3.0 Medical Evaluation

3.1 Medical Questionnaire

Each employee who is required to wear a respirator must complete a medical questionnaire. There are two approved ways to complete the questionnaire; either go to a doctor and have them complete the medical questionnaire that is attached in Appendix D or complete the online 3M questionnaire.

3.2 Medical Clearance

Any employee who uses respiratory equipment must receive a signed medical clearance from a licensed physician or other licensed health care professional before being fitted for, and issued a respirator. The medical clearance shall be updated in accordance with the following criteria:


If the employee reports medical signs or symptoms that are related to the ability to use a respirator.


If the designated medical professional, supervisor or respirator program supervisor informs the department that the employee needs to be reevaluated.


If information from the respiratory protection program, including observations made during fit testing or program evaluation indicates the need for reevaluation.


If a change occurs in workplace conditions that may result in a substantial increase in the physiological burden placed upon the employee.

Medical Examinations

Medical examinations are required for the following persons:


Employees who work or may potentially work with asbestos containing materials.


Individuals whose Medical Questionnaire evaluation indicates that examination by a physician is required.


Individuals who have a known health problem that could be aggravated by the use of respiratory protective equipment.


Individuals who the designated medical professional has determined require a medical examination for any reason before assignment to activities requiring the use of respiratory protective equipment.

4.0 Education and Training