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Medical evaluation for escape-only respirator users

Summary An employer asked whether workers whose only respirator use was a short-duration emergency escape device needed medical evaluations. OSHA said its then-current policy did not require one for an escape-only device under 30 minutes, while other respirator-program duties still applied. The page does not establish whether that policy remains current.
Document
Federal opinion letter
Agency
Occupational Safety and Health Administration (OSHA)
Document number
1999-03-08
Date issued
March 8, 1999
Status
Unknown
The letter states OSHA's policy for escape-only respirators in 1999 but the page does not establish whether that policy remains current.
Status last verified October 9, 2026

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The current status of this document is unclear
The letter states OSHA's policy for escape-only respirators in 1999 but the page does not establish whether that policy remains current. It may no longer reflect the agency's current position. Treat this page as historical context, not current guidance, and verify current law before relying on anything here.
About this page: The full text below is the official document from Occupational Safety and Health Administration (OSHA). Ezel adds the plain-English summary and tracks the document's status. The official source linked on this page is authoritative for any reliance.

March 8, 1999

Ms. Mary Kiester
System Safety Engineer
Landsat 7 Program
LMMS
[Recipient address omitted]

Dear Ms. Kiester:

This is in response to your letter to the Occupational Safety and Health Administration (OSHA) dated November 16, 1998. We apologize for the long delay in getting this response to you. You requested that we provide you with a clarification of the requirement that a medical evaluation be provided to employees whose only respirator use would be the use of an escape-only respirator, used to escape from a building in the event of an emergency. These employees have been trained in the use of the five minute Emergency Life Support Apparatus (ELSA) escape only respirator.

OSHA's current policy states that the employer does not have to provide a medical evaluation for employees whose only respirator use would be the use of escape-only respirators. The ELSA is a NIOSH-approved escape-only respirator which provides less than 30 minutes of breathing air. Please note that the employer would still be responsible for compliance with all other provisions of the respirator standard, as applicable, such as the written program and training requirements. If the employer were to provide any other self-contained breathing apparatus (SCBA) which provides 30 minutes of breathing air and which would be used to enter potentially IDLH atmospheres, the employer would have to provide a medical evaluation in accordance with 1910.134(e).

We hope this addresses your concerns. Should you have further questions, please feel free to call OSHA's Office of Health Compliance Assistance at (202) 693-2190.

Sincerely,

Richard E. Fairfax
Director
Directorate of Compliance Programs

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