This is a listing of all occupational health forms available from EHS. These forms should be used in conjunction with their corresponding plan or guide as applicable.
Indoor Air Quality (IAQ)
- IAQ Investigation Request Form (PDF)
- IAQ Symptoms Log (PDF)
- Supervisor Request for Air Monitoring Evaluation (PDF)
- Medical Clearance Form (PDF)
Employees determined to be exposed to harmful air contaminants are subject to the OSHA Respiratory Protection Standard (29 CFT 1910.134) and will be enrolled in Mason’s Respiratory Protection Program Plan. Prior to use, identified employees must be both medically evaluated (to determine their fitness to wear the respirator for the anticipated job/workplace conditions) and fit tested. Contact EHS for medical authorization or with questions/concerns about respiratory protection.
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