Clinic Respiratory Protection Program Template

Clinics 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:
Clinic Respiratory Protection Program Template (PDF)

Download an editable version of this document:
Clinic Respiratory Protection Program Template (Word)

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

• CDC NIOSH: Respirators
  
• OSHA Technical Manual: Respiratory Protection 29 CFR 1910.134