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NOSH Health Hazard Evaluation Program U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Centers for Disease Control and Prevention National Institute for Occupational Safety and Health

How to fill out niosh health hazard evaluation

How to fill out NIOSH Health Hazard Evaluation:

1. Start by accessing the NIOSH Health Hazard Evaluation form on their official website or obtain a physical copy from a NIOSH representative.
2. Provide your personal information, including your name, contact information, and job title.
3. Specify the purpose of the evaluation, such as investigating employee-reported health issues or assessing potential hazards in the workplace.
4. Describe the work environment accurately, including the type of industry, specific job tasks, and any materials or substances used.
5. Identify any known or suspected health hazards present in the workplace, such as chemicals, noise, or ergonomic factors.
6. Mention the number of employees exposed to these hazards and provide details regarding their work tasks and frequency of exposure.
7. Document any symptoms or health concerns reported by the employees and include information about the duration and severity of these issues.
8. Explain any control measures currently in place to mitigate the identified hazards, such as personal protective equipment or engineering controls.
9. If applicable, include information about relevant medical surveillance programs or exposure monitoring conducted in the workplace.
10. Submit the completed NIOSH Health Hazard Evaluation form to the appropriate NIOSH office for review and analysis.

Who needs NIOSH Health Hazard Evaluation:

1. Employers and organizations that are concerned about the health and safety of their employees.
2. Industries or workplaces with potential exposure to hazardous materials, substances, or processes.
3. Companies or individuals seeking to identify and address specific health hazards in the workplace to protect their employees' well-being and comply with occupational health and safety regulations.

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What is niosh health hazard evaluation?

NIOSH Health Hazard Evaluation (HHE) is a program designed to help employers, employees, and unions address workplace health and safety concerns.

Who is required to file niosh health hazard evaluation?

Employers, employees, or unions can request an HHE when there are concerns about workplace health hazards.

How to fill out niosh health hazard evaluation?

To request an HHE, you can submit a request online through the NIOSH website or call the toll-free number.

What is the purpose of niosh health hazard evaluation?

The purpose of NIOSH HHE is to identify and assess potential health hazards in the workplace, and provide recommendations for controlling or eliminating them.

What information must be reported on niosh health hazard evaluation?

Information such as the nature of the concern, the type of work being done, and any existing exposure data must be provided when requesting an HHE.