Environmental Engineering Reference
In-Depth Information
The.following.information.must.be.provided.to.the.physician.before.the.physician.
makes.a.recommendation.concerning.an.employee's.ability.to.use.a.respirator:
.
1.. The.type.and.weight.of.the.respirator.to.be.used.by.the.employee
.
2..The.duration.and.frequency.of.respirator.use.(including.its.use.for.rescue.
and.escape)
.
3.. The.expected.physical.work.effort
.
4.. Additional.protective.clothing.and.equipment.to.be.worn
.
5.. Temperature.and.humidity.extremes.that.may.be.encountered
.
6.. Any.supplemental.information.provided.previously.to.the.physician.explain-
ing.that.an.employee.need.not.be.provided.a.subsequent.medical.evaluation.
if.the.information.and.the.physician.remain.the.same
.
7.. A. copy. of. the. written. respiratory. protection. program. and. a. copy. of. the.
OSHA.Standard.1910.134
In. determining. the. employee's. ability. to. use. a. respirator,. the. company. must.
obtain. from. the. physician. a. written. recommendation. regarding. the. employee's.
ability.to.use.the.respirator..The.recommendation.shall.provide.only.the.following.
information:. any. limitations. on. respirator. use. related. to. the. medical. condition. of.
the.employee,.or.relating.to.the.workplace.conditions.in.which.the.respirator.will.be.
used,.including.whether.or.not.the.employee.is.medically.able.to.use.the.respirator;.
the.need,.if.any,.for.follow-up.medical.evaluations;.and.a.statement.that.the.physi-
cian.has.provided.the.employee.with.a.copy.of.the.physician's.written.recommenda-
tions..If.the.respirator.is.a.negative.pressure.respirator.and.if.the.physician.inds.a.
medical.condition.that.may.place.the.employee's.health.at.increased.risk.when.the.
respirator.is.used,.then.the.company.shall.provide.a.powered.air.purifying.respira-
tor.(PAPR)..If.the.physician's.medical.evaluation.inds.that.the.employee.can.use.
such.a.respirator,.or.if.a.subsequent.medical.evaluation.inds.that.the.employee.is.
medically.able.to.use.a.negative.pressure.respirator,.then.the.company.is.no.longer.
required.to.provide.a.PAPR.
A
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vAluAtions
At.a.minimum,.the.company.must.provide.additional.medical.evaluations.that.com-
ply.with.the.requirements.of.this.regulation.if
.
1.. An. employee. reports. medical. signs. or. symptoms. that. are. related. to. their.
ability.to.use.a.respirator.
.
2.. A. physician,. supervisor,. or. the. respirator. program. administrator. should.
inform.the.company.that.an.employee.needs.to.be.re-evaluated.
.
3.. Information. from. the. respiratory. protection. program,. including. observa-
tions.made.during.it.testing.and.program.evaluation,.indicates.a.need.for.
employee.re-evaluation.
.
4.. A.change.occurs.in.workplace.conditions.(e.g.,.physical.work.effort,.protec-
tive.clothing,.or.temperature).that.may.result.in.a.substantial.increase.in.the.
physiological.burden.placed.on.an.employee.
