Regulated Surveillance Exams

There are numerous exposures which OSHA has required specific surveillance exams. Those workers that are in contact with such chemicals as asbestos, lead, benzene, or chromium, to name a few, or are exposed to high levels of noise are required to have specific exams. WISHA (for Washington) or OR-OSHA (for Oregon) generally follow OSHA requirements.

Employer mandated exams

Employer mandated exams are exams that the employer requires and determines the content of. These are often employment related exams such as pre-placement, fit for duty, return to work and termination. Surveillance exams for monitoring possible exposures can also be set up by an employer to keep their employees safe.

CDL Medical Exam

If you drive an interstate commercial vehicle that weighs over 10,000 lbs or is carrying hazardous materials, you must have a medical certificate. The medical certificate exam is based on a ‘one-size-fits-all’ model, requiring that all drivers must meet the same standard. If you have medical problems that you think might prevent certification, please check the resources below or contact us prior to the exam to avoid delays in getting the certificate. Conditions such as heart disease (including a history of bypass surgery, stent placement, angioplasty), mental health conditions, nerve disorders, and use of certain medications can require additional information.


Acuity: must have 20/40 far vision in each eye, with or without correction


Insulin use is disqualifying although a new exemption is being tested; must show that your diabetes is well controlled if on medications

Sleep apnea

First diagnosis: sleep study, evaluation by sleep specialist

Follow up: note from treating physician, evidence of compliance with CPAP (if used)

High blood pressure

must be better than 140/90

Respirator Fit Testing and Medical Certification

OSHA requires that all workers that will be using a respirator obtain a medical clearance prior to use of the respirator. CROH uses the OSHA questionnaire with telephone follow-up to clarify answers saving time away from the work-site. Those employees that have significant findings based on the questionnaire are brought in to the clinic for a medical evaluation.

Our staff is trained to perform fit testing and NIOSH certified to perform spirometry. The best respirator is worthless if it doesn’t fit. We can do both qualitative and quantitative fit testing to ensure the best safety for the employee. (Qualitative fit testing uses sensing smell or taste, quantitative is required for full face and SCBA and measures actual leakage)

FAA Exams

All pilots, from the student, to the private enthusiast, to the airline pilot, are required to get regular flight physicals. First class pilots fly the airline aircraft carrying passengers, second class pilots are commercial pilots but not working for the airlines, and third class pilots are the recreational pilots.

To avoid delay in getting the medical certificate, pilots with medical problems should get any necessary documentation prior to the exam. If you have questions as to what you might need for certification, call us prior to the exam. We have attached checklists for a number of common conditions to help in getting the required information in to the FAA.

Know that the FAA does a great job working with airmen with medical problems to keep them flying.

Visit the FAA MedXPress site to electronically complete FAA Form 8500-8.