05.G.04 Medical Evaluation.
All employees, with the exception of employees voluntarily using filtering face pieces, must be medically evaluated to ensure they are fit enough to wear the selected respirators before being fit tested.
Medical evaluations to ensure employees are fit.
Evaluation options for respirator use are as follows:
- Completion of the respirator questionnaire from 29 CFR 1910.134, Appendix C which is reviewed by a medical professional and a follow-up of the recommended medical exam and testing if required by the reviewing medical professional. Medical clearances to wear respirators must include the following:
- (1) Telephone, e-mail, and physical address of the medical facility/provider;
- (2) Printed name of the licensed, certified health care provider along with his/her signature;
- (3) The statement of clearances or respiratory limitations only (no personal medical information must be included. Employee identification must not include the full social security number);
- (4) Date of examination and date that clearance expires.
- Respirator Medical Evaluation Service. An on-line, mail-in or in-person evaluation service for the purpose of clearing an employee to wear selected respirators may be used provided it is supervised by a Board-Certified or Board-Eligible Occupational Medicine Physician and based upon Appendix C to 29 CFR 1910.134, OSHA Respirator Medical Evaluation Questionnaire. Medical clearances to wear respirators must include the information above.
- Additional medical evaluations must be provided when:
- (1) An employee reports medical signs or symptoms that are related to the ability to use a respirator;
- (2) A change occurs in workplace conditions (e.g., physical work effort, protective clothing, temperature, etc.,) that may result in a substantial increase in the physiological burden placed on an employee.
- All USACE respirator users must have a pre-placement history and targeted physical. The exam must include a pulmonary function test, evaluation of the cardiovascular and respiratory systems, and any tests required by the Occupational Health Provider.
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5-10. What is required if an employee reports medical signs or symptoms that are related to the ability to use a respirator?
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