Crystalline Silica Control: Respirator Selection Worksheet - (TLV)

Form Template

The Program Administrator or his/her assistant use the app to conduct evaluations periodically of the workplace to ensure the effectiveness of the respirator program.

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The evaluations include consultations with employees and their supervisors, site inspections, air monitoring and a review of records. The Program Administrator corrects any TLV problems identified during these evaluations. Employees are trained to use their respirators whenever performing tasks specified by the Program Administrator. All use is in accordance with this program and with the training received by workers. A respirator shall not be used in a manner for which it is not certified by NIOSH or by its manufacturer. All employees will conduct user seal checks each time they wear their respirator. The Crystalline Silica Control: Respirator Selection Worksheet - (TLV) mobile app allows you to replace your paper respirator worksheet with a smartphone, tablet or computer. The mobile form includes fields to document items such as activity, exposed workers, air monitoring results, respirators selected and captures signatures. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your health and safety records. You can also use the App Builder to personalize and customize this mobile form.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
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