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Appendix C to Sec. 1910.134: OSHA Respirator Medical Evaluation Questionnaire (Mandatory) To the employer: Answers to questions in Section 1, and to question 9 in Section 2 of Part A, do not require
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How to fill out 134 osha respirator medical

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How to fill out 134 OSHA respirator medical:

01
Obtain the necessary form: Start by obtaining Form 134, which is the OSHA Respirator Medical Evaluation Questionnaire. This form is available on the OSHA website or can be provided by your employer.
02
Read the instructions: Carefully read through the instructions provided with the form. These instructions will guide you through the process and provide important information on how to complete the questionnaire accurately.
03
Provide personal information: Begin by providing your personal information, such as your name, address, contact information, and date of birth. This information is essential for identification purposes.
04
Answer the medical history questions: The questionnaire will include a section with specific medical history questions. Answer these questions honestly and accurately, providing details about any pre-existing conditions, respiratory issues, or allergies that may affect your ability to wear a respirator safely. Provide as much information as possible to ensure an accurate evaluation.
05
Complete additional sections: The form may include additional sections where you are required to provide information about your job duties, exposure to hazardous materials, and previous experiences with respirators. Fill out these sections accordingly, providing all requested details.
06
Seek medical guidance if necessary: If you are unsure about how to answer any of the questions or have concerns about your ability to wear a respirator, seek medical guidance. Consult with a healthcare professional to ensure your safety and receive the necessary evaluations or recommendations.

Who needs 134 OSHA respirator medical:

01
Workers in industries with respiratory hazards: Individuals who work in industries where there is a risk of respiratory hazards, such as exposure to chemicals, dust, fumes, or gases, may need to fill out the 134 OSHA respirator medical form. This includes jobs in construction, manufacturing, healthcare, agriculture, and more.
02
Employers and safety officers: Employers and safety officers are responsible for implementing workplace safety measures, including the use of respirators. They may require their employees to complete the 134 OSHA respirator medical evaluation to ensure that workers are fit to wear respirators and are aware of any potential health risks.
03
Employees seeking respiratory protection: Employees who are seeking respiratory protection and are required to wear respirators as part of their job duties may need to fill out the 134 OSHA respirator medical form. This ensures that they are medically fit to use a respirator and helps to identify any potential health concerns or limitations.
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It is a form used to assess the medical fitness of individuals to wear a respirator.
Employers must ensure that employees who are required to wear a respirator complete the medical evaluation questionnaire.
Employees must answer the questions regarding their medical history and undergo a medical evaluation by a licensed healthcare provider.
The purpose is to determine if an individual is physically able to wear a respirator without any health risks.
The form requires information about the individual's medical history, current health conditions, and any medications they are taking.
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