Written Respiratory Protection Program Template - LandI 2025

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  1. Click ‘Get Form’ to open the Written Respiratory Protection Program Template - LandI in the editor.
  2. Begin by entering your name and A or D number in the designated fields at the top of the form. Ensure that all information is printed clearly.
  3. In section A, indicate any changes in health or workplace conditions that may affect your ability to use a respirator by checking 'No' or 'Yes'. If 'Yes', follow up with Employee Occupational Health.
  4. For section B, select the appropriate fit testing method and mark your results. Be sure to check all applicable options for both passed and failed tests.
  5. If you have an alternative respirator, list its make and model in section C.
  6. Review the training topics covered in section D. After completing this, sign and date the form at the bottom to attest that you have received proper training.

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General steps to set up a respiratory protection program Exposure Assessment. Written Program. Respirator Selection. Medical Evaluation. Fit Testing. Training Maintenance.
If employees must wear respirators at work, the Occupational Safety and Health Administration (OSHA) requires employers to have a written respiratory protection program, as outlined in OSHAs respiratory protection standard 1910.134 under the PPE Subpart.
Major Requirements of OSHAs Respiratory Protection Standard 29 CFR 1910.134 Respirator-Use Requirements Flow Chart 29 CFR 1910.134(c) Must establish and implement a written respirator program with worksite-specific procedures. Does the employer permit voluntary use of respirators? | V7 more rows
Implementing a Respiratory Protection Program Employers that require workers to use a respirator must implement an RPP. This is a written set of policies and procedures aligned with the OSHA respiratory protection standard (29 CFR 1910.134).
If you require employees to be exposed to harmful airborne contaminants that cannot be controlled and you require employees to use respirators, you must implement a written RPP documenting how employees are protected from hazards.
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If employees are not to enter and work in permit spaces, employers must take effective measures to prevent them from entering these spaces. If employees are expected to enter permit spaces, the employer must develop a written permit space program and make it available to employees or their representatives.
In addition, the employer must establish and implement those elements of a written respiratory protection program necessary to ensure that any employee using a respirator voluntarily is medically able to use that respirator, and that the respirator is cleaned, stored, and maintained so that its use does not present a

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