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Get Ui Respiratory Medical Evaluation And Fit Test Form

Chological problems or symptoms including claustrophobia; 3. Problems associated with breathing during normal work activities; 4. Past problems with respirator use; 5. Past and current usage of medication; and 6. Any known physical deformities or abnormalities, including those which may interfere with respirator use. D. The following may disqualify an employee from wearing a respirator: 1. Facial deformities and facial hair, where the respirator forms a seal to the face; 2. Perforated tympanic m.

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