If your employees wear respirators on the job, OSHA requires more than just fit testing. Before anyone can put on a mask, each worker must first complete a Respirator Medical Evaluation.
Many employers don’t realize this documentation is required until it’s too late. We’ve had companies reach out at the last minute to get this completed in order to avoid OSHA penalties. Most employers don’t know that they are unable to perform the OSHA Medical Evaluation themselves, because it must be completed by a licensed healthcare professional. In addition, employers are not allowed to view an employee’s medical information.
The OSHA Medical Evaluation is more than just a form — it’s a compliance requirement that protects your employees’ health and keeps your business clear of OSHA penalties. Here’s what you need to know.
Why OSHA Requires It
The evaluation ensures employees are physically able to wear a respirator safely. Respirators place extra stress on the lungs and heart. For workers with certain medical conditions, wearing one could be dangerous.
By requiring a medical clearance before respirator use, OSHA reduces health risks while holding employers accountable for workplace safety.
Who Can Review the Evaluation
The evaluation must be reviewed by a licensed healthcare provider (LHP). That means:
❌ Not an HR manager
❌ Not a supervisor
❌ Not a safety officer
Only a licensed medical professional can make the clearance decision. This also keeps employee health information confidential — employers receive only a “cleared” or “not cleared” result.
What’s Included in the Evaluation
Most employees complete the evaluation by filling out a secure health questionnaire. It covers:
Breathing and lung function
Heart and circulation history
Past or current medical conditions
Ability to perform physical work while wearing a respirator
It takes about 5–10 minutes to complete, and it’s designed to flag potential issues that might require further review.
When It’s Needed
A medical evaluation must be completed:
Before fit testing (required for every respirator type/brand).
Before starting any work where respirator use is required.
Again if health conditions or job duties change (example: new heart condition, switching to a more demanding respirator).
How We Make It Simple for Businesses
At Active Assist HCS, we’ve helped companies stay OSHA-compliant. Our process is:
$25 flat per employee
100% online — done on phone, tablet, or computer
Fast turnaround — clearance in as little as 24 hours
HIPAA-secure — medical responses stay confidential
Whether you’re managing a small crew or multiple worksites, we make compliance fast, affordable, and stress-free.
Final Takeaway
If your employees are required to wear a respirator, OSHA requires a medical evaluation before fit testing or starting work. This step keeps workers safe and protects your business from costly violations.
The good news? Your employees can complete their OSHA Medical Evaluation anytime — even on a cell phone during a lunch break. It’s fast, convenient, and keeps your team compliant without disrupting the workday.