Sample Respiratory Protection Program Page 4

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______________ (qualitative) and ___________ (quantitative).
.
VII.
Respirator Use
1. Employees must use their respirators in accordance with the training they
receive.
2. Employees shall conduct user seal checks each time they wear their
respirator, using either the positive or negative pressure check specified
in appendix B-1 of the respiratory protection standard.
3. Employees must be permitted to leave the work area to clean their
respirator, change filters or cartridges, replace parts, or to inspect their
respirator if necessary.
4. Employees must not be permitted to wear tight-fitting respirators if they
have any condition such as facial scars, facial hair, or missing dentures,
that prevents them from achieving a good seal.
PERSONNEL INCLUDED UNDER RESPIRATOR PROGRAM
JOB DESCRIPTION/
TYPE
NAME
DEPARTMENT WORK PROCEDURE
RESPIRATOR
________ ______________
___________________ _____________
________ ______________
___________________ _____________
________ ______________
___________________ _____________
________ ______________
___________________ _____________
________ ______________
___________________ _____________
5. Emergency use procedures
The following work areas or departments have been identified as
having foreseeable emergencies. Respirators may be for responding to
emergencies or for escape only.
DEPARTMENT/ FORSEEABLE
TYPE
RESPIRATOR
WORK AREA
EMERGENCY
RESPIRATOR
LOCATION
_____________
_____________ ____________
___________
_____________
_____________ ____________
___________
_____________
_____________ ____________
___________
_____________
_____________ ____________
___________
_____________
_____________ ____________
___________
6. IDLH (Immediately dangerous to life and health) procedures
a. One or more trained and equipped standby person stays outside
the IDLH atmosphere.
b. Visual, voice or signal line communication is maintained with the
employee in the IDLH atmosphere.
c. The employer is notified before the standby person enters the IDLH
atmosphere to provide emergency rescue.
d. The employer must provide assistance appropriate to the situation.
e. Employees engaged in interior structural fire fighting use SCBAs.
f.. Only Grade D breathing air must be used in cylinders for supplied
air respirators
4

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