Respiratory
Protection Program
SAMPLE
Policy Statement
This
sample policy statement is provided
only as a guide to assist in complying
with 29 CFR 1910.134, OSHA's Respiratory
Protection Program Pathogens standard.
It is not intended to supersede
the requirements detailed in the
standards. Review the standard for
particular requirements which are
applicable to your specific situation.
Employers will need to delete or
add information relevant to your
particular facility in order to
develop an effective, comprehensive
plan.
This
sample covers situations where no
employee is expected or required
to use respiratory protection equipment,
but who may voluntarily choose to
wear a dust mask. Not that this
option does require that the employer
provide a copy of Appendix D to
the employee.
This
material and safety and health consultation
services are provided at no cost
to owners, proprietors, and managers
of small businesses by the Illinois
Onsite Safety & Health Consultation
Program, Industrial Services Division,
Department of Commerce and Community
Affairs under a program funded largely
by the Occupational Safety and Health
Administration (OSHA), an agency
of the U.S. Department of Labor.
ONSITE SAFETY & HEALTH CONSULTATION
PROGRAM
Illinois Department of Commerce
& Economic Opportunity
Industrial Services Division
100 West Randolph, Suites 3-400
Chicago, Illinois 60601
Phone: 312-814-2337 Fax: 312-814-7238
TDD: 800-419-0667
RESPIRATORY
PROTECTION PROGRAM
Voluntary Use of Dust Masks (Filtering
Facepiece Respirator)
We designed this program to protect
employee health though we have decided
that respirators are not required
in any operation. We will allow
dust masks for those employees who
wish to use them. We recommend NIOSH-approved
respirators (i.e., dust masks, designated
Series N-, R-, or P-, Type 95, 97
or 100) but do not require for voluntary
use.
The use of dust mask respirators
by employees is strictly voluntary.
Employees who want to wear the dust
mask must obtain permission. We
will ensure that the use of the
dust mask does not interfere with
the employee's ability to work safely.
We will also give the employee a
copy of Appendix D of the OSHA Respirator
Standard 29 CFR 1910.134 (attached).
We
require employees':
