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MEDICAL CLEARANCE and RESPIRATOR FIT TESTING While not all pesticides require use of a respirator, some do. If respirator use is required, it will be specified on the pesticide label under Personal Protective Equipment. Currently, only one class of pesticides, soil fumigants (ex. chloropicrin, metam sodium, metam potassium), requires that individuals complete a medical clearance prior to using a respirator and have respirator fit tested annually. This requirement became effective 12.31.2010 with EPA’s re-registration of soil fumigants. (See http://www.epa.gov/pesticides/reregistration/soil_fumigants/factsheets/sfm-wrkr-prot-meas-2012.pdf for more information). While EPA does not have its own protocols for conducting medical clearance and respirator fit testing, standards have been established by the Occupational Safety and Health Administration (OSHA). While OSHA standards routinely apply to companies having ten or more full-time employees and requiring respirator use, they have been adopted to apply to all farms required to use respirators when applying soil fumigants. A copy of the medical clearance standard, questionnaire and respirator fit testing protocol can be found at https://www.osha.gov/SLTC/etools/respiratory/index.html (click on ‘medical requirements’ and ‘fit testing’ in the blue box on the left side of the page. Copies of these documents are also included in this folder. 1157 VOA Site C Road Greenville, NC 27834 252.744.1008 www.ncagromedicine.org 11.13/RTM