DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
POLICY AND PROCEDURES MANUAL
Issue Date: 6/30/94
Revised: 8/1/94, 7/1/95
AUTHORITY: Not applicable.
POLICY: It is the policy of the Division of Occupational Safety and Health to report summary information about screening samples collected by compliance personnel on the Screening Report, OSHA Form 98.
NOTE: Screening samples include any samples taken as input into the decision of whether or how to perform full shift or other sampling to document exposures.
NOTE: Screening sampling can include noise screening, but excludes measurements of combustible gases, ventilation, or similar conditions.
B. OFFICE PROCEDURES
NOTE: If more space is required, compliance personnel shall use additional OSHA Form 98s. On each additional OSHA Form 98, compliance personnel shall mark through the pre-printed Sampling Number and enter the Sampling Number from the first form used. Complete Items 6-11 as necessary, renumbering the line numbers in Item 6. Use as many OSHA Form 98s as are necessary and staple the forms together before submitting them to OMDS.
C. FORM DISTRIBUTION
D. FORM COMPLETION
Complete this item only when it is necessary to change an OSHA Form 98 previously submitted to OMDS. If modifications to the Form 91(S) are made, compliance personnel shall mark the modifications in red ink on the Form 91(S), enter "M" in the MOD box, enter the date of the modification in the "DATE" box and give the modified Form to Office Support Staff for submission to OMDS.
Enter the Reporting ID of the submitting office.
The Inspection Number from the related Cal/OSHA Form 1.
This is a preprinted number unique to each OSHA Form 98 which identifies each summary of screening data. This number must always be used when modifying the information on a sampling form.
Enter the name of the establishment as it appears on the Cal/OSHA Form 1.
Enter the month, day and year the screening samples were taken. If screening samples were taken on more than one day, enter the first day.
A sequential number used to identify individual groups of screening data in the computer record. Refer to this number to identify individual records for modifications or retrieval.
Enter the appropriate hazardous substance code. See Attachment E of P&P C-170 & 170A.
Enter the total number of screening samples taken, e.g., the total number of detector tubes pulled, for the substance or agent identified in Item 7.
Enter the "highest" level measured for the substance or agent identified in Item 7.
Enter the appropriate code from the following list to indicate the unit of measure in which the Highest Exposure Level is expressed for the substance identified in Item 9.
C=Picocuries per liter (radon)
D=Milligrams per deciliter (blood)
F=Fibers per cubic centimeter
G=Million particles per cubic foot
L=Milligrams per liter (urine)
M=Milligrams per cubic meter
P=Parts per million
U=Milliwatts per square centimeter
NOTE: If the highest exposure level is expressed in micrograms, it must be converted to milligrams before submittal to OMDS.
Enter the total number of line entries reported for this case. If multiple pages are used, enter on the FIRST page the total number of lines entered on all related pages of the OSHA Form 98, then leave this item blank on all the subsequent pages.
Case File Page
Enter the page number of this form after the case file has been organized.
Attachment: OSHA 98