[MCOH-EH] Fit Testing in Pre-Employment

[Erika Sweet]

We perform screening for vaccine preventable disease and respirator fit testing during the post offer screening appointment for candidates. It has never been brought up that candidates need to be paid for this screening.

Thanks,
Erika

Erika Sweet, RN, MSN, NP, COHN-S
Director of Employee Health Services
Los Angeles County Department of Health Services
Office Number: (424) 306-4060
esweet at dhs.lacounty.gov<mailto:esweet at dhs.lacounty.gov>

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From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of David S. Cockrum via MCOH-EH
Sent: Tuesday, March 19, 2024 5:20 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: David S. Cockrum <David.S.Cockrum at hitchcock.org>
Subject: [MCOH-EH] Fit Testing in Pre-Employment

CAUTION: External Email. Proceed Responsibly.
Hello-

Our leadership has asked if we could separate OSHA-mandated respirator fit testing from new employee orientation day. Currently, those who need it attend a 45-60 minute group session the afternoon of orientation where they are trained in donning/doffing then fit tested.

At other locations, I have seen the fit testing process included in the pre-employment medical evaluation. While there are some potential caveats to this, one issue has been raised, I was hoping someone in this community has experience with this. Under the OSHA RPP, it is a requirement that employees must be paid for their time to perform fit testing. This can mean as part of their regular work day, or if brought in from off work, paid separately for their time. Does this pay requirement apply to job candidates? I've never heard that said, but it certainly presents a regulatory concern if it is true.

Thoughts/comments?

Thanks,

David

David S. Cockrum, MD, MPH
He/Him/His
Medical Director & Section Chief
Occupational & Environmental Medicine
Department of Medicine
Tel (603) 653-3881 | Fax (603) 650-0930
Dartmouth-Health.org

Dartmouth Hitchcock Medical Center
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