NAC: CHAPTER 617 - OCCUPATIONAL DISEASES

[Rev. 8/27/2018 12:28:00 PM]

[NAC-617 Revised Date: 8-18]

CHAPTER 617 - OCCUPATIONAL DISEASES

GENERAL PROVISIONS

617.010 Scope.

PHYSICAL EXAMINATIONS

617.050 Lung examinations.

617.070 Cardiac examinations.

617.075 Test of functioning of hearing.

617.080 Duties of employer; exception for scheduling of physical examinations.

617.090 Duties of employee.

617.100 Examining physician to provide copies of forms.

GENERAL PROVISIONS

NAC 617.010 Scope. (NRS 616A.400) This chapter applies to all firefighters and police officers who are required to submit to physical examinations and tests to receive industrial insurance benefits pursuant to NRS 617.454, 617.455 and 617.457 and to their employers.

[Industrial Comm’n, No. 39 Scope, eff. 6-30-82] — (NAC A by Div. of Industrial Relations by R105-00, 1-18-2001, eff. 3-1-2001)

PHYSICAL EXAMINATIONS

NAC 617.050 Lung examinations. (NRS 616A.400) The lung examinations conducted pursuant to NRS 617.455 must include at least the following elements and must be supported by the following written material:

1. Form OD-1, Firemen and Police Officers’ Medical History Form, as prescribed by the Division and completed by the firefighter or police officer being examined;

2. Form OD-2, Firemen and Police Officers’ Lung Examination Form, as prescribed by the Division and completed by the examining physician;

3. An X-ray film of the chest;

4. If the person being examined is a police officer or a salaried firefighter, a pulmonary function test; and

5. A stethoscopic examination of the lungs.

[Industrial Comm’n, No. 39.030, eff. 6-30-82] — (NAC A by Div. of Industrial Relations by R105-00, 1-18-2001, eff. 3-1-2001)

NAC 617.070 Cardiac examinations. (NRS 616A.400)

1. Cardiac examinations which are conducted pursuant to NRS 617.457 must include at least the following elements and must be supported by the following written material:

(a) Form OD-1, Firemen and Police Officers’ Medical History Form, as prescribed by the Division and completed by the firefighter or police officer being examined;

(b) Form OD-3, Firemen and Police Officers’ Extensive Heart Examination Form, as prescribed by the Division and completed by the examining physician;

(d) Except as otherwise provided in paragraph (e), an electrocardiogram;

(e) If the person being examined is a police officer or a salaried firefighter who is 40 years of age or older, a stress electrocardiogram, in lieu of the electrocardiogram required by paragraph (d);

(f) A blood test to determine the amounts of triglycerides and cholesterol which are present; and

(g) A blood or urine test to determine the amount of glucose which is present.

2. Cardiac examinations which are conducted in the sixth year of continuous service and in each year of service thereafter must include the following elements and must be supported by the following written material:

(a) Form OD-1, Firemen and Police Officers’ Medical History Form, as prescribed by the Division and completed by the firefighter or police officer being examined;

(b) Form OD-4, Firemen and Police Officers’ Limited Heart Examination Form, as prescribed by the Division and completed by the examining physician;

(d) If the examining physician believes circumstances warrant such a test, an electrocardiogram.

[Industrial Comm’n, No. 39.050, eff. 6-30-82] — (NAC A by Div. of Industrial Relations by R105-00, 1-18-2001, eff. 3-1-2001; R130-14, 9-9-2016)

NAC 617.075 Test of functioning of hearing. (NRS 616A.400)

1. The test of the functioning of the hearing of an employee that is required pursuant to NRS 617.454 must consist of an air conduction test or a pure tone test.

2. If an air conduction test reveals a condition that is not within normal limits, the employee must undergo a bone conduction study or speech audiometry.

3. An air conduction test is acceptable for screening and to establish a baseline for further testing.

4. The person conducting the test of the functioning of the hearing of the employee must fill out Form OD-5, Firemen and Police Officers’ Hearing Examination Form, as prescribed by the Division.

(Added to NAC by Div. of Industrial Insurance Regulation, eff. 1-24-92; A by Div. of Industrial Relations by R105-00, 1-18-2001, eff. 3-1-2001)

NAC 617.080 Duties of employer; exception for scheduling of physical examinations. (NRS 616A.400)

1. Except as otherwise provided in subsection 2, the employer shall:

(a) Schedule the physical examinations, including the test of the functioning of the hearing of an employee, that are required pursuant to NRS 617.454, 617.455 and 617.457.

(b) Maintain the records of all physical examinations, including the test of the functioning of the hearing of an employee, that are completed pursuant to NRS 617.454, 617.455 and 617.457 for at least 2 years after the death of the firefighter or police officer.

(c) Discuss with the employee any warning from the examining physician indicating that the employee has a predisposition to the contraction of a disease of the heart or lungs.

(d) If the employee can correct any predisposing physical condition of which he or she has been warned pursuant to paragraph (c), inform the employee that failure to correct the condition may exclude him or her from benefits under chapter 617 of NRS.

(e) Pay for any additional physical examinations he or she requires which are beyond the scope of the physical examinations and tests required by NRS 617.454, 617.455 and 617.457.

2. If the employer and employee agree in writing, the employee may assume the responsibility for scheduling the physical examinations described in paragraph (a) of subsection 1.

[Industrial Comm’n, No. 39.070, eff. 6-30-82] — (NAC A by Div. of Industrial Relations by R105-00, 1-18-2001, eff. 3-1-2001; R130-14, 9-9-2016)

NAC 617.090 Duties of employee. (NRS 616A.400) The employee must:

1. Submit to the physical examinations and the test of the functioning of the hearing of an employee that are required by NRS 617.454, 617.455 and 617.457, and by his or her employer, at the time scheduled by the employer unless the employee has a reasonable excuse for missing the scheduled examination;

2. Complete and file with the insurer Form OD-1, Firemen and Police Officers’ Medical History Form, as prescribed by the Division; and

3. Sign a form acknowledging receipt of the forms provided by the examining physician.

[Industrial Comm’n, No. 39.080, eff. 6-30-82] — (NAC A by Div. of Industrial Relations by R105-00, 1-18-2001, eff. 3-1-2001)

NAC 617.100 Examining physician to provide copies of forms. (NRS 616A.400) The examining physician who conducts a physical examination pursuant to NRS 617.455 or 617.457 shall provide the employer and the employee with a copy of:

1. The form required to be completed by subsection 4 of NAC 617.075; and

2. Each of the forms required to be completed by NAC 617.050 or 617.070,

Ê following the physical examination.

[Industrial Comm’n, No. 39.060, eff. 6-30-82] — (NAC A by Div. of Industrial Relations by R105-00, 1-18-2001, eff. 3-1-2001)