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
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
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
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)
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
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 Size | Clinic Cost (Annual) | RespiratorTest.com | Annual 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
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 →Evaluation Cost Comparison
Calculate your annual savings with our detailed cost comparison and ROI calculator.
Calculate Savings Now →OSHA Compliance Questions Answered
What does OSHA 1910.134 require for respirator medical evaluations?
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.
Are online OSHA respirator medical evaluations legally compliant?
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.
What qualifications must the reviewing PLHCP have?
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.
How long are OSHA respirator medical evaluation records required to be kept?
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.
What triggers the need for a follow-up medical evaluation?
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.
Can employers see employee medical information from evaluations?
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.
What is the difference between mandatory and voluntary respirator use?
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.
How much does OSHA compliance cost per employee?
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.
What happens if an employee fails the medical evaluation?
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.
Can medical evaluations be done before hiring?
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.
Do remote or mobile workers need medical evaluations?
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.
How does RespiratorTest.com handle multi-location companies?
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