We have had previous questions asking for a lead exposure policy, and have responded as such:
Here is what you should include for both organic and inorganic lead exposure or working with lead:
*Pre-placement medical testing;
*Periodic testing at frequency to be determined on bases of pre-placement testing and other medical records; *Testing after acute exposure;
*Exit testing;
*Stipulation of clinical tests to be used for each stage of testing; and
*Stipulation of the criteria/levels calling for the worker’s removal from exposure (or other actions to protect the worker).

If you want to see the clinical details for each of these items, go to the Ontario MOL website and look up the guidelines on Medical Surveillance Programs for lead under the OHS Designated Substances Reg. (Reg 490/09), which also works outside Ontario.

For thorough steps to address lead exposure:
Isolate the Area: Restrict access to the affected zone to prevent further exposure.
Provide Medical Evaluation: Offer exposed employees prompt medical assessments to determine lead levels in their blood.
Conduct Exposure Assessment: Evaluate the extent of lead exposure through air monitoring and surface sampling. Implement Control Measures: Introduce engineering controls (e.g., ventilation), administrative controls (e.g., rotating job assignments), and personal protective equipment (PPE) to minimize exposure.
Decontamination:
Ensure Proper Hygiene: Provide facilities for employees to wash hands and face before breaks and at the end of shifts to reduce ingestion risks.
Inform Employees: Educate workers about lead hazards, safe work practices, and the importance of hygiene to prevent lead absorption.

2. Depth of Procedure for a High Lead Event: In the event of significant lead exposure, procedures should be thorough and may include:
Comprehensive Medical Surveillance: Regular blood lead level testing and health evaluations to monitor affected employees.
Detailed Documentation: Maintain records of exposure levels, medical assessments, and implemented control measures.
Enhanced Training: Provide in-depth training on lead hazards, proper use of PPE, and decontamination procedures.
Environmental Remediation: Decontaminate the workplace to remove lead sources and prevent future exposures. Reporting requirements may include:
Incident Details: Provide information on the exposure event, including duration, concentration levels, and number of employees affected.
Corrective Actions: Outline steps taken to mitigate exposure and prevent recurrence. Specific reporting obligations can vary by jurisdiction. For instance, in Ontario, employers are required to notify the Ministry of Labour, Immigration, Training and Skills Development in cases of occupational illness, including lead exposure.
Notifying Exposed Employees:
Personal Notification: Communicate directly with affected employees regarding the nature and extent of their exposure.
Medical Information: Provide details on available medical evaluations and the importance of monitoring blood lead levels.
Protective Measures: Educate on steps being taken to reduce exposure and any changes to work practices.

Check out our post on working safely with lead and take our lead quiz to make sure you are complying with all provincial and federal requirements to keep you and your workers safe.

-OHSInsider