Home
Forms Library
Request for Voluntary Respirator Usage

Request for Voluntary Respirator Usage 2026

Request for Voluntary Respirator Usage Preview on Page 1

See details

4.4 out of 5

47 votes

The document outlines the procedure for employees at BYU to request voluntary use of respirators in compliance with OSHA's Respiratory Protection Rule (29 CFR 1910.134). It includes sections for employee and supervisor certification, instructions for submitting the request, and guidelines on proper respirator use and maintenance. The document emphasizes the importance of understanding respirator limitations and ensuring safety while using them.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Request for Voluntary Respirator Usage

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

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.

Start filling out your Request for Voluntary Respirator Usage today on our platform for free!

See more Request for Voluntary Respirator Usage versions

We've got more versions of the Request for Voluntary Respirator Usage form. Select the right Request for Voluntary Respirator Usage version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2019	4.4 Satisfied (47 Votes)
2010	4 Satisfied (45 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

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.

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

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.

Request for Voluntary Respirator Usage 2026

Here's how it works

How to use or fill out Request for Voluntary Respirator Usage

See more Request for Voluntary Respirator Usage versions

Complete this form in 5 minutes or less

Got questions?

How do you get fitted for a respirator?

Do you have to be medically cleared to wear a respirator?

How to get medically cleared to wear a respirator?

What are the requirements for voluntary use of respirators?

What requirements must employees follow when voluntarily requesting a respirator?

Security and compliance

People also ask

What disqualifies you from wearing a respirator?

What are the requirements for respirator use?

Related links

Try more PDF tools

Request for Voluntary Respirator Usage 2026

Here's how it works

How to use or fill out Request for Voluntary Respirator Usage

See more Request for Voluntary Respirator Usage versions

Complete this form in 5 minutes or less

Got questions?

How do you get fitted for a respirator?

Do you have to be medically cleared to wear a respirator?

How to get medically cleared to wear a respirator?

What are the requirements for voluntary use of respirators?

What requirements must employees follow when voluntarily requesting a respirator?

Related Searches

Security and compliance

People also ask

What disqualifies you from wearing a respirator?

What are the requirements for respirator use?

Related links

Try more PDF tools