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OSHA Respirator Medical Evaluation Questionnaire (Mandatory) 1910.134 Appendix C TO THE EMPLOYEE: Can you read? (Circle one) Yes No Your employer must allow you to answer this questionnaire during

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What is respiratory protection medical clearance?

Respiratory protection medical clearance is a process where individuals are evaluated by a healthcare provider to determine their ability to safely wear a respirator.

Who is required to file respiratory protection medical clearance?

Employees who are required to wear a respirator as part of their job are typically required to file respiratory protection medical clearance.

How to fill out respiratory protection medical clearance?

To fill out respiratory protection medical clearance, individuals need to visit a healthcare provider who will assess their medical history and physical health to determine if they are fit to wear a respirator.

What is the purpose of respiratory protection medical clearance?

The purpose of respiratory protection medical clearance is to ensure that individuals are physically able to wear a respirator without risking their health or safety.

What information must be reported on respiratory protection medical clearance?

Respiratory protection medical clearance typically includes information about the individual's medical history, physical health, and any conditions that may affect their ability to wear a respirator.

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