Which of the following is not listed as part of an OSHA Medical Evaluation?

• A. Pulmonary function test
• B. Medical history questionnaire
• C. Cardiac evaluation
• D. Hearing test

Answer: (D)

OSHA’s medical evaluation for respirator use is about determining if a worker can safely wear a respirator. This process typically starts with a medical history questionnaire to capture conditions, medications, and risk factors that could affect respirator tolerance. Depending on what the history shows, a clinician may also perform a physical examination and pulmonary function testing to assess lung function and the ability to breathe through a respirator. A cardiac evaluation may be considered if there are symptoms or risk factors suggesting heart disease that could be exacerbated by respirator use. Hearing tests, on the other hand, are not part of this medical evaluation; they belong to the hearing conservation program for monitoring noise-related hearing loss, not to assessing respirator fitness. So the item not listed is the hearing test.