Identification of respirator-related medical conditions (e.g., skin irritation) should be part of the program evaluation. Employees identified during the evaluation as having skin irritation can either be referred to the PLHCP or be advised by the program administrator about the need to leave the respirator use area as necessary to wash the face and face piece, as permitted under the standard. It should be noted that paragraph (e)(7)(iii) of the standard requires medical evaluation if observations made during the program evaluation indicate that such evaluation is necessary.