Respirator Medical Evaluation Questionnaire Part B

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Respirator Medical Evaluation Questionnaire

https://www.osha.gov/sites/default/files/publications/OSHA3790.pdf

to perform all medical evaluations using the medical questionnaire in Appendix C of the Respiratory Protection standard or a medical examination that obtains the same …

1910.134 App C - OSHA Respirator Medical Evaluation …

https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.134AppC

Part B Any of the following questions, and other questions not listed, may be added to the questionnaire at the discretion of the health care professional who will review the …

Appendix C to Sec. 1910.134: OSHA Respirator …

https://www.osha.gov/sites/default/files/2022-01/1910.134%20Appendix%20C%20Medical%20Evaluation%20Questionnaire.pdf

Check the type of respirator you will use (you can check more than one category): a. _____ N, R, or P disposable respirator (filter-mask, non-cartridge type only). b. _____ …

OSHA INFOSHEET - Physicians Resource

https://oshaconsulting.com/wp-content/uploads/2020/08/Medical-Evaluation-Respirator.pdf

Respirator Medical Evaluation Questionnaire Respirators must be used in workplaces in which employees are exposed to hazardous airborne contaminants. When respiratory …

Medical Evaluation | Center for Respiratory Proction

https://www.3m.com/3M/en_US/respiratory-protection-us/support/center-for-respiratory-protection/medical-evaluation/

You can print the OSHA Respirator Medical Evaluation Questionnaire (link below) directly from OSHA’s website to be completed, reviewed and mailed to a PLHCP for …

OSHA RESPIRATOR MEDICAL EVALUATION …

https://hvfd.com/wp-content/uploads/2016/09/OSHA-RESPIRATOR-QUESTIONNAIRE-English-1.pdf

OSHA RESPIRATOR MEDICAL EVALUATION QUESTIONNAIRE . 10. Will you be using any of the following items with your respirator: Yes No a. HEPA Filters . Yes No b. …

OSHA RESPIRATOR MEDICAL EVALUATION …

https://www.carilionclinic.org/sites/default/files/2023-02/OSHA%20RESPIRATOR%20FORM%20%281%29.pdf

Any other muscle or skeletal problem that interferes with using a respirator Yes No Part B Any of the following questions, and other questions not listed, may be added to the …

OSHA RESPIRATOR MEDICAL EVALUATION …

https://www.ctdol.state.ct.us/osha/N95RespiratorProgramMaterials/OSHA%20RESPIRATOR%20MEDICAL%20EVALUATION%20QUESTIONNAIRE.doc

b. Heart trouble ( Yes ( No c. Blood pressure ( Yes ( No d. Seizures (fits) ( Yes ( No 8. If you’ve used a respirator, have you ever had any of the following problems? (If you’ve …

Respiratory protection medical evaluations: additional …

https://www.osha.gov/laws-regs/standardinterpretations/2004-10-21

Answer: The respiratory protection standard requires an initial medical evaluation to determine the employee's ability to use a respirator before the employee …