COMDTINST M6260.32 governs the Coast Guard Occupational Medicine Program, including occupational medical examinations, surveillance, and clearance.
View COMDTINST M6260.32 on armypubs.army.mil
The publication addresses medical clearance, certification, surveillance, deployment evaluations, occupational exposures, immunizations, and occupational injuries and illnesses. It requires examination, reporting, medical removal, and job-specific health requirements.
Applies to: All Coast Guard unit commanders, commanding officers, officers-in-charge, deputy/assistant commanders, and chief of headquarters staff elements shall comply with the provisions of this Manual.
Baseline medical surveillance examinations are required for all employees enrolled in OMSEP prior to exposure and/or employment. (paragraph 3)
Periodic examinations unless otherwise stated are to be performed at twelve-month intervals. (paragraph 3)
In the event of scheduling delays which prevent the completion of the examination prior to exposure, all necessary laboratory tests specified under the appropriate exposure protocol(s) must be completed prior to exposure. (paragraph 3)
Vaccination (or proof of immunity by antibody titer as appropriate) for measles, mumps, rubella, varicella, tetanus, diphtheria, acellular pertussis, and annual influenza as well as a baseline two-step tuberculin skin test or tuberculosis blood test are required. (paragraph 1)
A complete preplacement medical examination and periodic medical examinations thereafter every 2 years is required. (paragraph 2)