Respirator Program

Principal Name
School
Respirator Administrator for Location (one name)
Email (Respirator Administrator)
Consent*
The Respirator Administrator has been informed and consents to the responsibilities below.
Responsibility: Administers the Archdiocese Program on N-95 use, maintain adherence to L&I requirements, complete paperwork, and keeps all records
Is the Respirator Administrator one of the following? Select one.
- COVID Supervisor
- Principal
- Parish Safety Officer
- Other
Ordering
Please select the respirator you wish to purchase and number of hoods/units.
PAPR Quantity
Price: $1,075.00
This can be cleaned and reused. Must have a medical evaluation but no fit testing is required.
Hood (5 per box) Size S/M Quantity
Price: $140.00
Each user will need their own individual hood.
Hood (5 per box) Size M/L Quantity
Price: $140.00
Each user will need their own individual hood.
Half Mask Respirator Size SMALL Quantity
Price: $50.00
Half Mask Respirator requires a medical evaluation and fit testing.
Half Mask Respirator Size MEDIUM (most common size) Quantity
Price: $50.00
Half Mask Respirator requires a medical evaluation and fit testing.
Half Mask Respirator Size LARGE Quantity
Price: $50.00
Half Mask Respirator requires a medical evaluation and fit testing.
Filters (2 pack) Quantity
Price: $6.50
Consumable, but last several months.
N-95 Respirators
N-95 Respirators Due to the N95 respirator shortage, we are unable to purchase these respirators at this time. If you have these respirators and plan on using them as your respirators for your location please let us know the brand, type and number you have in stock. All individuals using these respirators will need to have a medical evaluation and be fit tested prior to wearing a respirator.
Brand
Type
Number of respirators currently purchased:
Supplier

Ordering

N-95 Respirators