Sample Respiratory Protection Program Page 5

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_______________ (program administrator) has identified these areas as
having the potential for IDLH conditions:
WORK
IDLH
RESPIRATOR
RESPIRATOR
AREA
CONDITION
REQUIRED
LOCATION
______
___________
_____________
__________
______
___________
_____________
__________
______
___________
_____________
__________
______
___________
_____________
__________
VIII.
Cleaning, Maintenance, Change Schedules and Storage
a. Respirators are to be cleaned and disinfected at the cleaning station
located at ________________________________________________.
b. Respirators issued for exclusive use of one employee must be cleaned
and disinfected as often as necessary to be kept clean.
c. Respirators issued to more than one person must be cleaned and dis-
infected before being worn by different individuals.
d. Respirators maintained for emergency use must be cleaned and dis-
infected after each use.
e. Respirators used in fit testing and training must be cleaned and dis-
infected after each use.
f. Procedures for cleaning respirators.
i. Remove filters, cartridges, or canisters. Disassemble facepieces
by removing diaphragms, valve assemblies, hoses or other
components recommended by the manufacturer, removing and
discarding or repairing defective parts.
ii. Wash components in warm (43 C, 110 F) water with a mild
detergent or with a cleaner recommended by the manufacturer.
A stiff-bristled brush may be used to remove dirt.
iii. Rinse components in warm running water, then drain.
iv. When the cleaner used does not contain a disinfecting agent,
respirator components should be immersed for 2 minutes in
either a solution made by adding 1 milliliter of laundry bleach
to one liter of water, an aqueous solution of iodine made by
adding approximately 0.8 milliliters of tincture of iodine/100 cc
of 45 % alcohol to 1 liter of warm water, or another cleanser
of equivalent disinfectant quality when used as recommended
or approved by the manufacturer.
v. Components should be hand-dried with a clean lint-free cloth
or air dried.
vi. Reassemble facepiece, replacing filters, cartridges and canisters
where necessary.
vii. Test the respirator to ensure that all components work properly.
g. Respirators must be stored in a clean, dry place, so as not to deform the
facepiece.
i. Respirators for general use will be stored in________________
5

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