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There is not a specific annual requirement for medical evaluations in the standard. However, the physician or other licensed healthcare provider (PLHCP) may prescribe annual tests to ensure employees continued ability to wear a respirator.
Respirator Clearance (OSHA 1910.134) From a medical standpoint, all respirator-wearing personnel shall have a medical evaluation, provided by the department, to determine the employees ability to use a respirator. This medical evaluation should occur prior to the employee being allowed to wear a respirator.
A respirator medical evaluation is a health assessment that determines if an employee is medically fit to wear a respirator on the job.
Before wearing a respirator, workers must first be medically evaluated using the mandatory medical questionnaire or an equivalent method.
Under 1910.134, fit testing must be performed initially (before the employee is required to wear the respirator in the workplace) and must be repeated at least annually.
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Voluntary use of a filtering facepiece respirator does not require medical evaluation.
You should be fit tested at least annually to ensure your respirator continues to fit you properly. Because each brand, model, and size of respirators will fit slightly different, you should be fit tested every time you wear a new model, manufacturer type/brand, or size.
Section 2. (Mandatory) Questions 1 through 9 below must be answered by every employee who has been selected to use any type of respirator (please circle yes or no). 1. Do you currently smoke tobacco, or have you smoked tobacco in the last month?

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