OSHA Respirator Medical Evaluation Questionnaire

Required Medical Clearance for Respirator Use & Fit Testing

Need clearance before a respirator fit test?
The OSHA Respirator Medical Evaluation Questionnaire is a mandatory health screening required before wearing a respirator or completing a fit test (QLFT or QNFT).

✔ Required by OSHA (29 CFR 1910.134)
✔ Reviewed by a licensed healthcare professional
✔ Step 1 before respirator fit testing

⏱ Typical turnaround: results are usually emailed in 1–3 days.

What Is the OSHA Questionnaire?

The Respirator Medical Evaluation Questionnaire is a confidential health assessment used to determine if you are medically able to safely wear a respirator.

It is reviewed by a PLHCP (Physician or Licensed Healthcare Professional) before clearance is granted.

What the Questionnaire Evaluates

The form includes questions about:

General Health

• Heart conditions
• Diabetes
• Chronic illnesses

Respiratory Health

• Asthma
• Lung disease
• Breathing difficulties

Symptoms

• Shortness of breath
• Dizziness
• Fatigue during exertion

Work Conditions

• Physical demands of your job
• Use of protective equipment
• Exposure risks

📌 All responses are confidential and medically reviewed

Why This Evaluation Is Required

Protects Your Health

Respirators can place stress on the heart and lungs.
This evaluation ensures it is safe for you to wear one.

OSHA Compliance (Mandatory)

• Required under OSHA Respiratory Protection Standard (29 CFR 1910.134)
• Must be completed before fit testing or respirator use

📌 You cannot legally complete a fit test without this step

Prevents Workplace Risk & Liability

• Protects employees from unsafe conditions
• Ensures employers meet safety regulations
• Reduces risk of medical complications on the job

Ensures Accurate Fit Testing

A respirator fit test (like a Qualitative Fit Test) is only valid if:

✔ You are medically cleared
✔ You can safely wear the respirator under real work conditions

How It Works

1. Complete the OSHA questionnaire
2. A licensed provider reviews your responses
3. You receive medical clearance (or follow-up instructions)
4. Proceed to respirator fit testing

Who Needs This Questionnaire?

• Healthcare workers
• Construction & industrial employees
• Laboratory personnel
• Anyone required to wear a respirator for work

Why Choose LabReqs?

✅ Fast physician review and clearance
✅ Required step before fit testing—handled for you
✅ Nationwide coordination with providers
✅ Streamlined process for OSHA compliance

Important Information

• This is a required first step before any respirator fit test
• Additional evaluation may be required based on responses
• This service provides medical clearance review only (not ongoing care)

Get Cleared for Respirator Use

Stay compliant. Stay safe. Move forward with confidence.

👉 Complete your OSHA Respirator Medical Evaluation today