I.    All medical services will be performed on-site in mobile Medical units at locations as designated by your company. Make-up tests for absent employees will be rescheduled as necessary with no additional service charges.

      A. Are performed at the rate of 20-25 tests per hour (per mobile unit) (100/hr. with four mobile units)

II.   Description of Medical Equipment:

      A. EAR SCAN - CLINICAL MICROPROCESSOR PURE TONE AUDIOMETER
      B. ACOUSTIC SYSTEM RE131 - Audiometric Room.
      C. BREON MODEL 2400 - positive displacement direct reading
         Spirometer system.

III.  Detailed description of medical tests and reports to be provided:

      A. HEARING CONSERVATION PROGRAM:

      1. Complies with OSHA Regulation 29 CFR 1910.95a & b.

      2. AUDIOMETRIC TESTS

         a. Performed by I. P. S. Certified Audiometric Technicians in sound-proof audiometric rooms using clinical audiometers.

         b. Individually administered to assure personalized attention, maximal accuracy and minimal "down-time". Using clinical audiometers, rather than self-recording instruments such as those used for group testing, eliminates the need for "retests" due to inaccuracies and discrepancies.

         c. Hearing thresholds tested - six frequencies: 1.  500, 1000, 2000, 3000, 4000, and 6000 Hz.

         d. Records include:

            1. Audiogram (contains 8 years of records per report form), uniquely designed to promote employee self-enforcement of proper and effective hearing protection.

            2. Employee analysis reporting form.

            3. Recommendations- Audiograms which show abnormal hearing conditions or significant changes are personally reviewed by our Audiologist 

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B. RESPIRATORY PROGRAM:

      1. Information obtained:

         a. Forced vital capacity (FVC)

         b. Forced expiratory volume at one second (FEV1)

         c. Comparative ratio (FEV1/FVC x 100)

      2. Records included:   a. Pulmonary function test record (contains 6 years of records per report form), uniquely designed to promote employee self-enforcement of proper and effective respiratory protection.

      3. Reports include:a. Actual findings  b. Analysis and comparative results + Recommendations.
                                             

      C. COMPUTERIZED MEDICAL REPORTS:

      1. Are comprised of a master employee list containing present health status and comparison to previous years as well as additional printouts highlighting employees that exhibit significant changes or abnormal health conditions.

      2. Are customized to include any additional information or categories as desired.

      3. Pre-existing data will be used for comparative purposes at no additional charge.

      4. Test records and computerized analyses are returned approximately four weeks after completion of each testing session.
   

D. OPTIONAL EMPLOYEE EDUCATION PROGRAM:

      1. Video tape: "SOUND EFFECTS" - Educational video specifically designed for easy layman comprehension. Covers noise and its' affect on hearing, as well as terminology, importance of audiometric testing, and types, use and care of hearing protection. (Running time 12 minutes.)

      2. Educational Pamphlets:  Are specifically designed for quick and easy layman     comprehension.

Audiometric: Discusses noise, terminology, audiometric testing, types, use and care of hearing protection. Excellent supplement to video, answering most frequently asked questions.

Pulmonary Function: Discusses air pollution, terminology, lung function, spirometric testing, and additional information about respirators,  including use and types. Answers most frequently asked questions.

A. HEARING CONSERVATION PROGRAM:

   1. Audiometric test individually administered using clinical audiometers) with evaluation, comparison and written recommendation.
   2. Management reports include computerized analysis, individual hard-copy medical test records, and individual employee results form.
   3. Pre-existing data will be used for comparative purposes at no additional charge.

B. RESPIRATORY PROGRAM:

   1. Pulmonary function test individually administered with evaluation, comparison and written recommendation.

  2. Management reports include computerized analysis, individual hard-copy medical test records, and
      individual employee results form.
   3. Pre-existing data will be used for comparative purposes at no additional charge.

C. EMPLOYEE EDUCATION PROGRAMS (OPTIONAL):

   1. Video tape: "SOUND EFFECTS" - 12 minute educational video.    $89.95
   2. Educational pamphlets - Audiometric or Pulmonary function         $0.30ea
   3. Quiz and Certification of Training Forms.                                    $7.95/50

Hearing Tests: Audiometry is used to check how effective your hearing conservation measures are. It is needed if employees are exposed to high noise levels.