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Lead Health Monitoring

Lead Health Monitoring

Find out how SureHire's lead health monitoring program can ensure that your workplace stays healthy and productive.

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The purpose of lead health monitoring is to determine if there is a burden of lead in a worker’s body. Our health monitoring program involves a health questionnaire focusing on past and present lead exposure, as well as a physician review and blood draw. We will also provide you with the most up-to-date educational information so that you can be as informed as possible about the risks of lead exposure.


Part 4 Section 43 Medical monitoring for lead

(1) An employer must ensure blood lead level testing is available to a worker if the worker at a work site could reasonably be expected to have an elevated body burden of lead.
(2) An employer must ensure that a worker exposed to lead is informed of the availability of the blood lead test.
(3) The employer must pay the cost of a blood level test.
(4) An exposed worker may refuse to undergo a blood level test by giving the employer a written statement refusing it.
(5) An employer must not coerce, threaten or force a worker into refusing part or all of the test.
(6) Where the worker has a blood level that indicates lead poisoning, an occupational health and safety officer, under the direction of a Director of Medical Services, may require the employer to remove the worker from further lead exposure.

For more information, click here.

British Columbia

Part 6 Substance Specific Requirements

6.66 Instruction and training
The employer must ensure that a worker who is at risk of exposure to lead is adequately instructed and trained in
(a.) the hazards of lead,
(b.) the written work procedures to be followed,
(c.) the correct operation and use of any required engineering controls and personal protective equipment,
(d.) personal hygiene and decontamination procedures, and
(e.) the purpose and significance of any health monitoring.
6.67 Health protection
The employer must develop and implement an effective health protection program, in a manner acceptable to the Board, if a worker is exposed to potentially hazardous levels of lead.

For more information on British Columbia’s requirements, click here.


No information at this time

New Brunswick

No information at this time

Newfoundland and Labrador


Lead exposure control plan
49. (1) An employer shall develop an exposure control plan for lead where
(a.) a worker at a work site may be exposed to airborne lead in excess of its occupational exposure limit for more than 30 days in a year; or
(b.) a worker’s exposure to lead at a work site could result in an elevated body burden of lead through a route of entry.
(2) The exposure control plan shall include
(a.) a statement of purpose and the responsibilities of individuals;
(b.) methods of hazard identification, assessment and control;
(c.) worker education and training;
(d.) safe work practices as required;
(e.) descriptions of personal and work site hygiene practices and decontamination practices;
(f.) processes of health monitoring, including biological testing;
(g.) methods of documentation and record keeping; and
(h.) procedures for maintenance of the plan, including annual reviews and updating.
(3) A worker shall follow the exposure control plan and practice the personal and work site hygiene practice established by the employer to minimize lead exposure at the work site.
(4) Where there is potential for a worker to be exposed to lead in harmful amounts at a work site, an employer shall ensure that air monitoring and surface testing for lead is regularly conducted to confirm that the controls in place are effective.
(5) Where a worker at a work site could reasonably be expected to have an elevated body burden of lead, an employer shall establish a system for the surveillance of the health of their employees arising from lead exposure in accordance with the lead health surveillance guidance document as prescribed by the minister.
(6) An employer shall ensure that a worker who has been exposed to lead is informed of the health surveillance requirements.

For more information on Newfoundland and Labrador’s requirements, click here.

Nova Scotia

The employer must assess the use, handling and storage of lead with respect to the exposure or likelihood of exposure to any employee. If the assessment identifies that an employee is likely to inhale, ingest or absorb lead where the employee’s health may be adversely affected, the employer must develop a Lead Control Program. Pre-placement examinations include a detailed health history, physical exam, and lab tests. Lab tests include blood lead, blood count and a urinalysis. Other lab tests may be ordered if warranted. The frequency of periodic exams is to be updated. Upon termination, the employee must undergo all testing that is included in the pre-placement exam.

For more information on Ontario’s requirements, click here.


Workers working with lead on a regular basis should have preplacement medical examinations that include blood-lead tests, followed by periodic medical exams. Blood-lead tests should be taken every six months, or more frequently at the discretion of a physician.

For more information on Ontario’s requirements, click here.

Prince Edward Island

There is no mandated Lead Surveillance on PEI. WCB would investigate suspected exposures,and make recommendations if necessary.

Information obtained from WCB Medical Advisor, Dr. Steve O’Brien


No information found at this time.


Table 21 in The Occupational Health and Safety Regulations 1996 specifies the occupational exposure limits for lead in Saskatchewan. There are no medical surveillance requirements specific to lead.

Canadian Jurisdictions OEL (mg/m3)
Canada Labour Code 0.05
BC, AB, MB, ON, QC, NL, PEI, NB, NS 0.05
SK 0.05 [stel]

0.15 [stel]
NT, NU, YT 0.15 [stel]

0.45 [stel]
Other Jurisdiction OEL (mg/m3)
ACGIH 2014 TLV 0.05
  • For lead and inorganic lead compounds

mg/m3 = milligrams per cubic meter

stel = short term exposure limit (15 min. maximum)

Retrieved from: CAREX Canada

Testimonials & Case Studies

This industrial construction company implemented pre-hire Fitness-to-Work testing with SureHire in April 2012. From April 2012 to December 2015, *4322* candidates were tested.

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