Cal. Code Regs. tit. 8 § 5190 app. B-III

Current through Register 2021, Notice Reg. No. 53, December 31, 2021
Appendix B-III

Abbreviated Respiratory Questionnaire

A.Identification Data of Appendix B-III.

Note: Non-textile employers may substitute sections A. Identification, and B. Occupational History Table from Appendix B-II in lieu of section



If working in more than one specified work area, X area where most of the work shift is spent. If "other," but spending 25% of the work shift in one of the specified work areas, classify in that work area. If carding department employee, check area within that department where most of the work shift is spent (:if in doubt, check "throughout"). For work areas such as spinning and weaving where many work rooms may be involved, be sure to check the specific work room to which employee is assigned -if he works in more than one work room within a department classify as 7 (all) for that department.



Cal. Code Regs. Tit. 8, 5190 app B-III