Get the free 134 OSHA Respirator Medical Evaluation Questionnaire (Mandatory)

Appendix C to Section 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

How to fill out 134 osha respirator medical

How to fill out 134 OSHA respirator medical:

1. Gather the necessary information: Before starting to fill out the form, make sure you have all the relevant information at hand. This may include personal details, medical history, and any previous respirator fit test results.
2. Provide personal information: Begin by providing your personal details such as your name, date of birth, address, and contact information. Ensure that all the information is accurate and up-to-date.
3. Medical history: The next section of the form will require you to provide your medical history. Answer all the questions truthfully and provide any necessary details regarding past or existing medical conditions that may impact your ability to wear a respirator.
4. Respiratory evaluation: This section will assess your respiratory health and determine if you are fit to wear a respirator. It may require you to provide information about any previous respiratory illnesses, smoking habits, and exposure to hazardous substances.
5. Physician's evaluation: Depending on the requirements of your workplace, you may need to visit a physician for a medical evaluation. This section of the form should be completed by the healthcare professional conducting the evaluation. Ensure that the physician provides their professional opinion on your ability to wear a respirator safely.
6. Employee signature: Once you have completed all the necessary sections of the form, sign and date it to confirm the accuracy of the provided information. Make sure to read and understand the terms and acknowledgments before signing.

Who needs 134 OSHA respirator medical?

1. Workers in certain industries: People working in industries or job roles that involve exposure to hazardous substances or environments are often required to undergo a respirator medical evaluation. This includes industries such as construction, manufacturing, mining, healthcare, and chemical handling.
2. Employees using respiratory protection equipment: Individuals who are required to use respiratory protection devices, such as N95 masks or respirators, for their job tasks may need to complete the 134 OSHA respirator medical form. It ensures that they are fit to wear the specific type of respirator required for their work conditions.
3. Employers and regulatory bodies: Employers have a responsibility to provide a safe working environment for their employees. They may require certain workers to undergo the respirator medical evaluation to comply with OSHA regulations and ensure that their workforce is adequately protected from respiratory hazards. Regulatory bodies may also require this evaluation as part of their compliance monitoring activities.

For pdfFiller’s FAQs

What is 134 osha respirator medical?

134 osha respirator medical refers to the form that must be completed by employees who wear respirators as part of their job to ensure they are medically cleared to use the respirators.

Who is required to file 134 osha respirator medical?

Employees who wear respirators as part of their job are required to file 134 osha respirator medical.

How to fill out 134 osha respirator medical?

To fill out 134 osha respirator medical, employees should provide information about their medical history and undergo a medical evaluation.

What is the purpose of 134 osha respirator medical?

The purpose of 134 osha respirator medical is to ensure that employees are medically cleared to safely wear respirators while working.

What information must be reported on 134 osha respirator medical?

Information such as medical history, current medications, and results of medical evaluations must be reported on 134 osha respirator medical.

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