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Respiratory Protection Program Checklist

(1) Respiratory protective equipment selection

____ Are work area conditions and worker exposures properly surveyed?

____ Are respirators selected on the basis of hazards to which the worker is exposed?

____ Are selections made by individuals knowledgeable of proper selection procedures?

____ (2) Are only certified respirators purchased and used; do they provide adequate protection for the specific hazard and concentration of the contaminent?

____ (3) Has a medical evaulation of the prospective user been made to determine physical and psychological ability to wear the selected respiratory protective equipment?

____ (4) Where practical, hve respirators been issued to the users for their exclusive use, and are there records covering issuance?

(5) Respiratory protective equipment fitting

____ Are the users given the opportunity to try on several respirators to determine whether the respirator they will subsequently be wearing is the best fitting one?

____ Is the fit tested at appropriate intervals?

____ Are those users who require corrective lenses properly fitted?

____ Are users prohibited from wearing contact lenses when using respirators?

____ Is the facepiece-to-face seal tested in a test atmosphere?

____ Are workers prohibited from wearing respirators in contaminated work areas when they have facial hair or other charcteristics may cause faceseal leakage?

(6) Respirator use in the work area

____ Are respirators being worn correctly (i.e. head covering over respirator straps)?

____ Are workers keeping respirators on all the time while in the work area?

(7) Maintenance of respiratory protective equipment

Cleaning and Disinfecting

____ Are respirators cleaned and disinfected after each use when different people use the same device, or as frequently as necessary for devices issued to individual users?

____ Are proper methods of cleaning and disinfecting utilized?

Storage

____ Are respirators stored in a manner so as to protect them from dust, sunlight, heat, excessive cold or moisture, or damaging chemicals?

____ Are respirators stored properly in a storage facility so as to prevent them from deforming?

____ Is storage in lockers and tool boxes permitted only if the respirator is in a carrying case or carton?

Inspection

____ Are respirators inspected before and after each use and during cleaning?

____ Are qualified individuals/users instructed in inspection techniques?

____ Is respiratory protective equipment disignated as "emergency use" inspected at least monthly (in additon to after each use)?

____ Are SCBA incorporating breathing gas containers inspected weekly for breathing gas pressure?

____ Is a record kept of the inspection of "emergency use" respiratory protective equipment?

Repair

____ Are replacement parts used in repair those of the manufacturer of the respirator?

____ Are repairs made by manufacturers or manufacturer-trained individuals?

(8) Special use conditions

____ Is a procedure developed for respiratory protective equipment usage in atmospheres immediately dangerous to life or health?

____ Is a procedure developed for equipment usage for entry into confined spaces?

(9) Training

____ Are users trained in proper respirator use, cleaning, and inspection?

____ Are users trained in the basis for selection of respirators?

____ Are users evaluated, using competency-based evaluation, before and after training?



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