What is this Test?

This online medical evaluation was created to give workers a convenient and cost-efficient way to acquire OSHA compliant medical clearance to wear respirators. The questionnaire is based on the answers that you provide. It is not designed to take into account all of the on-going or one-time medical problems that a person may have.


Medical Evaluation Features

➤ Can complete form in English or Spanish

➤ Reviewed by a medical professional

➤ Meets HIPAA requirements

➤ OSHA compliant. See Resources and Regulations Page

➤ Employees need not leave the workplace

➤ Evaluation can be completed from any computer with internet access, and provides immediate

What does the customer have to be aware of before filling out the questionnaire?

➤ Employee must know the type of respirator that will be worn: half face, full-face or self-contained breathing

apparatus (SCBA).The respirator type is on box and on mask or ask your employer for information.

➤ Employee must know the type of work they are expected to conduct while wearing a respirator.

➤ If you have medical problems that fall outside of the approval structure of this online evaluation,
you may not receive a medical clearance from this process.

➤ Upon completion of the questions your result will be displayed indicating whether you may
proceed to fit testing or not.

➤ As an employer or individual, you will not be charged if you cannot be cleared by this

➤ This online medical evaluation is based on the answers that you provide. It will allow clearance of
the majority of people who complete the questionnaire.

What do I do if I fail the evaluation?

If your employee does not pass his/her evaluation, this does not mean that they are not qualified to wear a respirator. It only means that they cannot use the online system for easy clearance. No payment is required, if the employee fails to receive medical clearance.

Certificate automatically emailed to candidate or email provided by employee.

The step by step process

1. Fill out the questionnaire here to gain OSHA Medical Clearance.
➤ Tips:

➤ If you need help by call (314) 266-9820.
➤ Answer each question accurately and carefully. Errors will result in a test retake.
➤ If you have not been selected to wear or to use either a full-face respirator or a self-contained breathing apparatus (SCBA), it is not necessary to answer questions in Section 3, 10-15. A SCBA is a full-face respirator with supplied breathing air from an attached compressed air bottle that is worn by the employee.
➤ If you think you made errors while completing the questionnaire, you may repeat the

2. If you were cleared to wear a respirator, you will be asked to submit payment.

3. If you were NOT cleared to wear a respirator, the price is free, but must provide further information by a medical provider.

4. Upon completion of the medical questionnaire, your result will be displayed indicating whether you may proceed to fit testing or not.

5. Your medical clearance will be immediately e-mailed to the address provided, following payment.

Terms and Conditions

If at any time your respirator type or frequency of use significantly changes, if you develop symptoms you feel may be related to the use of the respirator or if you develop a medical condition which may prevent effective respirator use, you should notify your supervisor and request to complete a new medical evaluation questionnaire for respirator use immediately. Medical clearance for respirator use from B & A Services is valid for one year from the date of evaluation.
By completing the questionnaire, you hereby attest that you understand and agree to the above. We do not share your contact information with anyone.