OSHA Medical Evaluation Questionnaire

Form Template

The OSHA Medical Respirator Evaluation Questionnaire mobile app makes it easy to assess and evaluate employees for respiratory protection usage.

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In order to be fitted for and wear a self-contained breathing apparatus in a public health emergency, employees must be evaluated to make sure that their body can handle the stress of the respirator. Performing this important medical respirator evaluation is an important part of any respiratory protection program and helps ensure that you follow OSHA respiratory protection standards at the job site.

The respiratory protection evaluation form replaces paper forms and is easily accessible from any smartphone or tablet. The respirator medical evaluation questionnaire app can also be made HIPPA compliant. The results of the electronic medical questionnaire are automatically saved for your records.

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