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Name	Shaun Casey
Location:	600 N carriage hill dr. Unit 1118 Las vegas, NV 89138 Map It
Company	Biosweep
Type Full Name	Shaun Casey
Evaluation Results	Evaluation Results
Your Evaluation Results	Approved
Respirator Type	You are medically approved for the following types of Respirator:
Respirator Type	Half Face Respirator
Frequency of Respirator Usage	Daily
Work Load	Light Duty Light Duty, with some lifting under 30/60 lbs.
Approval Fit For Duty:	Yes, The above worker is fit for duty to wear the above identified respirator. This fit for duty approval is based a on the medical questionnaire answers, the identified working conditions and/or an in person exam of the worker. The worker is required to inform their supervisor if their physical health changes which may warrant another medical exam to ensure they may safely wear a respirator.
Work Shift Hours	8 hours
What PPE Personal Protective Equipment will you be wearing while using a respirator?	LEVEL "A" : Fully encapsulated chemical suit protecting skin and eyes, positive pressure full face respirator using SCBA, inner and outer, gloves, chemical boots to protect from toxic chemicals or particles
What is the maximum expected temperature you will be working?	0-30 Degrees Fahrenheit
What is the estimated humidity range you will be working in your work environment?	0 - 20%
Comments:	None
Frequency of Medical Exam	Annually
Telemedicine	No
Order Tests	No
In Person Medical	No
Contact Employer	If you experience any changes in your health that could affect your ability to safely use a respirator, you should contact your employer immediately. Please feel free to contact us if you have any questions.
Signature
Respiratory Protection Healthcare Professional	Respiratory Protection Healthcare Professional Henderson Pain Center
The exam has met MSHA requirements	Yes
Reviewed	Yes
Medical Statement	This medical approval or not approved opinion will be kept in the employees' records for a minimum of three years after the date of the exam.