Get Appendix C To Sec. 1910.134: Osha Respirator Medical ...

Completing the Appendix C To Sec. 1910.134: OSHA Respirator Medical Evaluation Questionnaire is essential for ensuring your safety when working with respirators. This guide provides a step-by-step approach to help you navigate the questionnaire efficiently and accurately.

Follow the steps to complete the questionnaire with ease.

1. Press the ‘Get Form’ button to access the questionnaire and open it in your preferred editor.
2. Fill out today's date at the top of the form. This helps track when the questionnaire was completed.
3. Provide your name in the appropriate section. Ensure that it's clear and legible for proper identification.
4. Indicate your age by writing the nearest year in the designated field.
5. Select your sex by placing an ‘X’ in the corresponding box for either male or female.
6. Record your height in feet and inches, making sure to use the correct measurements.
7. State your weight in pounds accurately. This information is important for health evaluations.
8. Input your job title where it asks. Specify your role to provide context for the health care professional.
9. Provide a contact number where the health care professional can reach you, including the area code.
10. Indicate the best time to contact you at the provided phone number, so they can reach out effectively.
11. Confirm whether your employer has informed you how to contact the health care professional by marking yes or no.
12. Specify the type or types of respirators you will use by checking the appropriate option(s).
13. Answer all health-related questions in Part A, Section 2 honestly by marking ‘yes’ or ‘no’.
14. Review all your responses thoroughly to ensure accuracy and completeness.
15. Once satisfied with your entries, you can save your changes, download the completed questionnaire, print it out, or share it as needed.

Begin filling out your OSHA Respirator Medical Evaluation Questionnaire online today for a safe working environment.