Industrial Respiratory Protection Program Kit (Word)
Written respiratory protection program, hazard evaluation and respirator selection, fit test records, cartridge change schedule and the supporting logs for an industrial site, in one editable Word file.
$79
- Your file is emailed within about an hour of purchase
- 7-day refund
- A program and record set, not a single checklist: core Sections 1 to 15, plus Sections 16 and 17 on extending the program and how it maps to the regulation. Inside: hazard evaluation and selection, medical evaluation tracking, fit test record, change schedule, inspection log, training and records log, and program evaluation.
- Medical evaluation handled the way the rule sets it up: the employee sends the questionnaire straight to the health care professional, and the file logs only the written recommendation. No medical answers are kept in the kit.
- Every site value sits in one table in Section 3. Where the federal rule gives no figure, such as a cartridge change interval, the table says so and your site sets it from its own data.
- Written against the federal respiratory protection standard, 29 CFR 1910.134, with the Appendix D handout for voluntary users reproduced in full.
- Licensed to one organization for use at one site. Each additional site needs its own purchase.
- No app and no login. The file opens in Word.
Blank template only. Your site evaluates its own respiratory hazards, picks its own respirators and sets its own change schedule from its own data.
See the pages
Please read. Blank template only. It supports a program, not proof that a site follows any rule. It is not a legal or regulatory document, not a filled record, not a medical record system and not approval by any regulator. It is not in force until your site fills in its values, evaluates its own respiratory hazards, names its program administrator and health care professional, checks the result against the rules that apply to it, and signs the approval block. Not proof of training, not a certification and not legal advice.
What is in the file
- Instruction sheet: how to deploy the file, the name-swap table, the license and the template history
- Respiratory protection program, core Sections 1 to 15, with document control, approval block and revision log
- Sections 16 and 17: how to extend the program for your site, and a section by section map to the regulation
- Section 3 site values: every site value in one table
- IRP-1 Hazard evaluation and respirator selection (two sheets)
- IRP-2 Medical evaluation tracking log (written recommendations only)
- IRP-3 Fit test record, qualitative or quantitative (two sheets)
- IRP-4 Cartridge and canister change schedule
- IRP-5 Respirator inspection log
- IRP-6 Training and records log (two sheets; sheet 2 for the Appendix D receipt and records index)
- IRP-7 Program evaluation
- Appendix D handout for voluntary users
- One filled example of each form: EXAMPLE (Example Plant, Unit 2 / 2099 only)
The program covers purpose, scope and legal status, definitions, site values, roles, hazard evaluation and selection, medical evaluation, fit testing, the change schedule, use, maintenance and care, breathing air, voluntary use, training, program evaluation, records and a crosswalk to the rule. You fill in your own values.
Get the file
$79
- Your file is emailed within about an hour of purchase
- 7-day refund