[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-165421-en":3,"doc-seo-165421-105":30,"detail-sidebar-cat-1-en-105":89},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":4,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":15,"update_tm":28,"read_time":29},165421,1099523882367,"Jordan Avery","https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc",1,17,"Forms","Voluntary Use Respiratory Protection Plan","Voluntary Use Respiratory Protection Plan outlines how employees may choose to wear respirators when OSHA or the employer does not require them, focusing on maintaining workplace safety and regulatory alignment with OSHA 29 CFR 1910.134(c)(2). It defines purpose, scope, and voluntary use policies for NIOSH-approved filtering facepiece respirators and other respirators only with prior approval. The plan assigns employer and employee responsibilities, covers limited written program elements when needed, specifies training and medical evaluation triggers, and includes Appendix D distribution plus employee acknowledgment recordkeeping.","Voluntary Use Respiratory Protection Plan\nOSHA 29 CFR 1910.134(c)(2)\u000bBusiness Name: [Your Business Name]\u000bLocation: [Facility Address]\u000bPrepared By: [Name / Title]\u000bEffective Date: [MM/DD/YYYY]\n1. Purpose\nThis plan provides guidance for the voluntary use of respirators in the workplace, ensuring employee safety while complying with the requirements of OSHA 1910.134(c)(2). It applies only where respirator use is not required by the employer or OSHA regulations.\n2. Scope\nThis program applies to employees who choose to wear respirators voluntarily for comfort, odor reduction, or personal preference while performing tasks not requiring respiratory protection by OSHA or the employer.\n3. Voluntary Use Policy\nEmployees may choose to wear NIOSH-approved filtering facepiece respirators (e.g., N95 masks) voluntarily.\nOther types of respirators (e.g., elastomeric half-face or full-face respirators) may be worn voluntarily only with prior approval and under specific conditions.\n4. Employer Responsibilities\nPer OSHA 1910.134(c)(2), when allowing voluntary use of respirators:\nFor filtering facepiece respirators only (e.g., N95):\nThe employer must:\nProvide users with OSHA Appendix D (1910.134) — a required information sheet on voluntary respirator use.\nEnsure that use does not create a hazard (e.g., sanitation, misuse, or discomfort leading to injury).\nFor other respirators (e.g., reusable half-mask or full-facepiece respirators):\nThe employer must:\nProvide Appendix D\nImplement limited elements of a written respiratory protection program:\nMedical evaluation (to ensure user is physically fit to wear a respirator)\nEnsure cleaning, storage, and maintenance of the respirator\nVerify that use will not interfere with work duties or safety\n5. Employee Responsibilities\nEmployees who voluntarily use respirators must:\nRead and understand OSHA Appendix D (provided at training and attached to this plan)\nUse respirators properly and safely\nStore respirators in a clean, dry location\nInspect respirators before each use for damage or wear\nRefrain from sharing respirators\nNotify a supervisor if experiencing discomfort or medical symptoms while using a respirator\n6. Medical Evaluation (if required)\nIf an employee chooses to wear a non-filtering facepiece (e.g., elastomeric or powered respirator), they must first complete a medical questionnaire and possibly undergo a physician’s evaluation to ensure they can safely wear the respirator.\n7. Training\nEmployees voluntarily using respirators will be trained on:\nProper donning and doffing\nLimitations of respirators\nMaintenance and care (for reusable respirators)\nOSHA Appendix D content\n8. Appendix D: OSHA Required Information\nA copy of Appendix D to 1910.134 must be provided to each voluntary user. Here's a brief summary:\n\"Respirators can protect your health in many ways. If you choose to wear one, you must understand how to use it properly. Always follow manufacturer instructions and keep the respirator clean. Voluntary use is not required unless specified, but improper use can be dangerous.\"\n👉 The full Appendix D text is available here:\u000b\u0013 HYPERLINK \"https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.134AppD\" \u0014https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.134AppD\u0015\n9. Recordkeeping\nSigned acknowledgment of Appendix D receipt will be kept on file\nAny completed medical evaluations (if required) will be confidentially maintained per OSHA guidelines\n10. Plan Review and Administration\nThis plan will be reviewed annually or when:\nA new type of respirator is introduced\nRelevant OSHA standards are updated\nAn incident or concern prompts review\nProgram Administrator:\u000bName: [Your Name]\u000bTitle: [Owner / Safety Coordinator]\u000bPhone: [XXX-XXX-XXXX]\u000bEmail: [you@example.com]\nSignature: ___________________________\u000bDate: [MM/DD/YYYY]\nAppendix D Acknowledgment Form\nVoluntary Use Respiratory Protection\u000b(OSHA 29 CFR 1910.134(c)(2))\nBusiness Name: ___________________________\u000bLocation: ____________________","cbCaifrTOAyDmpoE","https://ap.wps.com/l/cbCaifrTOAyDmpoE","docx",20667,4,"English","en",105,"# Purpose\n# Scope\n# Voluntary Use Policy\n# Employer Responsibilities\n# Employee Responsibilities\n# Medical Evaluation (if required)\n# Training\n# Appendix D: OSHA Required Information\n# Recordkeeping\n# Plan Review and Administration\n## Appendix D Acknowledgment Form","[{\"question\":\"When does this plan apply to voluntary respirator use?\",\"answer\":\"It applies only where respirator use is not required by the employer or by OSHA rules, and to employees who choose to wear respirators voluntarily for comfort, odor reduction, or personal preference while performing tasks not requiring respiratory protection.\"},{\"question\":\"What responsibilities does the employer have under OSHA 1910.134(c)(2) for voluntary use?\",\"answer\":\"For filtering facepiece respirators only, the employer must provide OSHA Appendix D and ensure use does not create a hazard. For other respirators, the employer must provide Appendix D and implement limited elements of a written respiratory protection program, including medical evaluation, cleaning/storage/maintenance, and ensuring use does not interfere with work duties or safety.\"},{\"question\":\"What must employees do when they choose to use a respirator voluntarily?\",\"answer\":\"Employees must read and understand Appendix D, use respirators properly and safely, store them in a clean, dry location, inspect them before each use, refrain from sharing, and notify a supervisor if they experience discomfort or medical symptoms.\"}]","Voluntary Use Respiratory Protection Plan | DOCX",1788171258,2,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":14,"keywords":34,"description":15,"schema_data":35,"social_meta":84,"head_meta":86,"extra_data":88,"updated_unix":28},"voluntary-use-respiratory-protection-plan","",{"@graph":36,"@context":83},[37,52,66],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,47,50],{"item":41,"name":42,"@type":43,"position":11},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":29},"https://docshare.wps.com/template/","Template",{"item":48,"name":13,"@type":43,"position":49},"https://docshare.wps.com/template/forms/",3,{"item":51,"name":14,"@type":43,"position":21},"https://docshare.wps.com/template/voluntary-use-respiratory-protection-plan/165421/",{"url":51,"name":14,"@type":53,"author":54,"headline":14,"publisher":56,"fileFormat":59,"inLanguage":23,"description":15,"dateModified":60,"datePublished":60,"encodingFormat":59,"isAccessibleForFree":61,"interactionStatistic":62},"DigitalDocument",{"name":9,"@type":55},"Person",{"url":41,"name":57,"@type":58},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-08-31",true,{"@type":63,"interactionType":64,"userInteractionCount":4},"InteractionCounter",{"@type":65},"ViewAction",{"@type":67,"mainEntity":68},"FAQPage",[69,75,79],{"name":70,"@type":71,"acceptedAnswer":72},"When does this plan apply to voluntary respirator use?","Question",{"text":73,"@type":74},"It applies only where respirator use is not required by the employer or by OSHA rules, and to employees who choose to wear respirators voluntarily for comfort, odor reduction, or personal preference while performing tasks not requiring respiratory protection.","Answer",{"name":76,"@type":71,"acceptedAnswer":77},"What responsibilities does the employer have under OSHA 1910.134(c)(2) for voluntary use?",{"text":78,"@type":74},"For filtering facepiece respirators only, the employer must provide OSHA Appendix D and ensure use does not create a hazard. For other respirators, the employer must provide Appendix D and implement limited elements of a written respiratory protection program, including medical evaluation, cleaning/storage/maintenance, and ensuring use does not interfere with work duties or safety.",{"name":80,"@type":71,"acceptedAnswer":81},"What must employees do when they choose to use a respirator voluntarily?",{"text":82,"@type":74},"Employees must read and understand Appendix D, use respirators properly and safely, store them in a clean, dry location, inspect them before each use, refrain from sharing, and notify a supervisor if they experience discomfort or medical symptoms.","https://schema.org",{"og:url":51,"og:type":85,"og:title":14,"og:site_name":57,"og:description":15},"article",{"robots":87,"canonical":51},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":90},[91,96,101,106,111,116,119,124,129],{"id":92,"doc_module":11,"doc_module_name":46,"category_name":93,"show_sort_weight":94,"slug":95},11,"Presentations",90,"presentations",{"id":97,"doc_module":11,"doc_module_name":46,"category_name":98,"show_sort_weight":99,"slug":100},12,"Resumes",80,"resumes",{"id":102,"doc_module":11,"doc_module_name":46,"category_name":103,"show_sort_weight":104,"slug":105},14,"Invoices",70,"invoices",{"id":107,"doc_module":11,"doc_module_name":46,"category_name":108,"show_sort_weight":109,"slug":110},15,"Posters",60,"posters",{"id":112,"doc_module":11,"doc_module_name":46,"category_name":113,"show_sort_weight":114,"slug":115},16,"Social Media",50,"social-media",{"id":12,"doc_module":11,"doc_module_name":46,"category_name":13,"show_sort_weight":117,"slug":118},40,"forms",{"id":120,"doc_module":11,"doc_module_name":46,"category_name":121,"show_sort_weight":122,"slug":123},18,"Letters",30,"letters",{"id":125,"doc_module":11,"doc_module_name":46,"category_name":126,"show_sort_weight":127,"slug":128},21,"Paper Templates",5,"papers-templates",{"id":130,"doc_module":11,"doc_module_name":46,"category_name":131,"show_sort_weight":4,"slug":132},158,"General","general-158"]