Respiratory Exposure Hazard Questionnaire

Step 1 of 3

  • The purpose for completing this form is to:
    1. Determine if employees/staff need to be in NCSU’s Respiratory Exposure Program and/or if monitoring is needed,
    2. Comply with OSHA’s Respiratory Exposure Standard.
    Please complete this form to determine if the employee must be included in the University Respiratory Exposure Program. A copy of the information you submitted will be sent to you. Please maintain it in your personnel or safety plan records.
  • Enter your 8 digit Unity ID
  • MM slash DD slash YYYY

  • Please list your Department / Unit here
  • Please list your Section here
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