Clinic RPP Template
- Clinic RPP Template Home
- Administration
- Scope and Application
- Identifying Work Hazards
- Respirator Selection
- Medical Evaluations
- Fit Testing
- Proper Respirator Use
- Cleaning and Disinfecting
- Inspecting, Maintenance and Repairs
- Respirator Training
- Evaluating/Updating Program
- Roles and Responsibilities
- Documentation and Record-keeping
Contact Info
Infectious Disease Epidemiology, Prevention and Control Division
651-201-5414
Clinic Respiratory Protection Program Template
Clinics may use or download this program and fill in the blank spaces to make it unique to your facility.
Download a print version of this document:
Clinic Respiratory Protection Program Template (PDF)
Download an editable version of this document:
Clinic Respiratory Protection Program Template (Word)
Policy
The purpose of this program is to ensure that all employees required to wear respiratory protection as a condition of their employment are protected from respiratory hazards through the proper use of respirators.
Program Components
- Program Administration
- Program Scope and Application
- Identifying Work Hazards
- Respirator Selection
- Medical Evaluations
- Fit Testing
- Proper Respirator Use
- Cleaning and Disinfecting
- Inspecting, Maintenance and Repairs
- Respirator Training
- Evaluating/Updating Program
- Roles and Responsibilities
- Documentation and Record-keeping
References
Last Updated: 10/04/2022