Medical Evaluation

2026-11-03

DESCRIPTION OF WORK Introduction The Contractor shall provide comprehensive occupational health and screening services for employees participating in the Department of Pesticide Regulation ’ s ( DPR ) Respiratory Protection Program . These examinations include medical questionnaires , physical exam , spirometry ( when needed ), complete blood count , chemistry lipid panel , job hazard assessment , and the evaluation of screening results by a physician to assess employee fitness for respirator use in compliance with the Cal - OSHA Protection standard , Title 8 , California Code of Regulations ( CCR ), Section 5144 , and the Department of Pesticide Regulation Respiratory Protection Standard , Title 3 , CCR , Section 6739 . The Contractor shall sub - contract all laboratory analyses to Quest Diagnostics Incorporated or another laboratory certified by the Department of Public Health to collect chemistry lipid panel data . While Quest Diagnostics is the preferred provider , equivalent certified laboratories may be used , provided they are located within 8 to 12 miles of DPR ’ s office locations . These laboratory services shall be provided for field employees that may need to wear respirators each fiscal year . The examinations are required for employees in DPR ’ s Respiratory Protection Program . The Physician or other Licensed Health Care Professional ( PHLCP ) shall screen field employees at baseline and every 2 - 3 year after dependent on age . The OSHA respirator medical evaluation questionnaire shall be completed online or in - person at the clinic annually . The clinic should provide the service request form with employees ’ personal information , services that need to be performed , and locations of clinics throughout California where employees will select for their appointment . OSHA medical renewals are required annually . Most of the exams are conducted at the beginning of the year to coincide with the annual renewals ; however , scheduling remains flexible based on individual renewal dates , new hires , or job duty changes . Services must therefore be available year - round . Work to be Performed Medical Evaluations • Initial ( baseline ) and periodic ( every 2 - 3 years based on age ) evaluations . • Online OSHA Respirator Medical Evaluation Questionnaire . • In - person clinical evaluations not to exceed two hours per visit . OSHA Respirator Medical Evaluation Shall be conducted online or in - person . If any follow - up is required with online submission telehealth option shall be used as long as it does not compromise the integrity , performance , or validity of required testing or medical evaluations Services to Be Provided • OSHA questionnaire review • Physical examination • Spirometry ( when needed ) • Laboratory tests ( subcontracted to Quest Diagnostics ) • Lipid panel • Vision test • Job hazard assessment • Physical evaluation and respirator clearance determination • Follow - up testing ( as required ) 1 . PHYSICAL EXAM AND HISTORY INTAKE : a . Height / Weight The employee ’ s height and weight using a balance beam scale and stadiometer will be determined and recorded . Height and weight parameters will be used to calculate various other physiological and anatomic values . Height will be taken without shoes . Weight will be taken with indoor clothing and without shoes . b . Blood Pressure Blood pressures will be measured using sphygmomanometers or automated blood pressure monitor . The employee will be in a sitting position during the reading . If blood pressure results exceed either systolic ( 140 ) or diastolic ( 90 ) reference range , the test will be repeated after the employee has been at rest for 10 minutes . If the employee has been diagnosed as hypertensive , all medications that the employee is using to control the hypertension will be recorded . c . Pulse A radial pulse will be measured manually or by automated pulse monitor . The pulse rate and rhythm will be recorded . d . General Appearance and Development It will be recorded if the employee is overweight . Any posture defects , perceptible limp , tremor , or other defects that might be caused by alcoholism , thyroid intoxication , or other illnesses will be noted . e . Head : eyes , ears , nose , throat , and teeth Any evidence of disease or injury involving the eyes , ears , nose , sinuses , and throat , including any that could interfere with breathing or use of mask respirators will be recorded . Ears : Any evidence of mastoid or middle ear disease , tympanic membrane perforation or scarring , discharge , symptoms of vertigo , or Meniere ’ s syndrome will be recorded . Teeth : Dentition must be adequate to support the normal facial structures . Note any evidence of deformities of the teeth , loose teeth , or prosthetic devices that could interfere with breathing . f . Lungs / Chest Stethoscopic examination is required . Note wounds , injuries , scars , or weakness of thoracic muscles that would be indicative of an underlying pathology sufficient to interfere with normal breathing . List any diagnosis such as asthma or chronic obstructive pulmonary disease and medications the employee uses to control symptoms related to the disorder .

California

2026-03-27