St. Olaf College

Respiratory
Protection Program





Section 5
RECORDKEEPING








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RECORD KEEPING



All records will be kept in the St. Olaf personnel office.


Section 5 Table of Contents



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COMPLIANCE CHECKLIST

                         Person             Projected           Actual
                       Responsible          Completion        Completion
                                               Date              Date

1.Identify
  Program
  Administrator.
  Place his/her
  name in the
  Compliance
  Manual.           __________________ / _______________ / _______________

2.Program
  Administrator
  reads Standard
  and Plan filling
  in all blanks.    __________________ / _______________ / _______________

3.Program
  Administrator
  duplicates forms
  in Facilities
  Application
  Section.          __________________ / _______________ / _______________  


4.Determine the
  areas that need
  to be surveyed
  for air
  contaminants.     __________________ / _______________ / _______________  


5.Assign people to
  do the surveying.
  They will
  complete columns
  1-3 of the Air
  Contaminant
  Inventory and
  Evaluation form
  for any air
  contaminants.     __________________ / _______________ / _______________  


6.Obtain MSDS's for
  all air
  contaminants
  identified on the
  inventory.        __________________ / _______________ / _______________  



7.Have the
  contaminant
  evaluated for
  respirator use.   __________________ / _______________ / _______________

8.The
  Contaminant
  Inventory and
  Evaluation form
  will be
  completed.        __________________ / _______________ / _______________  


9.Purchase various
  sizes of the
  required
  respirators.      __________________ / _______________ / _______________  


10.Schedule
   Respirator
   Protection and
   Training&Fit
   Testing.         __________________ / _______________ / _______________  


11.Conduct Training.
                    __________________ / _______________ / _______________  


12.Insert docu-
   mentation in the
   manual.          __________________ / _______________ / _______________  


13.Send medical
   questionnaires to
   a physician for
   evaluation.      __________________ / _______________ / _______________

14.Review Medical
   forms evaluated
   by Physician to
   ensure employee's
   ability to use a
   respirator.      __________________ / _______________ / _______________  


15.Arranges Physical
   Exam for any employee
   recommended for
   exam if employer
   is going to
   require
   respiratory
   protection.      __________________ / _______________ / _______________  


16.Route Respiratory
   Protection
   Written Program
   to all individuals
   on sign off sheet
   for their
   signature.       __________________ / _______________ / _______________  


17.Evaluate program
   yearly.          __________________ / _______________ / _______________  
           

18.Reschedule
   training as
   needed.          __________________ / _______________ / _______________

19.Contact the
   coordinator
   of environmental
   health and safety
   whenever exposures
   are expected to
   change, new exposures
   are anticipated, or
   complaints are
   received.         _________________ / _______________ / _______________  

20.St. Olaf will
   contact the
   coordinator of
   environmental health
   and safety whenever
   changes in personnel,
   equipment, processes,
   etc,. or program
   inadequacies make
   updating necessary.________________ / _______________ / _______________



Section 5 Table of Contents


Facilities Homepage | Respiratory Protection TOC | Training Manual TOC