Voluntary N95 Respirator Use

Eligibility

Non-clinical staff who are interested in using respiratory protection voluntarily may submit a request by following the instructions below.

Departmental Requests

Department managers should:

  1. Instruct all staff requesting voluntary N95 respirators to complete the N-95 Respirator for Voluntary Use training course.
  2. Collect signed Voluntary N95 Respirator Use Acknowledgement Forms 
  3. Submit an EHS Service Request (as outlined in Step 2 below). 
  4. EH&S will provide you with information on appointments and/or office hours to pickup a supply of N-95 respirators. 

 

Individual Requests

Step 1. Training

  1. Register for and complete the N-95 Respirator for Voluntary Use training course in the UCLA Health Cornerstone Portal.
  2. Sign-in with your UCLA Health account (Mednet Username and Password).
  3. Click on the blue "Launch" button.
  4. Review the training and pass the Quiz to successfully complete the course.
  5. EH&S will verify the training requirement once the course has been completed.

Step 2. Request

Complete the EHS Service Request Form online.

  1. Select “General Safety” from the EHS Program menu
  2. Enter “Voluntary N95 Respirator Request” in the Comments section.

Ambulatory and Community Practices: Please submit requests to [email protected]

Step 3. Appointment

Once you have completed your training, EH&S will provide you with information on appointments and/or office hours to pickup your N-95 respirator. During the appointment you will:

  1. Obtain a copy of the training handout.
  2. Review donning/doffing procedure.
  3. Submit documentation and acknowledgment.

Step 4. Acknowledgement

Since the use of a respirator is voluntary, you will be asked to sign a Voluntary N95 Respirator Use Acknowledgement Form that will be sent to your supervisor and kept on file.