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1. OSHA (Occupational Safety and Health Administration) Respirator Medical Evaluation Questionnaire: Mandatory
Source: Occupational Safety and Health Administration [U.S. Department of Labor] (OSHA)
Format: Text
Annotation: The Occupational Safety and Health Administration (OSHA) Respirator Medical Evaluation Questionnaire specifies the minimum requirements for medical evaluation that employers must implement to determine an employee's ability to use a respirator. The questionnaire applies to OSHA standard 1910.134 Appendix C. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

Ease of Use in Disaster Setting: Moderate
Population: First Responders, EMS Personnel, Police/Fire Departments
Length: 46 questions, three sections; this does not include subsets of questions.
Time to Complete: Not specified/given
Administered by: Self Administered/Self Report
Languages: English and Spanish...[See more] [See less]
URL: https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=standards&p_id=9783
Type: Guideline/Assessment Tool
Access Notes: Free/Publicly Available

Citation(s):
Rink GS. OSHA's new respiratory protection standard. Applicability to the worksite. AAOHN J. 1998 Dec;46(12):569-73. PubMed PMID: 10025249. https://www.ncbi.nlm.nih.gov/pubmed/10025249. Subscription required.

Szeinuk J, Beckett WS, Clark N, Hailoo WL. Medical evaluation for respirator use. Am J Ind Med. 2000 Jan;37(1):142-57. Review. PubMed PMID: 10573602. https://www.ncbi.nlm.nih.gov/pubmed/10573602. Subscription not required.

Lee SA, Adhikari A, Grinshpun SA, McKay R, Shukla R, Zeigler HL, Reponen T. Respiratory protection provided by N95 filtering facepiece respirators against airborne dust and microorganisms in agricultural farms. J Occup Environ Hyg. 2005 Nov;2(11):577-85. PubMed PMID: 16234218. https://www.ncbi.nlm.nih.gov/pubmed/16234218. Subscription required.

Syamlal G, Doney B, Bang KM, Greskevitch M, Groce D, Ganocy S, Hoffman W. Medical fitness evaluation for respirator users: results of a national survey of private sector employers. J Occup Environ Med. 2007 Jun;49(6):691-9. PubMed PMID: 17563613. https://www.ncbi.nlm.nih.gov/pubmed/17563613. Subscription required.

Contact information:

Institution: U.S. Department of Labor, Occupational Safety and Health Administration
Address: 200 Constitution Ave., NW, Washington, DC 20210
Phone: 800-321-OSHA (6742)/ TTY: 877-889-5627
Web: http://www.osha.gov; https://www.osha.gov/pls/publications/publication.html

To preview this tool:
Institution: U.S. Department of Labor, Occupational Safety and Health Administration
Web: http://www.oshainfo.gatech.edu/lead/med-eval.pdf
Includes Research Tools: Yes.
ID: 8636. From: Disaster Lit®a database of the U.S. National Library of Medicine.
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