NIOSH-Approved Spirometry Initial Training

As of March 27, 2013, OSHA recommends that all spirometry technicians complete a NIOSH-approved spirometry initial training course before conducting tests in the occupational setting. This best practice recommendation is in addition to OSHA-mandated training for technicians testing workers in compliance with certain exposure-specific standards. See OSHA's Guidance on Spirometry Testing in Occupational Health Programs: Best Practices for Healthcare Professionals for details.

Effective January 1, 2009 NIOSH-Approved Spirometry course certificates are no longer valid indefinitely. Certificates of successful completion of a NIOSH-approved spirometry course remain active for 5 years from the course date. Certificates can be extended in 5 year increments by completing a NIOSH Approved Spirometry Refresher course before the current certificate expires. NIOSH also instituted a 7 month grace period to give technicians ample time to renew their NIOSH course certificates. For example, if a current course certificate was dated April 1, 2008, the technician would have up to 5 years and 7 months to complete a NIOSH-Approved Spirometry Refresher Course, i.e., until November 1, 2013.

NIOSH-Approved Spirometry Initial Course Overview

The two-day course uses a combination of teaching methods including PowerPoint presentations, lectures and small group practice sessions to provide students with the skills to administer spirometry testing in the occupational setting or elsewhere. A final examination is given, consisting of written and practical sessions. Upon successful completion of this course, a "certificate of completion" is issued to each student.

Intended Audiences

This course is designed for those who have never taken the NIOSH Approved Spirometry initial course or who completed their initial course more than 5 years ago. This class is appropriate for novice as well as highly experienced spirometry technicians. Students must, however, have basic math skills (division, multiplication, decimals, percentages, etc) and be able to perform simple calculations.

Course Content Includes

  1. Basic physiology of the forced vital capacity maneuver and the determinants of airflow limitations.
  2. Pulmonary disease patterns in spirometry.
  3. ATS/ERS instrumentation requirements including calibration check procedures and sources of error and their correction.
  4. Performance of testing including subject coaching, recognition of improperly performed maneuvers, and corrective actions.
  5. Data quality with emphasis on repeatability.
  6. Actual use of the equipment under supervised conditions.
  7. Measurement of tracings and calculation of results.
  8. Common spirometry testing errors and applicable corrective actions.

Course dates and location:

Workplace INTEGRA logo

NOTE:  The courses below are held in association with Workplace INTEGRA and are held in Greensboro, NC. Registration for these courses will take place on the Workplace INTEGRA Web site. 


2018 Course Schedule

Course Fee — $545  

Register for courses here

  • January 16–17
  • March 13–14 - COURSE FULL
  • May 1–2 - COURSE FULL
  • June 19–20 - COURSE FULL
  • July 17–18
  • August 7–8
  • September 25–26
  • November 6–7

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