1

Introduction to Introduction to Respiratory ProtectionRespiratory Protection

29 CFR 1910134

2

Respiratory HazardsRespiratory Hazards

Particulates dusts fumes mists fibers

Gases and Vapors Oxygen Deficiency The primary means to control

respiratory hazards is through the use of control measures such as ventilation enclosures isolation substitution of less toxic materials or work practice modifications and ppe

Respiratory TractRespiratory Tract

The major divisions of the respiratory tract (adapted from JB West Respiratory Physiology 4th ed Baltimore MD Williams and Wilkins 1990)

Naso-pharyngeal Region

Pulmonary Compartment(12 tennis court)

Tracheal-bronchial Region(conducting region)

Trachea

Bronchi

Bronchiole

TerminalBronchiole

RespiratoryBronchiole

AlveolarDuctAlveolarSac

4

Droplet vs Airborne PrecautionsDroplet vs Airborne PrecautionsDroplet Precautions mdash Intended to prevent transmission of infectious agentsspread through close respiratory or mucous membrane contact with respiratorysecretions In addition to standard precautions droplet precautionsrequire

1048696 MaskmdashDon a mask upon entry into the patient room or cubicle1048696 Other areas addressed include patient placement and patient transport

Airborne Precautions mdash Intended to prevent transmission of infectiousagents that remain infectious over long distances when suspended in theair In addition to standard precautions airborne precautions require

1048696 Respiratory protection mdash Wear a fit-tested NIOSH-approved N95 orhigher level respirator for respiratory protection when entering theroom or home of a patient who is suspected or confirmed to have anairborne infectious disease

1048696 Other areas addressed include patient placement patient transportpersonnel restrictions and exposure management

SOURCE Siegel et al 2007

5

Medical (surgical) Masks vs RespiratorsMedical (surgical) Masks vs Respirators

Medical masks (the term is used in this report to encompass

surgical masks and procedure masks) are loose-fitting coverings

of the nose and mouth designed to protect the patient from the cough or

exhaled secretions of the physician nurse or other healthcare worker

Medical masks are not designed or certified to protect the wearer from

exposure to airborne hazards They may offer some limited as yet

largely undefined protection as a barrier to splashes and large droplets

However because of the loose-fitting design of medical masks and their

lack of protective engineering medical masks are not considered personal

protective equipment

6

Benefits of a Medical MaskBenefits of a Medical Mask

Medical masks Readily available Inexpensive But does not provide respiratory protection and is not PPE

7

What is a RespiratorWhat is a Respirator

The term respirator is used in the healthcare field to refer to two different

medical devices

(1) the personal protective equipment discussed in this

report that is used to reduce the wearerrsquos risk of inhaling hazardous

substances and

(2) the mechanical ventilator device that is used to maintain the patientrsquos

Respiration following endotracheal intubation This dual (medical and

occupational) use of the term respirator has prompted many healthcare

workers to refer to PPE respirators as masks thereby confounding the

important distinctions between medical masks and respirators

8

What is a RespiratorWhat is a Respirator

Respirators are devices that protect workers from inhaling harmful airborne substances hellip

Some respirators also ensure that workers do not breathe air that contains dangerously low levels of oxygen (O2)

(OSHArsquos Small Entity Compliance Guide 93098)

9

What is a RespiratorWhat is a Respirator

Respirators are personal protective devices that cover the nose and mouth (or in some cases more of the face and head) and are used to reduce the wearerrsquos risk of inhaling hazardous airborne particles Respirators operate either by purifying the air inhaled by the wearer through filtering materials or by independently supplying breathable air to the wearer The two major issues related to air-purifying respirators are the filter and the fitmdashthe effectiveness of the filter and the extent to which the respirator has a tight seal with the wearerrsquos face that does not permit inward leakage

10

Overview of Use RequirementsOverview of Use Requirements

To effectively wear most types of air-purifying respirators

prospective wearers must undergo annual fit testing (using

Qualitative andor quantitative tests) and they are asked to

perform a fit check with each use of the device

11

Benefits of a RespiratorBenefits of a Respirator

Respirators worn by healthcare workers not only will protect

them but also may reduce the spread of disease from one

patient to another (via the healthcare worker) or from an

infected but asymptomatic healthcare worker

12

RespiratorRespirator

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

Ever see a bandana used as a respirator - is it

13

Two Classes of RespiratorsTwo Classes of Respirators

1) Air-purifying respirators - respirators with an air-purifying filter cartridge or canister that remove specific air contaminants such as dusts fumes mists vapors or fibers by passing ambient air through an air-purifying element

2) Atmosphere-supplying respirators - provide clean breathing air from an uncontaminated source

14

Two Operational ModesTwo Operational Modes

1) Negative Pressure - A respirator in which the air pressure inside the face piece is negative during inhalation with respect to the ambient air pressure outside the respirator

2) Positive Pressure - A respirator in which the pressure inside the respirator exceeds the ambient air pressure outside the respirator

15

Air Purifying RespiratorsAir Purifying Respirators

Dust MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Only for use against particles

One of most common types used in industry

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

2

Respiratory HazardsRespiratory Hazards

Particulates dusts fumes mists fibers

Gases and Vapors Oxygen Deficiency The primary means to control

respiratory hazards is through the use of control measures such as ventilation enclosures isolation substitution of less toxic materials or work practice modifications and ppe

Respiratory TractRespiratory Tract

The major divisions of the respiratory tract (adapted from JB West Respiratory Physiology 4th ed Baltimore MD Williams and Wilkins 1990)

Naso-pharyngeal Region

Pulmonary Compartment(12 tennis court)

Tracheal-bronchial Region(conducting region)

Trachea

Bronchi

Bronchiole

TerminalBronchiole

RespiratoryBronchiole

AlveolarDuctAlveolarSac

4

Droplet vs Airborne PrecautionsDroplet vs Airborne PrecautionsDroplet Precautions mdash Intended to prevent transmission of infectious agentsspread through close respiratory or mucous membrane contact with respiratorysecretions In addition to standard precautions droplet precautionsrequire

1048696 MaskmdashDon a mask upon entry into the patient room or cubicle1048696 Other areas addressed include patient placement and patient transport

Airborne Precautions mdash Intended to prevent transmission of infectiousagents that remain infectious over long distances when suspended in theair In addition to standard precautions airborne precautions require

1048696 Respiratory protection mdash Wear a fit-tested NIOSH-approved N95 orhigher level respirator for respiratory protection when entering theroom or home of a patient who is suspected or confirmed to have anairborne infectious disease

1048696 Other areas addressed include patient placement patient transportpersonnel restrictions and exposure management

SOURCE Siegel et al 2007

5

Medical (surgical) Masks vs RespiratorsMedical (surgical) Masks vs Respirators

Medical masks (the term is used in this report to encompass

surgical masks and procedure masks) are loose-fitting coverings

of the nose and mouth designed to protect the patient from the cough or

exhaled secretions of the physician nurse or other healthcare worker

Medical masks are not designed or certified to protect the wearer from

exposure to airborne hazards They may offer some limited as yet

largely undefined protection as a barrier to splashes and large droplets

However because of the loose-fitting design of medical masks and their

lack of protective engineering medical masks are not considered personal

protective equipment

6

Benefits of a Medical MaskBenefits of a Medical Mask

Medical masks Readily available Inexpensive But does not provide respiratory protection and is not PPE

7

What is a RespiratorWhat is a Respirator

The term respirator is used in the healthcare field to refer to two different

medical devices

(1) the personal protective equipment discussed in this

report that is used to reduce the wearerrsquos risk of inhaling hazardous

substances and

(2) the mechanical ventilator device that is used to maintain the patientrsquos

Respiration following endotracheal intubation This dual (medical and

occupational) use of the term respirator has prompted many healthcare

workers to refer to PPE respirators as masks thereby confounding the

important distinctions between medical masks and respirators

8

What is a RespiratorWhat is a Respirator

Respirators are devices that protect workers from inhaling harmful airborne substances hellip

Some respirators also ensure that workers do not breathe air that contains dangerously low levels of oxygen (O2)

(OSHArsquos Small Entity Compliance Guide 93098)

9

What is a RespiratorWhat is a Respirator

Respirators are personal protective devices that cover the nose and mouth (or in some cases more of the face and head) and are used to reduce the wearerrsquos risk of inhaling hazardous airborne particles Respirators operate either by purifying the air inhaled by the wearer through filtering materials or by independently supplying breathable air to the wearer The two major issues related to air-purifying respirators are the filter and the fitmdashthe effectiveness of the filter and the extent to which the respirator has a tight seal with the wearerrsquos face that does not permit inward leakage

10

Overview of Use RequirementsOverview of Use Requirements

To effectively wear most types of air-purifying respirators

prospective wearers must undergo annual fit testing (using

Qualitative andor quantitative tests) and they are asked to

perform a fit check with each use of the device

11

Benefits of a RespiratorBenefits of a Respirator

Respirators worn by healthcare workers not only will protect

them but also may reduce the spread of disease from one

patient to another (via the healthcare worker) or from an

infected but asymptomatic healthcare worker

12

RespiratorRespirator

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

Ever see a bandana used as a respirator - is it

13

Two Classes of RespiratorsTwo Classes of Respirators

1) Air-purifying respirators - respirators with an air-purifying filter cartridge or canister that remove specific air contaminants such as dusts fumes mists vapors or fibers by passing ambient air through an air-purifying element

2) Atmosphere-supplying respirators - provide clean breathing air from an uncontaminated source

14

Two Operational ModesTwo Operational Modes

1) Negative Pressure - A respirator in which the air pressure inside the face piece is negative during inhalation with respect to the ambient air pressure outside the respirator

2) Positive Pressure - A respirator in which the pressure inside the respirator exceeds the ambient air pressure outside the respirator

15

Air Purifying RespiratorsAir Purifying Respirators

Dust MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Only for use against particles

One of most common types used in industry

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

Respiratory TractRespiratory Tract

The major divisions of the respiratory tract (adapted from JB West Respiratory Physiology 4th ed Baltimore MD Williams and Wilkins 1990)

Naso-pharyngeal Region

Pulmonary Compartment(12 tennis court)

Tracheal-bronchial Region(conducting region)

Trachea

Bronchi

Bronchiole

TerminalBronchiole

RespiratoryBronchiole

AlveolarDuctAlveolarSac

4

Droplet vs Airborne PrecautionsDroplet vs Airborne PrecautionsDroplet Precautions mdash Intended to prevent transmission of infectious agentsspread through close respiratory or mucous membrane contact with respiratorysecretions In addition to standard precautions droplet precautionsrequire

1048696 MaskmdashDon a mask upon entry into the patient room or cubicle1048696 Other areas addressed include patient placement and patient transport

Airborne Precautions mdash Intended to prevent transmission of infectiousagents that remain infectious over long distances when suspended in theair In addition to standard precautions airborne precautions require

1048696 Respiratory protection mdash Wear a fit-tested NIOSH-approved N95 orhigher level respirator for respiratory protection when entering theroom or home of a patient who is suspected or confirmed to have anairborne infectious disease

1048696 Other areas addressed include patient placement patient transportpersonnel restrictions and exposure management

SOURCE Siegel et al 2007

5

Medical (surgical) Masks vs RespiratorsMedical (surgical) Masks vs Respirators

Medical masks (the term is used in this report to encompass

surgical masks and procedure masks) are loose-fitting coverings

of the nose and mouth designed to protect the patient from the cough or

exhaled secretions of the physician nurse or other healthcare worker

Medical masks are not designed or certified to protect the wearer from

exposure to airborne hazards They may offer some limited as yet

largely undefined protection as a barrier to splashes and large droplets

However because of the loose-fitting design of medical masks and their

lack of protective engineering medical masks are not considered personal

protective equipment

6

Benefits of a Medical MaskBenefits of a Medical Mask

Medical masks Readily available Inexpensive But does not provide respiratory protection and is not PPE

7

What is a RespiratorWhat is a Respirator

The term respirator is used in the healthcare field to refer to two different

medical devices

(1) the personal protective equipment discussed in this

report that is used to reduce the wearerrsquos risk of inhaling hazardous

substances and

(2) the mechanical ventilator device that is used to maintain the patientrsquos

Respiration following endotracheal intubation This dual (medical and

occupational) use of the term respirator has prompted many healthcare

workers to refer to PPE respirators as masks thereby confounding the

important distinctions between medical masks and respirators

8

What is a RespiratorWhat is a Respirator

Respirators are devices that protect workers from inhaling harmful airborne substances hellip

Some respirators also ensure that workers do not breathe air that contains dangerously low levels of oxygen (O2)

(OSHArsquos Small Entity Compliance Guide 93098)

9

What is a RespiratorWhat is a Respirator

Respirators are personal protective devices that cover the nose and mouth (or in some cases more of the face and head) and are used to reduce the wearerrsquos risk of inhaling hazardous airborne particles Respirators operate either by purifying the air inhaled by the wearer through filtering materials or by independently supplying breathable air to the wearer The two major issues related to air-purifying respirators are the filter and the fitmdashthe effectiveness of the filter and the extent to which the respirator has a tight seal with the wearerrsquos face that does not permit inward leakage

10

Overview of Use RequirementsOverview of Use Requirements

To effectively wear most types of air-purifying respirators

prospective wearers must undergo annual fit testing (using

Qualitative andor quantitative tests) and they are asked to

perform a fit check with each use of the device

11

Benefits of a RespiratorBenefits of a Respirator

Respirators worn by healthcare workers not only will protect

them but also may reduce the spread of disease from one

patient to another (via the healthcare worker) or from an

infected but asymptomatic healthcare worker

12

RespiratorRespirator

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

Ever see a bandana used as a respirator - is it

13

Two Classes of RespiratorsTwo Classes of Respirators

1) Air-purifying respirators - respirators with an air-purifying filter cartridge or canister that remove specific air contaminants such as dusts fumes mists vapors or fibers by passing ambient air through an air-purifying element

2) Atmosphere-supplying respirators - provide clean breathing air from an uncontaminated source

14

Two Operational ModesTwo Operational Modes

1) Negative Pressure - A respirator in which the air pressure inside the face piece is negative during inhalation with respect to the ambient air pressure outside the respirator

2) Positive Pressure - A respirator in which the pressure inside the respirator exceeds the ambient air pressure outside the respirator

15

Air Purifying RespiratorsAir Purifying Respirators

Dust MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Only for use against particles

One of most common types used in industry

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

4

Droplet vs Airborne PrecautionsDroplet vs Airborne PrecautionsDroplet Precautions mdash Intended to prevent transmission of infectious agentsspread through close respiratory or mucous membrane contact with respiratorysecretions In addition to standard precautions droplet precautionsrequire

1048696 MaskmdashDon a mask upon entry into the patient room or cubicle1048696 Other areas addressed include patient placement and patient transport

Airborne Precautions mdash Intended to prevent transmission of infectiousagents that remain infectious over long distances when suspended in theair In addition to standard precautions airborne precautions require

1048696 Respiratory protection mdash Wear a fit-tested NIOSH-approved N95 orhigher level respirator for respiratory protection when entering theroom or home of a patient who is suspected or confirmed to have anairborne infectious disease

1048696 Other areas addressed include patient placement patient transportpersonnel restrictions and exposure management

SOURCE Siegel et al 2007

5

Medical (surgical) Masks vs RespiratorsMedical (surgical) Masks vs Respirators

Medical masks (the term is used in this report to encompass

surgical masks and procedure masks) are loose-fitting coverings

of the nose and mouth designed to protect the patient from the cough or

exhaled secretions of the physician nurse or other healthcare worker

Medical masks are not designed or certified to protect the wearer from

exposure to airborne hazards They may offer some limited as yet

largely undefined protection as a barrier to splashes and large droplets

However because of the loose-fitting design of medical masks and their

lack of protective engineering medical masks are not considered personal

protective equipment

6

Benefits of a Medical MaskBenefits of a Medical Mask

Medical masks Readily available Inexpensive But does not provide respiratory protection and is not PPE

7

What is a RespiratorWhat is a Respirator

The term respirator is used in the healthcare field to refer to two different

medical devices

(1) the personal protective equipment discussed in this

report that is used to reduce the wearerrsquos risk of inhaling hazardous

substances and

(2) the mechanical ventilator device that is used to maintain the patientrsquos

Respiration following endotracheal intubation This dual (medical and

occupational) use of the term respirator has prompted many healthcare

workers to refer to PPE respirators as masks thereby confounding the

important distinctions between medical masks and respirators

8

What is a RespiratorWhat is a Respirator

Respirators are devices that protect workers from inhaling harmful airborne substances hellip

Some respirators also ensure that workers do not breathe air that contains dangerously low levels of oxygen (O2)

(OSHArsquos Small Entity Compliance Guide 93098)

9

What is a RespiratorWhat is a Respirator

Respirators are personal protective devices that cover the nose and mouth (or in some cases more of the face and head) and are used to reduce the wearerrsquos risk of inhaling hazardous airborne particles Respirators operate either by purifying the air inhaled by the wearer through filtering materials or by independently supplying breathable air to the wearer The two major issues related to air-purifying respirators are the filter and the fitmdashthe effectiveness of the filter and the extent to which the respirator has a tight seal with the wearerrsquos face that does not permit inward leakage

10

Overview of Use RequirementsOverview of Use Requirements

To effectively wear most types of air-purifying respirators

prospective wearers must undergo annual fit testing (using

Qualitative andor quantitative tests) and they are asked to

perform a fit check with each use of the device

11

Benefits of a RespiratorBenefits of a Respirator

Respirators worn by healthcare workers not only will protect

them but also may reduce the spread of disease from one

patient to another (via the healthcare worker) or from an

infected but asymptomatic healthcare worker

12

RespiratorRespirator

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

Ever see a bandana used as a respirator - is it

13

Two Classes of RespiratorsTwo Classes of Respirators

1) Air-purifying respirators - respirators with an air-purifying filter cartridge or canister that remove specific air contaminants such as dusts fumes mists vapors or fibers by passing ambient air through an air-purifying element

2) Atmosphere-supplying respirators - provide clean breathing air from an uncontaminated source

14

Two Operational ModesTwo Operational Modes

1) Negative Pressure - A respirator in which the air pressure inside the face piece is negative during inhalation with respect to the ambient air pressure outside the respirator

2) Positive Pressure - A respirator in which the pressure inside the respirator exceeds the ambient air pressure outside the respirator

15

Air Purifying RespiratorsAir Purifying Respirators

Dust MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Only for use against particles

One of most common types used in industry

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

5

Medical (surgical) Masks vs RespiratorsMedical (surgical) Masks vs Respirators

Medical masks (the term is used in this report to encompass

surgical masks and procedure masks) are loose-fitting coverings

of the nose and mouth designed to protect the patient from the cough or

exhaled secretions of the physician nurse or other healthcare worker

Medical masks are not designed or certified to protect the wearer from

exposure to airborne hazards They may offer some limited as yet

largely undefined protection as a barrier to splashes and large droplets

However because of the loose-fitting design of medical masks and their

lack of protective engineering medical masks are not considered personal

protective equipment

6

Benefits of a Medical MaskBenefits of a Medical Mask

Medical masks Readily available Inexpensive But does not provide respiratory protection and is not PPE

7

What is a RespiratorWhat is a Respirator

The term respirator is used in the healthcare field to refer to two different

medical devices

(1) the personal protective equipment discussed in this

report that is used to reduce the wearerrsquos risk of inhaling hazardous

substances and

(2) the mechanical ventilator device that is used to maintain the patientrsquos

Respiration following endotracheal intubation This dual (medical and

occupational) use of the term respirator has prompted many healthcare

workers to refer to PPE respirators as masks thereby confounding the

important distinctions between medical masks and respirators

8

What is a RespiratorWhat is a Respirator

Respirators are devices that protect workers from inhaling harmful airborne substances hellip

Some respirators also ensure that workers do not breathe air that contains dangerously low levels of oxygen (O2)

(OSHArsquos Small Entity Compliance Guide 93098)

9

What is a RespiratorWhat is a Respirator

Respirators are personal protective devices that cover the nose and mouth (or in some cases more of the face and head) and are used to reduce the wearerrsquos risk of inhaling hazardous airborne particles Respirators operate either by purifying the air inhaled by the wearer through filtering materials or by independently supplying breathable air to the wearer The two major issues related to air-purifying respirators are the filter and the fitmdashthe effectiveness of the filter and the extent to which the respirator has a tight seal with the wearerrsquos face that does not permit inward leakage

10

Overview of Use RequirementsOverview of Use Requirements

To effectively wear most types of air-purifying respirators

prospective wearers must undergo annual fit testing (using

Qualitative andor quantitative tests) and they are asked to

perform a fit check with each use of the device

11

Benefits of a RespiratorBenefits of a Respirator

Respirators worn by healthcare workers not only will protect

them but also may reduce the spread of disease from one

patient to another (via the healthcare worker) or from an

infected but asymptomatic healthcare worker

12

RespiratorRespirator

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

Ever see a bandana used as a respirator - is it

13

Two Classes of RespiratorsTwo Classes of Respirators

1) Air-purifying respirators - respirators with an air-purifying filter cartridge or canister that remove specific air contaminants such as dusts fumes mists vapors or fibers by passing ambient air through an air-purifying element

2) Atmosphere-supplying respirators - provide clean breathing air from an uncontaminated source

14

Two Operational ModesTwo Operational Modes

1) Negative Pressure - A respirator in which the air pressure inside the face piece is negative during inhalation with respect to the ambient air pressure outside the respirator

2) Positive Pressure - A respirator in which the pressure inside the respirator exceeds the ambient air pressure outside the respirator

15

Air Purifying RespiratorsAir Purifying Respirators

Dust MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Only for use against particles

One of most common types used in industry

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

6

Benefits of a Medical MaskBenefits of a Medical Mask

Medical masks Readily available Inexpensive But does not provide respiratory protection and is not PPE

7

What is a RespiratorWhat is a Respirator

The term respirator is used in the healthcare field to refer to two different

medical devices

(1) the personal protective equipment discussed in this

report that is used to reduce the wearerrsquos risk of inhaling hazardous

substances and

(2) the mechanical ventilator device that is used to maintain the patientrsquos

Respiration following endotracheal intubation This dual (medical and

occupational) use of the term respirator has prompted many healthcare

workers to refer to PPE respirators as masks thereby confounding the

important distinctions between medical masks and respirators

8

What is a RespiratorWhat is a Respirator

Respirators are devices that protect workers from inhaling harmful airborne substances hellip

Some respirators also ensure that workers do not breathe air that contains dangerously low levels of oxygen (O2)

(OSHArsquos Small Entity Compliance Guide 93098)

9

What is a RespiratorWhat is a Respirator

Respirators are personal protective devices that cover the nose and mouth (or in some cases more of the face and head) and are used to reduce the wearerrsquos risk of inhaling hazardous airborne particles Respirators operate either by purifying the air inhaled by the wearer through filtering materials or by independently supplying breathable air to the wearer The two major issues related to air-purifying respirators are the filter and the fitmdashthe effectiveness of the filter and the extent to which the respirator has a tight seal with the wearerrsquos face that does not permit inward leakage

10

Overview of Use RequirementsOverview of Use Requirements

To effectively wear most types of air-purifying respirators

prospective wearers must undergo annual fit testing (using

Qualitative andor quantitative tests) and they are asked to

perform a fit check with each use of the device

11

Benefits of a RespiratorBenefits of a Respirator

Respirators worn by healthcare workers not only will protect

them but also may reduce the spread of disease from one

patient to another (via the healthcare worker) or from an

infected but asymptomatic healthcare worker

12

RespiratorRespirator

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

Ever see a bandana used as a respirator - is it

13

Two Classes of RespiratorsTwo Classes of Respirators

1) Air-purifying respirators - respirators with an air-purifying filter cartridge or canister that remove specific air contaminants such as dusts fumes mists vapors or fibers by passing ambient air through an air-purifying element

2) Atmosphere-supplying respirators - provide clean breathing air from an uncontaminated source

14

Two Operational ModesTwo Operational Modes

1) Negative Pressure - A respirator in which the air pressure inside the face piece is negative during inhalation with respect to the ambient air pressure outside the respirator

2) Positive Pressure - A respirator in which the pressure inside the respirator exceeds the ambient air pressure outside the respirator

15

Air Purifying RespiratorsAir Purifying Respirators

Dust MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Only for use against particles

One of most common types used in industry

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

7

What is a RespiratorWhat is a Respirator

The term respirator is used in the healthcare field to refer to two different

medical devices

(1) the personal protective equipment discussed in this

report that is used to reduce the wearerrsquos risk of inhaling hazardous

substances and

(2) the mechanical ventilator device that is used to maintain the patientrsquos

Respiration following endotracheal intubation This dual (medical and

occupational) use of the term respirator has prompted many healthcare

workers to refer to PPE respirators as masks thereby confounding the

important distinctions between medical masks and respirators

8

What is a RespiratorWhat is a Respirator

Respirators are devices that protect workers from inhaling harmful airborne substances hellip

Some respirators also ensure that workers do not breathe air that contains dangerously low levels of oxygen (O2)

(OSHArsquos Small Entity Compliance Guide 93098)

9

What is a RespiratorWhat is a Respirator

Respirators are personal protective devices that cover the nose and mouth (or in some cases more of the face and head) and are used to reduce the wearerrsquos risk of inhaling hazardous airborne particles Respirators operate either by purifying the air inhaled by the wearer through filtering materials or by independently supplying breathable air to the wearer The two major issues related to air-purifying respirators are the filter and the fitmdashthe effectiveness of the filter and the extent to which the respirator has a tight seal with the wearerrsquos face that does not permit inward leakage

10

Overview of Use RequirementsOverview of Use Requirements

To effectively wear most types of air-purifying respirators

prospective wearers must undergo annual fit testing (using

Qualitative andor quantitative tests) and they are asked to

perform a fit check with each use of the device

11

Benefits of a RespiratorBenefits of a Respirator

Respirators worn by healthcare workers not only will protect

them but also may reduce the spread of disease from one

patient to another (via the healthcare worker) or from an

infected but asymptomatic healthcare worker

12

RespiratorRespirator

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

Ever see a bandana used as a respirator - is it

13

Two Classes of RespiratorsTwo Classes of Respirators

1) Air-purifying respirators - respirators with an air-purifying filter cartridge or canister that remove specific air contaminants such as dusts fumes mists vapors or fibers by passing ambient air through an air-purifying element

2) Atmosphere-supplying respirators - provide clean breathing air from an uncontaminated source

14

Two Operational ModesTwo Operational Modes

1) Negative Pressure - A respirator in which the air pressure inside the face piece is negative during inhalation with respect to the ambient air pressure outside the respirator

2) Positive Pressure - A respirator in which the pressure inside the respirator exceeds the ambient air pressure outside the respirator

15

Air Purifying RespiratorsAir Purifying Respirators

Dust MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Only for use against particles

One of most common types used in industry

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

8

What is a RespiratorWhat is a Respirator

Respirators are devices that protect workers from inhaling harmful airborne substances hellip

Some respirators also ensure that workers do not breathe air that contains dangerously low levels of oxygen (O2)

(OSHArsquos Small Entity Compliance Guide 93098)

9

What is a RespiratorWhat is a Respirator

Respirators are personal protective devices that cover the nose and mouth (or in some cases more of the face and head) and are used to reduce the wearerrsquos risk of inhaling hazardous airborne particles Respirators operate either by purifying the air inhaled by the wearer through filtering materials or by independently supplying breathable air to the wearer The two major issues related to air-purifying respirators are the filter and the fitmdashthe effectiveness of the filter and the extent to which the respirator has a tight seal with the wearerrsquos face that does not permit inward leakage

10

Overview of Use RequirementsOverview of Use Requirements

To effectively wear most types of air-purifying respirators

prospective wearers must undergo annual fit testing (using

Qualitative andor quantitative tests) and they are asked to

perform a fit check with each use of the device

11

Benefits of a RespiratorBenefits of a Respirator

Respirators worn by healthcare workers not only will protect

them but also may reduce the spread of disease from one

patient to another (via the healthcare worker) or from an

infected but asymptomatic healthcare worker

12

RespiratorRespirator

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

Ever see a bandana used as a respirator - is it

13

Two Classes of RespiratorsTwo Classes of Respirators

1) Air-purifying respirators - respirators with an air-purifying filter cartridge or canister that remove specific air contaminants such as dusts fumes mists vapors or fibers by passing ambient air through an air-purifying element

2) Atmosphere-supplying respirators - provide clean breathing air from an uncontaminated source

14

Two Operational ModesTwo Operational Modes

1) Negative Pressure - A respirator in which the air pressure inside the face piece is negative during inhalation with respect to the ambient air pressure outside the respirator

2) Positive Pressure - A respirator in which the pressure inside the respirator exceeds the ambient air pressure outside the respirator

15

Air Purifying RespiratorsAir Purifying Respirators

Dust MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Only for use against particles

One of most common types used in industry

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

9

What is a RespiratorWhat is a Respirator

Respirators are personal protective devices that cover the nose and mouth (or in some cases more of the face and head) and are used to reduce the wearerrsquos risk of inhaling hazardous airborne particles Respirators operate either by purifying the air inhaled by the wearer through filtering materials or by independently supplying breathable air to the wearer The two major issues related to air-purifying respirators are the filter and the fitmdashthe effectiveness of the filter and the extent to which the respirator has a tight seal with the wearerrsquos face that does not permit inward leakage

10

Overview of Use RequirementsOverview of Use Requirements

To effectively wear most types of air-purifying respirators

prospective wearers must undergo annual fit testing (using

Qualitative andor quantitative tests) and they are asked to

perform a fit check with each use of the device

11

Benefits of a RespiratorBenefits of a Respirator

Respirators worn by healthcare workers not only will protect

them but also may reduce the spread of disease from one

patient to another (via the healthcare worker) or from an

infected but asymptomatic healthcare worker

12

RespiratorRespirator

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

Ever see a bandana used as a respirator - is it

13

Two Classes of RespiratorsTwo Classes of Respirators

1) Air-purifying respirators - respirators with an air-purifying filter cartridge or canister that remove specific air contaminants such as dusts fumes mists vapors or fibers by passing ambient air through an air-purifying element

2) Atmosphere-supplying respirators - provide clean breathing air from an uncontaminated source

14

Two Operational ModesTwo Operational Modes

1) Negative Pressure - A respirator in which the air pressure inside the face piece is negative during inhalation with respect to the ambient air pressure outside the respirator

2) Positive Pressure - A respirator in which the pressure inside the respirator exceeds the ambient air pressure outside the respirator

15

Air Purifying RespiratorsAir Purifying Respirators

Dust MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Only for use against particles

One of most common types used in industry

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

10

Overview of Use RequirementsOverview of Use Requirements

To effectively wear most types of air-purifying respirators

prospective wearers must undergo annual fit testing (using

Qualitative andor quantitative tests) and they are asked to

perform a fit check with each use of the device

11

Benefits of a RespiratorBenefits of a Respirator

Respirators worn by healthcare workers not only will protect

them but also may reduce the spread of disease from one

patient to another (via the healthcare worker) or from an

infected but asymptomatic healthcare worker

12

RespiratorRespirator

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

Ever see a bandana used as a respirator - is it

13

Two Classes of RespiratorsTwo Classes of Respirators

1) Air-purifying respirators - respirators with an air-purifying filter cartridge or canister that remove specific air contaminants such as dusts fumes mists vapors or fibers by passing ambient air through an air-purifying element

2) Atmosphere-supplying respirators - provide clean breathing air from an uncontaminated source

14

Two Operational ModesTwo Operational Modes

1) Negative Pressure - A respirator in which the air pressure inside the face piece is negative during inhalation with respect to the ambient air pressure outside the respirator

2) Positive Pressure - A respirator in which the pressure inside the respirator exceeds the ambient air pressure outside the respirator

15

Air Purifying RespiratorsAir Purifying Respirators

Dust MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Only for use against particles

One of most common types used in industry

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

11

Benefits of a RespiratorBenefits of a Respirator

Respirators worn by healthcare workers not only will protect

them but also may reduce the spread of disease from one

patient to another (via the healthcare worker) or from an

infected but asymptomatic healthcare worker

12

RespiratorRespirator

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

Ever see a bandana used as a respirator - is it

13

Two Classes of RespiratorsTwo Classes of Respirators

1) Air-purifying respirators - respirators with an air-purifying filter cartridge or canister that remove specific air contaminants such as dusts fumes mists vapors or fibers by passing ambient air through an air-purifying element

2) Atmosphere-supplying respirators - provide clean breathing air from an uncontaminated source

14

Two Operational ModesTwo Operational Modes

1) Negative Pressure - A respirator in which the air pressure inside the face piece is negative during inhalation with respect to the ambient air pressure outside the respirator

2) Positive Pressure - A respirator in which the pressure inside the respirator exceeds the ambient air pressure outside the respirator

15

Air Purifying RespiratorsAir Purifying Respirators

Dust MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Only for use against particles

One of most common types used in industry

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

12

RespiratorRespirator

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

Ever see a bandana used as a respirator - is it

13

Two Classes of RespiratorsTwo Classes of Respirators

1) Air-purifying respirators - respirators with an air-purifying filter cartridge or canister that remove specific air contaminants such as dusts fumes mists vapors or fibers by passing ambient air through an air-purifying element

2) Atmosphere-supplying respirators - provide clean breathing air from an uncontaminated source

14

Two Operational ModesTwo Operational Modes

1) Negative Pressure - A respirator in which the air pressure inside the face piece is negative during inhalation with respect to the ambient air pressure outside the respirator

2) Positive Pressure - A respirator in which the pressure inside the respirator exceeds the ambient air pressure outside the respirator

15

Air Purifying RespiratorsAir Purifying Respirators

Dust MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Only for use against particles

One of most common types used in industry

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

13

Two Classes of RespiratorsTwo Classes of Respirators

1) Air-purifying respirators - respirators with an air-purifying filter cartridge or canister that remove specific air contaminants such as dusts fumes mists vapors or fibers by passing ambient air through an air-purifying element

2) Atmosphere-supplying respirators - provide clean breathing air from an uncontaminated source

14

Two Operational ModesTwo Operational Modes

1) Negative Pressure - A respirator in which the air pressure inside the face piece is negative during inhalation with respect to the ambient air pressure outside the respirator

2) Positive Pressure - A respirator in which the pressure inside the respirator exceeds the ambient air pressure outside the respirator

15

Air Purifying RespiratorsAir Purifying Respirators

Dust MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Only for use against particles

One of most common types used in industry

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

14

Two Operational ModesTwo Operational Modes

1) Negative Pressure - A respirator in which the air pressure inside the face piece is negative during inhalation with respect to the ambient air pressure outside the respirator

2) Positive Pressure - A respirator in which the pressure inside the respirator exceeds the ambient air pressure outside the respirator

15

Air Purifying RespiratorsAir Purifying Respirators

Dust MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Only for use against particles

One of most common types used in industry

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

15

Air Purifying RespiratorsAir Purifying Respirators

Dust MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Only for use against particles

One of most common types used in industry

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

16

Air Purifying RespiratorsAir Purifying Respirators

Half MaskOSHA APF = 10

Tight-fitting respirator

Negative pressure

Uses replaceable filters canisters or cartridges

2nd most common type

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

17

Powered Air-Purifying Respirator (PAPR)Powered Air-Purifying Respirator (PAPR)

An air-purifying

respirator that uses a

blower to force the ambient

air through air-purifying

elements to the respirator

Can be loose fitting or

tight fitting

Always positive pressure

Continuous flow OSHA APF = 25 (loose fitting)OSHA APF = 251000

(tight fitting)

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

18

Respirator FilterRespirator Filter

A component used in respirators to remove solid or liquid aerosols from the inspired air Also called air purifying element

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

19

Classes of FiltersClasses of Filters

42 CFR Part 84 establishes three series of filters and each has three levels of efficiency

95 99 100

N N95 N99 N100

R R95 R99 R100

P P95 P99 P100

Resistance

Levels of

efficiency

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

20

Cartridge Change ScheduleCartridge Change Schedule

A cartridge change schedule must be developed for cartridges that do not have an end of service life indicator

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

21

Selection of RespiratorsSelection of Respirators

The employer shall identify and evaluate the respiratory hazard(s) including a reasonable estimate of employee exposures and should consider workplace and user factors that affect respirator performance and reliability

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

22

1910134(c)(1) Respiratory 1910134(c)(1) Respiratory protection programprotection program

Where respirators are required you need

Written program

Worksite-specific procedures

Required elements

Training

Fit testing

Medical evaluations

Care and maintenance

Procedures for respirator selection

Procedures for routine amp emergency use

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

23

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

24

Worker Medical ConditionWearing respiratory protection poses a physical burden

on the wearer When a workers medical condition would prohibit

restrictive breathing conditions negative pressure respirators would not be an appropriate choice

Worker Comfort Worker preferences should be a consideration during the

respirator selection process

Worker-Resident Communication and Perception

Factors That Can Factors That Can Influence Respirator SelectionInfluence Respirator Selection

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

25

raquo Employers must designate a respirator program administrator qualified by training or experience to oversee the program

raquo Respirators training and medical evaluations must be provided at no cost

Employer ResponsibilitiesEmployer Responsibilities

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

26

Written Respirator ProgramWritten Respirator Program

REQUIRED

1) When respirators are necessary due to air contaminant overexposure

2) When respirators are required by the employer

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

27

Respirator Use Not RequiredRespirator Use Not Required

Employer may provide respirators at request of employees

OR Allow employees to use their own respirator

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

28

Voluntary Respirator UseVoluntary Respirator Use

Employer must ensure that

1) Employees are medically able to use respirators

2) The respirator is cleaned stored and maintained properly

3) A written program addresses the two elements listed above

4) Employees are provided with information from Appendix D of the standard

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

29

Voluntary Respirator UseVoluntary Respirator Use

EXCEPTION Employers are not required to include in a written respirator program those employees whose only use of respirators involves the voluntary use of filtering facepieces (ie dust masks)

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

30

You Must Wear the Respirator CorrectlyYou Must Wear the Respirator CorrectlyYou will not be protected if you dont wear your respirator You will not be protected if you dont wear your respirator correctly Follow the manufacturers instructions For dust correctly Follow the manufacturers instructions For dust

masks (also called filtering facepieces or N95 respirators) masks (also called filtering facepieces or N95 respirators) and other half-facepiece respirators this meansand other half-facepiece respirators this means

bull The respirator is properly positioned over your nose and mouth at all timesbull The top strap or head harness assembly is positioned high on the back of the

headbull The lower strap is worn at the back of the neck below the earsbull Nothing (beards head coverings etc) passes between the skin of the face and

the respirators sealing edgebull Do not take the respirator away from you nose or mouth until you reach

clean air Properly worn respirator Improperly worn respirators

The nose and mouth mustbe covered at all times

Both straps must bepositioned correctly

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

31

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

32

Respirator FittingRespirator Fitting

Applies Only to Respirators with

Tight-fitting Facepieces

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

33

Respirator FittingRespirator Fitting USER SEAL CHECK

PositiveNegative

FIT TESTQualitativeQuantitative

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

34

User Seal CheckUser Seal Check

The purpose of the user seal check is to

subjectively assure that the there is an adequate

seal of the face piece to the face of the wearer

A user seal check must be performed each time the user puts on the respirator

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

35

Positive Pressure User Seal CheckPositive Pressure User Seal Check

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

36

Negative Pressure User Seal CheckNegative Pressure User Seal Check

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

37

Fit TestFit Test

The main purpose of a fit test is to select the best fitting size and make of respirator within a pre-determined class for a specific individual

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

38

Fit TestFit Test

Fit Tests must be performed

1) Prior to initial use

2) Whenever a different face piece is used

3) Annually

4) When changes in an employeersquos physical condition occur

5) Employee indicates that fit is poor

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

39

Qualitative Fit TestQualitative Fit Test

Four Validated Methods

Saccharine Solution Aerosol

Bitrex Solution

Isoamyl Acetate (Banana Oil)

Irritant Smoke (Stannic Chloride)

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

40

Saccharine Solution AerosolSaccharine Solution Aerosol

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

41

Quantitative Fit TestQuantitative Fit Test

Four Validated Methods

Generated Aerosol System

Ambient Aerosol System

Controlled Negative Pressure System

REDON

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

42

Ambient Aerosol SystemAmbient Aerosol System

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

43

Medical EvaluationsMedical Evaluations

1) Must be provided before fit testing and before an employee is required to use a respirator

2) Must be performed by a physician or PLHCP using a medical questionnaire (from Appendix C of standard) or initial medical screening that obtains the same information

3) Follow-up exam provided if necessary based on employeersquos initial evaluation

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

44

Medical EvaluationsMedical Evaluations

Voluntary use of filtering facepieces (dust masks) Use of escape-only respirators

Two situations where medical evaluation is not required

Note OSHArsquos expanded health standards contain specific medical monitoring requirements

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

45

Medical EvaluationsMedical Evaluations

Information provided to PLHCP

a) type and weight of respirator

b) duration and frequency of use

c) expected work effort

d) other protective equipment and clothing worn

e) temperature and humidity extremes during use

f) copy of written respirator program

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

46

Medical EvaluationsMedical Evaluations

Additional evaluations required if

1) employee reports medical problems related to respirator use

2) a PLHCP supervisor or program administrator indicates need for reevaluation

3) observations during fit testing program evaluation etc indicate need

4) change in workplace conditions result in increase in physiologic burden

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

47

Respirator Maintenance and CareRespirator Maintenance and Care

Maintain in sanitary condition Store to prevent damage or

contamination Inspect before use and during

cleaning Emergency use respirators

inspected monthly Repairs done by trained person

using parts from same manufacturer

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

48

httpwwwoshagov

Slide Presentation

Major Requirements for OSHArsquos Respiratory Protection Standard (PDF File)

Respiratory Protection Frequently Asked Questions

Respiratory Protection Standard (Correction)

Respiratory ProtectionRespiratory ProtectionResourcesResources

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

49

Respiratory Protection Respiratory Protection ResourcesResources

httpwwwoshagov

Summary and Explanation of the Standard

Respiratory Protection Final Rule

Respiratory Protection Technical Advisor

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

50

TYPE Facial Hair

FitTest

App C App D Written Program

Filtering Face Piece (Dust Mask)

Elastomeric Face Piece

Voluntary Use of Respirators

Yes

Yes

No

No

No

Yes

Yes

Yes

No

Yes

Respiratory Protection 29 CFR 1910134

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

51

Respirator ReviewRespirator Review

Is a filtering face piece a respirator

How about a one-strap mask

How about a two-strap mask

What about a surgical mask

How about a frac12 mask elastomeric respirator

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

52

New ItemsNew Items

Respiratory Protection Occupational General Public

What is the difference

53

54

53

54

54