Public Health Respiratory Protection Program Template
Local Public Health may use or download this program and fill in the blank spaces to make it unique to your facility.Download a print version of this document:
Public Health Respiratory Protection Program Template (PDF: 39KB/6 pages)
Download an editable version of this document:
Public Health Respiratory Protection Program Template (Word: 73KB/6 pages)
Policy
The purpose of this program is to ensure that all employees required to wear respiratory protection as a condition of their employment are protected from respiratory hazards through the proper use of respirators.
Program Components
- Program Administration
- Program Scope and Application
- Identifying Work Hazards
- Respirator Selection
- Medical Evaluations
- Fit Testing
- Proper Respirator Use
- Cleaning and Disinfecting
- Inspecting, Maintenance and Repairs
- Respirator Training
- Evaluating/Updating Program
- Roles and Responsibilities
- Documentation and Record-keeping
References
- NIOSH Respiratory Protection Program
Attention: Non-MDH link - US Department of Health and Human Services, 1999, OSHA Technical Manual: Respiratory Protection 29 CFR 1910.134
Attention: Non-MDH link

