What's in the kit
- Instruction sheet: deploy steps, the name-swap table, the license and the template history
- Written 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 decision in one table. Where 1910.134 gives a figure, the row shows it with its citation. Where it doesn't, the site sets its own.
- IRP-1 Hazard evaluation and respirator selection (two sheets)
- IRP-2 Medical evaluation tracking log (PLHCP written recommendations only)
- IRP-3 Fit test record (two sheets)
- IRP-4 Cartridge and canister change schedule
- IRP-5 Respirator inspection log
- IRP-6 Training and records log (two sheets; sheet 2 logs receipt of the Appendix D handout)
- IRP-7 Program evaluation
- Appendix D to 1910.134, reproduced in full, with a receipt line, for voluntary users
- Worked example for a fictional site (Example Plant, Unit 2, year 2099), marked EXAMPLE and set apart at the back
Word file, 34 pages including the filled example. $79, emailed within about an hour of purchase, 7-day refund. Licensed to one organization for one site.
FAQ
Does a respiratory protection program have to be written?
Yes, when respirators are required. 1910.134(c) says the employer develops and implements a written respiratory protection program with worksite-specific procedures, run by a suitably trained program administrator. The kit gives you the structure. Your site writes in its own hazards, respirators and people.
Does the kit include the OSHA medical evaluation questionnaire?
No, on purpose. The employee sends the Appendix C questionnaire to the PLHCP (the physician or other licensed health care professional). Under 1910.134(e)(1), the medical evaluation comes before the fit test or required use. The site keeps only the PLHCP's written recommendation, and form IRP-2 logs those. The kit never holds anyone's medical answers.
Is there a respirator fit test form?
Yes, IRP-3. The rule says tight-fitting facepiece users are fit tested before initial use, whenever a different facepiece is used, and at least annually after that (1910.134(f)(2)). Your site picks its fit test methods and who runs them.
What about cartridge change schedules?
IRP-4 is the change schedule form. The data behind it has to come from your site's own monitoring, the manufacturer and qualified people. A template can't supply it.
What do voluntary users get?
The Appendix D handout, reproduced as the rule gives it, plus a receipt line logged on IRP-6 sheet 2.
Get the kit
Blank template only. It isn't a medical record system, an industrial hygiene study, legal advice or approval by any regulator. Your site adapts it, checks it against the rules that apply, and has its program administrator review it before use.