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Medical Evaluation: Enrollment Instructions

Respirator 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 akimball@d.umn.edu 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 akimball@d.umn.edu or by phone at 218-726-6764.


Instructions for Requesting a Respirator Fit Test.

  1. Set up an appointment for a fit test by contacting Andrew Kimball at akimball@d.umn.edu or 218-726-6764.
  2. 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.
  3. 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.
  4. No chewing gum, drinking coffee, or smoking for 15 minutes before the test.
  5. 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.
  6. It gets hot under the fit test hood. Wear scrubs or a short sleeved shirt.
For further information, see respirator fit testing

 
 
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