Respiratory Protection Program

Establish a consistent approach to protecting employees from airborne contaminants with this editable Respiratory Protection Program from Team Libertas.

An effective respiratory protection program involves more than providing employees with respirators. Employers must evaluate respiratory hazards, select appropriate equipment, address medical evaluations and fit testing, train employees, and maintain the equipment and records needed to support safe respirator use.

This written program provides a framework for managing required and voluntary respirator use across a variety of workplace operations. It is designed to be customized to an organization's respiratory hazards, equipment, employees, and operating conditions.

The program covers:

• Employer, program administrator, supervisor, and employee responsibilities
• Respiratory hazard identification and exposure evaluation
• Engineering and administrative controls
• Respirator selection and NIOSH approval
• Medical evaluations and reevaluation
• Qualitative and quantitative fit testing
• Proper respirator use, user seal checks, and limitations
• Facial hair and other conditions affecting respirator fit
• Routine and emergency respirator use, including IDLH considerations
• Voluntary respirator use
• Respirator cleaning, inspection, storage, and repair
• Cartridge, filter, and component replacement
• Breathing air quality for supplied-air respirators
• Initial employee training and retraining
• Program evaluation, documentation, and recordkeeping

What's included:

An editable Microsoft Word (.docx) program with supporting forms and implementation resources:

• Respiratory Hazard Assessment Form – Identify airborne hazards, evaluate exposures, document existing controls, and support respirator selection.
• Respirator User Authorization Log – Track employees authorized to use assigned respiratory protection.
• Respirator Selection & Issuance Record – Document equipment selection, assigned filters or cartridges, issuance, and applicable employee requirements.
• Fit Test Record – Document respirator information, fit testing methods, results, and follow-up.
• Respirator Inspection Log – Record equipment inspections, deficiencies, and corrective actions.
• Voluntary Respirator Use Acknowledgment – Document employee acknowledgment and authorization for voluntary use.
• Respiratory Protection Training Record – Document training topics, attendance, and instructor verification.
• Annual Program Evaluation Form – Review program effectiveness, identify deficiencies, and document recommended improvements.

Designed for customization

The program can be adapted to different workplaces, respiratory hazards, and respirator types. Employers can identify their program administrator, establish site-specific procedures, document respirator assignments, and incorporate additional requirements applicable to their operations.

Important information:

This template references OSHA's Respiratory Protection Standard, 29 CFR 1910.134. It must be reviewed and customized before implementation to address applicable federal and state requirements, workplace exposures, respirator selection, and specific operating conditions.

The written program does not replace required exposure assessments, medical evaluations, fit testing, employee training, or equipment-specific procedures. Purchasing the program does not, by itself, establish regulatory compliance.

Format: Editable Microsoft Word (.docx), delivered as a digital download.

License: For internal use by the purchasing organization. The document may be edited, customized, reproduced, and distributed internally. Resale, external redistribution, public posting, or commercial inclusion is prohibited.

Need assistance? Team Libertas can assist with respiratory hazard assessments, program customization, respirator selection, training, and implementation. Learn more about our services.