Crystalline Silica Control: OSHA Respirator Medical Evaluation Questionnaire
An employer must allow employees to answer this questionnaire during normal working hours, or at a time and place that is convenient.
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To maintain your confidentiality, the employer or supervisor must not look at or review your answers, and the employer must tell you how to deliver or send this questionnaire to the health care professional who will review it. The app includes mandatory information that must be provided by every employee who has been selected to use any type of respirator. The Crystalline Silica Control: OSHA Respirator Medical Evaluation Questionnaire mobile app allows you to replace your paper evaluation questionnaire with a cell phone, tablet or even a computer. The mobile form includes fields to document items such as date, contractor, engineer, work site/location and captures signatures. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your health and safety records. You can also use the App Builder to personalize and customize this mobile form.
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