Respirators Checklist
-
Respirators - LOHP
The Labor Occupational Health Program (LOHP) at UC Berkeley developed toolbox talks and forms for 28 subject areas. You can access the introduction and reference sections in the "More like this" area and the other subjects by searching on 'LOHP'.
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.
1994
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 (www.lohp.org) 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 (www.acgih.org). |
Date Prepared:_________________________ | By:_______________________ |
Project Name/No.______________________ | Location:__________________ |
- Check the
box if the statement is true.
- Fill in the
blanks where the
appears.
WRITTEN PROGRAM
- The company has a current, written Respiratory Protection Program. [1531(f)]
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Copies are available at:______________________________ |
RESPIRATOR USE
- 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]
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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)]
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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)]
AIRLINE RESPIRATORS
- 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)]
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HAZARDOUS EXPOSURE AND PROTECTION CHART Fill in for each potentially hazardous exposure on the site: |
Hazardous
Substance
|
PEL
|
Air
Monitoring Results*
|
Type
of Respirator Required
|
* Note: Respirators should be used unless air monitoring has shown them to be unnecessary.
GENERAL INSPECTION | |
Other Hazards Noted | Action |
Near
Miss Reports: |
|
Other: |