[CompanyName] Respiratory Protection Plan (05.G) Version 20131215 Project Name Project Number Prepared By: Date: [ProjectName] [ProjectNumber] 05.G.03.c.(1) Methods used to identify and evaluate workplace respiratory hazards; The project will be evaluated for respiratory hazards by reviewing project documents and scope for work that will create dusts, mists, fumes, vapors and other respiratory hazards. If respiratory hazards are identified, testing will be conducted to aid in the selection of respirators. 05.G.03.c.(2) Procedures for selecting respirators for use in the workplace; For identified respiratory hazards, testing will be conducted to evaluate the exposure concentration so that the appropriate respirators will be used. 05.G.03.c.(3) Medical evaluations of employees required to use respirators; Employees who will wear respirators will be subject to [describe the method for medical evaluation of employees, i.e.: medical questionnaire or consultation with medical provider]. 05.G.03.c.(4) Fit testing procedures for tight-fitting respirators; Fit testing will be conducted by [who will conduct testing] by using the [describe method, i.e.: irritant smoke]. 05.G.03.c.(5) Procedures for proper use of respirators in routine and reasonably foreseeable emergency situations; Employees will be instructed in the use, donning, doffing and limitations of the respirators they are required to use. 05.G.03.c.(6) Procedures and schedules for cleaning, disinfecting, storing, inspecting, repairing, discarding, and otherwise maintaining respirators; Respirators will be maintained per manufacturer’s instructions, Employees will be trained on these instructions including [list specific instructions here for the respirators to be used].
[CompanyName] Respiratory Protection Plan (05.G) Version 20131215 Project Name Project Number Prepared By: Date: [ProjectName] [ProjectNumber] 05.G.03.c.(1) Methods used to identify and evaluate workplace respiratory hazards; The project will be evaluated for respiratory hazards by reviewing project documents and scope for work that will create dusts, mists, fumes, vapors and other respiratory hazards. If respiratory hazards are identified, testing will be conducted to aid in the selection of respirators. 05.G.03.c.(2) Procedures for selecting respirators for use in the workplace; For identified respiratory hazards, testing will be conducted to evaluate the exposure concentration so that the appropriate respirators will be used. 05.G.03.c.(3) Medical evaluations of employees required to use respirators; Employees who will wear respirators will be subject to [describe the method for medical evaluation of employees, i.e.: medical questionnaire or consultation with medical provider]. 05.G.03.c.(4) Fit testing procedures for tight-fitting respirators; Fit testing will be conducted by [who will conduct testing] by using the [describe method, i.e.: irritant smoke]. 05.G.03.c.(5) Procedures for proper use of respirators in routine and reasonably foreseeable emergency situations; Employees will be instructed in the use, donning, doffing and limitations of the respirators they are required to use. 05.G.03.c.(6) Procedures and schedules for cleaning, disinfecting, storing, inspecting, repairing, discarding, and otherwise maintaining respirators; Respirators will be maintained per manufacturer’s instructions, Employees will be trained on these instructions including [list specific instructions here for the respirators to be used].
933_Risk-Specific-Hazard-Plan-Templates.docx