OSHA Respirator Medical Evaluation:
Compliant. Confidential. Same-Day.

Under 29 CFR 1910.134, employees must be medically evaluated by a licensed health care professional before using a respirator. C.M.D. Occ-Med makes that process seamless, fully online, physician-reviewed, and completed the same day.

29 CFR 1910.134 Appendix C
The Regulation

What OSHA Requires.

OSHA's Respiratory Protection standard (29 CFR 1910.134) mandates that any employee required to wear a respirator must first receive medical clearance from a Physician or Licensed Health Care Professional (PLHCP). This applies to filtering facepieces, half and full-facepiece respirators, powered air-purifying units, and supplied-air equipment.

The mandatory Appendix C questionnaire must be completed annually, administered confidentially, and reviewed directly by the PLHCP. Your employer is prohibited from viewing your responses.

If an employee answers positively to any of questions 1 through 8 in Part A Section 2, a follow-up medical examination is required before clearance can be granted. Annual fit testing must be paired with the questionnaire to fully satisfy OSHA's respiratory protection program requirements.

Compliance Checklist

Annual Requirements Under 1910.134

PLHCP-administered medical evaluation using the Appendix C questionnaire
Completed questionnaire submitted directly to the PLHCP, not the employer
Written clearance issued before any respirator use is authorized
Follow-up exam provided when Section 2, Part A trigger questions are answered positively
Annual renewal required to remain compliant
Fit testing must be paired with the questionnaire for full program compliance
Fully Online and Remote

Employees complete the OSHA-mandated Appendix C questionnaire from any device. No clinic visits required, and no disruption to your daily operations.

Same-Day PLHCP Review

Our licensed medical team reviews and signs each questionnaire the same day it is submitted. Written clearance is issued promptly to meet OSHA's authorization requirement before respirator use begins.

OSHA-Required Confidentiality

Employee responses go directly to our PLHCP. Your employer never sees the completed questionnaire, keeping the process in full compliance with 1910.134(e)(4)(i).

Follow-Up Coordination

Employees who trigger a follow-up under Section 2 Part A are contacted immediately and guided toward in-person evaluation, keeping your compliance record clean and your workforce protected.

Our Program

Physician-Led.
Same-Day Clearance.

C.M.D. Occ-Med provides a fully online, PLHCP-administered questionnaire service medically reviewed the same day by Matthew Higgs, MD, who brings over a decade of occupational medicine expertise to every evaluation.

Your employees complete the mandatory Appendix C evaluation remotely on their own schedule. We handle the review, clearance documentation, and any required follow-up coordination without disrupting your operations.

The program is designed to support businesses of all sizes, including single-site, multi-site, and field-based workforces throughout our service area.

Why C.M.D.?

Built for the Industrial Workforce.

Industry-Specific Training

Scenarios customized to your workplace risks, not generic curriculum. Every program is built around the hazards your workforce actually faces.

Decades of Experience

Backed by over 30 years of combined expertise in occupational health and emergency response, spanning fieldwork and clinical practice.

Full Certification Spectrum

From basic First Aid and CPR/AED to advanced EMR certification, all delivered with an occupational medicine focus that general providers cannot match.

OSHA Compliance Ready

Accurate injury and illness reporting for regulatory compliance. Our clinical team understands OSHA recordkeeping requirements thoroughly and applies that knowledge to every case.

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