Occupational Health

You will submit a urine sample for urinalysis during your DOT appointment. If this is your first DOT physical for Shuttle-UM, you will need to schedule an additional appointment for drug testing. 
 

• DOT Medical Examination Report Form (section 1 on pages 1-2). Prior to your appointment with the provider, update your “Health History” in the Patient Portal. 

Additional requirements based upon medical diagnosis:

• Drivers with psychological disorders (i.e. ADHD, depression, bipolar disorder, etc.) must bring a completed CMV Driver Medication Form from their mental health professional (psychiatrist or psychologist).
• Hemoglobin A1C results: Drivers with Diabetes must bring a copy of their most recent blood test results that includes their Hemoglobin A1C (HgA1C) level (within the last 3 months).
• Insulin-Treated Diabetes Mellitus Assessment Form: If you require insulin to treat your diabetes you must also bring the Insulin-Treated Diabetes Mellitus Assessment Form that has been completed by your treating clinician within forty-five (45) days of your DOT appointment. In addition, you must also bring records of the preceding three (3) months of ongoing blood sugar logs.
• Non-insulin Treated Diabetes Mellitus Assessment Form: If you have a diagnosis of Diabetes Mellitus that does not require insulin please have this form completed by your treating clinician within forty-five days (45) days of your DOT appointment.  

• Completed DOT Medical Examination Report Form (Section 1, pages 1-2)
• Driver’s License
• Drivers with vision problems must bring their eyeglasses or contacts
• Drivers with hearing problems must bring their hearing aids
• Drivers with psychological disorders (i.e. ADHD, depression, bipolar disorder, etc.) must bring a completed CMV Driver Medication Form from their mental health professional (psychiatrist or psychologist)

Drivers with diabetes must bring the following:

• A copy of their most recent blood test results that includes their Hemoglobin A1C (HgA1C) level (within the last 3 months).
• Drivers that require insulin to treat their diabetes must also bring The Insulin-Treated Diabetes Mellitus Assessment Form that has been completed by their treating clinician within forty-five (45) days of your DOT appointment. In addition, these drivers must also bring records of their preceding three (3) months of ongoing blood sugar logs.
• For drivers diagnosed with non-insulin treated diabetes mellitus, bring the Non-insulin Treated Diabetes Mellitus Assessment Form that has been completed by their treating clinician within forty-five (45) days of your DOT appointment.  

Influenza spreads throughout the US every year, usually between October and May. Anyone can get the flu. There are many flu viruses, and they are always changing. Each year a new flu vaccine is made to protect against the influenza viruses believed to be likely to cause disease in the upcoming flu season. Even when the vaccine doesn’t exactly match these viruses, it may still provide some protection. Influenza vaccine does not cause flu. Vaccination is recommended  every flu season for everyone 6 months and older.

Those who work with potentially infected animals may be at higher risk for Rabies exposure. Vaccination is recommended to help prevent rabies if an exposure happens. If you are at higher risk of work-related exposure to the rabies virus:

• You should receive 2 doses of rabies vaccine given on days 0 and 7 before starting work if you have no history of prior immunization.
• Depending on your level of risk, you may be advised to have one or more blood tests or receive a booster dose within 3 years after the first 2 doses. Your health care provider can give you more details.

Rabies vaccine can prevent rabies if given to a person after an exposure. If you experience a work-related exposure, seek treatment immediately at the Health Center or the closest emergency room. If it is after hours, go to the closest ER.

If your position has been identified as one in which there is exposure to blood and body fluids, we recommend you complete the Hepatitis B vaccine series (two doses 30-days apart) for protection from this blood-borne infection. For an appointment call 301.405.3153.

Please complete and sign the consent form below and upload to myuhc. If you are declining vaccination, please mark decline on the form.

Tdap vaccine can protect us from Tetanus, Diphtheria and Pertussis. All three are serious diseases caused by bacteria. Although rare, depending upon the nature of your work and occupational hazards, you may be at risk for exposure to the bacteria that causes Tetanus through cuts, scratches, wounds, or severe burns. It is important to know when you were last vaccinated and to report injuries to assess if a booster is needed. An updated Tetanus booster may also be a requirement for your work. 

The Occupational Health Unit provides medical screenings for UMD referred lab employees and students handling vaccinia virus. The Occupational Health Unit will coordinate with the Maryland Department of Health for immunization. 

Workers’ Compensation is the Maryland State statutory insurance program that provides medical and hospital treatment, partial income replacement benefits, and additional benefits to employees who sustain work-related injury or illness. Learn more on the Department of Environmental Safety, Sustainability and Risk webpage.

Fitness for duty refers to the physical and/or mental readiness of an employee to perform the essential functions of his or her job. A fitness for duty examination may require psychological, medical and or substance abuse assessment.

To learn more about the University’s fitness for duty policy visit the University's Policy webpage.

Occupational hazards may result in a lab related exposure to biologics or a bloodborne pathogen. If you are working with microbial hazards with specific treatment instructions, print and carry a wallet card for reference during emergent occupational exposures. 

For information after hours, call 301-405-3315.

UMD University Health Center provides occupational and reproductive hazard consultations to assess workplace safety and reduce health risks for lab employees.

If you need to report an injury or exposure, go to the Department of Environmental Safety, Sustainability and Risk webpage.

Indoor Air Quality

Occupational Health Forms

Please review the Notice of Privacy Practices before completing forms.

• Animal Handler Assessment
• Hepatitis B
• Initial Asbestos Questionnaire
• Periodic
Asbestos
Questionnaire
• Respirator Evaluation
• TDap Waiver

Employment Physicals

• DOT Medical Examination Report Form
• Occupational Health (OH) History