Dr View for Medical Approval Respirator Fit Test Records

← Go back

Name	Brian Seabra-Hoke
Location:	4060 Arcata Way, North Las Vegas, NV 89030 Map It
Company	RAM Enterprises
Position	Pmd
Type Full Name	Brian Seabra-Hoke
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 to Heavy Duty work with potential lifting excess of 50lbs
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	12 hours
What PPE Personal Protective Equipment will you be wearing while using a respirator?	LEVEL "D" : Standard work uniform, scubs, coveralls, Safety eyewear, gloves, hardhat, work boots
What is the maximum expected temperature you will be working?	0-100 Degrees Fahrenheit
What is the estimated humidity range you will be working in your work environment?	0 - 20%
Comments:	N/A
Frequency of Medical Exam	Annually
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