29 CFR 1910 · General Industry · Subpart H

1910.120(f)(4): Content of medical examinations and consultations

By Black Belt Safety Editorial Team Official text as of October 15, 2026 3 min read

Key takeaways

  • 1910.120(f)(4) is part of OSHA's general industry standards (29 CFR Part 1910, Subpart H).
  • Related part: 1910.120(f)(7) Physician's written opinion.
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In this article
  1. What this rule covers
  2. Official text
  3. Free toolbox talk
  4. OSHA interpretation letters
  5. Related parts of this rule
  6. Get your crew competent
  7. About this page

What this rule covers

29 CFR 1910.120(f)(4) ("Content of medical examinations and consultations") is one requirement inside 1910.120 Hazardous waste operations and emergency response, an OSHA general industry standard (Part 1910, Subpart H). 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

(4) Content of medical examinations and consultations.

(i) Medical examinations required by paragraph (f)(3) of this section shall include a medical and work history (or updated history if one is in the employee's file) with special emphasis on symptoms related to the handling of hazardous substances and health hazards, and to fitness for duty including the ability to wear any required PPE under conditions (i.e., temperature extremes) that may be expected at the work site. Open (f)(4)(i)

(ii) The content of medical examinations or consultations made available to employees pursuant to paragraph (f) shall be determined by the attending physician. The guidelines in the Occupational Safety and Health Guidance Manual for Hazardous Waste Site Activities (See appendix D, Reference #10) should be consulted.

Source: eCFR, text current as of 2026-10-15. Read all of 1910.120.

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OSHA interpretation letters

None exist. OSHA has not published a letter of interpretation for 1910.120(f)(4).

Related parts of this rule

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About this page

Sources

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.

Written and reviewed by

Black Belt Safety Editorial Team

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Written and reviewed by the Black Belt Safety team. Every post is checked against the OSHA standard or agency source it cites.

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