Documentation and Record-keeping:
Clinic Respiratory Protection Program Template

• A written copy of this program can be found in ________________________ (example: policy and procedure manual).
  
  
• _______________________ (example: RPA, Clinic Supervisor, employer’s name, human resources person) maintains the medical information for all employees covered under the respiratory program.
  
  
• The completed medical forms and documented medical recommendations are confidential and will remain with/in _______________________ (example: RPA, the health care provider conducting the evaluation, Clinic Supervisor, employer’s name, human resources person).
  
  
• All relevant medical information must be maintained for the duration of the employment of the individual plus thirty years.