Background The U.S. Department of Energy (DOE) established medical screening
programs at the Hanford Nuclear Reservation, Oak Ridge Reservation, the Savannah
River Site, and the Amchitka site starting in 1996.Workers participating in these programs
have been followed to determine their vital status and mortality experience through
December 31, 2004.
Methods A cohort of 8,976 former construction workers from Hanford, Savannah River,
Oak Ridge, and Amchitka was followed using the National Death Index through December

Background Medical screening programs were begun in 1996 and 1997 at three Department
of Energy (DOE) nuclear weapons facilities (Hanford Nuclear Reservation, Oak
Ridge, and the Savannah River Site) to evaluate whether current and former construction
workers are at significant risk for occupational illnesses. The focus of this report is
pneumoconiosis associated with exposures to asbestos and silica among workers enrolled
in the screening programs through September 30, 2001.

Background Medical screening programs at three Departments of Energy (DOE)
nuclear weapons facilities (Hanford Nuclear Reservation, Oak Ridge, and the Savannah
River Site) have included audiometric testing since approximately 1996. This report
summarizes hearing evaluations through March 31, 2003.
Methods Occupational examinations included a medical history, limited physical
examination, and tests for medical effects from specific hazards, including audiometric
testing. Hearing thresholds by frequency for DOE workers were compared to agestandardized

The Nuclear Waste Policy Act of 1982 (the Act), established a
step-by-step process for the siting of the nation's first repository for
high-level radioactive waste and spent fuel. The Act gave the Department of
Energy (DOE) the primary responsibility for conducting this siting process.
The first step in the process laid out in the Act was the development by
the DOE, with the concurrence of the Nuclear Regulatory Commission (NRC), of
general guidelines to be used by the Secretary of the DOE (the Secretary) in

Background To determine whether current and former construction workers are at
significant risk for occupational illnesses from work at the Department of Energy’s (DOE)
nuclear weapons facilities, screening programs were undertaken at the Hanford Nuclear
Reservation, Oak Ridge Reservation, and the Savannah River Site.