Medical Evaluation: Enrollment
Medical Evaluation Instructions
All University of Minnesota Duluth Employees who are required to use a respirator must enroll in the U of M respiratory protection program. The Respiratory Protection Program Template and instructions for program enrollment are available through Office of Occupational Health and Safety.
Prior to respirator use, you must complete the online medical evaluation. Start the process by accessing the Respirator Medical Evaluation Request web form. Please include your name, employee ID, and respirator type (if known). You will also need to describe your work effort as light, moderate, or heavy.
When you receive your respirator medical recommendations and you have been cleared for respirator use, contact Andrew Kimball at email@example.com to schedule your respirator fit test.
If you are not immediately cleared for respirator use, you may be contacted for additional information, or you may need to consult with an occupational medicine physician for a follow up respiratory examination.
The University of Minnesota will not receive any of the medical information or history that you provide to the physician directly or on the questionnaire. The UMD Office of Environmental Health and Safety will only need information on your clearance status in order to administer a respirator fit test.
If you have any questions regarding this program, please contact Andrew Kimball at firstname.lastname@example.org or by phone at 218-726-6764.
for Requesting a Respirator Fit
For further information, see respirator
- Set up an appointment for a fit test
by contacting Andrew Kimball at email@example.com
- Bring a copy of your Respirator
Medical Recommendation form to your
fit test. If you already use a
respirator bring it with you.
Otherwise, the appropriate respirator
will be provided to you.
- The fit test takes about 15 minutes.
The fit test is a series of 7-8 simple
one-minute exercises designed to test
the overall fit of the respirator. You
will also receive basic information on
using the respirator.
- No chewing gum, drinking coffee, or
smoking for 15 minutes before the
- Men are required to be clean shaven
in the areas where the respirator seal
touches the face. If you are not clean
shaven, you will not be fit tested.
- It gets hot under the fit test hood.
Wear scrubs or a short sleeved shirt.