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FIGURE 5-7.

Employers must inform employees that certain medical conditions may interfere with wearing a respirator. A statement in substantially the form shown here must be signed and dated by each employee who is assigned to do work that requires wearing a respirator.

Employers must inform employees that certain medical conditions may interfere with wearing a respirator. A statement in substantially the form shown in Figure 5-7 must be signed and dated by each employee who is assigned to do work that requires wearing a respirator. This statement must be kept on file by the employer. If the employee indicates that they have such a medical condition, the employer must obtain a doctor’s report of evaluation and approval for respirator use and place it on file before the employee may do work requiring the use of a respirator. The employer must keep this statement on file for the duration of the individual’s employ- ment.

Personal Protective Equipment: Exceptions and Substitutions

The following exceptions and substitutions are permitted for PPE that is required by the regulations or by the pesticide label:

  • A.

    People using a closed system to handle pesticides that carry the signal word Danger or Warning may use coveralls, chemical- resistant gloves, and a chemical- resistant apron instead of the PPE specified by the pesticide label.

  • B.

    People using a closed system to handle pesticides with the signal word Caution may use work clothing instead of the PPE specified by the pesticide label.

PESTICIDE HANDLER SAFETY • 77

  • C.

    People using a closed system that operates under positive pressure must wear protective eyewear in addition to the PPE listed in A and B above. People using any closed system must keep the PPE that is specified on the pesticide label immediately available for use in an emergency.

  • D.

    People properly mixing pesticides packaged in water-soluble packets are considered to be using a closed mixing system (under California Code of Regulations, Title 3, Section 6738[i][4]).

  • E.

    People working in an enclosed cab, including an enclosed cockpit, may substitute work clothing for the PPE specified by the pesticide label. If respiratory protection is required, it must be worn, except in an enclosed cockpit.

  • F.

    People working in an enclosed cab that is acceptable for respiratory protection may use work clothing instead of the PPE specified by the pesticide label.

  • G.

    People working in an enclosed cab as specified in E and F above must keep all label-specified PPE immediately available and stored in a chemical-resistant container. Label-specified PPE must be worn if it is necessary to work outside the cab and contact pesticide treated surfaces in the treated area. Once the PPE is worn in the

To the best of my knowledge, I have__/have no__ medical conditions that would interfere with wearing a respirator while engaged in hazard- ous exposure situations.

I understand that heart disease, high blood pressure, lung disease, or the presence of a perforated eardrum require specific medical evalua- tion by a physician before safe use of a respirator can be determined.

____ ______________________

_____________

Employee Signature

Date

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