Respiratory Protection Program (RMS-6, Rev. 2)CITY OF DEL RAY B EA C H
EM P LOYEE SAFETY MANUAL
DEPARTMENT:
SUBJECT:
REVISION:
APPROVED BY:
PURPOSE
Risk Management
Respiratory Protection Program
POLICY NUMBER:
SUPERSEDES:
FFECTIVE DATE:
RMS-6
RMS-6 Rev.1
05/24/2023
Terrence R.Moore,ICMA-CM,City Manager
The following Respiratory Program has been established to ensure that effective respiratory protection is used,
inspected,maintained,cleaned,and stored properly.All Departments whose employees use respirators will
participate in this Program.A copy of this written Program is available online on the City's website.
POLICY
A.Each Department Head is responsible for the administration of this Program as it applies to the
Department's various Divisions.This includes the development and maintenance of procedures which
are specific to the various Divisions'operations and adhere,at a minimum,to the requirements of this
Program.
B.Each Department Head will designate a Program Coordinator for the Department or for each Division.
The Program Coordinator(s)will then be trained in all aspects of this Program by the City's Safety
Coordinator and will subsequently be responsible for ensuring that the requirements of this Program are
met.The Program Coordinator(s)will conduct their activities in concurrence with the Department Head,
Division Heads and their supervisors,and with the assistance of the City's Safety Coordinator as
warranted.
C.For the convenience of the Program Coordinator(s),appendices are attached to allow for compliance
with the requirements of this Program.Any Department/Division may use other (existing)documentation
providing it meets the intent of these appendices.
PROCEDURE
A.MEDICAL EVALUATIONS
Before using a respirator,employees will be required to complete a Respirator Medical Evaluation Questionnaire
(see Appendix "A"attached).This questionnaire will then be evaluated by a physician or other licensed health
care professional designated by the City.If this medical evaluation indicates the need for follow-up testing,a
medical examination of the employee will be conducted at no cost to the employee.This examination will include
any and all medical tests,consultations or diagnostic procedures that the physician or licensed health care
professional deems necessary to determine if the employee is medically qualified to wear a respirator.Program
Coordinators will coordinate all medical evaluation activities and will maintain all related records.See the
attached Medical Qualification Control Form (Appendix "B").
B.RESPIRATOR SELECTION AND USE
1.Selection:Respiratory protection must be used whenever employee exposures are reasonably expected
to exceed the OSHA Permissible Exposure Limits (PELs)of a substance or if the Department considers
respirator use to be a precautionary measure.Program Coordinators will select the types of respirators
and related equipment to be used by employees based on the types and quantities of air contaminants
present for each job.See the attached Respirator Use Description Form (Appendix "C").Only NIOSH
approved respirators will be used.An employee who wears corrective glasses and is required to wear a
full-face respirator will be provided with insert glasses for fitting in the full-face respirator.All respirators,
insert glasses and other related equipment will be provided at no cost to the employee.
2.Use:program Coordinators will ensure,via random observations and audits,that the following respirator
use procedures (at a minimum)are followed:
•Employees must perform a user "seal check"(negative and positive fit test)to test for leaks every
time they put on their respirator.
•After putting on their respirator and performing a "seal check",employees should avoid
readjusting their facepiece.If the facepiece must be readjusted to ensure a proper fit,then
another "seal check"must be performed.
•Employees must not remove their respirators in a hazardous environment prior to an "all clear"
determination.
•Employees with facial hair such as beards or long mustaches that could interfere with the sealing
surface of the facepiece or the inhalation/exhalation valves functions are not to wear a respirator.
•Employees must never use negative pressure (see Section 6.4 below)respirators in oxygen
deficient (less than 19.5%oxygen)or IDLH (Immediate Danger to Life &Health)atmospheres.
C.FIT TESTING
Employees who will be required to wear a respirator with either a negative pressure (i.e.,an air purifying
respirator with cartridge)or positive pressure (i.e.,Self-Contained Breathing Apparatus -SCBA equipment)tight-
fitting facepiece must initially be fit tested (qualitative fit test)with the proper make,model,style,and size
respirator.In addition to initial fit testing,employees will be fit tested in a similar manner whenever a different
respirator facepiece (size,style,model or make)is used or whenever visual changes in the employees'physical
condition (facial hair growth,facial scarring,weight gain or loss,dental changes,or cosmetic surgery,etc.)are
observed.Program Coordinators will coordinate these fit test activities with the City Fire Department's Fit Test
Administrator,who will administer the fit test following established guidelines.See the attached Fit Test
Procedures and Respirator Fit Test Record (Appendix "D"and "E"respectively).
D.EMERGENCY USE RES Pl RA TORS
1.SCBA equipment will be used by specified employees when entering designated confined spaces (see
the City's Confined Space Entry Program),for firefighting purposes or in other emergency situations.
Only medically qualified and trained employees are allowed to use this equipment.These employees
must also meet the fit testing requirements as specified in this Program since the SCBA equipment will
be fitted with positive pressure tight-fitting facepieces.
Employees who utilize this equipment and have the occasion to enter an oxygen deficient atmosphere
such as a confined space,etc.or Immediate Danger to Life &Health (IDLH)atmosphere will wear
equipment such as safety harnesses,etc.and will follow established emergency procedures.
2.The breathing air for the SCBA cylinders will be at least Grade "D",as described in the Compressed Gas
Association Commodity Specification G-7.1-1966.
3.Emergency Use Respirators will be available at locations designated by the Program Coordinators and
will be inspected and maintained as specified in the attached Inspection and Maintenance Guide
(Appendix "F").
E.INSPECTION AND MAINTENANCE
1.Employees issued air purifying respirators with cartridges must inspect and maintain them in good
condition per procedures established by the applicable Program Coordinator as directed in the attached
Inspection and Maintenance Guide (Appendix "F").This includes inspection and cleaning and sanitizing
of the respirators after each use by the employees using them.If any part of a respirator is found to be
defective,it must be given to the applicable Program Coordinator for repair or replacement.
2.Cartridges used with air purifying respirators will be changed as needed by Program Coordinators per an
established Cartridge Change-Out Schedule (see Appendix "G"attached).This Schedule is determined
by the cartridge manufactures'recommendations and variable factors such as contaminant
concentrations,environmental conditions,and inhalation rates,etc.
3.After cleaning and sanitizing,air purifying respirators with cartridges will be stored at designated locations
in protective containers supplied by Program Coordinators.Employees will ensure that the respirators
are stored so that the facepieces and exhalation valves rest in a normal position.Do not hang the
respirators by the facepieces or head straps as this could lead to a damaged fact-to-mask seal.
F.PROGRAM AUDIT
Program Coordinators will conduct random inspections of respirator use by employees to ensure that respirators
are being properly used,inspected,maintained,cleaned,and stored.In addition,Program Coordinators will
perform periodic audits of this Respiratory Protection Program to ensure that this Program is being effectively
maintained.Any deficient areas will be identified and corrective actions to address observed deficiencies will be
determined and implemented.See attached Audit Checklist (Appendix "H").
G.EMPLOYEE TRAINING
1.All employees who use respirators will be trained initially in the following areas:
•An overview of the requirements contained in this Respiratory Protection Program
•The hazards associated with site-specific airborne contaminants and the need for respirators
•The symptoms of overexposure to site-specific airborne contaminants
•Proper selection and usage of respirators including user seal checks
•Medical qualification procedures
•Fit testing activities
•The capabilities and limitations of respirators
•Respirator inspection,maintenance,cleaning,and storage procedures
•Restrictions for respirator users and emergency use respirators
2.Program Coordinators will ensure that the above-mentioned training is provided,via verbal instruction
and the use of a training video,for all respirator users.See the attached Employee Training Outline and
Training Documentation Form (Appendix "I"and "J"respectively).
3.Periodically thereafter,at the discretion of the Program Coordinators,this Program's requirements will be
reviewed with such employees.
H.REFERENCE
OSHA Standard 1910.134 is a federal government regulation which can be referenced for Respiratory Protection
information.
RESPIRATORY PROTECTION PROGRAM
"APPENDICES"
Appendix
A
B
C
D
E
F
G
H
I
J
K
Contents
Respirator Medical Evaluation Questionnaire
Medical Qualification Control Form
Respirator Use Description Form
Fit Test Procedures
Respirator Fit Test Record
Inspection and Maintenance Guide
Cartridge Change-Out Schedule
Audit Checklist
Employee Training Outline
Training Documentation Form
Employee Quick Reference
Appendix "A"
CITY OF DEL RAY BEACH
Respiratory Protection Program
Respirator Medical Evaluation Questionnaire
Employee Name (Print):
Department/Division:
I Signature:
I Date:
To the Employee:
Your Program Coordinator must allow you to answer this questionnaire during normal working hours or at a time and place
that is convenient to you.To maintain your confidentiality,your Program Coordinator must not look at your answers and
will provide you with an envelope in which you should seal your completed and signed Questionnaire.This sealed envelope
will then be sent to the health care professional who will review it.
Section I:Any employee who will use any type of respirator must provide the following information (please print/circle
answers):
1.Age:
4.Weight:
2.Sex:Male/Female
lbs.5.Job Title:
3.Height:ft.in.
6.A phone number where you can be reached by the health care professional who will review this questionnaire
(include area code):_()_
7.The best time to phone you at this number:_______am pm
8.Has your employer told you how to contact the health care professional who will review this questionnaire:Yes/No
9.Check the type of respirator you will use (you can check more than one type):
Disposable filter-mask (non-cartridge type)
Full or half-mask air purifying with cartridge
Self-contained breathing apparatus
10.Describe the type of work you will do while wearing respirator:
11.Have you worn a respirator in the past?Yes/No
12.If yes,what type(s):_
13.Do you currently smoke tobacco,or have you smoked tobacco within the past month?
14.Have you ever had any of the following conditions:
Yes/No
Seizures (fits)?Yes No
Diabetes?Yes No
Allergic reactions which interfere with your breathing?Yes No
Claustrophobia (fear of closed-in places)?Yes No
Trouble smelling odors?Yes No
15.Have you ever had any of the following pulmonary or lung problems:
Asbestosis?Yes No
Asthma?Yes No
Chronic bronchitis?Yes No
Emphysema?Yes No
Pneumonia?Yes No
Tuberculosis?Yes No
Silicosis?Yes No
Pneumothorax (collapsed lung)?Yes No
Lung cancer?Yes No
Any chest injuries (i.e.,broken ribs)or chest surgeries?Yes No
Any other lung problems that you have been told about?If yes,explain:Yes No
16.Do you currently have any of the following pulmonary or lung illness symptoms:
Shortness of breath?Yes No
Shortness of breath when walking fast on level ground or walking up a Yes No
slight incline?
Shortness of breath when walking at an ordinary pace on level ground?Yes No
Shortness of breath when washing or dressing yourself?Yes No
Coughing that produces phlegm (thick sputum)?Yes No
Coughing that wakes you early in the morning?Yes No
Coughing that occurs mostly when you are lying down?Yes No
Coughing up blood within the last month?Yes No
Wheezing?Yes No
Chest pain when you breathe deeply?Yes No
Any other symptoms that you think may be related to lung problems?If Yes No
yes,explain:
17.Have you ever had any of the following cardiovascular or heart problems:
Heart attack?Yes No
Stroke?Yes No
Angina (chest pain)?Yes No
Heart failure?Yes No
Swelling in your legs or feet (not caused by walking or running)?Yes No
Heart arrhythmia (heart beating irregularly)?Yes No
High blood pressure?Yes No
Any other heart problem that you have been told about?Yes No
18.Have you ever had or do you currently have any of the following cardiovascular or heart symptoms:
Frequent pain or tightness in your chest?Yes No
Pain or tightness in your chest during physical activity?Yes No
Pain or tightness in your chest that interferes with your job?Yes No
Have you noticed your heart skipping or missing a beat within the past two Yes No
years?
Heartburn or indigestion that is not related to eating?Yes No
Any other symptoms that you think may be related to circulation or hear Yes No
problems?If yes,please explain:
19.Do you currently take medication for any of the following problems:
Breathing or lung problems?Yes No
Heart problems?Yes No
Blood pressure?Yes No
Seizures (fits)?If yes,list those medications and dosages:Yes No
20.If you have used a respirator,have you ever had any of the following problems as a result of using a respirator (If you
have never used a respirator,skip this question.)
Eye irritation?Yes No
Skin allergies or rashes?Yes No
Anxiety?Yes No
General weakness or fatigue?Yes No
Any other problems that interfere with your use of a respirator?If yes,Yes No
explain:
21.Would you like to talk to the health care professional who will review this questionnaire about your answers to this
questionnaire?Yes/No
Section II:Any employee who will use a full or half-mask air purifying respirator with cartridge or SCBA equipment must
provide the following information (please print/circle answers):
1.Have you ever lost vision in either eye (temporarily or permanently)?
2.Do you currently have any of the following vision problems:
Yes/No
Wear contact lenses?Yes No
Wear glasses?Yes No
Color blind?Yes No
Any other eye or vision problems?If yes,explain:Yes No
3.Have you ever had an injury to your ears,including a broken ear drum?
4.Do you currently have any of the following hearing problems:
Yes/No
Difficulty hearing?Yes No
Wear a hearing aid?Yes No
Any other ear or hearing problems?If yes,explain:Yes No
5.Have you ever had a back injury?Yes/No If yes,explain:
6.Do you currently have any of the following musculoskeletal problems:
Weakness in any of your arms,hands,legs or feet?Yes No
Back pain?Yes No
Difficulty fully moving your arms or legs?Yes No
Pain or stiffness when you lean forward or backward at the waist?Yes No
Difficulty fully moving your head up or down?Yes No
Difficulty bending at the knees?Yes No
Difficulty squatting to the ground?Yes No
Difficulty climbing a flight of stairs or ladder carrying more than 25 Yes No
pounds?
Any other muscle or skeletal problem that interferes with using a Yes No
respirator?If yes,explain:
Section Ill:DO NOT PROVIDE THE FOLLOWING INFORMATION AT THIS TIME.You may need to answer the following
questions and other questions not listed at the discretion of the health care professional who will review this
questionnaire.
1.At work or at home,have you ever been exposed to hazardous solvents,hazardous airborne chemicals (i.e.,gases,
fumes,or dust),or have you come into contact with hazardous chemicals?Yes/No
If yes,name the solvents or chemicals that you are aware of:_
2.Have you ever worked with any of the following materials or under any of the following conditions:
Asbestos?Yes No
Silica (i.e.,sandblasting)?Yes No
Tungsten/cobalt (i.e.,grinding or welding these materials)?Yes No
Beryllium?Yes No
Aluminum?Yes No
Coal (i.e.,mining)?Yes No
Iron?Yes No
Tin?Yes No
Dusty environments?Yes No
Any other hazardous exposures?If yes,explain:Yes No
3.List any second jobs or side business you may have:
4.List your previous occupations:
5.List your current and previous hobbies:
6.Have you been in the military service?Yes/No
If yes,were you exposed to biological or chemical agents in training or in combat?Yes/No
7.Have you ever worked on a HAZMAT team?Yes/No
8.Other than any medication for breathing and lung problems,heart trouble,blood pressure and seizures mentioned
earlier in this questionnaire,are you taking any other medications,including over-the-counter medications,for any
reason?Yes/No
If yes,list those medications and dosages:
9.How often are you expected to use the respirator(s):
a.Over 3 hours per day?Yes/No
b.Less than 3 hours per day?Yes/No
c.Less than 5 hours per week?Yes/No
d.Emergency rescue only?Yes/No
e.Escape only (no rescue)?Yes/No
10.Will you be wearing protective clothing or equipment (i.e.,coveralls,hard hat or monitoring equipment,etc.)while
using a respirator?Yes/No
If yes,explain:
Appendix "B"
CIT Y O F D EL RA Y BEA CH
Re sp ira to ry Pro te ct io n Pro gra m
Medical Qualification Control Form
D epart m ent:
Program Coo rdinato r:
I Divisio n:
I Date :
Respirator Medical Evaluation questionnaire (MEQ)will be evaluated by a physician or other licensed health care
professional designated by the City.If the Medical Evaluation indicates a need for follow-up testing,a Medical
Examination (ME)of the employee will be conducted.
Employees to be qualified:
Em p lo yee N am e M EQ A ccepted M E Passed PE Failed
(D ate)(D ate)(D ate)
Appendix "C"
CITY OF DELRAY BEACH
Respiratory Protection Program
Respirator Use Description Form
D epa rt m ent:Divisio n:
Program Coo rdin ato r:Jo b Title:
O pe ratio n:Contam inant(s):
1.Type of Respirator Used:
(Examples are:Disposable Filter-Mask,Full/Half-Face Air Purifying Cartridge or SCBA)
2.Average Frequency of Use:
a.More than once per day
b.Daily
c.Several times per week
d.Occasionally
e.Rarely
f.Emergency Use Only
3.Length of time each use in hours (average):_
4.Work activities during use:
(Describe the level of work activity or effort required.)
5.Special work considerations during use (hot environments,etc.):
Appendix "D"
CITY OF DELRAY BEACH
Respiratory Protection Program
Fit Test Procedures
After being medically qualified to use a respirator and being trained,employees need to be fit tested before they can use
a respirator.Fit tests will be conducted by the City Fire Department's Fit Test Administrator who will administer a
Qualitative Fit Test (QLFT)protocol -referenced OSHA Respiratory Protection Standard (29 CFR 1910.134).
As soon as possible after the employee has been medically qualified and trained,the applicable Program Coordinator
should contact the Fit Test Administrator to schedule the fit test which,at the discretion of the Fit Test Administrator,can
be conducted at the Fire Department or at a site designated by the Program Coordinator.
The fit test activities will be documented by the Fit Test Administrator using the attached Respirator Fit Test Record
(Appendix "E").
A p pe ndix "E"
CITY OF DEL RAY BEACH
Respiratory Protection Program
Respirator Fit Test Record
Depart m ent:
Em ployee Nam e:
Fit Test Protocol Used:Q ualitative Fit Test (QLFT)
Respirator M anufa cturer:
Respirator Size:
Division:
Job Title:
Respirator M odel:
NIO SH Approval Num ber:
3.Co n d itio n s A ff ecting Resp irato r Fit:
a.Cle an Shaven
b.Beard G ro w th/M u stache
C.Facial Scar
d.De ntu res
e.G lasses
f.N o n e
Co m m e nts:
4.U ser Se a l Che ck:
Neg ati ve Fit Test:Pass Fail
Positi ve Fit Test:Pass Fail
5.Fit Test:Pass Fail
Com m e n ts:
Em p lo ye e Sign a tu re
Print Na m e
[)3Te ,
D ate:------------
Appendix "E"
CITY OF DELRAY BEACH
Respiratory Protection Program
Inspection and Maintenance Guide
INSPECTION
Air Purifying Respirators with Cartridges are not to be used in emergency situations.This type of respirator will be
inspected,cleaned,and sanitized after each use by the employee using that respirator.Self-Contained Breathing
Apparatus (SCBA)are the only respirators to be used in emergency situations.These Emergency Use Respirators will be
inspected,cleaned,and sanitized after each use by the employees using them and at least semi-annually by Program
Coordinators.The guidelines for all inspection activities are outlined below:
I.Air Purifying Respirators with Cartridges (disassemble respirator and inspect)
a.Rubber Facepiece:
i.Excessive dirt (clean all dirt from facepiece)
ii.Cracks,tears,or holes (obtain new facepiece)
iii.Distortion (allow facepiece to "sit"free from any constraints to see if distortion disappears -if distortion
remains,obtain new face piece)
iv.Cracked,scratched or loose-fitting lenses (replace lenses or obtain new facepiece)
b.Head straps:
i.Breaks or tears (replace head straps)
ii.Loss of elasticity (replace head straps)
iii.Broken buckles or attachments (replace broken items)
c.Inhalation/Exhalation Valves:
i.Detergent residue,dust particles or dirt on the valves/valve seats (clean with soap and water)
ii.Cracks,tears,or distortions of the valves/valve seats (see Program Coordinator)
iii.Missing or defective valves (replace valves)
iv.Missing or defective valve covers (replace valve covers)
d.Cartridge(s):
i.Proper cartridge for the contaminant?
ii.Missing or worn gaskets (replace gaskets)
iii.Worn facepiece threads or cartridge threads (replace facepiece or cartridge as applicable)
iv.Cracks or dents in cartridge housing (replace cartridge)
v.Loose or missing hose clamps (tighten clamps or replace clamps as applicable)
e.Rubber Parts:
i.Flex all rubber parts to maintain elasticity
II.Self-Contained Breathing Apparatus (SCBA)
a.Facepiece,Head straps and Valves,etc.:
i.Inspect in same manner as for Air Purifying Respirators with Cartridges
b.Hood,Helmet and/or Full Suit:
i.Headgear suspension (adjust properly for wearer)
ii.Cracks or breaks in face shield (replace face shield)
iii.Tears in hood,helmet,or suit (replaced hood,helmet or suit,as applicable)
c.Cylinders and Regulators:
i.Cylinder properly tested and tagged (if not,replace cylinder)
ii.Cylinder fully charged (if not,have cylinder charged)
iii.Breathing air at least Grade "D"(if not,have cylinder recharged with proper compressed air)
iv.Defects in air supply hoses or end fitting attachments (replace hoses or attachments as applicable)
v.Tightness of connections
vi.Regulator and valves properly set (if not,reset per manufacturers'specifications)
vii.Regulator working effectively (if not,replace regulator)
CLEANING
Every employee that is assigned an air purifying respirator with cartridge is responsible for cleaning and sanitizing their
respirator after each use.Having disassembled the respirator during inspection,the employee will then clean the
face piece using a warm soapy water solution followed by a disinfecting rinse (see the Program Coordinator for information
concerning cleaning facilities and supplies).The employee will then reassemble the respirator and set it on a shelf or
countertop to air dry (do not hang the respirator as this could cause distortion of the face piece leading to a damaged face-
to-mask seal).Never wash cartridges as water will damage most cartridges.After cleaning and drying,the employee will
sanitize the respirator further using alcohol swabs and properly store it.
STORAGE
After cleaning and sanitizing,the employee will place the respirator in the protective container supplied by the Program
Coordinator and store the respirator (lying flat)on a flat surface at a location (facility or vehicle)designated by the Program
Coordinator.
MAINTENANCE
Program Coordinators will ensure that all respirators and related equipment are maintained in good condition per the
manufacturers'specifications.It will be the responsibility of employees to maintain their assigned air purifying respirators
with cartridges in good condition as established in these guidelines and per the instructions of the applicable Program
Coordinator.
Dep art m e nt:
Progra m Co o rdinato r:
Appendix "G"
CITY OF DELRAY BEACH
Respiratory Protection Program
Cartridge Change-Out Schedule
Divisio n:
Cartridge Initial Use Date Anticipated *Actual
Change-Out Date Change-Out Date
If actual change-out date is different from anticipated change-out date,please explain:
Appendix "H"
CITY OF DELRAY BEACH
Resp irato ry Pro te ctio n Pro gram
Audit Checklist
I D epa rt m e nt:
Em p lo yee A ud it (Rando m ):
I Division:
Em p loyee N a m e O pe ration Respirator/Cart ridge Pass Fail
Comments:---------------------------------
Pro gram A ud it (Periodic ):
Pass Fail
Employees Medically Qualified?
Employees Trained?
Employees Fit Tested?
Respirator Use Activities?
Respirator Inspection Activities?
Respirator Cleaning and Sanitizing Activities?
Respirator Storage Activities
Respirator and Spare Parts Inventory?
Comments:---------------------------------
Corrective Action(s)Required:
Program Coordinator's Signature:_[ate;
Appendix "T"
CITY OF DEL RAY BEACH
Respiratory Protection Program
Em p lo yee T ra in in g O u tline
I.Explain the reason for a Respiratory Protection Program and the City's policy.
II.Show the provided video.
Ill.Provide each employee with a copy of this Program (with appendices)and the Department's and/or
Divisions'procedures for respirator use.
IV.Review this Program's requirements:
a.Medical Evaluations:
i.Explain that any employee who will use a respirator must be initially medically qualified to do so.
This qualification process requires that the employee complete a Respirator Medical Evaluation
Questionnaire (see Appendix "A").Subsequently,this completed questionnaire will be evaluated
by a physician or other licensed health care professional designated by the City.If this medical
evaluation indicates a need for follow-up testing,a medical examination of the employee will be
conducted.
ii.Review the Respirator Medical Evaluation Questionnaire with the employees.Have employees
who have not been previously medically qualified complete the questionnaire for medical
evaluation.
b.Respirator Selection and Use:
i.Review the operations that will require respirator use (include non-routine activities such as
confined space entry,maintenance,and emergency situations,etc.)
ii.Discuss the site-specific air contaminants (organic vapors,gases,and particulates,etc.)that the
respirators will protect against.Include in the discussion,the adverse health effects of exposure
to the contaminants,contaminant odors (if any),cartridge "breakthrough"recognition (smelling
the contaminants or having difficulty inhaling while wearing the respirator),cartridge to
contaminant correlation wand any other subjects pertinent to the contaminants in question.
iii.Review the respirators manufacturers'instructions for proper use,including capabilities and
limitations.Stress that all respirators must be used in accordance with these instructions.
iv.Emphasize that negative pressure respirators are never to be used in oxygen deficient (less than
19.5%oxygen)or IDLH (Immediate Danger to Life &Health)atmospheres.Only SCBA equipment
should be used in these situations following established procedures.Identify such situations
employees could encounter during their regular job assignments.
c.Fit Testing:
i.Review the fit testing procedures as summarized in the Respiratory Protection Program.
ii.Demonstrate to employees how to perform a user seal check (negative and positive fit test).
Instruct the employees to perform this seal check every time they put on a respirator.
iii.Have each employee put on their respirator and practice the user seal check -each employee
should have their respirator with them.
d.Emergency Use Respirators (if applicable)
i.Explain that SCBA is the only type of equipment to be used as Emergency Use Respirators.
ii.Describe when Emergency Use Respirators would be used such as during unplanned occurrences
involving unknown contaminant concentrations and/or oxygen deficient atmospheres.
iii.Define an Immediate Danger to Life and Health (IDLH)atmosphere.
iv.Review the established procedures for emergency use of respirators (to be sued only by
designated/trained employees,location of respirators,inspection and maintenance activities,
safety harness usage,escape mechanisms and evacuation procedures,etc.).
e.Inspection and Maintenance
i.Review the Inspection and Maintenance Guide (Appendix "F").This includes procedures for
inspection,cleaning,disinfecting and storage of respirators.Pay special attention to cleaning and
disinfecting if the same respirator will be used by more than one employee.
ii.Stress that employees must inspect,clean and sanitize their air purifying respirators with
cartridges after each use.
iii.Have the employees practice disassembling and reassembling their respirators.
f.Program Audit:
i.Describe program auditing activities as summarized in the Respiratory Protection Program,
emphasizing that inspections and observations will be concluded randomly.
ii.Review the Audit Checklist (Appendix "H").
iii.Emphasize the role of the audit and its importance to the overall effectiveness of this Program.
This will help to provide an added incentive to employees regarding program compliance.
g.Review the Department's and/or Divisions'procedures for respirator use.
h.Summarize.
i.Give each employee a copy of the Employee Quick Referenced sheet (Appendix "K").
j.Allow time for questions and discussions.
Department:
Program Coordinator:
Employees in Attendance:
Appendix "J"
CITY OF DELRAY BEACH
Respiratory Protection Program
Training Documentation Form
Division:
Date of Training:
Topic Discussed:Respiratory Protection Program
Name {Print)Signature
Appendix "K"
CITY OF DELRAY BEACH
Respiratory Protection Program
Employee Quick Reference
Note:The information in this Appendix is for reference only.Employees must be already trained and knowledgeable
concerning each bulleted item.
II.
Perform seal check (test for leaks and proper fit).
Avoid readjusting the facepiece during use.If the facepiece must be readjusted to ensure a proper fit,
perform another seal check.
Do not remove respirator prior to an "all clear"determination.
Do not wear a respirator if you have a beard or long mustache that interferes with the sealing surface of
the facepiece or the inhalation/exhalation valves functions.
Never use negative pressure respirators in oxygen deficient (less than 19.5%oxygen)or IDLH
(Immediate Danger to Life &Health)atmospheres.
Inspect (after each use)
a.Disassemble the respirator.
b.Rubber facepiece
c.Head straps
d.Inhalation/Exhalation Valves
e.Cartridges
f.Rubber parts
I.Use
a.
b.
c.
d.
e.
Ill.Clean (after each use)
a.Having disassembled the respirator prior to inspection,clean the facepiece with warm soapy water.
b.Apply a disinfecting rinse to the facepiece.
c.Never wash the cartridges.
d.Reassemble the respirator.
e.Set respirator on a shelf or countertop to air dry (do not hang the respirator).
f.After drying,sanitize the respirator further by using alcohol swabs.
IV.Store
a.Place the cleaned,dried,and sanitized respirator in a provided protective container.
b.Store the container (lying flat)on a flat surface in a designated storage area or vehicle.