Tier 1 — Peer-Reviewed Cohort Studies
Epidemiological studies published in peer-reviewed journals with PubMed indexing. These represent the strongest evidence of occupational asbestos exposure, typically involving mortality or morbidity cohorts with quantified exposure metrics.
Tier 2 — Government Industrial Hygiene Surveys
NIOSH Health Hazard Evaluations (HHEs), OSHA inspection records, EPA Superfund assessments, and military industrial hygiene surveys. Official government documentation of workplace conditions.
Tier 3 — Court Records & Environmental/Historical Sources
Litigation records, NARA archival documents, EPA CERCLA site assessments, and historical industrial surveys. These provide documented evidence of asbestos presence and exposure but lack the statistical rigor of Tier 1 studies.