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Request for Voluntary Respirator Usage 2026
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- Click ‘Get Form’ to open it in the editor.
- In Section 1, enter your name and email where indicated. Clearly list the contaminants you wish to use a respirator for, along with the associated tasks (e.g., spraying, cleaning).
- Ensure you read Appendix D regarding proper respirator use. After understanding the guidelines, sign and date the form in the designated area.
- In Section 2, your supervisor must provide their approval by signing and dating the form. They should also print their name and provide a contact telephone number.
- Once completed, send the form to the Respiratory Protection Program Administrator as instructed. If you have questions, feel free to reach out using the provided contact numbers.
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How do you get fitted for a respirator?
Employees must make a seal check to confirm that the respirator fits. During quantitative fit tests, a device measures whether air escapes the respirator. Before qualitative fit tests, a taste threshold screening shows whether employees can taste the flavored solution used during the test.
Do you have to be medically cleared to wear a respirator?
Before wearing a respirator, workers must first be medically evaluated using the mandatory medical questionnaire or an equivalent method.
How to get medically cleared to wear a respirator?
Before wearing a respirator, workers must first be medically evaluated using the mandatory medical questionnaire or an equivalent method. To facilitate these medical evaluations, this INFOSHEET includes the mandatory medical questionnaire to be used for these evaluations.
What are the requirements for voluntary use of respirators?
If you permit the use of respirators other than filtering facepieces, you must pay for required medical evaluations for voluntary users and provide voluntary users with appropriate facilities and time to clean, disinfect, maintain, and store respirators.
What requirements must employees follow when voluntarily requesting a respirator?
Voluntary Use Any respirator besides an SCBA can be worn voluntarily. All users must complete the appropriate training. In addition to training, employees wearing a tight fitting rubber or silicone mask must receive a medical evaluation from UEHC.
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People also ask
What disqualifies you from wearing a respirator?
People with claustrophobia may not be able to wear a full facepiece or hooded respirator. People with vision problems may have trouble seeing while wearing a mask or hood (there are special masks for people who need glasses). Employees must be medically evaluated before assigned to use a respirator.
What are the requirements for respirator use?
All employees using anegative or positive pressure tight-fitting facepiecerespirator must pass an appropriatequalitative fit test (QLFT)orquantitative fit test (QNFT). Fit testing is required prior to initial use, whenever a different respirator facepiece is used, andat least annually thereafter.