Nonprofit Home Inspections

Voluntary Respirator Use Agreement

By signing this document, I verify that I have received and have reviewed the following documents:

  • Respiratory Protection Program for Voluntary Use of Respirators
  • Appendix D of 1910.134:
  • Oregon OSHA Voluntary Respirator Use Fact Sheet



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Signed by Charles Lewis
Signed On: August 9, 2019

Signature Certificate
Document name: Voluntary Respirator Use Agreement
lock iconUnique Document ID: 8ec4de75ca0cd4fc3b92d793c6efe084d46ee3ec
Timestamp Audit
August 9, 2019 1:12 pm PSTVoluntary Respirator Use Agreement Uploaded by Charles Lewis - IP,