| New OSHA Respiratory Protection
Standard
Presented by Jay
Jamali during the Semiconductor Safety
Association Chapter Meeting (10/98)
Regulations
1-In 1971, OSHA adopted the ANSI standard Z88.2-1969, "Practices
for Respiratory Protection," as well as ANSI Standard K13.1-1969, "Identification
of Gas Mask Canisters" as its standard for respiratory protection.
- A-On February 9, 1979, OSHA announced that 29 CFR 1910.134 would be
formally recognized as also being applicable to the construction industry
(44 FR 8577).
2-On November 15, 1994, OSHA issued a Notice of Proposed Rulemaking to
revise 29 CFR 1910.134.
- A-The Final Rule was published in the Federal Register on January 8,
1998.
- B-On April 23, 1998, corrections to the regulatory text were published
in the Federal Register.
3-By September 8, 1998, the employer must have evaluated the workplace
to determine if respirator use is required.
4-The prior Respirator
Standard, 1910.134, remains in effect until October 5, 1998, the date
when employers must be in compliance with the new standard.
- A-On October 5, the prior 1910.134 will be retained, but re-designated
as 1910.139.
- 1) It will apply only to respiratory protection against tuberculosis
(TB) until OSHA has promulgated the final standard for Occupational Exposure
to Tuberculosis.
- B-The new respiratory protection standard also makes the respiratory
protection provisions of other health standards consistent with each other
and with the final rule.
- C-The new standard does not apply to agricultural operations.
5-These guidelines relate to specific provisions of 29 CFR 1910.134 and
are provided to assist compliance officers with conducting inspections where
the standard may apply.
- A-Any subparagraphs of the standard not discussed in this Directive,
should be enforced according to their terms. Mask Canisters" as its
standard for respiratory protection.
- B- In April of 1971, OSHA promulgated 29 CFR 1926.103, the initial
respiratory protection standard.
6-The regulation has 5 appendices that are mandatory.
- A-Appendix A details fit testing protocols [see paragraph (f)(5)].
- B-Appendix B-1 details User Seal Check Procedures [see paragraph g(1)(iii)].
- C-Appendix B-2 details Respirator Cleaning Procedures [see paragraph
(h)(1)].
- D-Appendix C is the OSHA Respirator Medical Evaluation Questionnaire
[see paragraph (e)(2)].
- E-Appendix D is Information for Employees Using Respirators When Not
Required Under the Standard.
- 1)This appendix must be provided to all employees who voluntarily use
respirators. [see paragraph (c)(2), (k)(6)]
6- The new Fed-OSHA standard was Adopted verbatim in California on June
18, 1998 by the Standards Board.
- A- Approved by OAL on August 25, 1998
- B- Effective November 23, 1998 for employers without a program
- C- Final Start-Up Date on May 22, 1999 with a program
7- The following regulations are effected by the new respiratory protection
standard in California:
- A- TITLE 8, CONSTRUCTION SAFETY ORDERS SECTIONS § 1529 Asbestos,
1531, 1532, 1532.1, AND 1535;
- B- GENERAL INDUSTRY SAFETY ORDERS: SECTIONS 3409 AND 3411; 5144 AND
5147; 5190; 5200-5202, 5207-5214, 5216-5218, AND 5220;
- C- SHIP BUILDING SAFETY ORDERS SECTION 8358
8- Cal-OSHA
GISO 5144 applies to:
- A- General Industry,
- B- Shipyards,
- C- Marine Terminals,
- D- Longshoring, and
- E- Construction
Enforcement
1- Fed-OSHA has issued a compliance enforcement directive to agency field
personnel will also be useful to employers in meeting requirements of the
standard.
- A- This instruction describes a Federal Program Change for which State
adoption is not required.
- 1) NOTE: In order to effectively enforce safety and health standards,
guidance to compliance staff is necessary. Therefore, although adoption
of this instruction is not required, States are expected to have standards,
enforcement policies and procedures which are at least as effective as
those of Federal OSHA.
- B- The directive is effective Friday, September 25, 1998.
- C- The directive can be accessed through the OSHA Home Page on the
Internet World Wide Web (http://www.osha.gov) under "Library/Reading
Room" and then "Directives."
- D- A supplementary document, "Questions and Answers on the Respiratory
Protection Standard," also can be accessed through the OSHA Home Page.
- E- CPL 2-0.120 discusses
- 1) Definitions of terms used in the standard;
- 2) Requirements for a written respiratory protection program and respiratory
protection program administrator;
- 3) Voluntary use of respirators;
- 4) Selection of respirators and hazard evaluation;
- 5) he requirements for employers to develop chemical cartridge change
schedules for the respirators worn in their workplaces;
- 6) Medical evaluation of an employee's fitness to wear a respirator;
and
- 7) Fit testing for employees using negative or positive pressure tight-fitting
respirators.
- F- The directive also discusses maintenance and care of respirators;
training and information; evaluation of the effectiveness of the respirator
program; recordkeeping; and how the respirator standard is linked to other
OSHA standards.
Permissible Practice
1- In the control of occupational diseases caused by breathing air contaminated
with harmful dusts, fogs, fumes, mists, gases, smokes, sprays, or vapors,
the primary objective shall be to prevent atmospheric contamination.
2- This shall be accomplished as far as feasible by accepted engineering
control measures (for example, enclosure or confinement of the operation,
general and local ventilation, and substitution of less toxic materials).
3- When effective engineering controls are not feasible, or while they
are being instituted, appropriate respirators shall be used pursuant to
this section.
- A- The employer shall provide the respirators which are applicable
and suitable for the purpose intended.
- B- The employer shall be responsible for the establishment and maintenance
of a respiratory protection program.
Program Requirements
1- In any workplace where respirators are necessary to protect the health
of the employee or whenever respirators are required by the employer, the
employer shall establish and implement a written respiratory protection
program with worksite-specific procedures.
- A- The program shall be updated as necessary to reflect those changes
in workplace conditions that affect respirator use.
2- The employer shall include in the program the following provisions,
as applicable:
- A- Procedures for selecting respirators for use in the workplace;
- B- Medical evaluations of employees required to use respirators;
- C- Fit testing procedures for tight-fitting respirators;
- D- Procedures for proper use of respirators in routine and reasonably
foreseeable emergency situations;
- E- Procedures and schedules for cleaning, disinfecting, storing, inspecting,
repairing, discarding, and otherwise maintaining respirators;
- F- Procedures to ensure adequate air quality, quantity, and flow of
breathing air for atmosphere-supplying respirators;
- G- Training of employees in the respiratory hazards to which they are
potentially exposed during routine and emergency situations;
- H- Training of employees in the proper use of respirators, including
putting on and removing them, any limitations on their use, and their maintenance;
and
- I- Procedures for regularly evaluating the effectiveness of the program.
3- If no written program exists, but all other provisions of the standard
have been met, a violation for lack of a written program would normally
not be cited (CPL 2.0-120).
4- Where respirator use is not required:
- A- An employer may provide respirators at the request of employees
or permit employees to use their own respirators, if the employer determines
that such respirator use will not in itself create a hazard.
- B- If the employer determines that any voluntary respirator use is
permissible, the employer shall provide the respirator users with the information
contained in Appendix D to this section ("Information for Employees
Using Respirators When Not Required Under the Standard");
- 1) Merely posting Appendix D is not considered adequate (CPL).
- C- In addition, the employer must establish and implement those elements
of a written respiratory protection program necessary to ensure that any
employee using a respirator voluntarily is medically able to use that respirator,
and that the respirator is cleaned, stored, and maintained so that its
use does not present a health hazard to the user.
- 1) Exception: Employers are not required to include in a written respiratory
protection program those employees whose only use of respirators involves
the voluntary use of filtering facepieces (dust masks).
5- The employer shall designate a program administrator who is qualified
by appropriate training or experience that is commensurate with the complexity
of the program to administer or oversee the respiratory protection program
and conduct the required evaluations of program effectiveness.
- A- This individual must have the appropriate accountability and responsibility
to manage the full respiratory protection program.
- B- Companies with multiple worksites may have a program administrator
at each worksite, as long as this person is qualified and retains the accountability
and responsibility for the day-to-day operation of the specific program
for that site.
- C- Alternatively, a company may opt to have one program administrator
for several sites and/or one program for several similar sites as long
as the program contains the necessary elements and addresses the hazards
at those sites.
6- The employer shall provide respirators, training, and medical evaluations
at no cost to the employee.
- A- It is the intent of the standard that the employer would not be
required to incur any costs associated with voluntary use of filtering
facepieces other than providing a copy of Appendix D to each user.
- B- If employers allow the voluntary use of respirators other than filtering
facepieces, the costs associated with ensuring the respirator itself does
not create a hazard, such as medical evaluations and maintenance must be
provided at no cost to the employee.
Selection
1- The employer must evaluate respiratory hazard(s) in the workplace,
identify relevant workplace and user factors, and base respirator selection
on these factors.
- A- This evaluation shall include a reasonable estimate of employee
exposures to respiratory hazard(s) and an identification of the contaminant's
chemical state and physical form.
- B- Where the employer cannot identify or reasonably estimate the employee
exposure, the employer shall consider the atmosphere to be IDLH.
2- The employer shall select a NIOSH-certified respirator.
- A- The respirator shall be used in compliance with the conditions of
its certification.
3- The employer shall select respirators from a sufficient number of
respirator models and sizes so that the respirator is acceptable to, and
correctly fits, the user.
4- The employer shall provide the following respirators for employee
use in IDLH atmospheres:
- A- A full facepiece pressure demand SCBA certified by NIOSH for a minimum
service life of thirty minutes, or
- B- A combination full facepiece pressure demand supplied-air respirator
(SAR) with auxiliary self-contained air supply.
- C- Respirators provided only for escape from IDLH atmospheres shall
be NIOSH-certified for escape from the atmosphere in which they will be
used.
- D- All oxygen-deficient atmospheres shall be considered IDLH.
- 1) Exception: If the employer demonstrates that, under all foreseeable
conditions, the oxygen concentration can be maintained within the ranges
specified in Table II (i.e., for the altitudes set out in the table), then
any atmosphere-supplying respirator may be used.
5- The employer shall provide respirators for atmospheres that are not
IDLH that are adequate to protect the health of the employee and ensure
compliance with all other OSHA statutory and regulatory requirements, under
routine and reasonably foreseeable emergency situations.
6- For protection against gases and vapors, the employer shall provide:
- A- An atmosphere-supplying respirator, or
- B- An air-purifying respirator, provided that:
- 1) The respirator is equipped with an end-of-service-life indicator
(ESLI) certified by NIOSH for the contaminant; or
- 2) If there is no ESLI appropriate for conditions in the employer's
workplace, the employer implements a change schedule for canisters and
cartridges that is based on objective information or data that will ensure
that canisters and cartridges are changed before the end of their service
life.
7- For protection against particulates, the employer shall provide:
- A- An atmosphere-supplying respirator; or
- B- An air-purifying respirator equipped with a filter certified by
NIOSH under 30 CFR part 11 as a high efficiency particulate air (HEPA)
filter, or an air-purifying respirator equipped with a filter certified
for particulates by NIOSH under 42 CFR part 84; or
- C- For contaminants consisting primarily of particles with mass median
aerodynamic diameters (MMAD) of at least 2 micrometers, an air-purifying
respirator equipped with any filter certified for particulates by NIOSH.
8- The OSHA CPL recommends that the inspector examine the employer's
Hazard Communication Program for further information on existing respiratory
hazards in the workplace.
9- Oxygen deficient atmospheres for which the employer may rely on atmosphere-supplying
respirators have been listed in Table II of the standard.
- A- The value is dependent upon the Altitude.
- B- Above 8,000 feet the exception does not apply.
- C- Oxygen-enriched breathing air must be supplied above 14,000 feet.
NIOSH Certification
1- NIOSH 30 CFR 11 requirements which regulate the manufacture and sale
of non-powered-particulate respirators were replaced by 42 CFR 84 on July
10, 1998.
- A- It replaces the Mine Safety and Health Administration's (MSHA) rules
and procedures for approval of air-purifying particulate filter respirators.
- B- July 10, 1998 marks the end of a three year transition to 42 CFR
84, which gives NIOSH exclusive authority for the testing and certification
of 42 CFR 84 respirators, except for some mine emergency devices.
- C- Only certification of non-powered, air-purifying, particulate-filter
respirators were affected by this change.
- D- The remaining portions of Part 11 were incorporated into Part 84
without change.
2- After July 10, 1998, only non powered air-purifying respirators and
filters approved under this new regulation can be manufactured.
- A- Distributors who have purchased these respirators will be able to
sell them until their inventories are depleted.
- B- Employers may continue to purchase available products and will be
permitted to use them until their inventories are depleted, or until the
shelf or service life for the product expires.
- C- New models of 42 CFR 84 approved respirators are now available.
3- There will be three classes of particulate respirators in three filter
efficiencies for a total of nine new respirator categories.
- A- The new classes for particulate respirators are:
- 1) N for non-oil particulates;
- 2) R for oil and non oil particulates with an eight hour maximum use
stipulation; and
- 3) P for oil and non oil particulates with no service time restriction.
- B- Each class is further categorized by efficiency as either 95 percent,
99 percent, or 100 percent (actually 99.97 percent).
4- However, Dust/Mist and Dust/Mist/Fume Filters may only be used for
particulates with mass median aerodynamic diameters (MMAD) of least 2 micrometers,
in accordance with paragraph (d)(3)(iv)(C).
- A- Welding fumes and silica may be examples of dust particulates that
are less than 2 micrometers.
- B- If the MMAD cannot be determined, a HEPA filter, or a filter certified
by NIOSH under 42 CFR 84 (N95 or higher) must be selected. R100 and P100
filters can be used to replace them.
5- Respirators required to be used in the workplace must be NIOSH-approved
and appropriate for the hazard.
- A- Unapproved [(d)(1)(ii)] respirators can be cited even where an overexposure
has not been established (CPL).
Changeout Schedule
1- In the old respirator standard, employers could use odor detection
as a way to determine when a cartridge needed to be changed.
- A- The new standard prohibits the use of warning properties as the
sole basis for determining change schedules.
- B- However respirator users should be trained to understand that abnormal
odor or irritation is evidence that respirator cartridges need to be replaced.
2- If a cartridge/canister air purifying respirator for the protection
against gases and vapors does not have an End of Service Life Indicator
(ESLI), then the employer must implement a cartridge/canister change schedule
based on objective information that will ensure the cartridges/canisters
are changed before the end of their service life.
- A- The purpose of a change schedule is to establish the time period
for replacing respirator cartridges and canisters; this is critical to
preventing contaminants from respirator breakthrough, and thereby over-exposing
workers.
- B- Where an effective change schedule is implemented, air-purifying
gas and vapor respirators may be used for hazardous chemicals, including
those with few or no warning properties.
3- OSHA will phase in enforcement of the cartridge change schedule provision
of the new respirator rule so employers can incorporate data into programs
as it becomes available.
4- OSHA will:
- A- Ask for proof that workplace conditions, such as humidity and chemical
mixtures, were used to create the change schedule.
- B- Require that change schedules clearly protect workers so employers
should err on the side of caution.
- C- NOT require complex mathematical calculations to be endlessly computed
- D- NOT consider the adoption of somebody else's change schedule without
site considerations as sufficient.
- E- NOT accept a change schedule that is based on the fact that the
employer has seen no apparent adverse health effects.
5- The requirements for several of OSHA's chemical specific standards
already address this issue and have been retained. These include:
- A- Acrylonitrile 1910.1045(h)(2)(ii) end-of-service life or end of
shift (whichever occurs first)
- B- Benzene 1910.1028(g)(2)(ii) end-of-service life or beginning of
shift (whichever occurs first)
- C- Butadiene 1910.1051 (h)(2)(ii) every 1, 2 or 4 hours dependent on
concentration according to Table 1 and at beginning of each shift
- D- Formaldehyde 1910.1048 (g)(2)(ii) - for cartridges every three hours
or end of shift (whichever is sooner);
- E- Vinyl chloride 1910.1017(g)(3)(ii) end-of-service life or end of
shift in which they are first used (whichever occurs first)
- F- Methylene chloride 1910.1052 (g)(2)(ii) - canisters may only be
used for emergency escape and must be replaced after use.
6- Change schedules for all other gases and vapors must be established
and implemented by the employer.
- A- Data and information relied upon to establish the schedule must
be included in the written respiratory protection program.
- B- OSHA has stated in the preamble to the final rule that the employer
is not required to research and analyze experimental breakthrough data,
but may obtain information from sources who have expertise and knowledge
that can help the employer to develop reasonable change schedules.
7- The following methods can be used to determine the changeout schedule:
- A- Manufacturers Objective Data,
- B- Experimental Methods,
- C- Mathematical Predictive Modeling,
- D- Analogous Chemical Structures,
- E- Workplace Simulations,
8- Manufacturers Objective Data:
- A- Respirator cartridge model-specific objective data that is available
from the manufacturer or through a distributor may be used to establish
change schedules.
- B- Objective data may be presented in tabular or graphical format or
simply provided verbally over a manufacturer's telephone help line.
- C- Some manufacturers have developed elaborate computer programs available
on the Internet that provide the necessary objective data to the user.
9- Experimental Methods:
- A- Experimental breakthrough-time data from a laboratory based on worst
case testing of simulated workplace conditions.
- B- This method can provide fairly accurate service life data compared
to other available methods.
10- Mathematical Predictive Modeling:
- A- Is based on predictive equations.
- B- These models are typically complex and require considerable expertise
to apply.
- C- They also require some proprietary information from the respirator
manufacturer.
- D- OSHA fully supports the further development and validation of these
models.
- E- The agency believes that respirator manufacturers may be in the
best position to apply them to their products.
11- Analogous Chemical Structures:
- A- Employer would rely on service life values from other chemicals
having analogous chemical structure to the contaminant under evaluation
for breakthrough.
- B- Or in some cases a chemical with known migration may reasonably
be anticipated to act as a surrogate for a similar chemical that would
have less rapid migration
- 1) An employer could assume that a heavier, less volatile compound
than another in the same chemical series that had been tested for breakthrough
would breakthrough no faster than the latter compound, such as benzene
versus toluene.)
- C- The use of this method requires a substantial amount of judgement
and assumption of similar chemical properties.
- D- The use of analogous chemical structures should be infallible as
long as objective data or information for lower molecular weight compounds
is used to predict the breakthrough times for higher molecular weight analogues
containing only additional methyl or phenyl groups.
- E- Data from higher molecular weight groups should not be used to predict
the behavior of analogous substances with lower molecular weight.
- F- This approach relies heavily on experimental data and expert analysis.
- G- This method may be less accurate than others and should be used
only when better information is not available.
12- Workplace Simulations:
- A- Unvalidated methods exist or are under development where the respirator
cartridge is tested in the workplace in "real time" and under
actual conditions of use.
- B- Simple designs have been informally described to the agency.
- C- Workplace air during representative conditions is drawn over the
cartridge at a rate approximating normal breathing at a higher work rate.
- D- An air sampling/analytic device would be placed on the other side
of the filter to measure the time of breakthrough.
- E- Employers could incorporate this type of testing into their air
monitoring program using sampling strategies established in their workplace.
- F- In theory, these approaches should be an accurate method for determining
change schedules and could accommodate fluctuating conditions of humidity,
concentration, etc., to allow less conservative schedules that utilize
a larger fraction of the true service life.
13- Rules of Thumb:
- A- Generalized rules or guidance can be generated from experimental
work.
- B- Presented below is a rule of thumb for estimating organic vapor
service life found in Chapter 36 of the American Industrial Hygiene Association
publication "The Occupational Environment Evaluation and Control".
- C- If a chemical's boiling point is >70 C and the concentration
is less than 200 ppm you can expect a service life of 8 hours at a normal
work rate.
- 1) Humidity above 85% will reduce service life by 50%.
- 2) Service life is inversely proportional to work rate.
- 3) Reducing concentration by a factor of ten will increase service
life by a factor of five.
- D- These generalizations should only be used in concert with one of
the other methods of predicting service life for specific contaminants.
14- Change Schedules For Mixtures: Establishing cartridge service life
for mixtures of contaminants is a complex task and one that requires considerable
professional judgement to create a reasonable change schedule.
- A- Cartridge service life for mixtures is best determined using experimental
methods.
- B- The change schedule for a mixture should be based on reasonable
assumptions that include a margin of safety for the worker wearing the
respirator.
- C- Where the individual compounds in the mixture have similar breakthrough
times (i.e. within one order of magnitude), service life of the cartridge
should be established assuming the mixture stream behaves as a pure system
of the most rapidly migrating component or compound with the shortest breakthrough
time (i.e., sum up the concentration of the components).
- D- Where the individual compounds in the mixture vary by 2 orders of
magnitude or greater, the service life may be based on the contaminant
with the shortest breakthrough time.
15- Chemical Contaminant Migration:
- A- Contaminants have a tendency to migrate through cartridge/canister
sorbent material during periods of storage or non-use.
- B- This is characteristic of the contaminant-carbon bed interaction
for organic chemicals with boiling points below 65 Centigrade and would
predictably shorten breakthrough times.
- C- In cases where respirators are used for multiple days this could
present an additional exposure to the respirator user.
- D- Where contaminant migration is possible, respirator cartridges/canisters
should be changed after every workshift where exposure occurs unless the
employer has specific objective data to the contrary (desorption studies)
showing the performance of the cartridge in the conditions and schedule
of use/non-use found in the workplace.
16- If the breakthrough time is rapid (minutes), air purifying respirators
may not be feasible and supplied air respirators should be used.
Medical Evaluation
1- Using a respirator may place a physiological burden on employees that
varies with the type of respirator worn, the job and workplace conditions
in which the respirator is used, and the medical status of the employee.
- A- Employers must provide a medical evaluation to determine each employee's
fitness to wear a respirator.
2- Medical evaluations are required for all respirator users except for
employees who voluntarily use dusts masks and for those whose only respirator
would be the use of escape-only respirators.
- A- SCBA's are not considered escape-only respirators.
3- The medical evaluation must be provided before the initial fit-testing
and before the respirator is used for the first time.
4- The employer shall provide additional medical evaluations if:
- A- An employee reports medical signs or symptoms that are related to
ability to use a respirator;
- B- A Physician or other Licensed Health Care Professional (PLHCP),
supervisor, or the respirator program administrator informs the employer
that an employee needs to be reevaluated;
- C- Information from the respiratory protection program, including observations
made during fit testing and program evaluation, indicates a need for employee
reevaluation; or
- D- A change occurs in workplace conditions (e.g., physical work effort,
protective clothing, temperature) that may result in a substantial increase
in the physiological burden placed on an employee.
5- The employer may discontinue an employee's medical evaluations when
the employee is no longer required to use a respirator.
6- Medical evaluations consist of the administration of a medical questionnaire
or provision of a physical examination that elicits the same information
as the questionnaire for the employee.
- A- The medical questionnaire is found in the mandatory Appendix C of
the standard,
- B- An employer, who opts to provide physical examinations to his or
her employees, need not also administer the medical questionnaire.
7- When using the questionnaire, the employer may not change the wording
of questions in Part A, if the form is being used as the sole means to evaluate
employees.
- A- The PLHCP may add questions to the questionnaire that could assist
in determining whether the employee can perform the work while wearing
respiratory protection.
8- The medical questionnaire and examinations shall be administered confidentially
during the employee's normal working hours or at a time and place convenient
to the employee.
- A- The employer must ensure that the questionnaire is administered
in such a manner that employees can understand the content and the confidentiality
of the record is maintained.
- B- Where the employee cannot understand English, the employer must
have the questionnaire translated into the employee's language either through
a translator or a translated written copy.
- 1) The questionnaire has been translated into Spanish and is available
on OSHA's homepage (www.osha.gov) in the Respirator Q & A Document.
- C- In cases where the employee cannot read, the employee can request
someone other than the employer to orally read them the questionnaire or
the PLHCP may obtain through an interview or examination the same information
requested on the medical questionnaire.
9- In order to maintain strict confidentiality of the information obtained
in the questionnaire, the employer's role is limited to distributing the
blank questionnaire to the employee for him or her to fill out, or providing
it to the PLHCP, who will administer the questionnaire to the employee.
- A- If the employer provides the questionnaire to the employee, an addressed
and postage-paid envelope should also be provided for the employee to mail
it to the PLHCP.
- B- The questionnaire and findings may also be maintained by the employer's
medical office, if the health office is administratively separate from
the employer's central administration offices.
10- If the employer does not have or chooses not to use an in-house medical
staff, arrangements must be made for a PLHCP to perform the medical evaluations.
- A- The PLHCP may be a physician, a registered nurse, a nurse practitioner,
a physician assistant, or other licensed health care professional acting
within the scope of his or her state license, registration, or certification.
11- The employer shall ensure that a follow-up medical examination is
provided for an employee who gives a positive response to any question among
questions 1 through 8 in Section 2, Part A of Appendix C or whose initial
medical examination demonstrates the need for a follow-up medical examination.
- A- The follow-up medical examination shall include any medical tests,
consultations, or diagnostic procedures that the PLHCP deems necessary
to make a final determination.
12- The following information must be provided to the PLHCP before the
PLHCP makes a recommendation concerning an employee's ability to use a respirator:
- A- The type and weight of the respirator to be used by the employee;
- B- The duration and frequency of respirator use (including use for
rescue and escape);
- C- The expected physical work effort;
- D- Additional protective clothing and equipment to be worn; and
- E- Temperature and humidity extremes that may be encountered.
- F- The employer shall provide the PLHCP with a copy of the written
respiratory protection program and a copy of this section.
13- In determining the employee's ability to use a respirator, the employer
shall:
- A- Obtain a written recommendation regarding the employee's ability
to use the respirator from the PLHCP.
- B- The recommendation shall provide only the following information:
- 1) Any limitations on respirator use related to the medical condition
of the employee, or relating to the workplace conditions in which the respirator
will be used, including whether or not the employee is medically able to
use the respirator;
- 2) The need, if any, for follow-up medical evaluations; and
- 3) A statement that the PLHCP has provided the employee with a copy
of the PLHCP's written recommendation.
14- The employer shall provide the employee with an opportunity to discuss
the questionnaire and examination results with the PLHCP.
15- If the respirator is a negative pressure respirator and the PLHCP
finds a medical condition that may place the employee's health at increased
risk if the respirator is used, the employer shall provide a PAPR.
- A- If the PLHCP's medical evaluation finds that the employee can use
such a respirator;
- B- If a subsequent medical evaluation finds that the employee is medically
able to use a negative pressure respirator, then the employer is no longer
required to provide a PAPR.
16- Where employers use a transient workforce, (e.g., temporary or construction
workers), the employer may accept the written medical recommendation of
the employee's ability to use a respirator as determined by their previous
employer's PLHCP only if the work conditions and type and weight of the
respirator remains the same and appropriate for use at their new work site.
- A- In this situation, the employer must obtain from the previous employer
a copy of the PLHCPs written recommendation.
17- Employees who refuse to be medically evaluated cannot be assigned
to work in areas where they are required to wear a respirator.
Fit Testing
1- The employer shall ensure that an employee using a tight-fitting facepiece
respirator is fit tested prior to initial use of the respirator, whenever
a different respirator facepiece (size, style, model or make) is used, and
at least annually thereafter.
- A- The employer shall conduct an additional fit test whenever the employee
reports, or the employer, PLHCP, supervisor, or program administrator makes
visual observations of, changes in the employee's physical condition that
could affect respirator fit.
- 1) Such conditions include, but are not limited to, facial scarring,
dental changes, cosmetic surgery, or an obvious change in body weight.
2- The employer shall ensure that employees using a tight-fitting facepiece
respirator pass an appropriate QLFT or QNFT.
- A- If after passing a qualitative fit test (QLFT) or quantitative fit
test (QNFT), the employee subsequently notifies the employer, program administrator,
supervisor, or PLHCP that the fit of the respirator is unacceptable, the
employee shall be given a reasonable opportunity to select a different
respirator facepiece and to be retested.
3- The fit test shall be administered using an OSHA-accepted QLFT or
QNFT protocol.
- A- The OSHA-accepted QLFT and QNFT protocols and procedures are contained
in Appendix A.
4- QLFT may only be used to fit test negative pressure air-purifying
respirators that must achieve a fit factor of 100 or less.
5- If the fit factor, as determined through an OSHA-accepted QNFT protocol,
is equal to or greater than 100 for tight-fitting half facepieces, or equal
to or greater than 500 for tight-fitting full facepieces, the QNFT has been
passed with that respirator.
6- Fit testing of tight-fitting atmosphere-supplying respirators and
tight-fitting powered air-purifying respirators shall be accomplished by
performing quantitative or qualitative fit testing in the negative pressure
mode, regardless of the mode of operation (negative or positive pressure)
that is used for respiratory protection.
- A- Qualitative fit testing of these respirators shall be accomplished
by:
- 1) Temporarily converting the respirator user's actual facepiece into
a negative pressure respirator with appropriate filters, or
- 2) By using an identical negative pressure air-purifying respirator
facepiece with the same sealing surfaces as a surrogate for the atmosphere-supplying
or powered air-purifying respirator facepiece.
- B- Quantitative fit testing of these respirators shall be accomplished
by modifying the facepiece to allow sampling inside the facepiece in the
breathing zone of the user, midway between the nose and mouth.
- 1) This requirement shall be accomplished by installing a permanent
sampling probe onto a surrogate facepiece, or by using a sampling adapter
designed to temporarily provide a means of sampling air from inside the
facepiece.
- C-Any modifications to the respirator facepiece for fit testing shall
be completely removed, and the facepiece restored to NIOSH-approved configuration,
before that facepiece can be used in the workplace.
Fit-Testing Methods
| Test |
QLFT |
QNFT |
| Half-Face, Negative Pressure, APR (<100 fit factor) |
Yes |
Yes |
| Full-Face, Negative Pressure, APR (<100 fit factor) used in atmospheres
up to 10 times the PEL |
Yes |
Yes |
| Full-Face, Negative Pressure, APR (>100 fit factor) |
No |
Yes |
| PAPR |
Yes |
Yes |
| Supplied-Air Respirators (SAR), or SCBA used in Negative Pressure (Demand
Mode) (>100 fit factor) |
No |
Yes |
| Supplied-Air Respirators (SAR), or SCBA used in Positive Pressure (Pressure
Demand Mode) |
Yes |
Yes |
| SCBA - Structural Fire Fighting, Positive Pressure |
Yes |
Yes |
| SCBA/SAR - IDLH, Positive Pressure |
Yes |
Yes |
| Mouthbit Respirators Fit-testing Not Required |
| Loose-fitting Respirators (e.g., hoods, helmets) Fit-testing Not Required |
Respirator Use
1- Employers must establish and implement procedures for the proper use
of respirators.
2- These requirements include prohibiting conditions that may result
in facepiece seal leakage, preventing employees from removing respirators
in hazardous environments, taking actions to ensure continued effective
respirator operation throughout the work shift, and establishing procedures
for the use of respirators in IDLH atmospheres or in interior structural
firefighting situations.
3- The employer shall not permit respirators with tight-fitting facepieces
to be worn by employees who have:
- A- Facial hair that comes between the sealing surface of the facepiece
and the face or that interferes with valve function; or
- B- Any condition that interferes with the face-to-facepiece seal or
valve function.
4- If an employee wears corrective glasses or goggles or other personal
protective equipment, the employer shall ensure that such equipment is worn
in a manner that does not interfere with the seal of the facepiece to the
face of the user.
5- For all tight-fitting respirators, the employer shall ensure that
employees perform a user seal check each time they put on the respirator
using the procedures in Appendix B-1 or procedures recommended by the respirator
manufacturer that the employer demonstrates are as effective as those in
Appendix B-1.
6- Appropriate surveillance shall be maintained of work area conditions
and degree of employee exposure or stress.
- A- When there is a change in work area conditions or degree of employee
exposure or stress that may affect respirator effectiveness, the employer
shall reevaluate the continued effectiveness of the respirator.
7- The employer shall ensure that employees leave the respirator use
area:
- A- To wash their faces and respirator facepieces as necessary to prevent
eye or skin irritation associated with respirator use; or
- B- If they detect vapor or gas breakthrough, changes in breathing resistance,
or leakage of the facepiece; or
- C- To replace the respirator or the filter, cartridge, or canister
elements.
8- If the employee detects vapor or gas breakthrough, changes in breathing
resistance, or leakage of the facepiece, the employer must replace or repair
the respirator before allowing the employee to return to the work area.
9-For all IDLH atmospheres, the employer shall ensure that:
- A-One employee or, when needed, more than one employee is located outside
the IDLH atmosphere;
- B-Visual, voice, or signal line communication is maintained between
the employee(s) in the IDLH atmosphere and the employee(s) located outside
the IDLH atmosphere;
- C-The employee(s) located outside the IDLH atmosphere are trained and
equipped to provide effective emergency rescue;
- D-The employer or designee is notified before the employee(s) located
outside the IDLH atmosphere enter the IDLH atmosphere to provide emergency
rescue;
- E-The employer or designee authorized to do so by the employer, once
notified, provides necessary assistance appropriate to the situation;
- F-Employee(s) located outside the IDLH atmospheres are equipped with:
- 1)Pressure demand or other positive pressure SCBAs, or a pressure demand
or other positive pressure supplied-air respirator with auxiliary SCBA;
and either
- 2)Appropriate retrieval equipment for removing the employee(s) who
enter(s) these hazardous atmospheres where retrieval equipment would contribute
to the rescue of the employee(s) and would not increase the overall risk
resulting from entry; or
- 3)Equivalent means for rescue where retrieval equipment is not required
under subsection (g)(3)(F)2.
Structural Firefighting
1-At least two employees enter the IDLH atmosphere and remain in visual
or voice contact with one another at all times;
2-At least two employees are located outside the IDLH atmosphere; and
3-All employees engaged in interior structural firefighting use SCBAs.
4-One of the two individuals located outside the IDLH atmosphere may
be assigned to an additional role, such as incident commander in charge
of the emergency or safety officer, so long as this individual is able to
perform assistance or rescue activities without jeopardizing the safety
or health of any firefighter working at the incident.
5-Nothing in this section is meant to preclude firefighters from performing
emergency rescue activities before an entire team has assembled.
Respirator Maintenance
1-Employer must provide for the cleaning and disinfecting, storage, inspection,
and repair of respirators used by employees.
2-The employer shall provide each respirator user with a respirator that
is clean, sanitary, and in good working order.
3-The employer shall ensure that respirators are cleaned and disinfected
using the procedures in Appendix B-2, § 5144. Respiratory Protective
Equipment Protection.
Definitions:
1-The revised standard now contains definitions in paragraph (b) that
provide a clearer understanding of specific terminology used in the standard
and how these terms are applied to respirators and their use.
2-Some definitions in the proposal were not included in the final standard,
and some new definitions were added.
- A-"Adequate warning properties" was not included in the final
standard because the two major warning properties, odor and irritation,
are unreliable or otherwise inappropriate to be used as primary indicators
of sorbent exhaustion.
- B-"Assigned Protection Factor" has not yet been included
in the standard. OSHA is conducting further rulemaking on this issue, and
will eventually add the APFs to the final standard. In the interim, OSHA
will continue to refer to NIOSH APFs except in cases where APFs have been
published in substance-specific standards or are addressed by OSHA in separate
letters of interpretation. Employers must rely on the best available information
when selecting the appropriate respirator.
- C-"Filtering facepiece" (dust mask) means a negative pressure
particulate respirator with a filter as an integral part of the facepiece
or with the entire facepiece composed of the filtering medium. Whenever
a filtering facepiece is used to meet the requirements of the standard,
it must be NIOSH approved.
3-A "HEPA filter" (High Efficiency Particulate Air) is a filter
that is 99.97% efficient in removing monodispersed particles of 0.3 micrometers
in diameter. NIOSH no longer uses this term in its new respirator certification
standard (42 CFR 84). However, OSHA has retained this definition because
it is used in many of the existing substance-specific standards. When HEPA
filters are required by an OSHA standard, N100, R100, and P100 filters can
be used to replace them.
Air-purifying respirator means a respirator with an air-purifying filter,
cartridge, or canister that removes specific air contaminants by passing
ambient air through the air-purifying element.
Assigned protection factor (APF) [Reserved]
Atmosphere-supplying respirator means a respirator that supplies the
respirator user with breathing air from a source independent of the ambient
atmosphere, and includes supplied-air respirators (SARs) and self-contained
breathing apparatus (SCBA) units.
Canister or cartridge means a container with a filter, sorbent, or catalyst,
or combination of these items, which removes specific contaminants from
the air passed through the container.
Demand respirator means an atmosphere-supplying respirator that admits
breathing air to the facepiece only when a negative pressure is created
inside the facepiece by inhalation.
Emergency situation means any occurrence such as, but not limited to,
equipment failure, rupture of containers, or failure of control equipment
that may or does result in an uncontrolled significant release of an airborne
contaminant.
Employee exposure means exposure to a concentration of an airborne contaminant
that would occur if the employee were not using respiratory protection.
End-of-service-life indicator (ESLI) means a system that warns the respirator
user of the approach of the end of adequate respiratory protection, for
example, that the sorbent is approaching saturation or is no longer effective.
Escape-only respirator means a respirator intended to be used only for
emergency exit.
Filter or air purifying element means a component used in respirators
to remove solid or liquid aerosols from the inspired air.
Filtering facepiece (dust mask) means a negative pressure particulate
respirator with a filter as an integral part of the facepiece or with the
entire facepiece composed of the filtering medium.
Fit factor means a quantitative estimate of the fit of a particular respirator
to a specific individual, and typically estimates the ratio of the concentration
of a substance in ambient air to its concentration inside the respirator
when worn.
Fit test means the use of a protocol to qualitatively or quantitatively
evaluate the fit of a respirator on an individual. (See also Qualitative
fit test QLFT and Quantitative fit test QNFT.)
Helmet means a rigid respiratory inlet covering that also provides head
protection against impact and penetration.
High efficiency particulate air (HEPA) filter means a filter that is
at least 99.97% efficient in removing monodisperse particles of 0.3 micrometers
in diameter. The equivalent NIOSH 42 CFR 84 particulate filters are the
N100, R100, and P100 filters.
Hood means a respiratory inlet covering that completely covers the head
and neck and may also cover portions of the shoulders and torso.
Immediately dangerous to life or health (IDLH) means an atmosphere that
poses an immediate threat to life, would cause irreversible adverse health
effects, or would impair an individual's ability to escape from a dangerous
atmosphere.
Interior structural firefighting means the physical activity of fire
suppression, rescue or both, inside of buildings or enclosed structures
which are involved in a fire situation beyond the incipient stage.
Loose-fitting facepiece means a respiratory inlet covering that is designed
to form a partial seal with the face.
Maximum use concentration (MUC) [Reserved].
Negative pressure respirator (tight fitting) means a respirator in which
the air pressure inside the facepiece is negative during inhalation with
respect to the ambient air pressure outside the respirator.
Oxygen deficient atmosphere means an atmosphere with an oxygen content
below 19.5% by volume.
Physician or other licensed health care professional (PLHCP) means an
individual whose legally permitted scope of practice (i.e., license, registration,
or certification) allows him or her to independently provide, or be delegated
the responsibility to provide, some or all of the health care services required
by subsection (e).
Positive pressure respirator means a respirator in which the pressure
inside the respiratory inlet covering exceeds the ambient air pressure outside
the respirator.
Powered air-purifying respirator (PAPR) means an air-purifying respirator
that uses a blower to force the ambient air through air-purifying elements
to the inlet covering.
Pressure demand respirator means a positive pressure atmosphere-supplying
respirator that admits breathing air to the facepiece when the positive
pressure is reduced inside the facepiece by inhalation.
Qualitative fit test (QLFT) means a pass/fail fit test to assess the
adequacy of respirator fit that relies on the individual's response to the
test agent.
Quantitative fit test (QNFT) means an assessment of the adequacy of respirator
fit by numerically measuring the amount of leakage into the respirator.
Respiratory inlet covering means that portion of a respirator that forms
the protective barrier between the user's respiratory tract and an air-purifying
device or breathing air source, or both. It may be a facepiece, helmet,
hood, suit, or a mouthpiece respirator with nose clamp.
Self-contained breathing apparatus (SCBA) means an atmosphere-supplying
respirator for which the breathing air source is designed to be carried
by the user.
Service life means the period of time that a respirator, filter or sorbent,
or other respiratory equipment provides adequate protection to the wearer.
Supplied-air respirator (SAR) or airline respirator means an atmosphere-supplying
respirator for which the source of breathing air is not designed to be carried
by the user.
Tight-fitting facepiece means a respiratory inlet covering that forms
a complete seal with the face.
User seal check means an action conducted by the user to determine if
the respirator is properly seated to the face. |