Fillable Exposure To Health Risks Physical Demands Form (Page 5 of 7) in pdf

Wear a respirator.

Any employee who works in an area or who may work in an area that requires respiratory protection

must complete an initial respirator questionnaire and send it to MSU Occupational Health. The

questionnaire must be reviewed by MSU Occupational Health prior to the employee being fitted for or

using the respirator. Even if the respirator does NOT have to be fitted (i.e., PAPR), the employee MUST

still complete the respirator questionnaire. After submitting the respirator questionnaire, the

employee may sign up for a fit test at EHS. Employees who wear a dust mask for comfort (sweeping

floors or erasing chalk boards) do not need to comply with the program requirements. For more

information, call EHS at 355-0153.

Required monitoring/training:

●Completion of initial respirator questionnaire, found at

and send to MSU Occupational

Health. Review of the questionnaire will determine additional follow up.

●Sign up for respirator fit testing at

Spray or mix organophosphates or carbamate insecticides (NOT herbicides).

Includes individuals that spray, handle, or potentially have significant exposure to pesticides. Examples

include greenhouse workers, grounds employees and farm workers who spray insecticides. Contact

your supervisor to inquire if you will be applying insecticides. Supervisors should call MSU Occupational

Health at 353-9137 to determine if medical monitoring is appropriate.

Required monitoring/training:

●Discussion about frequency and amount of exposure to determine if blood testing is advised.

8. Work in noisy (at or above 85 decibels) areas.

All MSU employees who work in an area that has been evaluated to be above 85 decibels should be

scheduled for hearing testing by their department. Initial hearing evaluation should be completed

during the next round of on-campus testing and on an annual basis. Examples include Power Plant,

farm and landscape workers. If you are concerned that your area needs to be evaluated, call EHS at

355-0153 to arrange for a noise evaluation. MSU Police must have INITIAL hearing testing prior to

placement, call MSU Occupational Health if help is needed to arrange.

Required monitoring/training:

● Annual hearing testing

•

Hearing Conservation Training available at

If you have questions about the following exposures after reading the descriptions below, please call

EHS at 355-0153.

● Work with lead (defined as exposure at or above the action level of 30 µg/m

for more than 30

days per year)

This includes skilled trades engaged in aggressive activities including welding, torch cutting, or grinding

on lead coatings. The EHS Lead Management Program provides more detail on this requirement and is

available at:

Required monitoring/training:

●Annual blood lead testing arranged by calling or coming to MSU Occupational Health, 346 Olin

Health Center, 353-9137.

●Two hour lead awareness training and annual refresher training is required. Call EHS at 355-

0153 to arrange for initial training.

•

Work with asbestos 30 or more days a year.

Employees who work in an area involving levels of asbestos (including tremolite, anthophylite and

actinolite) for 30 days or more a year at or above 0.1F/cc on a time-weighted average or those who

Exposure To Health Risks Physical Demands Form Page 5

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