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Asbestos medical surveillance, recordkeeping and the competent person practice questions

20 free practice questions from 29 CFR 1926.1101(m) to (o). Each answer is explained and linked to the rule it comes from.

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Asbestos medical surveillance, recordkeeping and the competent person

20 questions across 8 topics. After each answer you see why it is right, with a link to the official source.

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Coverage and who performs examinations

  1. 1. A technician who is not a licensed physician will administer the pulmonary function testing in an asbestos medical surveillance program. What training does 1926.1101(m)(1)(ii)(B) require of that person?

    • A. A course in respirator fit testing given by the respirator manufacturer
    • B. A training course in spirometry sponsored by an appropriate academic or professional institution
    • C. The comprehensive supervisor course that meets EPA's Model Accreditation Plan
    • D. The same asbestos awareness training given to Class IV workers
    Show answer

    Answer: B. A training course in spirometry sponsored by an appropriate academic or professional institution

    "Persons other than such licensed physicians who administer the pulmonary function testing required by this section shall complete a training course in spirometry sponsored by an appropriate academic or professional institution."

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

  2. 2. A worker spends 45 minutes on a Class III operation on intact material, counting the entire removal operation including cleanup, and adheres fully to the standard's work practices. How does (m)(1)(i)(A) treat that day for the 30-day count?

    • A. It counts as a full day
    • B. It counts as half a day
    • C. It counts only if no exposure monitoring was done
    • D. It shall not be counted
    Show answer

    Answer: D. It shall not be counted

    A day on which a worker "engages in Class II or Class III operations or a combination thereof on intact material for one hour or less (taking into account the entire time spent on the removal operation, including cleanup)" and adheres fully to the work practices "shall not be counted."

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

  3. 3. For employees required by the standard to wear a negative pressure respirator, the employer must ensure they are physically able to perform the work and use the equipment. Under whose supervision is that determination made?

    • A. A physician
    • B. The competent person
    • C. The respirator manufacturer
    • D. The building owner
    Show answer

    Answer: A. A physician

    Employers "shall ensure employees are physically able to perform the work and use the equipment. This determination shall be made under the supervision of a physician."

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

Examination schedule

  1. 4. Under (m)(2)(i)(A), at what point must medical examinations and consultations be made available to a covered employee who will work where negative-pressure respirators are worn?

    • A. Only after the employee's first full year of respirator use
    • B. Only when the employee reports symptoms
    • C. Prior to assignment of the employee to an area where negative-pressure respirators are worn
    • D. At the end of the project
    Show answer

    Answer: C. Prior to assignment of the employee to an area where negative-pressure respirators are worn

    One schedule in (m)(2)(i) is "Prior to assignment of the employee to an area where negative-pressure respirators are worn".

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

  2. 5. A covered employee reaches the thirtieth day of Class II work this year. Adequate records show that the employee was examined in accordance with paragraph (m) five months ago. What does the exception in (m)(2)(i)(E) state?

    • A. No medical examination is required of the employee
    • B. A medical examination must still be given within 10 working days, because the earlier one came before the thirtieth day
    • C. A medical examination is required unless the competent person signs a written waiver
    • D. Only the pulmonary function tests must be repeated
    Show answer

    Answer: A. No medical examination is required of the employee

    The exception in (m)(2)(i)(E) reads: "No medical examination is required of any employee if adequate records show that the employee has been examined in accordance with this paragraph within the past 1-year period."

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

  3. 6. The examining physician determines that an examination should be provided more frequently than the rule specifies. What must the employer do under (m)(2)(i)(D)?

    • A. Keep the annual schedule unless OSHA approves a change
    • B. Ask the competent person to set a new frequency
    • C. Provide such examinations to affected employees at the frequencies specified by the physician
    • D. Offer the extra examinations only if the employee pays
    Show answer

    Answer: C. Provide such examinations to affected employees at the frequencies specified by the physician

    If the physician so determines, "the employer shall provide such examinations to affected employees at the frequencies specified by the physician."

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

Examination content

  1. 7. Under (m)(2)(ii)(C), who decides whether the chest X-ray in the physical examination is administered?

    • A. The employer
    • B. The physician, at the physician's discretion
    • C. The competent person
    • D. The employee
    Show answer

    Answer: B. The physician, at the physician's discretion

    The physical examination includes a chest X-ray "to be administered at the discretion of the physician".

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

  2. 8. Besides the history, questionnaire, physical examination and pulmonary function tests, what else must the medical examination include under (m)(2)(ii)(D)?

    • A. Only the tests listed in the employer's written safety program
    • B. Tests chosen by the employer's insurance carrier
    • C. Tests requested by the competent person
    • D. Any other examinations or tests deemed necessary by the examining physician
    Show answer

    Answer: D. Any other examinations or tests deemed necessary by the examining physician

    The examination shall include "Any other examinations or tests deemed necessary by the examining physician."

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

Physician information and written opinion

  1. 9. Which item does (m)(3) require the employer to provide to the examining physician?

    • A. The competent person's training certificate
    • B. The building owner's notification records
    • C. The employee's representative exposure level or anticipated exposure level
    • D. The objective data record for exempt products
    Show answer

    Answer: C. The employee's representative exposure level or anticipated exposure level

    The employer "shall provide the following information to the examining physician", including "The employee's representative exposure level or anticipated exposure level".

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

  2. 10. An examining physician prepares the written opinion for an employee in the asbestos medical surveillance program. Which statement about smoking must that written opinion include under (m)(4)(i)(D)?

    • A. A statement that the employee has agreed to stop smoking before returning to asbestos work
    • B. A statement that the employee has been informed by the physician of the increased risk of lung cancer attributable to the combined effect of smoking and asbestos exposure
    • C. A statement that the employer has enrolled the employee in a smoking cessation program
    • D. A statement that the employer will exclude smokers from Class I work
    Show answer

    Answer: B. A statement that the employee has been informed by the physician of the increased risk of lung cancer attributable to the combined effect of smoking and asbestos exposure

    The written opinion shall include "A statement that the employee has been informed by the physician of the increased risk of lung cancer attributable to the combined effect of smoking and asbestos exposure."

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

  3. 11. What time does (m)(4)(iii) set for the employer to give the affected employee a copy of the physician's written opinion?

    • A. Within 90 days from its receipt
    • B. Within 6 months from its receipt
    • C. Within 1 year from its receipt
    • D. Within 30 days from its receipt
    Show answer

    Answer: D. Within 30 days from its receipt

    The employer "shall provide a copy of the physician's written opinion to the affected employee within 30 days from its receipt."

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

Objective data and exposure records

  1. 12. An employer relies on objective data to show a product cannot release fibers at or above the permissible exposure limit and/or excursion limit. How long must the employer maintain the record of that objective data?

    • A. For the duration of the employer's reliance upon such objective data
    • B. For one year after the project ends
    • C. For three years after the data were collected
    • D. Until the next OSHA inspection
    Show answer

    Answer: A. For the duration of the employer's reliance upon such objective data

    "The employer shall maintain this record for the duration of the employer's reliance upon such objective data."

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

  2. 13. Under the note in (n)(2)(i), whose services may the employer utilize to maintain the records required by the section?

    • A. Only the building owner's
    • B. Only the examining physician's
    • C. Competent organizations such as industry trade associations and employee associations
    • D. Only the competent person's
    Show answer

    Answer: C. Competent organizations such as industry trade associations and employee associations

    The note reads: "The employer may utilize the services of competent organizations such as industry trade associations and employee associations to maintain the records required by this section."

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

Medical, training and building records

  1. 14. Which of these must the medical surveillance record for each employee include under (n)(3)(ii)?

    • A. The employee's union membership status
    • B. Any employee medical complaints related to exposure to asbestos
    • C. The employee's payroll records from prior employers
    • D. The employee's driver's license number
    Show answer

    Answer: B. Any employee medical complaints related to exposure to asbestos

    The record "shall include at least" items including "Any employee medical complaints related to exposure to asbestos".

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

  2. 15. A building owner who communicated and received information on the identification, location and quantity of ACM and PACM sells the building. What does (n)(6) say about the written records of those notifications?

    • A. They may be discarded once the sale closes
    • B. They are sent to OSHA for safekeeping
    • C. They are kept by the abatement contractor
    • D. They shall be transferred to successive owners of such buildings/facilities
    Show answer

    Answer: D. They shall be transferred to successive owners of such buildings/facilities

    The records "shall be maintained by the building owner for the duration of ownership and shall be transferred to successive owners of such buildings/facilities."

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

Competent person and inspections

  1. 16. On a Class II job, employees work inside an enclosure and use glove bags. Under (o)(3)(i)(E), what must the competent person ensure, by performing or supervising the duty?

    • A. That each employee has had a chest X-ray within the past month
    • B. That employees working within the enclosure and/or using glove bags wear respirators and protective clothing as required by paragraphs (h) and (i)
    • C. That the building owner approves each glove bag before it is used
    • D. That employees are rotated out of the enclosure to reduce each one's exposure
    Show answer

    Answer: B. That employees working within the enclosure and/or using glove bags wear respirators and protective clothing as required by paragraphs (h) and (i)

    On Class I or II worksites the competent person "shall perform or supervise the following duties, as applicable", including "Ensure that employees working within the enclosure and/or using glove bags wear respirators and protective clothing as required by paragraphs (h) and (i) of this section".

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

  2. 17. On a Class III job, at what intervals does (o)(3) require the competent person's on-site inspections?

    • A. At intervals sufficient to assess whether conditions have changed, and at any reasonable time at employee request
    • B. Once a month, regardless of conditions
    • C. Only at project close-out
    • D. Only when an OSHA compliance officer is present
    Show answer

    Answer: A. At intervals sufficient to assess whether conditions have changed, and at any reasonable time at employee request

    "For Class II, III, and IV jobs, on-site inspections shall be made at intervals sufficient to assess whether conditions have changed, and at any reasonable time at employee request."

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

  3. 18. Before Class II removal starts on an occupied office floor, the competent person has set up the regulated area and its containment. Under (o)(3)(i), what must the competent person also perform or supervise, as applicable, about people going in and out?

    • A. Lock the building's exterior doors for the duration of the job
    • B. Have building occupants sign a liability release
    • C. Schedule all entries for the night shift
    • D. Set up procedures to control entry to and exit from the enclosure and/or area
    Show answer

    Answer: D. Set up procedures to control entry to and exit from the enclosure and/or area

    On Class I or II worksites the competent person "shall perform or supervise the following duties, as applicable", including "Set up procedures to control entry to and exit from the enclosure and/or area".

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

Competent person training

  1. 19. A supervisors' course used to train the competent person for Class I work covers abatement, installation, removal and handling. Under (o)(4)(i), which other subjects must that training include?

    • A. The contents of this standard and the identification of asbestos
    • B. Classification of chest X-rays
    • C. Administering pulmonary function tests
    • D. Writing the physician's written opinion
    Show answer

    Answer: A. The contents of this standard and the identification of asbestos

    For Class I and II work the competent person "shall be trained in all aspects of asbestos removal and handling, including: abatement, installation, removal and handling; the contents of this standard; the identification of asbestos; removal procedures, where appropriate; and other practices for reducing the hazard."

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)

  2. 20. Besides a course consistent with 40 CFR 763.92(a)(2) or its equivalent, how else does (o)(4)(ii) allow a competent person for Class III and IV work to be trained?

    • A. By completing a spirometry course
    • B. By reading the standard on their own
    • C. Pursuant to the Class I and II requirements of paragraph (o)(4)(i)
    • D. By 30 days of Class III work experience
    Show answer

    Answer: C. Pursuant to the Class I and II requirements of paragraph (o)(4)(i)

    "Competent persons for Class III and IV work, may also be trained pursuant to the requirements of paragraph (o)(4)(i) of this section."

    Source: eCFR: 29 CFR 1926.1101, Asbestos (as of Nov 4, 2026)