Search results
You should do the following: Read and heed all instructions provided by the manufacturer on use, maintenance, cleaning and care, and warnings regarding the respirators limitations. Choose respirators certified for use to protect against the contaminant of concern.
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).
This form serves a critical role in ensuring the safety and efficacy of N95 respirators for individuals who require respiratory protection. It captures vital participant information and evaluates the proper fit of respirators through a structured testing process.
N95 RESPIRATOR USER INITIAL QUESTIONNAIRE. (USE THIS FORM FOR N95 USE IN COMPLIANCE WITH Cal/OSHA SECTION 5199 AEROSOL TRANSMISSABLE DISEASE STANDARD ONLY) INSTRUCTIONS: Your supervisor must allow you to answer this questionnaire at a time and place that is convenient to you.
Your height feet inches. 4. Your weight pounds. 5. Your job title. 6. A phone number where you can be reached by the health-care professional who reviews this questionnaire (include area code) 7. The best time to phone you at this number.
N95 (Respiratory Isolation Mask) Appendix C to Sec. 1910.134: OSHA Respirator Medical Evaluation Questionnaire (Mandatory) To the employee: Can you read? Yes No Your employer must allow you to answer this questionnaire during normal working hours, or at a time and place that is convenient to you.
OSHA Respirator Medical Evaluation Questionnaire (Mandatory) Appendix C to Sec. 1910.134: Part A. Section 1. (Mandatory) Every employee who has been selected to use any type of respirator (please print) must
