Lasers

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There are multiple laser systems at the CFN. Users who will work with the following class 3B or 4 laser systems are required to complete the Laser Safety (TQ-LASER) training and comply with OMC Laser Medical Surveillance:

• Createc Low Temperature Scanning Tunneling Microscope, Proximal Probes Facility, Room 1L39, or
• Amplified Ti:Sapphire Laser System, Ultrafast Optical Facility, Room 1L01B
• Time Correlated Single Photon Counting (TCSPC) Spectroscopy and Microscopy, Soft/Bio Materials Facility, Room 1L01B

Laser Medical Surveillance Form

The purpose of the Laser Medical Surveillance form is to provide BNL-OMC with information necessary to determine that an individual to be cleared as a laser user at BNL has met the medical requirements of ANSI Standard Z136.1-2000 governing the safe use of lasers.

This standard requires each Class 3b and 4 laser user to have a pre-assignment eye examination by an ophthalmologist, which is recorded on Part B of the Laser Medical Surveillance form.

Instructions to Laser User

1.    As soon as possible, contact one of the contracted local ophthalmologists from the list below and request an appointment for a “laser eye exam for Brookhaven Lab.” (Note: You may also obtain this exam from a Board Certified ophthalmologist other than those listed. However, for BNL employees, BNL cannot guarantee payment. Consult with your BNL supervisor to discuss payment issues.)

2.    Complete Part A of the form. This provides BNL-OMC with needed contact and medical information. The ophthalmologist will record his/her examination on Part B.

3.    The ophthalmologist will then fax the form to BNL-OMC at 631-344-7366. This is a secure, clinic fax that can receive confidential medical information. BNL-OMC’s voice number for problems or questions is 631-344-3670. If unable to fax, mail as soon as possible to BNL-OMC at Brookhaven National Laboratory, Building 490, Upton, NY 11973.

4.    After receipt of the form, BNL-OMC will contact the user if additional information or a skin examination is required.

A laser user who has already had a laser eye exam can submit this exam to BNL-OMC in lieu of a new laser eye exam. BNL-OMC will then consider whether the submitted exam is acceptable, or whether a new exam will still be required. Generally, to be acceptable, the submitted exam must

• be performed by a Board Certified ophthalmologist;
• provide substantially the same information that is requested in Part B of the attached form;
• have been performed within the last 3 years, with no laser eye accidents or changes in vision subsequent to the exam.

The laser user who wishes to submit a recent laser eye exam for consideration by BNL-OMC must do the following

1.    Fill in Part A of the form.

2.    Fax Part A of the form to BNL-OMC at 631-344-7366, along with the written record of the laser eye exam. (If unable to fax, mail as soon as possible to BNL C at Occupational Medicine Clinic, Brookhaven National Laboratory, Bldg. 490, Upton, NY 11973-5000.)

3.    BNL-OMC will contact the laser user if additional information or examinations are required.

Contracted Local Ophthalmologists

Dr. Charles Rothberg
331 East Main
Patchogue, NY 11772
631-758-5300

The Ophthalmic Center
Dr. Vincent Basilice
3400 Nesconset Highway
East Setauket, NY 11733
631-751-2020

East End Eye Associates
Dr. Lewis Roberts
669 Whiskey Road
Ridge, NY 11961
631-744-8020