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Subchapter 7. General Industry Safety Orders
Group 16. Control of Hazardous Substances
Article 109. Hazardous Substances and Processes

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§5197. Appendix B1

Appendices B1 and B2: Respiratory Health Questionnaires (Mandatory)
Adapted from forms prepared for the CDPH Guidelines by the Hazard Evaluation System and Information Service (HESIS), Occupational Health Branch, California Department of Public Health, with assistance from the Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health
NOTE: The following additional respiratory health questionnaires contained in the CDPH Guidelines may be utilized as appropriate:
1. Initial Questionnaire in Spanish
2. Follow-Up Questionnaire in Spanish
Appendix B1
Flavor Worker Initial Questionnaire
Image 1 within Appendix B1
Image 2 within Appendix B1
Image 3 within Appendix B1
Image 4 within Appendix B1
Image 5 within Appendix B1
Image 6 within Appendix B1
Image 7 within Appendix B1
Image 8 within Appendix B1
Note: Authority cited: Section 142.3, Labor Code. Reference: Section 142.3, Labor Code.
1. New Appendix B1 filed 11-2-2010; operative 12-2-2010 (Register 2010, No. 45).

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