        Other aspects of OSHA's methodology also tend to result in cost 
    overestimates. OSHA's use of general population prevalence data to 
    estimate the prevalence of conditions that might lead to medical 
    removal overestimates costs by ignoring the possibility that workers in 
    MC establishments may be healthier than the general population, i.e., 
    it ignores the ``healthy worker'' effect. OSHA has also assumed that 
    all unusual hepatic conditions will lead to medical removal, when in 
    many cases no medical removal protection will be necessary. Finally, 
    OSHA has also included in its cost estimate all cases involving medical 
    removal, when it is in fact likely that some smaller firms would be 
    able to argue that the cost of extending MRP benefits to an additional 
    employee would make reliance on MRP an inappropriate remedy and thereby 
    avoid removing that additional employee, as allowed by the proposal.
    
    Regulatory Flexibility Screening Analysis and Certification
    
        Tables 3 and 4 provide a regulatory flexibility screening analysis. 
    As in the analysis for all firms in Table 2, OSHA used the cost data 
    presented in Table 1 in combination with the data on small firms 
    presented in the Final Economic Analysis (Ex. 129). Table 3 shows 
    annualized compliance costs as a percentage of revenues and profits 
    using SBA definitions of small firms for each relevant SIC code within 
    each application group. This analysis shows that costs as a percentage 
    of revenues and profits are slightly greater than is the case for all 
    firms in the SIC, but still average only 0.0017 percent of revenues and 
    0.035 percent of profits. The most heavily impacted industry is 
    furniture stripping, but the impacts in this group are the same for all 
    firms in the group because all furniture stripping firms are small 
    using the SBA definition.
    
     Table 3.--Screening Analysis of Potential Economic Impacts on Smaller Firms (Small Establishments and Firms as 
                                Defined by SBA Under Section 3 of The Small Business Act)                           
    ----------------------------------------------------------------------------------------------------------------
                                                                         Number of      Costs as a      Costs as a  
                                                                           small       percentage of   percentage of
                            Application group                         establishments    profits for      sales for  
                                                                         affected       small firms     small firms 
    ----------------------------------------------------------------------------------------------------------------
    Manufacture of MC...............................................               0              NA              NA
    Distribution/Formulation of Solvents............................             278          0.0005          0.0072
    Metal Cleaning:                                                                                                 
        Cold Degreasing and Other Cold Cleaning.....................          22.365          0.0003          0.0067
        Open-Top Vapor Degreasing...................................             262          0.0003          0.0051
        Conveyorized Vapor Degreasing...............................              42          0.0002          0.0044
        Semiconductors..............................................             185          0.0000          0.0002
        Printed Circuit Boards......................................             109          0.0000          0.0000
    Aerosol Packaging...............................................              47          0.0002          0.0019
    Paint Remover Manufacturing.....................................              77          0.0001          0.0026
    Paint Manufacturing.............................................              62          0.0002          0.0045
    Paint Remover Use (Paint Stripping).............................              77          0.0001          0.0026
        Aircraft Stripping..........................................             173          0.0004          0.0088
        Furniture Stripping.........................................           6,152          0.0154          0.2977
        All Other Industrial Paint Stripping........................          33,044          0.0001          0.0029
    Flexible Polyurethane Foam Manufacturing........................              49          0.0001          0.0034
    Plastics and Adhesives Manufacturing and Use....................           3,281          0.0002          0.0031
    Ink and Ink Solvent Manufacturing...............................              11          0.0000          0.0004
    Ink Solvent Use.................................................           9,210          0.0005          0.0106
    Pesticide Manufacturing and Formulation.........................              49          0.0001          0.0034
    Pharmaceutical Manufacturing....................................              15              NA              NA
    Solvent Recovery................................................              24          0.0000          0.0000
    Film Base.......................................................               0              NA              NA
    Polycarbonates..................................................               0              NA              NA
    Construction....................................................           9,086          0.0033          0.0866
    Shipyards.......................................................               0              NA             0NA
          All Application Groups....................................          84,573          0.0017          0.0352
    ----------------------------------------------------------------------------------------------------------------
    NA=No small firms in this application group.                                                                    
    Source: Office of Regulatory Analysis; OSHA; Department of Labor.                                               
    
    
            Table 4.--Screening Anaylsis of Potential Economic Impacts on Firms With Fewer Than 20 Employees        
    ----------------------------------------------------------------------------------------------------------------
                                                                         Number of      Costs as a      Costs as a  
                                                                           small       percentage of   percentage of
                            Application group                         establishments    profits for      sales for  
                                                                         affected       small firms     small firms 
    ----------------------------------------------------------------------------------------------------------------
    Manufacture of MC...............................................               0              NA              NA
    Distribution/Formulation of Solvents............................             139         0.0018%         0.0322%
    Metal Cleaning:                                                                                                 
        Cold Degreasing and Other Cold Cleaning.....................           9,223          0.0005          0.0110
        Open-Top Vapor Degreasing...................................               0              NA              NA
        Conveyorized Vapor Degreasing...............................              11          0.0005          0.0132
        Semiconductors..............................................               0              NA              NA
        Printed Circuit Boards......................................              20          0.0000          0.0000
    Aerosal Packaging...............................................              10          0.0006          0.0072
    Paint Remover Manufacturing.....................................              34          0.0003          0.0114
    
    [[Page 24513]]
    
                                                                                                                    
    Paint Manufacturing.............................................               7          0.0006          0.0194
    Paint Remover Use (Paint Stripping).............................              34          0.0003          0.0114
        Aircraft Stripping..........................................              75          0.0011          0.0335
        Furniture Stripping.........................................           5.900          0.0155          0.3034
        All Other Industrial Paint Stripping........................          25,441          0.0002          0.0042
    Flexible Polyurethane Foam Manufacturing........................               8          0.0010          0.0386
    Plastics and Adhesives Manufacturing and Use....................             498          0.0013          0.0264
    Ink and Ink Solvent Manufacturing...............................               3          0.0002          0.0022
    Ink Solvent Use.................................................           5,395          0.0011          0.0237
    Pesticide Manufacturing and Formulation.........................              40          0.0010          0.0386
    Pharmaceutical Manufacturing....................................               0              NA              NA
    Solvent Recovery................................................              17          0.0000          0.0000
    Film Base.......................................................               0              NA              NA
    Polycarbonates..................................................               0              NA              NA
    Construction....................................................           9,085          0.0044          0.1596
    Shipyards.......................................................               0              NA              NA
                                                                     -----------------------------------------------
          All Application Groups....................................          55,907          0.0026          0.0644
    ----------------------------------------------------------------------------------------------------------------
    NA=No small firms in this application group.                                                                    
    Source: Office of Regulatory Analysis: OSHA; Department of Labor.                                               
    
        As noted in the discussion of costs, firms with fewer than 20 
    employees are much more likely to incur greater costs for medical 
    removal protection because such firms may have difficulty in finding a 
    job that does not involve exposure to MC at levels above the action 
    level. OSHA therefore examined annualized compliance costs as a 
    percentage of sales and profits for firms with fewer than 20 employees.
        Table 4 shows the results of this analysis. For the typical 
    affected firm with fewer than 20 employees, the annualized costs of 
    medical removal protection represent 0.0026 percent of sales and 0.064 
    percent of profits. Furniture stripping has the greatest potential 
    impacts--annualized costs are 0.016 percent of sales and 0.3 percent of 
    profits for firms in this application group. These impacts do not 
    constitute significant impacts, as envisioned by the Regulatory 
    Flexibility Act. However, because unusually prolonged medical removal 
    without an alternative job within the establishment might present 
    problems for these very small firms, the proposed standard includes a 
    provision requiring special consideration of the economic burden 
    imposed by medical removal protection when an employer would otherwise 
    need to provide MRP benefits to more than one employee. This provision 
    ensures that impacts are not unduly burdensome even in rare and unusual 
    circumstances. Therefore, based on its analyses both of impacts and 
    small firms using the SBA definitions, and of very small firms with 
    fewer than 20 employees, OSHA certifies that the proposed MRP 
    provisions will not have a significant impact on a substantial number 
    of small entities.
    
    VI. Public Participation
    
        Comments should be submitted to the OSHA Docket Office by June 3, 
    1998.
        Note: OSHA is only reopening the record for comments on the two 
    issues raised in the Motion for Reconsideration: the compliance dates 
    and medical removal protection. It is not reopening the record or 
    requesting comments on any other issues pertaining to the methylene 
    chloride standard.
        Authority and Signature: This document was prepared under the 
    direction of Charles N. Jeffress, Assistant Secretary of Labor for 
    Occupational Safety and Health, U.S. Department of Labor, 200 
    Constitution Avenue, NW., Washington, DC 20210.
    
    List of Subjects in 29 CFR Part 1910
    
        Chemicals, Hazardous substances, Occupational safety and health.
    
        Signed at Washington, DC, this 29th day of April, 1998.
    Charles N. Jeffress,
    Assistant Secretary of Labor.
    
        Part 1910 of title 29 of the Code of Federal Regulations is 
    proposed to be amended as follows:
    
    PART 1910--[AMENDED]
    
        1. The general authority citation for subpart Z of CFR 29 part 1910 
    continues to read, in part, as follows:
    
        Authority: Sections 4, 6, and 8 of the Occupational Safety and 
    Health Act of 1970 (29 U.S.C. 653, 655, and 657); Secretary of 
    Labor's Order No. 12-71 (36 FR 8754), 8-76 (41 FR 25059), 9-83 (48 
    FR 35736), 1-90 (55 FR 9033), or 6-96 (62 FR 111), as applicable; 
    and 29 CFR Part 1911.
    * * * * *
        2. Section 1910.1052 would be amended by revising paragraphs 
    (j)(9)(i) (A) and (B) and paragraph (n)(2), and by adding paragraphs 
    (j)(10), (j)(11), (j)(12), (j)(13), and (j)(14) as follows:
    
    
    Sec. 1910.1052  Methylene Chloride.
    
    * * * * *
        (j) Medical surveillance.
    * * * * *
        (9) Written medical opinions.
        (i) * * *
        (A) The physician or other licensed health care professional's 
    opinion concerning whether exposure to MC may contribute to or 
    aggravate the employee's existing cardiac, hepatic, neurological 
    (including stroke) or dermal disease or whether the employee has any 
    other medical condition(s) that would place the employee's health at 
    increased risk of material impairment from exposure to MC.
        (B) Any recommended limitations upon the employee's exposure to MC, 
    including removal from MC exposure, or upon the employee's use of 
    respirators, protective clothing, or other protective equipment.
    * * * * *
        (10) Medical Presumption. For purposes of this paragraph (j) of 
    this section, the physician or other licensed health care professional 
    shall presume,
    
    [[Page 24514]]
    
    unless medical evidence indicates to the contrary, that a medical 
    condition is unlikely to require medical removal from MC exposure if 
    the employee is not exposed to MC above the 8-hour TWA PEL. If the 
    physician or other licensed health care professional recommends removal 
    for an employee exposed below the 8-hour TWA PEL, the physician or 
    other licensed health care professional shall cite specific medical 
    evidence, sufficient to rebut the presumption that exposure below the 
    8-hour TWA PEL is unlikely to require removal, to support the 
    recommendation. If such evidence is cited by the physician or other 
    licensed health care professional, the employer must remove the 
    employee. If such evidence is not cited by the physician or other 
    licensed health care professional, the employer is not required to 
    remove the employee.
        (11) Medical Removal Protection (MRP). (i) Temporary medical 
    removal and return of an employee.
        (A) Except as provided in paragraph (j)(10) of this section, when a 
    medical determination recommends removal because the employee's 
    exposure to MC may contribute to or aggravate the employee's existing 
    cardiac, hepatic, neurological (including stroke), or skin disease, the 
    employer must provide medical removal protection benefits to the 
    employee and either:
        (1) Transfer the employee to comparable work where methylene 
    chloride exposure is below the action level; or
        (2) Remove the employee from MC exposure.
        (B) If comparable work is not available and the employer is able to 
    demonstrate that removal and the costs of extending MRP benefits to an 
    additional employee, considering feasibility in relation to the size of 
    the employer's business and the other requirements of this standards, 
    make further reliance on MRP an inappropriate remedy, the employer may 
    retain the additional employee in the existing job until transfer or 
    removal becomes appropriate, provided:
        (1) The employer ensures that the employee receives additional 
    medical surveillance, including a physical examination at least every 
    60 days until transfer or removal occurs; and
        (2) The employer or PLHCP informs the employee of the risk to the 
    employee's health from continued MC exposure.
        (C) The employer shall maintain in effect any job-related 
    protective measures or limitations, other than removal, for as long as 
    a medical determination recommends them to be necessary.
        (ii) End of MRP benefits and return of the employee to former job 
    status.
        (A) The employer may cease providing MRP benefits at the earliest 
    of the following:
        (1) Six months;
        (2) Return of the employee to the employee's former job status 
    following receipt of a medical determination concluding that the 
    employee's exposure to MC no longer will aggravate any cardiac, 
    hepatic, neurological (including stroke), or dermal disease;
        (3) Receipt of a medical determination concluding that the employee 
    can never return to MC exposure.
        (B) For the purposes of this paragraph (j), the requirement that an 
    employer return an employee to the employee's former job status is not 
    intended to expand upon or restrict any rights an employee has or would 
    have had, absent temporary medical removal, to a specific job 
    classification or position under the terms of a collective bargaining 
    agreement.
        (12) Medical Removal Protection Benefits. (i) For purposes of this 
    paragraph (j), the term medical removal protection benefits means that, 
    for each removal, an employer must maintain for up to six months the 
    earnings, seniority, and other employment rights and benefits of the 
    employee as though the employee had not been removed from MC exposure 
    or transferred to a comparable job.
        (ii) During the period of time that an employee is removed from 
    exposure to MC, the employer may condition the provision of medical 
    removal protection benefits upon the employee's participation in 
    follow-up medical surveillance made available pursuant to this section.
        (iii) If a removed employee files a workers' compensation claim for 
    an MC-related disability, the employer shall continue the MRP benefits 
    required by this paragraph until either the claim is resolved or the 6-
    month period for payment of MRP benefits has passed, whichever occurs 
    first. To the extent the employee is entitled to indemnity payments for 
    earnings lost during the period of removal, the employer's obligation 
    to provide medical removal protection benefits to the employee shall be 
    reduced by the amount of such indemnity payments.
        (iv) The employer's obligation to provide medical removal 
    protection benefits to a removed employee shall be reduced to the 
    extent that the employee receives compensation for earnings lost during 
    the period of removal from either a publicly or an employer-funded 
    compensation program, or receives income from employment with another 
    employer made possible by virtue of the employee's removal.
        (13) Voluntary Removal or Restriction of an Employee. Where an 
    employer, although not required by this section to do so, removes an 
    employee from exposure to MC or otherwise places any limitation on an 
    employee due to the effects of MC exposure on the employee's medical 
    condition, the employer shall provide medical removal protection 
    benefits to the employee equal to those required by paragraph (j)(12) 
    of this section.
        (14) Multiple Health Care Professional Review Mechanism. (i) If the 
    employer selects the initial physician or licensed health care 
    professional (PLHCP) to conduct any medical examination or consultation 
    provided to an employee under this paragraph (j)(11), the employer 
    shall notify the employee of the right to seek a second medical opinion 
    each time the employer provides the employee with a copy of the written 
    opinion of that PLHCP.
        (ii) If the employee does not agree with the opinion of the 
    employer-selected PLHCP, notifies the employer of that fact, and takes 
    steps to make an appointment with a second PLHCP within 15 days of 
    receiving a copy of the written opinion of the initial PLHCP, the 
    employer shall pay for the PLHCP chosen by the employee to perform at 
    least the following:
        (A) Review any findings, determinations or recommendations of the 
    initial PLHCP; and
        (B) Conduct such examinations, consultations, and laboratory tests 
    as the PLHCP deems necessary to facilitate this review.
        (iii) If the findings, determinations or recommendations of the 
    second PLHCP differ from those of the initial PLHCP, then the employer 
    and the employee shall instruct the two health care professional to 
    resolve the disagreement.
        (iv) If the two health care professionals are unable to resolve 
    their disagreement within 15 days, then those two health care 
    professionals shall jointly designate a PLHCP who is a specialist in 
    the field at issue. The employer shall pay for the specialist to 
    perform at least the following:
        (A) Review the findings, determinations, and recommendations of the 
    first two PLHCPs; and
        (B) Conduct such examinations, consultations, laboratory tests and 
    discussions with the prior PLHCPs as the specialist deems necessary to 
    resolve the disagreements of the prior health care professionals.
    
    [[Page 24515]]
    
        (v) The written opinion of the specialist shall be the definitive 
    medical determination. The employer shall act consistent with the 
    definitive medical determination, unless the employer and employee 
    agree that the written opinion of one of the other two PLHCPs shall be 
    the definitive medical determination.
        (vi) The employer and the employee or authorized employee 
    representative may agree upon the use of any expeditious alternate 
    health care professional determination mechanism in lieu of the 
    multiple health care professional review mechanism provided by this 
    paragraph so long as the alternate mechanism otherwise satisfies the 
    requirements contained in this paragraph.
    * * * * *
        (n) Dates.
    * * * * *
        (2) Start-up dates.
        (i) Initial Monitoring required by paragraph (d)(2) of this section 
    shall be completed according to the following schedule:
        (A) For employers with fewer than 20 employees, within 300 days 
    after the effective date of this section.
        (B) For polyurethane foam manufacturers with 20 to 99 employees, 
    within 255 days after the effective date of this section.
        (C) For all other employers, within 150 days after the effective 
    date of this section.
        (ii) Engineering controls required under paragraph (f)(1) of this 
    section shall be implemented according to the following schedule:
        (A) For employers with fewer than 20 employees: within three (3) 
    years after the effective date of this section.
        (B) For employers with fewer than 150 employees engaged in foam 
    fabrication; for employers with fewer than 50 employees engaged in 
    furniture refinishing, general aviation aircraft stripping, and product 
    formulation; for employers with fewer than 50 employees using MC-based 
    adhesives for boat building and repair, recreational vehicle 
    manufacture, van conversion, and upholstering; for employers with fewer 
    than 50 employees using MC in construction work for restoration and 
    preservation of buildings, painting and paint removal, cabinet making 
    and/or floor refinishing and resurfacing: within three (3) years after 
    the effective date of this section.
        (C) For employers engaged in polyurethane foam manufacturing with 
    20 employees or more: within thirty (30) months after the effective 
    date of this section.
        (D) For employers with 150 or more employees engaged in foam 
    fabrication; for employers with 50 or more employees engaged in 
    furniture refinishing, general aviation aircraft stripping, and product 
    fabrication; for employers with 50 or more employees using MC-based 
    adhesives in boat building and repair, recreational vehicle 
    manufacture, van conversion and upholstering; and for employers with 50 
    or more employees using MC in construction work for restoration and 
    preservation of buildings, painting and paint removal, cabinet making 
    and/or floor refinishing and resurfacing: within two (2) years after 
    the effective date of this section.
        (E) For all other employers: within one (1) year after the 
    effective date of this section.
        (iii) Employers identified in paragraphs (n)(2)(ii) (B), (C), and 
    (D) of this section shall comply with the following requirements listed 
    in this paragraph by the dates indicated:
        (A) Use of respiratory protection whenever an employee's exposure 
    to MC exceeds or can reasonably be expected to exceed the 8-hour TWA 
    PEL, in accordance with paragraphs (c)(1), (e)(3), (f)(1) and (g)(1) of 
    this section: by the applicable dates set out in paragraphs (n)(2)(ii) 
    (B), (C) and (D) of this section for the installation of engineering 
    controls.
        (B) Use of respiratory protection whenever an employee's exposure 
    to MC exceeds or can reasonably be expected to exceed the STEL in 
    accordance with paragraphs (e)(3), (f)(1), and (g)(1) of this section: 
    by the applicable dates indicated in paragraph (n)(2)(iv) of this 
    section.
        (C) Implementation of work practices (such as leak and spill 
    detection, cleanup and enclosure of containers) required by paragraph 
    (f)(1) of this section: by the applicable dates indicated in paragraph 
    (n)(2)(iv) of this section.
        (D) Notification of corrective action under paragraph (d)(5)(ii) of 
    this section: no later than (90) days before the compliance date 
    applicable to such corrective action.
        (iv) Unless otherwise specified in this paragraph (n), all other 
    requirements of this section shall be complied with according to the 
    following schedule:
        (A) For employers with fewer than 20 employees, within one (1) year 
    after the effective date of this section.
        (B) For employers engaged in polyurethane foam manufacturing with 
    20 to 99 employees, within 270 days after the effective date of this 
    section.
        (C) For all other employers, within 255 days after the effective 
    date of this section.
    * * * * *
    [FR Doc. 98-11797 Filed 5-1-98; 8:45 am]
    BILLING CODE 4510-26-M
    
    
    

Document Information

Published:
05/04/1998
Department:
Occupational Safety and Health Administration
Entry Type:
Proposed Rule
Action:
Notice of motion for reconsideration; proposed rule.
Document Number:
98-11797
Dates:
Comments concerning the proposed rule must be postmarked or transmitted by fax on or before June 3, 1998. Comments concerning the collection of information requirements must be postmarked or transmitted by fax on or before July 6, 1998.
Pages:
24501-24515 (15 pages)
Docket Numbers:
Docket No. H-71
RINs:
1218-AA95
PDF File:
98-11797.pdf
CFR: (1)
29 CFR 1910.1052