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Respirator Medical Evaluations

If any of your employees are required to wear a respirator to perform any of their job responsibilities, they are required to complete a medical evaluation to determine if they have medical clearance to wear one throughout the day. This is a requirement from the OSHA Respiratory Protection Standard    29 CFR 1910.134.                             

The following is just a brief sample of the job functions that require a respirator:                                                   

  • Spraying solvent-based paint
  • Spraying water-based paint
  • Spraying primer
  • Sanding primer
  • Mixing body filler
  • Sanding body filler
  • Sand blasting
  • Mixing solvent-based paint
  • Mixing water-based paint
  • Mixing primer
  • Sanding OEM paint
  • Applying body filler
  • Buffing
  • Welding

We offer convenient solutions to complete the medical evaluation process and will provide recordkeeping of employee clearance status and board-certified occupational medicine physicians.                            
                               
Click here to complete the medical evaluation form online:                      

 English Medical Evaluation Form.

English Respirator Medical Evaluation

Click Here to view and download the English Respirator Medical Evaluation form.

Spanish Respirator Medical Evaluation

Click Here to view and download the Spanish Respirator Medical Evaluation form.