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CDIM Corporate Safety Program p� M HSP-2. Respiratory Protection °•°� ..•. Rev. 1 08/23/2018 6.1.2 ParticulateF For protection against particulates, the employer shall provide: • An atmosphere-supplying respirator; or, • An air-purifying respirator equipped with a filter certified by NIOSH under 30 CFR part 11 as a high efficiency particulate air(HEPA)filter; or, • An air-purifying respirator equipped with a filter certified for particulates by NIOSH under 42 CFR part 84. • For contaminants consisting primarily of particles with mass median aerodynamic diameters of at least two micrometers, an air-purifying respirator equipped with any filter certified for particulates by NIOSH. 6.21VIedical Evaluation Using a respirator may place a physiological burden on workers that varies with the type of respirator worn, the job and workplace conditions, and the medical status of the worker. The minimum requirements for medical evaluation that must be implemented to determine the worker's ability to use a respirator are listed below. 6.2.1 General A medical evaluation is required to determine the worker's ability to use a respirator; before the worker is fit tested or when the worker is required to use the respirator in the workplace. A worker's medical evaluations may be discontinued when the worker is no longer required to use a respirator. 6.2.2 Medical Evaluation Procedures A physician or other licensed health care professional (PLHCP) shall perform medical evaluations using a medical questionnaire or via an initial medical examination that obtains the same information as the medical questionnaire provided in 29 CFR 1910.134. 6.2.3 Follow-Up Medical Examination A follow-up medical examination must be provided for a worker who gives a positive response to any of the Questions 1 through 8 in Section 2, Part A of Appendix C of 29 CFR 1910.134; or whose initial medical examination demonstrates the need for a follow-up medical examination. The follow-up medical examination shall include any medical tests, consultations, or diagnostic procedures that the PLHCP deems necessary to make a final determination. 6.2.4 Administration of the Medical Questionnaire and Examinations The medical questionnaire and examinations shall be administered in confidence during the worker's normal working hours or at a time and place convenient to the worker. The medical questionnaire shall be administered in a manner that ensures that the worker understands its content. The worker shall have an opportunity to discuss the questionnaire and examination results with the PLHCP. 6.2.5 Supplemental Information for the PLHCP The following information must be provided to the PLHCP before the PLHCP makes a recommendation concerning a worker's ability to use a respirator: • The type and weight of the respirator to be used by the worker; • The duration and frequency of respirator use, including use for rescue and escape; • The expected physical work effort; • Additional protective clothing and equipment to be worn; and • Temperature and humidity extremes that may be encountered. Any supplemental information provided previously to the PLHCP regarding a worker need not be provided for a subsequent medical evaluation if the information and the PLHCP remain the same. Page 5 of 13