Submit this questionnaire ONLY IF this is your FIRST TIME getting fitted for a N95/PAPR respirator. This questionnaire can be used by all employees of City & County of San Francisco departments.
Employees will be evaluated for existing health conditions that may not be compatible with respirator ... in the form of gases, vapors, mists or dust. To provide proper protection, respirators must be ...
Now is the time to complete your fit test for applying pesticides with a respirator. While pesticide applicators are familiar with respirators, specifically the “why” and “when” they should be worn, ...
Respirator Medical Evaluation Form - Appendix C to 1910.134: OSHA Respirator Medical Evaluation Questionnaire (Mandatory). Hearing Conservation Program (General Industry) - Policy to assist employers ...