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Silica Respirator Questionnaire INTEGRATED, COMPREHENSIVE OCCUPATIONAL HEALTH SERVICESPatient name: Employer: To the employer: Answers to questions in Section 1, and to question 9 in Section 2 of
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What is silica respirator questionnaire?
Silica respirator questionnaire is a form used to assess and document employee exposure to respirable crystalline silica in the workplace.
Who is required to file silica respirator questionnaire?
Employers who have employees exposed to respirable crystalline silica at or above the action level are required to file silica respirator questionnaire.
How to fill out silica respirator questionnaire?
The silica respirator questionnaire should be filled out by gathering information on employee exposure to silica, respirator use, medical history, and fit testing results.
What is the purpose of silica respirator questionnaire?
The purpose of the silica respirator questionnaire is to ensure that employees exposed to respirable crystalline silica are adequately protected with appropriate respirators.
What information must be reported on silica respirator questionnaire?
Information such as employee name, job title, exposure level, respirator type, fit testing results, and medical data must be reported on the silica respirator questionnaire.
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