1910.134(e)(3): Follow-up medical examination
Key takeaways
- 1910.134(e)(3) is part of OSHA's general industry standards (29 CFR Part 1910, Subpart I).
- OSHA cited it 5 times in the last 3 years, in 5 inspections, with $11,292 in current penalties.
- Related part: 1910.134(e) Medical evaluation (2,653 citations).
- Free 5-minute toolbox talk for your crew below.
In this article
What this rule covers
29 CFR 1910.134(e)(3) ("Follow-up medical examination") is one requirement inside 1910.134 Respiratory protection, an OSHA general industry standard (Part 1910, Subpart I). It includes 2 sub-paragraphs. The official text below is copied word for word from the Electronic Code of Federal Regulations (eCFR). The numbers, injury cases and training on this page show how OSHA enforces it on real job sites.
Official text
(3) Follow-up medical examination. 5 citations
(i) The employer shall ensure that a follow-up medical examination is provided for an employee who gives a positive response to any question among questions 1 through 8 in Section 2, part A of appendix C or whose initial medical examination demonstrates the need for a follow-up medical examination. 5 citations
(ii) The follow-up medical examination shall include any medical tests, consultations, or diagnostic procedures that the PLHCP deems necessary to make a final determination.
Source: eCFR, text current as of 2026-10-15. Read all of 1910.134.
Where and how often it was cited
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OSHA interpretation letters
- Mandatory annual blood work requirements in OSHA's Respiratory Protection and Ethylene Oxide standards (2017-06-12)
Related parts of this rule
- 1910.134(e) Medical evaluation 2,653 citations
- 1910.134(e)(1) General 2,526 citations
- 1910.134(e)(6) Medical determination 52 citations
- 1910.134(e)(6)(i) 52 citations
- 1910.134(e)(2) Medical evaluation procedures 22 citations
- 1910.134(e)(4) Administration of the medical questionnaire and examinations 19 citations
- 1910.134(e)(2)(i) 17 citations
- 1910.134(e)(7) Additional medical evaluations 17 citations
- 1910.134(e)(4)(i) 16 citations
- 1910.134(e)(7)(ii) 11 citations
- 1910.134(e)(5) Supplemental information for the PLHCP 10 citations
- 1910.134(e)(5)(i) 6 citations
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About this page
Sources
- 29 CFR 1910.134 (eCFR), text current as of 2026-10-15
- U.S. Department of Labor enforcement data: OSHA inspections, citations and accident records, copied nightly; data as of 2026-10-20
3-year window. Federal OSHA only; state-plan rules are not counted. Plain-language text is a summary, not legal advice; the official text controls. Black Belt Safety is not part of OSHA or the Department of Labor.