Is Medical Clearance Required Prior to the Fit-Test?
Yes. In the occupational setting, OSHA mandates that the employer must provide a medical evaluation to determine the employee’s ability to use a respirator, and the ability to do the type of work which requires the respirator, before being fit-tested or required to use the respirator in the workplace. It does not necessarily insist on examination by an MD. The 29 CFR 1910.134 stipulates that a “licensed healthcare professional” must perform the evaluation using the medical questionnaire contained in Appendix C, OR an examination by a physician that covers the same essentials. The regulation also requires ongoing medical surveillance.
