Respirators Checklist

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Labor Occupational Health Program

Summary Statement

A checklist of items that need to be covered for respiratory protection including a respiratory protection written program, requirements for different types of respirators, care, a hazardous exposure chart, and an inspection chart. Part of a collection. Click on the 'collection' button to access the other items.

These tailgate/toolbox talks were developed for use under California OSHA regulations. The complete set is available from the Labor Occupational Health Program at UC Berkeley. For ordering information, visit the website ( The American Conference of Government Industrial Hygienists (ACGIH) has adapted these talks to apply to federal OSHA regulations. To contact ACGIH, visit its web site (

Date Prepared:_________________________ By:_______________________
Project Name/No.______________________ Location:__________________

  • Check the box if the statement is true.

  • Fill in the blanks where the Pencil Iconappears.


  • The company has a current, written Respiratory Protection Program. [1531(f)]
Pencil Icon Copies are available at:______________________________


  • Respirators are always provided by the company and used by workers when contaminant levels may be above the Cal/OSHA permissible exposure limit (PEL) for any hazardous substance, or when working in any dangerous atmosphere. [1531(a)]
  • Potentially hazardous exposures on this site, and type of respirator(s) required, have been identified. [1509]
Pencil Icon Fill in the chart on page 3.

  • Respirators are equipped with the right type of cartridges for the particular contaminant. [1531(b)]
  • Paper dust masks are not used to control exposure to asbestos [1529(i)] or other toxic chemicals. [1531(b)]
  • Air supplied respirators (not air purifying respirators) are worn in low oxygen areas. [1531(b)]
Pencil Icon

Possible low oxygen area(s) on this site:


  • Workers wearing respirators are clean-shaven at the points of seal. [1531(c)]
  • Workers perform positive and negative pressure tests each time they put a respirator on. [1531(c)]
  • Respirators, cartridges, and replacement parts have been approved by the Mine Safety and Health Administration (MSHA) or the National Institute for Occupational Safety and Health (NIOSH). [1531(b)]
  • Workers who wear respirators have been medically evaluated, fit-tested, and trained. [1531(c) and (h)]


  • Breathing air is “Grade D” and free from any harmful substances. [1531(e)(1)]
  • If a compressor is used, it is equipped with Cal/OSHA required safety and standby devices, including an alarm which signals system failure. [1531(e)(3)]
  • Breathing gas cylinders are labeled with the words AIR or OXYGEN. [1531(e)(2)
  • Airline couplings are unique (incompatible with other outlets) to prevent accidentally connecting the respirator to hazardous gases. [1531(e)(4)
  • Respirators are stored in impermeable bags out of the work area when not in use. [1531(d)] (Impermeable plastic, wood, or metal boxes are also permissible.)
  • Respirators are cleaned prior to storage. [1531(d)]
  • Cartridges are replaced on a routine basis, as specified in the company’s written Respiratory Protection Program. [1531(f)]
  • Workers inspect respirators for damage prior to each use. [1531(c)]
  • Workers don’t wear respirators with damaged straps or facepieces. [1531(c)]
  • Replacement parts are obtained only from the original manufacturer or authorized vendor, and are designed for that respirator. [1531(b)]
Pencil Icon


Fill in for each potentially hazardous exposure on the site:

Hazardous Substance
Air Monitoring Results*
Type of Respirator Required

* Note: Respirators should be used unless air monitoring has shown them to be unnecessary.

Other Hazards Noted Action

Near Miss Reports: