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⚡ OSHA 1910.134(e) Compliant - Same-Day Clearance Available

OSHA Respirator Medical Evaluation Online - $22

Save $128 vs Clinic • Licensed PLHCP Review • Instant Digital Certificate

100% OSHA 1910.134 Compliant

Official Appendix C questionnaire

PLHCP Reviewed

Board-certified MD review

30-Year Record Retention

HIPAA-compliant storage

Enterprise Features

Multi-location management

Get Started - From $22/employeeView Enterprise Pricing

Trusted by 500+ companies • 15,000+ employees certified • 100% audit acceptance rate

OSHA 1910.134 Compliant

PLHCP Reviewed

98% Instant Results

85% Cheaper Than Clinics

Online vs Clinic: OSHA Medical Evaluation Comparison

Occupational Health Clinic

$150-$300

per employee


❌ 1-3 week wait for appointment

❌ 2-4 hours total time commitment

❌ Results in 3-7 days

❌ Employee leaves workplace

❌ Paper certificates

❌ Manual renewal tracking

SAVE 85%
RespiratorTest.com Online

$22

$150

Save $128 per employee


✅ No appointment - start immediately

✅ 15 minutes to complete

✅ Instant clearance (98%)

✅ No workplace disruption

✅ Digital certificates

✅ Automated renewals

Get Started Now - $22
Enterprise: Managing 100+ Employees?

✓ $17/employee (save $500 vs standard pricing)

✓ Dedicated account manager

✓ Bulk upload via CSV

✓ Custom certificate branding

✓ API integration available

✓ Priority PLHCP review (same day)

Request Enterprise QuoteSave $13,300+ annually for 100 employees
⚖️
Quick Answer: OSHA Respirator Medical Evaluation Requirements

OSHA 1910.134 requires employers to provide medical evaluations determining employee ability to wear respirators before fit testing. Evaluations must use the OSHA Appendix C questionnaire, be reviewed by a licensed healthcare professional (PLHCP), and maintain employee medical confidentiality. Medical clearance certificates must be obtained before any respirator use in the workplace. RespiratorTest.com provides fully compliant online evaluations reviewed by a board-certified physician for $17-22 per test.

Understanding OSHA 1910.134(e) Medical Evaluation Requirements

Complete compliance guide for safety professionals and EHS managers

OSHA Regulation 1910.134(e)(1):

"The employer shall provide a medical evaluation to determine the employee's ability to use a respirator, before the employee is fit tested or required to use the respirator in the workplace."

Source: 29 CFR 1910.134(e)(1) - Respiratory Protection Standard

What OSHA Requires for Medical Evaluations

1. Use OSHA Appendix C Questionnaire

Employers must use the medical questionnaire provided in Appendix C of 1910.134, or an equivalent questionnaire approved by a PLHCP. The questionnaire contains 15 questions covering medical history, respiratory symptoms, and physical limitations.

Compliance: RespiratorTest.com uses the official OSHA Appendix C questionnaire word-for-word with no modifications.

2. PLHCP Review Required

A Physician or Licensed Healthcare Professional must review the questionnaire and determine if the employee can safely use a respirator. The PLHCP must be licensed to provide medical services in their jurisdiction.

Compliance: All evaluations reviewed by Dr. Nader Mikhail, MD, board-certified physician licensed in California.

3. Written Recommendation

The PLHCP must provide a written recommendation to the employer indicating whether the employee can safely use a respirator, any limitations on use, and the need for follow-up medical evaluations.

Compliance: Digital certificate provided instantly with clearance status and any PLHCP recommendations or limitations.

4. Employee Confidentiality

Medical information from evaluations must remain confidential. Employers receive only clearance status and limitations—never specific medical conditions or questionnaire responses.

Compliance: HIPAA-compliant system ensures employers receive clearance status only. Medical details remain confidential per federal law.

Why Online Evaluations Are OSHA Compliant

OSHA regulations do not specify that medical evaluations must be conducted in person. The requirements focus on:

  • Using the correct questionnaire (Appendix C)
  • Having a licensed PLHCP review the evaluation
  • Providing a written medical determination
  • Maintaining employee medical confidentiality

Online platforms that meet these four requirements are fully OSHA compliant and have been accepted in thousands of workplace audits.

Meet Your Licensed PLHCP

Dr. Nader Mikhail, MD - Medical Review Officer
Dr. Nader Mikhail

Medical Review Officer

Qualifications & Credentials
  • Medical Doctor (MD)

    Board-certified physician with unrestricted medical license

  • California Medical License

    Active, unrestricted license in good standing

  • OSHA PLHCP Qualified

    Meets all requirements of 29 CFR 1910.134 for Physician or Licensed Healthcare Professional

  • 15,000+ Evaluations Reviewed

    Extensive experience in occupational respiratory health assessments

  • 24-Hour Review Turnaround

    Flagged evaluations reviewed within 24 business hours

"My role is to ensure every employee can safely wear a respirator without risk to their health. I review each flagged evaluation carefully, considering the employee's medical history, the specific respirator type, and workplace conditions. Employee safety and OSHA compliance are my top priorities."

— Dr. Nader Mikhail, MD

Enterprise Cost Analysis: Clinic vs Online

Calculate your annual savings with OSHA-compliant online evaluations

Company SizeClinic Cost (Annual)RespiratorTest.comAnnual Savings
10 employees$750 - $1,500$220$530 - $1,280 (71-85%)
25 employees$1,875 - $3,750$500$1,375 - $3,250 (73-87%)
50 employees$3,750 - $7,500$900$2,850 - $6,600 (76-88%)
100 employees$7,500 - $15,000$1,700$5,800 - $13,300 (77-89%)
500 employees$37,500 - $75,000$8,500$29,000 - $66,500 (77-89%)
Beyond Direct Cost Savings

Additional benefits of online evaluations for enterprise organizations:

  • Zero Lost Productivity

    15 minutes vs 2-4 hours per employee (no travel time)

  • No Scheduling Overhead

    Eliminate appointment coordination across multiple locations

  • Instant Compliance Visibility

    Real-time dashboard shows evaluation status company-wide

  • Automated Renewal Reminders

    Never miss annual re-evaluation deadlines

  • Centralized Record Keeping

    30-year retention requirement automatically managed

  • Audit-Ready Reporting

    Generate compliance reports in seconds for OSHA inspections

Enterprise Features for Multi-Location Compliance

See our 2025 Respirator Compliance Report for industry trends and compliance data.

Centralized Dashboard

Manage employees across multiple locations from one unified platform. View evaluation status, expiration dates, and compliance metrics in real-time.

  • Location-based filtering

  • Department grouping

  • Custom user roles

  • Export to Excel/CSV

Bulk Management

Upload hundreds of employees via CSV, send batch evaluation invitations, and manage renewals at scale with automated workflows.

  • CSV bulk upload

  • Batch email invitations

  • Automated renewal reminders

  • Bulk certificate downloads

API Integration

Connect RespiratorTest.com to your HRIS, LMS, or compliance management system via REST API for seamless data synchronization.

  • RESTful API access

  • Webhook notifications

  • SSO integration

  • Custom white-labeling

Request Enterprise Demo

Dedicated account management for 100+ employees

Explore More OSHA Compliance Resources

Online Respirator Medical Evaluation

Discover the advantages of online evaluations: faster completion, lower costs, and instant results.

Learn About Online Evaluations →
OSHA 1910.134 Requirements Guide

Complete breakdown of OSHA 1910.134 medical evaluation requirements, penalties, and best practices.

View Requirements →
ROI CALCULATOR
Evaluation Cost Comparison

Calculate your annual savings with our detailed cost comparison and ROI calculator.

Calculate Savings Now →

OSHA Compliance Questions Answered

OSHA 1910.134(e) requires employers to provide medical evaluations to employees before they use respirators. The evaluation must use the questionnaire in Appendix C or an equivalent, be administered by a Physician or Licensed Healthcare Professional (PLHCP), and determine if the employee can safely wear a respirator without adverse health effects. The evaluation must be conducted before fit testing and before initial respirator use.

Yes. OSHA regulations do not require in-person medical evaluations. Online evaluations are fully compliant if they: (1) use the OSHA Appendix C questionnaire, (2) are reviewed by a licensed PLHCP, (3) result in a written recommendation, and (4) maintain employee confidentiality per HIPAA. RespiratorTest.com meets all four requirements and has been accepted in thousands of OSHA audits with 100% acceptance rate.

OSHA defines a PLHCP as a physician, physician assistant, advanced practice registered nurse, or other licensed healthcare professional whose scope of practice permits them to provide healthcare services related to pulmonary function and respiratory health. RespiratorTest.com uses Dr. Nader Mikhail, MD, a board-certified physician licensed in California, who reviews all flagged evaluations within 24 hours.

OSHA requires employers to retain medical evaluation records for the duration of employment plus 30 years per 1910.1020(d)(1)(i). This applies to all employee medical records including respirator medical evaluations. RespiratorTest.com stores all evaluation records indefinitely in HIPAA-compliant encrypted storage, accessible to authorized personnel at any time for the required retention period.

OSHA 1910.134(e)(7) requires additional medical evaluations when: (1) the employee reports medical signs or symptoms related to respirator use, (2) the PLHCP, supervisor, or respirator program administrator informs the employer that re-evaluation is needed, (3) information from fit testing or the respiratory protection program suggests the need, or (4) a change occurs in workplace conditions that may increase the physiological burden on the employee.

No. HIPAA regulations and OSHA 1910.134(e)(5) protect employee medical privacy. Employers receive only: (1) whether the employee can use a respirator, (2) any limitations on respirator use, and (3) the need for follow-up evaluations. Employers do NOT receive specific medical conditions, questionnaire responses, or any Protected Health Information (PHI). RespiratorTest.com provides employers with clearance status only—complete medical details remain confidential.

Mandatory use means OSHA or the employer requires respirators for specific job tasks due to hazardous exposure levels. Voluntary use means employees choose to wear respirators even though exposure is below OSHA permissible limits. Medical evaluations are required for all tight-fitting mandatory use respirators. For voluntary use of filtering facepieces (N95), employers must provide Appendix D information but medical evaluation is not required unless the employer mandates it.

Traditional occupational health clinics charge $75-150 per respirator medical evaluation. RespiratorTest.com offers OSHA-compliant evaluations from $17-22 per employee depending on team size: $22 for individuals, $20 for teams of 2-25, $18 for 26-50 employees, and $17 for 51+ employees. For a company with 100 employees, this represents annual savings of $7,800-13,300 compared to clinic-based evaluations while maintaining full OSHA compliance.

If the PLHCP determines an employee cannot safely use a respirator, they will provide specific recommendations which may include: (1) referral to the employee personal physician for further examination, (2) restrictions on the type of respirator (e.g., no negative-pressure respirators but PAPR allowed), (3) limitations on work conditions (e.g., no use in high-heat environments), or (4) temporary restriction pending medical treatment. The employer must follow PLHCP recommendations and may need to provide alternative respiratory protection or modify job duties.

Yes, but with legal restrictions. Under the Americans with Disabilities Act (ADA), medical examinations must occur after a conditional job offer is made, not during pre-employment screening. Once a conditional offer is extended, respirator medical evaluations can be conducted before the employee begins work, provided all entering employees in the same job category are subject to the same examination. This allows employers to identify respiratory protection limitations before assigning job duties.

Yes, if their work requires respirator use. OSHA requirements apply equally to all employees regardless of work location. Remote workers, mobile technicians, and field personnel who use respirators must receive medical evaluations, fit testing, and training. Online medical evaluations are particularly beneficial for distributed workforces as employees can complete evaluations from any location without traveling to occupational health clinics, reducing costs and administrative burden.

RespiratorTest.com provides enterprise features for multi-location compliance management including: centralized dashboard showing evaluation status across all locations, bulk employee upload via CSV, automated renewal reminders 30/60/90 days before expiration, location-based reporting for site-specific audits, API integration with HRIS systems, white-label certificates with company branding, and dedicated account management. All records are stored in one secure system accessible to authorized personnel regardless of their location.

Ensure Your OSHA Compliance Today

Join 500+ companies maintaining continuous OSHA 1910.134 compliance with RespiratorTest.com

✓ Compliant

Full OSHA 1910.134 compliance with PLHCP review

✓ Cost-Effective

85% savings vs traditional clinic evaluations

✓ Audit-Ready

30-year record retention with instant reporting

Questions? Call us at (866) 898-0484 or request a consultation