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ATTACHMENT G: RESPIRATOR MEDICAL EVALUATION QUESTIONNAIRE 1. 1910.134 App C OSHA Respirator Medical Evaluation Questionnaire (Mandatory). Part Number:1910Part Number Title: Occupational Safety and
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Attachment G respirator medical is a form used to report information about respirator fit testing for employees.
Employers are required to file attachment G respirator medical for employees who are required to wear respirators.
Attachment G respirator medical should be filled out with information about the respirator fit testing conducted for each employee.
The purpose of attachment G respirator medical is to ensure that employees are properly fitted for respirators to protect their health and safety.
Information such as employee name, date of fit testing, type of respirator used, and fit test results must be reported on attachment G respirator medical.
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