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Respirator Medical Evaluation Questionnaire. Respirators must be used in workplaces in which employees are exposed to hazardous airborne contaminants. When respiratory protection is required employers must have a respirator protection program as specifed in OSHA’s Respiratory Protection standard (29 CFR 1910.134).
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OSHA Respirator Medical Evaluation Questionnaire — Mandatory To the employer: Answers to questions in Section 1 to question 9 in Section 2 of Part A, does not require a medical examination.
Remind worker to do a seal check every time they don a respirator. Information Discussed with Worker: When another Fit Test is required Inspecting the respirator Respirator limitations and reuse Respiratory Protection Program Difference between N95 and dust mask Donning & Doffing.
Questions 10 to 15 below must be answered by every employee who has been selected to use either a full-facepiece respirator or a self-contained breathing apparatus (SCBA). For employees who have been selected to use other types of respirators, answering these questions is voluntary.
30 mar 2021 · Employers must ensure that the fit testing and recordkeeping requirements of OSHA's respiratory protection standard are met before staff can use a N95 mask for protection against hazardous exposures at work.
Slide 1. RESPIRATOR FIT TEST RECORD. Date:________________ Fit testing conducted in compliance with OSHA Standard 1910.134(F). If other local, state or federal regulations apply (such as MSHA), you may list them here: ______________________________________________________________________ Type of OSHA accepted fit test protocol used:
