STATE OF FLORIDA DEPARTMENT OF MILITARY … D/pam_385_34_dec98.pdf · Suppersession: This pamphlet...

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i STATE OF FLORIDA DEPARTMENT OF MILITARY AFFAIRS Office of the Adjutant General St. Francis Barracks, P.O. Box 1008 St. Augustine, Florida 32085-1008 SAO-S 14 December 1998 DEPARTMENT OF MILITARY AFFAIRS FLORIDA ARMY NATIONAL GUARD PAMPHLET 385-34 14 December 1998 SAFETY- Respiratory Protection Program Suppersession: This pamphlet supersedes Florida Army National Guard Pamphlet 40-5-3, Respiratory Protection, dated 19 September 1985 Applicability. This regulation applies to the Florida Army National Guard Military, State, Federal personnel. Suggested Improvements: The proponent agency of this pamphlet is the Florida Army National Guard, State Aviation Office. Users are invited to send comments and suggested improvements on DA Form 2028 (Recommended Changes to Publications and Blank Forms) directly to The Adjutant General, Attention: State Aviation Office, P.O. Box 1008, St Augustine, Florida 32085-1008. TABLE OF CONTENTS Title Paragraph Page Table of Contents i CHAPTER 1 INTRODUCTION Purpose 1-1 1-1 Media 1-2 1-1 References 1-3 1-1 Background 1-4 1-4 CHAPTER 2 RESPONSIBILITIES The Adjutant General 2-1 2-1 State Surgeon/Contract Physician 2-2 2-1 State Occupational Health Nurse 2-3 2-1 State Industrial Hygiene Technician 2-4 2-1 Human Resourses Management Office 2-5 2-1

Transcript of STATE OF FLORIDA DEPARTMENT OF MILITARY … D/pam_385_34_dec98.pdf · Suppersession: This pamphlet...

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STATE OF FLORIDA DEPARTMENT OF MILITARY AFFAIRS

Office of the Adjutant General St. Francis Barracks, P.O. Box 1008 St. Augustine, Florida 32085-1008

SAO-S 14 December 1998

DEPARTMENT OF MILITARY AFFAIRS FLORIDA ARMY NATIONAL GUARD PAMPHLET 385-34 14 December 1998 SAFETY- Respiratory Protection Program Suppersession: This pamphlet supersedes Florida Army National Guard Pamphlet 40-5-3, Respiratory Protection, dated 19 September 1985 Applicability. This regulation applies to the Florida Army National Guard Military, State, Federal personnel. Suggested Improvements: The proponent agency of this pamphlet is the Florida Army National Guard, State Aviation Office. Users are invited to send comments and suggested improvements on DA Form 2028 (Recommended Changes to Publications and Blank Forms) directly to The Adjutant General, Attention: State Aviation Office, P.O. Box 1008, St Augustine, Florida 32085-1008.

TABLE OF CONTENTS

Title Paragraph Page Table of Contents i CHAPTER 1 INTRODUCTION Purpose 1-1 1-1 Media 1-2 1-1 References 1-3 1-1 Background 1-4 1-4 CHAPTER 2 RESPONSIBILITIES The Adjutant General 2-1 2-1 State Surgeon/Contract Physician 2-2 2-1 State Occupational Health Nurse 2-3 2-1 State Industrial Hygiene Technician 2-4 2-1 Human Resourses Management Office 2-5 2-1

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First Line Supervisor 2-6 2-1 Worksite Respirator Custodian 2-7 2-1 Employee 2-8 2-1 CHAPTER 2 PROCEDURE General 3-1 3-1 Respiratory Protection Procedure 3-2 3-2 Training Program 3-3 3-7 CHAPTER 3 GUIDELINES FOR PAINTING OPERATIONS Tactical Military Materiel 4-1 4-1 Spray Paint 4-2 4-1 Brush/Roller Painting 4-3 4-2 Indoor/Outdoor Painting 4-4 4-2 Drying 4-5 4-2 Grinding/Sanding 4-6 4-3 Welding/Cutting 4-7 4-3 Mixing 4-8 4-3 Paint Removal 4-9 4-3 Personal Protective Equipment 4-10 4-4 Pertinent Coating Ingredients 4-11 4-4 Painting in Confined Spaces 4-12 4-4 Respiratory Protection Requirements 4-13 4-5 APPENDIX A A-1 APPENDIX B B-1 APPENDIX C C-1 APPENDIX D D-1 APPENDIX E E-1

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CHAPTER 1 INTRODUCTION 1.1 Purpose

a. This regulation provides requirements to implement an effective Respiratory Protection Program according to the authorities listed.

b. Prescribes policies for selecting, using, controlling, and maintaining respiratory

protective equipment (RPE) in a manner that will ensure adequate and proper protection for employees working in environments containing harmful concentrations of dusts, fumes, mists, gases, smoke, and/or vapors. c. Delineates responsibilities for Respiratory Protection Program. 1-2. Media: The regulation is applicable to all FLARNG personnel routinely exposed to respiratory hazards. 1-3. References

a. Executive Order 12196

b. The Occupational Safety and Health (OSH) Act of 1970 c. 29 CFR 1910.134 d. 29 CFR 1960 e. 46 CFR 84 f. AR 11-34, Army Respiratory Protection Program g. AR 40-5, Preventive Medicine h. AR 40-501, Standards of Medical Fitness i. AR 385-10, Army Safety Program j. AR 386-30, Safety Color Codes, Markings, and Signs k. AR 385-32, Protective Clothing and Equipment l. NGR 385-10, Army National Guard Safety and Occupational Health Program m. TB MED 502, Respiratory Protection

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n. TG 144, Guidelines for Controlling Health Hazards in Painting Operations o. ANSI Z88.2-1992, American National Standard for Respiratory Protection p. Compressed Gas Association (CGA) G-7.1-1989 q. Other directives and documents concerning respiratory protection 1-4. Background

a. The most common and dangerous route of entry of toxic substances into the body is through the respiratory system. Therefore, it is imperative that healthful work practices and proper respiratory protective devices be used to protect all workers exposed to any toxic vapors, dusts, mists, fumes, smokes, and/or gases at or above acceptable limits set by the American Conference of Government Industrial Hygienists (ACGIH) or the Occupational Safety and Health Administration (OSHA), whichever is most conservative. It must be stressed that respirators are unnecessary when contaminant concentrations do not exceed permissible exposure limits.

b. Respirators are considered an acceptable method of protecting the health of personnel only under the following circumstances: (1) When it has been determined to the satisfaction of the Occupational Health Office that there are no feasible substitutions of hazardous substances, engineering, administrative, or work practice controls that can be used to adequately control the hazard. (2) During the interim periods when engineering controls are being designed and installed.

(3) During emergencies.

c. Military protective masks designed and issued for protection against field concentrations of chemical, biological, and radiological warfare agents will not be used in industrial applications.

d. Wherever the technology exists for eliminating or reducing the cause of an environmental respiratory hazard, and when economically feasible, engineering control methods will be implemented. Such methods will include, but are not limited to: (1) Substitution of less toxic substance. (2) Installation of local exhaust systems. (3) Natural or mechanical ventilation. (4) Segregation or isolation of processes or operations.

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e. Respiratory protection will be furnished at no cost to the employee and will be

used as a condition of employment where applicable.

f. A sample standard operating procedure (SOP) for respirator training and fit-testing is contained in this regulation to use as a guideline. (See Appendix D).

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CHAPTER 2 RESPONSIBILITIES 2-1. Adjutant General : The Adjutant General has overall responsibility for the safety, health, and well-being of all employees within the FLARNG. The Adjutant General shall provide and maintain resources for the implementation of a formal respiratory protection program IAW Federal, Department of the Army, National Guard Bureau, and the State of Florida regulations and statutes. Resources shall include, but are not limited to appropriate respiratory equipment, adequate facilities, and trained personnel. 2-2. State Surgeon and/or Contract Physician: The State Surgeon and/or Contract Physician shall oversee and/or conduct the medical examination process. A medical evaluation is conducted to determine the employee’s ability to use the respirator as required by OSHA standards. A Physician or other licensed health care professional before fit testing or using the respirator must conduct the evaluation. He/she shall also provide guidance regarding respiratory protection to the FLARNG Occupational Health Nurse (SOHN) IAW Federal, Department of the Army, National Guard Bureau, and the State of Florida regulations and statutes. 2-3. State Occupational Health Nurse: The FLARNG State Occupational Health Nurse (SOHN) is responsible for the overall implementation of the respiratory protection program within the FLARNG. 2-4. State Industrial Hygiene Technician: The Industrial Hygiene Technician will monitor work sites for the recognition, evaluation, and control of potential respiratory hazards, review data results, and make recommendations for improvements to the SOHN. 2-5. Human Resources Management Office: Human Resources Management Office (HRMO) is responsible for liaison with the SOHN regarding respirator requirements for specific occupations and shall reflect such requirements in posted job announcements. 2-6. The First Line Supervisor: The First Line Supervisor is responsible for the implementation of the respirator program at specified facilities and/or work areas. The supervisor shall seek guidance from the SOHN to carry out the specifics of the respirator program. 2-7. The Worksite Respirator Custodian: The Worksite Respirator Custodian is responsible for respirator fit-testing, maintenance, supply, and issue of respirators and their components, and respirator record keeping maintenance at specified work locations. 1. The Employee: The Employee is responsible for complying with all directives and

instructions regarding his/her respirator, to include, but not limited to, use, maintenance, and storage of the respirator.

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CHAPTER 3 PROCEDURE 3-1 General

a. All respiratory protective devices will initially be issued to technicians and AGR personnel by the installation respiratory custodian.

b. Approved RPE designed to protect personnel from occupational

diseases/injuries caused by airborne contaminants will be available, used, and maintained as required.

c. Respiratory protection will only be used as means of controlling employee exposure to airborne environmental hazards under the following circumstances:

(1) When substitution of contaminants, engineering, administrative, or work practice controls cannot be used to adequately control the hazards. (2) During intermittent or non-routine operations. (3) During interim periods while engineering controls are being designed and installed to eliminate the hazard.

d. Respiratory protection will be furnished at no cost to the employee and will be used as a condition of employment where applicable.

e. Respirators will be selected and used based upon the extent and nature of the hazards to which the worker is exposed, the work requirements and conditions and the characteristics and limitations of the respirator. All RPE used will carry the National Institute for Occupational Safety and Health (NIOSH) seal of approval and state on the cartridge, canister, or filter which type of protection the respirator will provide. RPE will be used only for the intended purposes and modifications of the equipment will not be made.

f. Employees whose work requires the wearing of RPE will not have beards, sideburn, or other facial hair that will prevent proper face piece-to-face seal, thereby negating the effectiveness of the RPE. g. Supervisors will enforce the requirements of this regulation and recommend disciplinary action against offenders according to applicable directives. h. Supervisors and workers will be properly instructed by the SOHN in the selection, use, and limitations of their respective respiratory protection devices.

i. Compressed air for breathing:

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(1) All compressed air used for breathing apparatus must meet the

requirements set by the Compressed Gas Association for Grade D air IAW CGA G-7.1-1989.

(2) Air-line couplings will be incompatible with outlets for other gas systems to prevent inadvertent servicing of air-line respirators with non-respirable gases or oxygen.

(3) All oxygen used for breathing purposes must meet United States Pharmacopoeia (USP) standards for medical gases. 3-2 Respiratory Protection Procedure

a. Role of the SOHN

(1) Ensure overall success of the Respiratory Protection Program and monitor the overall effectiveness and compliance with requirements of this regulation regarding respiratory protective equipment (RPE). The Respiratory Protection Program should be re-evaluated for effectiveness and compliance when work place conditions affecting the use of respirators change. The SOHN must review respirator use in the workplace with sufficient frequency to ensure that continous, successful implementation of all written respirator program elements.

(2) Ensure that prompt corrective action is taken for deficiencies which are detected in the Respiratory Protection Program. (3) Utilize health and safety surveys and work site evaluations to identify operations and personnel working in atmospheres suspect of being hazardous to health, and determine what, if any, RPE is indicated for such atmospheres. (4)Report to the chain of command on corrective action towards employees or supervisors for failure to comply with requirements to wear RPE.

(5) Determine if workers assigned to tasks requiring the use of respirators are physically and physiologically able to perform work while wearing prescribed respiratory protection. (6) Periodically review the medical status of respirator users and maintain records of screenings. Frequency will be at the discretion of the SOHN based on the type of respiratory protection equipment used, age of the individual and the results of appropriate medical examinations. Also, recommend action when the screening indicates an abnormal finding. (7) Make determinations known to supervisors as to whether or not respective employees are able to wear respiratory protection and perform assigned work.

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(8) Provide qualitative or quantitative fit-test training to personnel and have employee measured for corrective lenses inside full-face-piece respirators to ensure proper vision and good fit.

(9) Provide "Train-the-Trainer" instruction as needed, to include but not limited to, wearing, cleaning, maintenance, storage of respirators, and health education. (10) Ensure supervisors and/or respirator custodians have necessary information to order RPE appropriately. Designate the type of equipment to be purchased/used and assist in the establishment of methods and procedures by which the RPE will be ordered, maintained, and/or replaced. (11) Ensure that only the RPE that the employees were fit-tested for is purchased and that there are no substitutions of items. (12) Ensure prompt, adequate support is provided in the purchasing and receipt of all necessary equipment essential to the success of the Respiratory Protection Program and efforts to guarantee protection for employee life and health under OSH Act of 1970 and other applicable directives. (13) Determine non-usability of equipment within the parameters and effect replacement. (14) Have fit-testing done upon issue of respirators and when otherwise indicated. (15) Train employees in the proper selection, limitations, daily inspections, donning, and leak testing of the RPE. (16) Inform employees upon initial issuance of the RPE of their responsibilities regarding respirator use. (17) Coordinate with supervisors to ensure distribution, issuance, etc., of respirators. (18) Assist with training of Worksite Respirator Custodians. (19) Review this publication and local Standard Operating Procedures for Respiratory Protection Program as needed. a. Role of the Supervisor

(1) Ensure ordering of all respiratory protection devices for technicians and

AGR personnel after training, fit-testing, and instruction has been completed. The

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supervisor should select respirators from a sufficient number of models and sizes so that the respirator is acceptable to, and correctly fits the user.

(2) Ensure that proper respiratory protection equipment is used by

employees where required.

(3) Ensure that in areas where respirators are used, a local SOP has been established and is maintained, outlining protocol for use, maintenance, cleaning, and storage of respirators for those areas.

(4) Ensure persons being interviewed for positions requiring the use of respiratory protection are fully aware of the requirement, the reason for the requirement, and the importance of compliance. Consider respiratory usage compliance in performance appraisals.

(5) Enforce the provisions of this regulation.

(6) Ensure requisition and issue of approved respiratory devices for the individual and for the hazard, and insure maintenance of an adequate supply of replacement parts.

(7) Ensure RPE is stored in a clean and sanitary location within the work

area, to protect against dust, sunlight, heat, extreme cold, excessive moisture, or damaging chemicals. Respiratory equipment will not be stored in such places as tool boxes unless they are in carrying cases or cartons.

(8) Ensure conditions do not exist which will prevent the RPE from providing

a good face piece-to-face seal. Such conditions may be a growth of facial hair, or the wearing of skull caps which project under the face piece. The absence of one or both dentures can seriously affect the fit of a face piece. Ensure the workers are not permitted to perform tasks requiring respiratory protection when an effective face fit cannot be obtained and/or if fit-testing has not yet been accomplished.

(9) Ensure contact lenses are not worn with full-face piece RPE.

(10) Ensure that corrective spectacles/goggles are worn so as not to affect the fit of the face piece. Systems have been developed for mounting corrective lenses inside full-face pieces.

(11) Ensure respirators assigned for the exclusive use of one worker are returned to the proper collection point for maintenance/cleaning at prescribed frequencies IAW OSHA standards.

(12) Ensure that respirators are checked monthly for defects, including leak

check. Also, check for cleaning and disinfecting other that daily cleaning by individual users, repairs, and storage.

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(13) Ensure that a record is kept of inspection dates and findings for respirators maintained for emergency use.

(14) Ensure that replacement or repairs shall be done only by experienced

persons with parts designed for the respirator. No attempts shall be made to replace components or to make adjustments or repairs beyond the manufacturers' recommendations.

(15) Ensure that reducing or admission valves or regulators shall be returned to the manufacturer or to a trained technician for adjustment.

(16) Ensure that new, transfer, or temporary employees receive proper

respiratory protection training, and medical examinations where the job will require respiratory protection. Have employee complete the respirator questionaire and forward to the SOHN prior to training.

(17) Report to the Occupational Health Office operations suspected of

needing respiratory protective devices. (18) Ensure workers are trained in and utilize proper procedures for the wearing, cleaning, sanitizing, maintenance, and storage of respirators. Ensure retraining is provided on an annual basis.

(19) Ensure that the Worksite Respirator Custodian is adequately trained, has knowledge of the hazards involved, and fulfills duties as described in this regulation.

c. Role of the Worksite Respirator Custodian

(1) Provide fit-testing to all respirator users in the facility after medical clearance from the SOHN and on an annual basis.

(2) Maintain a stock of approved respiratory protective devices and replacement parts appropriate to hazards, and an adequate supply of approved cleaning materials. Ordering information is available through the Occupational Health Office. All components of any given respirator must be made by the same manufacturer.

(a) Filters: Filters provide protection only against particulates. Different filter types are specific for different types of particulates and are not interchangeable.

(b) Combination Cartridges: Combination Cartridges are approved

for use in exposures to organic and inorganic vapors, fumes, mists, and dusts from contaminants at the worksite.

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(c) Components: Components are the replacement parts of the respirator. No substitutions of components of other brands are authorized. Substitutions may void the NIOSH approval and result in an ineffective respirator.

(d) Single-use respirators: These respirators are approved for protection against fumes, dusts, and mists, but are not approved for paints or solvent mists. Users are protected from the actual mist droplets, but the solvents are absorbed into the mask and may cause an over-exposure by concentrating them on the mask right in the users' breathing zones. The SOHN should be contacted for guidance in the use of such RPE.

(3) Issue respirators to users as per fit-testing results.

(4) Provide remedial instruction on respiratory protection to employees on

an annual basis and document the training.

(5) Ensure that respirators are durably marked for identification purposes, in a manner that does not interfere with fit or function.

(6) Develop and maintain a local SOP with supervisory guidance.

(7) Inspect all RPE received to determine that it is the type ordered and is not flawed. retain approval labels for all equipment on hand.

(8) Periodically inspect RPE and ensure worn parts and used filters and cartridges are replaced promptly. (9) Inspect air-line respirators quarterly. Pay specific attention to the condition of the lines, filters, connectors, valves, rubber parts and hoses. Replace components promptly when unserviceable. A record of the inspection and maintenance performed will be maintained. (10) Maintain records of respiratory protection issued, results of fit-testing results, and other information as prescribed in TB MED 502.

d. Role of the Employee

(1) Be ultimately responsible for his/her own respirator. (2) Complete respiratory questionnaire. Report for all scheduled medical

exams and educational briefings concerning respiratory protection. (3) Ensure that the respirator has no holes, cracks, or leaks before each use

and that it is cleaned daily.

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(4) Wear and care for RPE IAW training received and provisions outlined in this regulation.

(5) Perform leak tests before each use.

(6) Notify immediate supervisor if it is suspected that respiratory protection is needed or that the respirator is defective.

(7) Seek assistance from the Worksite Respirator Custodian as needed.

(8) Adhere to instructions governing the proper use of the RPE.

(9) Store the respirator in a clean, sanitary location when not in use. Store respirator in a zip-lock type plastic bag and in a manner to prevent disfiguring of the face piece. 3-3. Training Program: Training and fit-testing shall be conducted prior to first issue and at least annually. Each training session shall include as a minimum an explanation of respiratory hazards and what may happen if the respirator is not properly utilized, reasons for selecting a particular kind of respirator and filter/cartridges, and a discussion of limitations and capabilities of the selected respirator. After completing the training the tested individual will be able to demonstrate and verbalize inspection, donning, leak testing, cleaning, and storage of the respirator.

a. Inspection

(1) Examine face piece for deterioration or damage (dirt, cracks, tears, or holes, flexibility, distortion).

(2) Examine straps and cradle for deterioration (cracks, elasticity).

(3) Check cartridge/filter fittings for damage.

(4) Inspect inhalation face piece.

(5) Inspect exhalation valve. (6) Examine for cleanliness.

b. Donning

(1) Place the facepiece over the bridge of your nose and swing the bottom in so that it rests against your chin.

(2) Hold the respirator in place and fasten the top strap over the crown of your head.

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(3) Fit the respirator on your face and fasten the strap around your neck. Use the metal slides to tighten or loosen the fit.

c. Leak Testing

(1) Positive pressure sealing test: The exhalation valve is closed off and then the wearer EXHALES gently. The fit of a respirator equipped with a face piece is considered to be satisfactory if a slight positive pressure can be built up inside the face piece without the detection of outward leakage of air between the sealing surface of the face piece and the respirator wearer’s face.

(2) Negative pressure sealing test: The inlet opening of the respirator’s

cartridges/filters is closed off by covering with the palm of the hands so that it will not allow the passage of air. Then the wearer INHALES and hold his or her breath for least 10 seconds. If a face piece collapses slightly and no inward leakage of air into the face piece is detected, it can be reasonably assured that the fit of the respirator to the wearer is satisfactory.

d. Fit-testing Exercises

(1) Normal breathing

(2) Deep breathing

(3) Turning head from side to side: Be certain movement is complete. Alert

test subject not bump the respirator on his/her shoulders. Have the test subject inhale when his/her head is at either side.

(4) Nodding head up and down: Be certain motions are complete and made

about every second. alert the test subject not to bump the respirator on his chest. Have the test subject inhale when his head is in the full up position.

(5) Talking: Have the test subject read the "Rainbow Passage" slowly and

distinctly as follows: "When the sunlight strikes raindrops in the air, they act like a prism and form a rainbow. The rainbow is division of white light into many beautiful colors. These take the shape of a long round arch, with its path high above, and its two ends apparently beyond the horizon. There is, according to legend, a boiling pot of gold at one end. People look, but no one ever finds it. When a man looks for something beyond his reach, his friends say he is looking for the pot of gold at the end of the rainbow."

d. Cleaning

(1) Respirators shall be cleaned after each days use, or more often if

necessary.

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(2) Remove cartridges/filters, inhalation valves, exhalation valve and cover, and headband straps.

(3) Wash face piece and accessories in soapy solution for 2 minutes.

Do not use alcohol to clean or disinfect respirators.

(1) Rinse face piece and components thoroughly in clean water. (2) Air dry in a clean place or wipe dry with disposable lintless cloth.

(6) Visually inspect face piece and components for damage and replace all

damaged components. (7) Reassemble mask and inspect completed assembly.

e. Storage

(1) Place mask in a re-sealable plastic bag minus the cartridges/filters.

(2) Respirators shall be stored in a box so that the face piece and exhalation valve will rest in a near normal position.

f. Record keeping- Respiratory Protection Employee Training Record

(1) A roster will be developed for each training session

(a) Date of testing (b) Name of individuals tested

(c) Respirator size and model

(d) Name of test conductor

(e) Testing agent (bitter or sweet solution)

(3) A copy of the Respiratory Protection Employee Training record will be

forwarded to the State Safety Office, ATTN: Occupational Health Nurse. The training roster will be maintained in each office for three (3) years.

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CHAPTER 4 GUIDELINES FOR CONTROLLING HEALTH HAZARDS IN PAINTING OPERATIONS 4-1. Tactical Military Materiel: This chapter applies to the painting of tactical military materiel. It does not apply to the painting of facilities or structures. It is intended to consolidate information on enamel, lacquer, and polyurethane paint systems (PUP), and includes information on Chemical Agent Resistant Coating (CARC). More specific, detailed information on all painting operations is found in TG-144, Guidelines for Controlling Health Hazards in Painting Operations. 4-2. Spray Painting

a. Spray painting saves time over brush painting and is used when large volumes of work are performed. It is especially adaptable to maintenance work when blending old and new surfaces.

b. Spray painting results in significant aerosolization of paints and solvents. In addition, thinners are used extensively to achieve the correct spraying viscosity. As the thinners evaporate, excessive solvent atmospheric concentrations may occur. Painting materials may also contain lead, zinc chromate, chromium VI, and hexamethylene diisocyanate (HDI). Worker exposure to excessive contaminant concentrations may occur in large booths because:

(1) Ventilation rates vary in the booths or are inadequate.

(2) The potential for reduced airflow in and around equipment to be sprayed exists due to dead air pockets or low air flow.

(3) The worker is often positioned between the work and the ventilation exhaust.

(4) The worker does not properly use personal protective equipment, or the equipment is inadequate for the task.

(5) Blow back associated with compressed air units bounces droplets into breathing areas.

c. Spray cabinets or conveyor-type booths do not present as great a potential for exposure because the worker is usually not located between the material painted and the source of exhaust ventilation.

d. In either operation, air sampling will be accomplished periodically (two or three times a year) to determine the required types and level of respiratory protection and engineering controls needed.

e. Filters in spray booths must be in a location easily accessible for inspection, cleaning, or replacement. The supports or holders should be of a non-combustible

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material. A pressure gauge must be installed to show the pressure drop across the filters, and must be marked to indicate at what point the filters require cleaning or replacement. Maintenance procedures must be established to insure filter replacement before excessive airflow restriction occurs. All discarded filters must be removed from the area and disposed of properly.

f. Each spray booth should have an independent exhaust duct system discharging to the exterior of the building. Exhaust from booths will be directed so as to not contaminate incoming air or create a nuisance. Air from spray areas will not be re-circulated.

g. When spray painting is conducted outdoors, the level and type of respiratory protection depends on the adequacy of natural air flow/circulation.

h. Paints and primers which contain less toxic materials than those now in use may be available. Whenever possible, substitute Type II or III aliphatic PUP for MIL-C-46168 Type I, since the Type II and III are lead and chromate free. Non-lead containing primers should be used when available. 4-3. Brush/Roller Painting: Brush or roller painting does not cause significant aerosolization of paint or primer constituents, and exposure to HDI should not occur. However, solvent concentrations are present in the air from vaporization. Solvent emissions from brush or roller painting will be less than spray painting since the materials are applied without additional thinning and usually less paint/solvent is used. Solvent exposures would be expected only in confined spaces. 4-4. Indoor/Outdoor Painting: Personal Protective Equipment (PPE) and respiratory protection requirements are determined by the quantity of material being used and the location of the operation. For example, in confined spaces a supplied air respirator is required. In large open bays and outdoors, the potential for overexposure is less likely and a lesser requirement for a respirator may exist. 4-5. Drying

a. Solvents are released during the drying or curing process. The vapor concentrations measured at many paint operations indicate that levels are usually well below levels required by current health standards. However, the solvent vapors are typically irritating to the eyes and have low odor thresholds. Drying painted items in an occupied, unventilated area may cause solvent overexposure. After drying, there is no hazard from the solvent.

b. HDI in the PUP does not present a health hazard after the paint has cured, unless exposed to heat sufficient for thermal decomposition of the coating (i.e. welding).

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4-6. Grinding/Sanding

a. Grinding and sanding painted surfaces can expose personnel to:

(1) Hazardous concentrations of lead, zinc, copper, tin, or chromium VI dusts from primers and/or paints.

(2) Noise and eye hazards.

(3) There is no expected exposure from solvents or HDI.

b. High efficiency (HEPA) filters on air purifying respirators should be used when grinding or sanding on painted equipment. 4-7. Welding/Cutting: Toxic gases, vapors, and metal fumes are released when welding or cutting is performed on painted metals. Depending on the types of coatings, these gases may include carbon monoxide, cyanides, aldehydes, and possibly HDI monomer. Welding or cutting on CARC coated metal is prohibited because significant quantities of isocyanate may be released, unless the coatings have been removed down to bare metal. When welding or cutting on painted surfaces:

a. Sand or grind down to bare metal, an area four inches on either side of where the heat is applied.

b. Remove any paint on the reverse side of the spot to be welded. 4-8. Mixing: All material which is sprayed must be thinned to achieve the correct viscosity, and the two component coatings require a waiting period before use.

a. Mixing must be accomplished in a well-ventilated area away from open flames, welding torches, and combustion heaters. Personnel doing the mixing must wear eye protection and clothes providing full-skin coverage, especially appropriate gloves. Information as to what type of gloves to use can be found on the MSDS.

b. Accurate mixing of two component systems is crucial. Graduated containers should be used when mixing small amounts to insure accuracy. The presence of unreacted Component A or B may result in higher than acceptable isocyanate concentrations. Uncured epoxy can result from improper mixing, also, and these are known to be strong irritants.

c. Since the materials used to thin most paints are classified as Class I fire hazard liquids, mechanical ventilation is required. 4-9. Paint Removal: Removal of paint by burning is prohibited since toxic gases and

vapors will be produced. When chemical paint removers are used, a health

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hazard may exist since many of these chemicals contain volatile solvents or other materials. Methylene chloride is a constituent of many chemical paint removers and is a suspected carcinogen. 4-10. Personal Protective Equipment.(Other than respiratory protection)

a. The PPE used in conjunction with the respiratory protection includes cloth coveralls, eye protection, gloves, and a head covering.

(1) Gloves must be chosen for the solvents used.

(2) Brush or roller painting may be performed in the Army field uniform. After completing spray painting or sanding operations, showers should be taken prior to changing into street clothing, and special laundering procedures should be followed if workers are exposed to lead or chromates above the permissible limit.

b. Spot painters applying paint by brush or roller must wear clothing and gloves affording full skin coverage.

c. Wearing contact lenses during painting operations is prohibited. 4-11. Pertinent Coating Ingredients

a. Isocyanates. The only isocyanate found in aliphatic PUP is HDI and is the ingredient which has generated the majority of concern. Isocyanates are known to be sensitizers and irritants. HDI is present in the uncured PUP coating and may be released during thermal decomposition of the PUP coating. All containers must be marked with the following information:

(1) The Surgeon General requires airline respirators be used unless air sampling show exposure to be below acceptable standards. Then either chemical cartridge respirators or airline respirators are required. Avoid contact with skin and eyes and use with adequate ventilation. For other safety and disposal commendations, refer to the Material Safety Data Sheet.

b. Lead. Pigments used in the paints and primers may contain lead. Lead is a systemic toxin, and usually affects the blood forming tissues first, causing anemia.

c. Chromium VI. The paints and primers may contain water insoluble chromium VI compounds. These compounds are recognized as having carcinogenic potential.

d. Other Metals. Metals present in the pigments must be determined by using the

MSDS.

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4-12. Painting in Confined Spaces

a. Description of Confined Spaces. (1) Confined spaces include, but are not limited to, storage tanks, ducts,

sewers, open-top spaces more than 4 ft in depth, such as pits, tubs, vaults, and vessels.

(2) Confined spaces may include areas in and under vehicles or equipment where airflow is restricted.

(3) When painting indoors, and not in paint booths, a confined space is defined as an area which has a volume of less than 10,000 cubic feet or a ceiling height less than 16 feet.

(4) Confined space outdoors is an area where the painter is enclosed and dilution ventilation cannot occur. This includes painting in shelters with a ceiling height of less than 16 ft or areas where three sides are enclosed and airflow is limited. 4-13. Respiratory Protection Requirements

a. Spray Painting Indoors. (1) An approved full-face piece hood or helmet supplied air respirator, Type

C, is the standard respirator to be worn when spray painting indoors. Alternatives may be permitted only if air sampling results fall within guidelines provided in TG 144, indicating that a lesser form of respiratory protection is acceptable.

(2) In all cases, the respiratory protection must be approved for protection against contaminants at the levels documented (consult approval label).

b. Spray Painting Outdoors.

(1) An approved supplied air, Type C, full facepiece/hood respirator must be worn when:

(a) Spray painting outdoors in solvent concentrations exceeding the limits of an organic vapor cartridge.

(b) Working in a confined space that is not immediately dangerous to life or health.

(2) Alternatives may be permitted only if air sampling results fall within guidelines provided in the table on the following pages, indicating that a lesser form of respiratory protection is acceptable.

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(3) In all cases, the respiratory protection must be approved for protection

against contaminants at the levels documented (consult approval label).

c. Brush or Roller Painting Indoors and Outdoors.

(1) Respiratory protection is not required when painting in open spaces.

(2) An approved half-mask respirator with organic vapor cartridge and pre-filter (or HEPA filter if necessary) is required if solvent or pigment concentrations exceed the acceptable airborne concentrations.

(3) An approved continuous flow, Type C, full-facepiece-hood-supplied-air respirator is required if diisocyanate levels exceed standards.

d. Spray/Brush/Roller in All Confined Spaces.

(1) An approved continuous flow, Type C, full facepiece hood supplied air respirator may be used in indoor and outdoor confined space operations Not Immediately Dangerous to Life and Health (NIDLH).

(2) Self-contained breathing apparatus or approved Type C supplied air

respirators with an auxiliary self-contained breathing supply is required when:

(a) Individual cannot immediately escape from a confined space safely in the event of interrupted air supply.

(b) Immediately Dangerous to Life and Health (IDLH) environment

exists.

e. Routine and reasonably foreseeable emergency situations.

(1) In areas were the wearer, with failure of the respirator, could be overcome by a toxic or oxygen deficient atmosphere, at least one additional man shall be present.

(2) Communications (visual, voice, or signal line) shall be maintained between both or all individuals present. Planning will be such that one individual will be unaffected by any likely incident and have the proper rescue equipment to be able to assist the other’s in case of an emergency.

(3) When self-contained breathing apparatus or hose masks with blowers are used in atmospheres immediately dangerous to life or health, standby men must be present with suitable rescue equipment.

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(4) Persons using air line respirators in atmospheres immediately hazardous to life and health shall be equipped with safety harnesses and safety lines for lifting or removing persons from hazardous atmospheres or other equivalent provisions for the rescue of persons from hazardous atmospheres shall be used. A standby man or men with suitable self-contained breathing apparatus shall be at the nearest fresh air base for emergency rescue.

BY ORDER OF THE GOVERNOR: RONALD O. HARRISON Major General, FLARNG The Adjutant General OFFICIAL: JOHN C. HOLLAND COL, AV, FLARNG State Aviation Officer DISTRIBUTION: A

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APPENDIX A GLOSSARY Abbreviations ANSI: American National Standards Institute CFR: Code of Federal Regulations CGA: Compressed Gas Association DA: Department of the Army MSA: Mine Safety Administration NIOSH: National Institute for Occupational Safety and Health OSHA: Occupational Safety and Health Administrations RPE: Respiratory Protective Equipment SOHN: State Occupational Health Nurse USP: United States Pharmacopoeia Definitions Approved. Respiratory protection tested and listed as satisfactory by NIOSH or MSA to provide adequate respiratory protection against a particular hazard for which it is designed. Contaminant. A harmful, irritating, or nuisance material in concentrations exceeding those normally found in ambient air. Disinfection. The destruction of pathogenic organisms, especially by means of chemical substance. Immediately Dangerous to Life and Health (IDLH). Environmental conditions which contain less than 19.5 percent oxygen or contaminants of high toxicity which even for short periods of exposure (at the proper concentrations) pose an immediate threat to the life or health of employees. Odor threshold. The minimum concentration of a substance at which a majority of test subjects can detect and identify the characteristic odor of a substance. Oxygen-deficient atmosphere. An atmosphere containing 19.5 percent or less of oxygen by volume. Respirator. An approved device designed to provide the wearer with respiratory protection against inhalation of airborne contaminants and, for some devices, oxygen deficient atmospheres.

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APPENDIX B CAPABILITIES AND LIMITATION OF RESPIRATORS Atmosphere –Supplied Respirators: Atmosphere respirators provide protection against oxygen deficiency and toxic atmospheres. The breathing air is independent of ambient atmospheric conditions.

Limitations: Except for some air-line suits, no protection is provided against skin irritation by materials such as ammonia and hydrogen chloride, or against sorption of materials such as hydrogen cyanide, tritium, or organic phosphate pesticides through the skin. Face pieces present special problems in individuals required to wear prescription lenses. Use of atmosphere-supplying respirators in atmosphere immediately dangerous to life of health is limited to specific devices under specific conditions. Self – Contained Breathing Apparatus (SCBA): The wearer carries his own breathing atmosphere.

Limitations: The period over which the devise will provide protection is limited by the Amount of air or oxygen in the apparatus, the ambient atmospheric pressure (serviceLife or open – circuit devices are cut in half by a doubling of the atmospheric pressure), And the type of work being performed. Some SCBA devices have a short service life (less than 15 minutes) and are suitable only for escape (self rescue) from a respirable atmosphere. Chief limitations of SCBA devices are their weight or bulk, limited service life, and the Training required for maintenance and safe use.

Closed – Circuit SCBA: The closed circuit operation conserves oxygen and permits longer service life at reduced weight . The negative – pressure type produces a negative pressure in the respirator Inlet covering during inhalation, and this may permit inward leakage of contaminants, Whereas the positive – pressure type always maintains a positive pressure in the respirator inlet covering and is less apt to permit inward leakage of contaminants.

Open – Circuit SCBA: The demand type produces a negative pressure in the respiratory inlet covering during Inhalation, whereas the pressure – demand type maintains a positive pressure in the Respiratory inlet covering during inhalation and is less apt to permit inward leakage of contaminants. Supplied – Air Respirators: The respirable air supply is not limited to the quantity the individual can carry, and the Devices are lightweight and simple.

Limitations: Limited to use in atmospheres from which the wearer can escape unharmed without theaid of the respirator, except when equipped with an auxiliary self – contained air supply.

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APPENDIX B CAPABILITIES AND LIMITATION OF RESPIRATORS

The wearer is restricted to movement by the hose and must return to a respirable atmosphere by retracing his route of entry. The hose is subject to being severed or pinched off.

Hose Mask:The hose inlet blower must be located and secured in a respirable atmosphere.

Hose mask with blower - If the blower fails, the unit still provides protection Although a negative pressure exits in the face – piece during inhalation

Hose mask without blower - Maximum hose length may restrict application of device.

Air – line Respirator (Continuous Flow, Demand, and Pressure – Demand Types): The demand type produces a negative pressure in the face – piece on inhalation, whereas continuous–flow and pressure–demand types maintain a positive pressure in the respiratory inlet covering and are less apt to permit inward leakage of contaminants. Air – line suits may protect against atmospheres that irritate skin or that may be absorbed through the unbroken skin. Limitations: Air – line respirators provide no protection if the air supply fails. Some contaminants such as tritium may penetrate the material of an air – line suit and limit its effective-ness. Other contaminants such as fluorine may react chemically with the material of an air-line suit and damage it. Combination Air-line Respirators with Auxiliary SC Air Supply The auxiliary self-contained air supply on this type of device allows the wearer to escape from a dangerous atmosphere. This device with the auxiliary self-contained air supply is approved for escape and may be used for entry when it contains at least 15 minutes auxiliary self-contained air supply. Air-Purifying Respirators General Limitations: Air-purifying respirators do not protect against oxygen deficient atmosphere nor against skin irritation by absorption through the skin of airborne contaminants. APPENDIX B

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CAPABILITIES AND LIMITATION OF RESPIRATORS The maximum contaminant concentration against which an air purifying respirator will protect is determined by the design efficiency; capacity of the cartridge, canister, or filter, and the facepiece-to-face seal on the user. For gases and vapors, the maximum concentration for which the airpurifying element is designed is specified by the manufacturer or is listed on the labels of cartridges and canisters. Nonpowered air-purifying respirators will not provide the maximum design protection specified unless the facepiece or mouthpiece/nose clamp is carefully fitted to the wearer’s face to prevent inward leakage. The time period over which protection is provided is dependent on the canister, cartridge, or filter type; concentration of contaminant; humidity levels in the ambient atmosphere; and the wearer’s respiratory rate. The proper type of canister, cartridge, or filter must be selected for the particular atmosphere conditions. Nonpowered air-purifying respirators may cause discomfort due to a noticeable resistance to inhalation. This problem is minimized in powered respirators. Respirator facepieces present special problems to individuals required to wear prescription lenses. These devices do not have the advantage of being small, light and simple in operation. Use of air-purifying respirators in atmospheres immediately dangerous to life or health is limited to specific devices under specified conditions. Vapor-and-Gas Removing Respirators Limitations: No protection is provided against particulate contaminants. A rise in canister or cartridge temperature indicates that a gas or vapor is being removed from the inspired air. An uncomfortably high temperature indicates a high concentration of gas or vapor and requires an immediate return to fresh air. Use should be avoided in atmospheres where the contaminant (s) lack sufficient warning properties (i.e., odor, taste, or irritation at a concentration in air at or above the permissable exposure limits). Vapor and Gas removing respirators are not approved for conaminants that lack adequate warning properties. Not for use in atmospheres immediately dangerous to life or health unless the device is a powered-type respirator with escape provisions. Full Face Respirator: Provides protection against eye irritation in addition to respiratory protection. Quarter Mask and Half Mask Face piece Respirators: A fabric covering (facelet) available from some manufacturers shall not be used.

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APPENDIX B CAPABILITIES AND LIMITATION OF RESPIRATORS Mouthpiece Respirator: Shall be used only for escape applications. Mouth breathing prevents detection of contaminant by odor. Nose clamp must be securely in place to prevent nasal breathing. A small, lightweight device that can be donned quickly. Particulate Removing Respirators Limitations: Protection against non-volatile particles only. No protection against gases and vapors. Not for use in atmospheres immediately dangerous to life or health unless the device is powered-type respirator with escape provisions. Combination Particulate-and-Vapor-and-Gas-Removing Respirators The advantages and disadvantages expressed above of the mode of operation being used will govern. The mode with greater limitations (air-purifying mode) will mainly determine the overall capabilities and limitations of the respirator since the wearer may for some reason fail to change the mode of operation even though conditions would require such a change.

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APPENDIX C RESPIRATOR SELECTION AND USE HAZARD RESPIRATORY TYPE Asbestos Half-Mask, air purifying respirator with HEPA filters Full-Face, air purifying respirator with HEPA filters Full-Face, powered air purifying Respirator with HEPA filters Epoxy or Oil based Paints Half-face, air purifying respirators with organic vapor filters Full-face powered air purifying respirators with organic vapor filters Lead-based paint removal Half-face, air purifying respirators with HEPA filters Full-face, air purifying respirators with HEPA filters Full-face, powered air purifying respirators with HEPA filters Use of Pesticides, Herbicides Full-face, air purifying respirator and Rodenticides with combination particulate and pesticide cartridges. Full-face, powered air purifying respirator with combination particulate and pesticide cartridges

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APPENDIX D RESPIRATORY PROTECTION STANDARD OPERATING PROCEDURES

RESPIRATORY PROTECTION

STANDING OPERATING PROCEDURE (SOP)

The following procedures were developed for the Florida National Guard Facility indicated below: Facility: ____________________________________________________ Address: ___________________________________________________ Automotive Mechanics Supervisor: ___________________________________ Safety and Health Representative: ________________________________ Alternate Safety and Health Representative: ___________________________________ These procedures will be updated annually and forwarded to the State Safety and Occupational Health Office. Date last updated was: ________________________________

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APPENDIX D RESPIRATORY PROTECTION STANDARD OPERATING PROCEDURES 1-1. PURPOSE: The purpose of this SOP is to establish policy and procedures for all FLARNG personnel in the use and care of respiratory protection. The Respiratory Protection Program provides requirements implemented according to 29 CFR 1910.134. Prescribes policies for selecting, using, controlling, and maintaining respiratory protective equipment (RPE) in a manner that will ensure adequate and proper protection for employees working in environments containing harmful concentrations of dusts, fumes, mists, gases, smoke, and/or vapors 1-2. SCOPE: Provisions of this program will be complied with by all maintenance personnel assigned to this facility. Recommendations for change to this program may be submitted in writing to the supervisor at any time. 1-3. SUPERVISORY CONTROL: The Supervisor is responsible for monitoring the overall Respiratory Protection Program (29CFR1910.134). 1-4. SELECTION OF RESPIRATORS

a. All respirators and their component parts will be OSHA/NIOSH approved

b. Supervisor will select two or more models of respirators, to ensure respirator is acceptable to and correctly fits user.

C. Respiratory protective equipment shall be selected based on the hazards present. Air purifying respirators used at the OMS have interchangable cartridges which are designed for specific types of air contaminants. Consult with the supervision for guidance on the type cartridge to use for each potential air contaminant. 1-5. RESPONIBILITIES

a. Responsibility of the State Occupational Health Nurse

(1) Ensure overall success of the Respiratory protection Program and monitor the overall effectiveness and compliance with requirements of this regulation regarding respiratory protective equipment (RPE). The Respiratory Protection Program should be re-evaluated for effectiveness and compliance when work place conditions affecting the use of respirators change. The SOHN must review respirator use in the workplace with sufficient frequency to ensure that continuos, successful implementation of all written respirator program elements.

(2) Ensure that prompt corrective action is taken on deficiencies which are detected in the Respiratory Protection Program.

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APPENDIX D RESPIRATORY PROTECTION STANDARD OPERATING PROCEDURES

(3) Utilize health and safety surveys and worksite evaluations to identify operations and personnel working in atmospheres suspect of being hazardous to health, and determine what, if any, RPE is indicated for such atmospheres.

(4) Report to command administrator for corrective action towards

employees and/or their supervisors for failure to comply with requirements to wear RPE.

(5) Determine if workers assigned to tasks requiring the use of respirators are physically and physiologically able to perform work while wearing prescribed respiratory protection.

(6) Periodically review the medical status of respirator users and maintain records of screenings. Frequency will be at the discretion of the SOHN based on the type of RPE used, age of the individual and the results of appropriate medical examinations. Also, recommend action when the screening indicates an abnormal finding.

(7) Make determinations known to supervisors as to whether or not respective employees are able to wear respiratory protection and perform assigned work.

(8) Provide qualitative or quantitative fit-test training to personnel and have employee measured for corrective lenses inside full-facepiece respirators to ensure proper vision and good fit.

(9) Provide "Train-the-Trainer" instruction as needed, to include but not limited to, wearing, cleaning, maintenance, storage of respirators, and health education.

(10) Ensure supervisors and/or respirator custodians have necessary information to order RPE appropriately. Designate the type of equipment to be purchased/used and assist in the establishment of methods and procedures by which the RPE will be ordered, maintained, and/or replaced.

(11) Ensure that only the RPE that the employees were fit-tested for is purchased and that there are no substitutions of items.

(12) Ensure prompt, adequate support is provided in the purchasing and receipt of all necessary equipment essential to the success of the Respiratory Protection Program and efforts to guarantee protection for employee life and health under OSH Act of 1970 and other applicable directives. APPENDIX D RESPIRATORY PROTECTION STANDARD OPERATING PROCEDURES

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(13) Determine non-usability of equipment within the parameters and effect replacement.

(14) Have fit-testing done upon issue of respirators and when otherwise indicated.

(15) Train employees in the proper selection, limitations, daily inspections, donning, and leak testing of the RPE.

(16) Inform employees upon initial issuance of the RPE of their responsibilities regarding respirator use.

(17) Coordinate with supervisors to ensure distribution, issuance, etc., of respirators.

(19) Assist with training of Worksite Respirator Custodians.

(20) Review local SOP’s for Respiratory Protection Program as needed b. First Line Supervisor:

(1) Ensure ordering of all respiratory protection devices for technicians and AGR personnel after training, fit-testing, and instruction has been completed. The supervisor should select respirators from a sufficient number of models and sizes so that the respirator is acceptable to, and correctly fits the user.

(2) Ensure that proper RPE is used by employees where required.

(3) Ensure that in areas where respirators are used, a local SOP has been established and is maintained, outlining protocol for use, maintenance, cleaning, and storage of respirators for those areas.

(4) Ensure persons being interviewed for positions requiring the use of respiratory protection are fully aware of the requirement, the reason for the requirement, and the importance of compliance. Consider respiratory usage compliance in performance appraisals.

(5) Enforce the provisions of this regulation.

(6) Ensure requisition and issue of approved respiratory devices for the individual and for the hazard, and insure maintenance of an adequate supply of replacement parts.

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(7) Ensure RPE is stored in a clean and sanitary location within the work area, to protect against dust, sunlight, heat, extreme cold, excessive moisture, or damaging chemicals. Respiratory equipment will not be stored in such places as tool boxes unless they are in carrying cases or cartons.

(8) Ensure conditions do not exist which will prevent the RPE from providing a good facepiece-to-face seal. Such conditions may be a growth of facial hair, or the wearing of skull caps which project under the facepiece. The absence of one or both dentures can seriously affect the fit of a facepiece. Ensure the workers are not permitted to perform tasks requiring respiratory protection when an effective face fit cannot be obtained and/or if fit-testing has not yet been accomplished.

(9) Ensure contact lenses are not worn with full-facepiece RPE.

(10) Ensure that corrective spectacles/goggles are worn so as not to affect the fit of the facepiece. Systems have been developed for mounting corrective lenses inside full-facepieces.

(11) Ensure respirators assigned for the exclusive use of one worker are returned to the proper collection point for maintenance/cleaning at prescribed frequencies IAW OSHA standards.

(12) Ensure that respirators are checked monthly for defects, including leak check. Also, check for cleaning and disinfecting other that daily cleaning by individual users, repairs, and storage.

(13) Ensure that a record is kept of inspection dates and findings for respirators maintained for emergency use.

(14) Ensure that replacement or repairs shall be done only by experienced persons with parts designed for the respirator. No attempts shall be made to replace components or to make adjustments or repairs beyond the manufacturers' recommendations.

(15) Ensure that reducing or admission valves or regulators shall be returned to the manufacturer or to a trained technician for adjustment.

(16) Ensure that new, transfer, or temporary employees receive proper respiratory protection training, and medical examinations where the job will require respiratory protection. Have employee complete the respirator questionnaire and forward to the SOHN prior to training. APPENDIX D RESPIRATORY PROTECTION STANDARD OPERATING PROCEDURES

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(17) Report to the Occupational Health Office operations suspected of needing respiratory protective devices.

(18) Ensure workers are trained in and utilize proper procedures for the wearing, cleaning, sanitizing, maintenance, and storage of respirators. Ensure retraining is provided on an annual basis.

(19) Ensure that the Worksite Respirator Custodian is adequately trained, has knowledge of the hazards involved, and fulfills duties as described in this regulation.

c. Responsibility of the Worksite Respirator Custodian

(1) Provide fit-testing to all respirator users in the facility after medical clearance from the SOHN and on an annual basis.

(2) Maintain a stock of approved respiratory protective devices and replacement parts appropriate to hazards, and an adequate supply of approved cleaning materials. Ordering information is available through the Occupational Health Office. All components of any given respirator must be made by the same manufacturer.

(a) Filters: Filters provide protection only against particulates. Different filter types are specific for different types of particulates and are not interchangeable.

(b) Combination Cartridges: Combination Cartridges are approved for use in exposures to organic and inorganic vapors, fumes, mists, and dusts from contaminants at the worksite.

(c) Components: Components are the replacement parts of the respirator. No substitutions of components of other brands are authorized. Substitutions may void the NIOSH approval and result in an ineffective respirator.

(d) Single-use respirators: These respirators are approved for protection against fumes, dusts, and mists, but are not approved for paints or solvent mists. Users are protected from the actual mist droplets, but the solvents are absorbed into the mask and may cause an over-exposure by concentrating them on the mask right in the users' breathing zones. The SOHN should be contacted for guidance in the use of such RPE.

(3) Issue respirators to users as per fit-testing results. APPENDIX D RESPIRATORY PROTECTION STANDARD OPERATING PROCEDURES

(4) Provide reinstruction on respiratory protection to employees on an

annual basis and document the training.

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(5) Ensure that respirators are durably marked for identification purposes, in

a manner that does not interfere with fit or function.

(6) Develop and maintain a local SOP with supervisory guidance.

(7) Inspect all RPE received to determine that it is the type ordered and is not flawed. retain approval labels for all equipment on hand.

(8) Periodically inspect RPE and ensure worn parts and used filters and cartridges are replaced promptly.

(9) Inspect air-line respirators quarterly. Pay specific attention to the condition of the lines, filters, connectors, valves, rubber parts and hoses. Replace components promptly when unserviceable. A record of the inspection and maintenance performed will be maintained.

(10) Maintain records of respiratory protection issued, results of fit-testing results, and other information as prescribed in TB MED 502. e. Responsibility of the Employee

(1) Be ultimately responsible for his/her own respirator.

(2) Complete respiratory questionnaire. Report for all scheduled medical exams and educational briefings concerning respiratory protection.

(3) Ensure that the respirator has no holes, cracks, or leaks before each use and that it is cleaned daily.

(4) Wear and care for RPE IAW training received and provisions outlined in this regulation.

(5) Perform leak tests before each use.

(6) Notify immediate supervisor if it is suspected that respiratory protection is needed or that the respirator is defective.

(7) Seek assistance from the Worksite Respirator Custodian as needed.

(8) Adhere to instructions governing the proper use of the RPE. APPENDIX D RESPIRATORY PROTECTION STANDARD OPERATING PROCEDURES

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(9) Store the respirator in a clean, sanitary location when not in use. Store respirator in a zip-lock type plastic bag and in a manner to prevent disfiguring of the face piece. 1-6. TRAINING: Training and fit-testing shall be conducted prior to first issue and at least annually. Each training session shall include as a minimum an explanation of respiratory hazards and what may happen if the respirator is not properly utilized, reasons for selecting a particular kind of respirator and filter/cartridges, and a discussion of limitations and capabilities of the selected respirator. After completing the training the tested individual will be able to demonstrate and verbalize inspection, donning, leak testing, cleaning, and storage of the respirator.

a. Inspection

(1) Examine face piece for deterioration or damage (dirt, cracks, tears, or

holes, flexibility, distortion).

(2) Examine straps and cradle for deterioration (cracks, elasticity).

(3) Check cartridge/filter fittings for damage.

(4) Inspect inhalation facepiece.

(5) Inspect exhalation valve. (6) Examine for cleanliness.

b. Donning

(1) Place the face piece over the bridge of your nose and swing the bottom

in so that it rests against your chin.

(2) Hold the respirator in place and fasten the top strap over the crown of your head.

(3) Fit the respirator on your face and fasten the strap around your neck. Use the metal slides to tighten or loosen the fit.

c. Leak Testing

(1) Positive pressure sealing test: The exhalation valve is closed off and then the wearer EXHALES gently. The fit of a respirator equipped with a face piece is considered to be satisfactory if a slight positive pressure can be built up inside the face APPENDIX D RESPIRATORY PROTECTION STANDARD OPERATING PROCEDURES

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piece without the detection of outward leakage of air between the sealing surface of the face piece and the respirator wearer’s face.

(2) Negative pressure sealing test: The inlet opening of the respirator’s cartridges/filters is closed off by covering with the palm of the hands so that it will not allow the passage of air. Then the wearer INHALES and hold his or her breath for least 10 seconds. If a facepiece collapses slightly and no inward leakage of air into the facepiece is detected, it can be reasonably assured that the fit of the respirator to the wearer is satisfactory.

d. Fit-testing Exercises

(1) Normal breathing

(2) Deep breathing (3) Turning head from side to side: Be certain movement is complete. Alert

test subject not bump the respirator on his/her shoulders. Have the test subject inhale when his/her head is at either side.

(4) Nodding head up and down: Be certain motions are complete and made about every second. alert the test subject not to bump the respirator on his chest. Have the test subject inhale when his head is in the full up position.

(5) Talking: Have the test subject read the "Rainbow Passage" slowly and distinctly as follows: "When the sunlight strikes raindrops in the air, they act like a prism and form a rainbow. The rainbow is division of white light into many beautiful colors. These take the shape of a long round arch, with its path high above, and its two ends apparently beyond the horizon. There is, according to legend, a boiling pot of gold at one end. People look, but no one ever finds it. When a man looks for something beyond his reach, his friends say he is looking for the pot of gold at the end of the rainbow."

e. Cleaning

(1) Respirators shall be cleaned after each days use, or more often if

necessary.

(2) Remove cartridges/filters, inhalation valves, exhalation valve and cover, and headband straps.

(3) Wash face piece and accessories in soapy solution for 2 minutes. Do not use alcohol to clean or disinfect respirators. APPENDIX D RESPIRATORY PROTECTION STANDARD OPERATING PROCEDURES

(4) Rinse face piece and components thoroughly in clean water.

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(5) Air dry in a clean place or wipe dry with disposable lintless cloth.

(6) Visually inspect face piece and components for damage and replace all

damaged components.

(7) Reassemble mask and inspect completed assembly.

f. Storage

(1) Place mask in a sealable plastic bag minus the cartridges/filters.

(2) Respirators shall be stored in a box so that the facepiece and exhalation valve will rest in a near normal position.

g. Recordkeeping:

(1) A roster will be developed for each annual training session

(a) Date of testing

(b) Name of individuals tested

(c) Respirator size and model

(d)Name of test conductor (e)Testing agent (bitter or sweet solution)

(f) A copy of the Respiratory Protection Employee Training Certification will

be forwarded to the State Safety Office, ATTN: Occupational Health Nurse. The roster will be maintained in each office for 3 years.

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APPENDIX D RESPIRATORY PROTECTION STANDARD OPERATING PROCEDURES

RESPIRATORY PROTECTION EMPLOYEE TRAINING RECORD FACILITY: ____________________________________________________________ TESTING DATE: _______________________________________________________ INDIVIDUAL TESTED:_______________ ___________________________________ RESPIRATOR SIZE: _____________ MODEL: ____________________________ TYPE TEST CONDUCTED: QUANTITATVE:_____________ QUALITATIVE: _____________ TESTING AGENT: SWEET SOLUTION___________________ BITTER SOLUTION___________________ PERSON CONDUCTING TEST: _______________________________-

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APPENDIX D RESPIRATORY PROTECTION STANDARD OPERATING PROCEDURES

RESPIRATOR INSPECTION RECORD 1. TYPE: ______________________ DATE INSPECTED: __________________ 2. MODEL NUMBER: _______________________________ 3. DEFECTS FOUND:

a. FACE PIECE: ________________________________________________________________

b. INHILATION VALVE:

________________________________________________________________

c. EXHALATION VALVE ASSEMBLY: ___________________________________

d. HEADBANDS:____________________________________________________

e. CARTARIGE HOLDER:_____________________________________________

f. CARTRIDGE/CANISTER:____________________________________________

g. FILTER: _________________________________________________________

h. HARNESS

ASSEMBLY:_____________________________________________

i. HOSE ASSEMBLY: ________________________________________________

j. SPEACKING DIAPHRAGM:__________________________________________

k. GASKETS: _______________________________________________________

l. CONNECTIONS: __________________________________________________

1. OTHER DEFECTS__________________________________________________

______________________________________________________________________________________________________________________________________________________________________________________________________

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______________________________________________________________________________________________________________________________________________________________________________________________________

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APPENDIX E RESPIRATORY QUESTIONAIRE To the employer: Answers to questions in Section 1, and to question 9 in Section 2 of Part A, do not require a medical examination. To the employee: Can you read (circle one): Yes/No Your employer must allow you to answer this questionnaire during normal working hours, or at a time and place that is convenient to you. To maintain your confidentiality, your employer or supervisor must not look at or review your answers, and your employer must tell you how to deliver or send this questionnaire to the health care professional who will review it. Part A. Section 1. (Mandatory) The following information must be provided by every employee who has been selected to use any type of respirator (please print). 1. Today's date:________________________________________________________ 2. Your name:__________________________________________________________ 3. Your age (to nearest year):______________________________________________ 4. Sex (circle one): Male/Female 5. Your height: __________ ft. __________ in. 6. Your weight: ____________ lbs. 7. Your job title:_____________________________________________________ 8. A phone number where you can be reached by the health care professional who reviews this questionnaire (include the Area Code): ____________________ 9. The best time to phone you at this number: ________________ 10. Has your employer told you how to contact the health care professional who will review this questionnaire (circle one): Yes/No 11. Check the type of respirator you will use (you can check more than one category):

a. ______ N, R, or P disposable respirator (filter-mask, non- cartridge type only). b. ______ Other type (for example, half- or full-facepiece type, powered-air

purifying, supplied-air, self-contained breathing apparatus).

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APPENDIX E RESPIRATORY QUESTIONAIRE 12. Have you worn a respirator (circle one): Yes/No

If "yes," what type(s):____________________________________________ _____________________________________________________________________ Part A. Section 2. (Mandatory) Questions 1 through 9 below must be answered by every employee who has been selected to use any type of respirator (please circle "yes" or "no"). 1. Do you currently smoke tobacco, or have you smoked tobacco in the last month: Yes/No 2. Have you ever had any of the following conditions?

a. Seizures (fits): Yes/No b. Diabetes (sugar disease): Yes/No c. Allergic reactions that interfere with your breathing: Yes/No d. Claustrophobia (fear of closed-in places): Yes/No e. Trouble smelling odors: Yes/No

3. Have you ever had any of the following pulmonary or lung problems?

a. Asbestosis: Yes/No b. Asthma: Yes/No c. Chronic bronchitis: Yes/No d. Emphysema: Yes/No e. Pneumonia: Yes/No f. Tuberculosis: Yes/No g. Silicosis: Yes/No h. Pneumothorax (collapsed lung): Yes/No i. Lung cancer: Yes/No j. Broken ribs: Yes/No k. Any chest injuries or surgeries: Yes/No l. Any other lung problem that you've been told about: Yes/No

4. Do you currently have any of the following symptoms of pulmonary or lung illness?

a. Shortness of breath: Yes/No b. Shortness of breath when walking fast on level ground or walking up a slight hill or

incline: Yes/No c. Shortness of breath when walking with other people at an ordinary pace on level ground:

Yes/No d. Have to stop for breath when walking at your own pace on level ground: Yes/No e. Shortness of breath when washing or dressing yourself: Yes/No f. Shortness of breath that interferes with your job: Yes/No g. Coughing that produces phlegm (thick sputum): Yes/No h. Coughing that wakes you early in the morning: Yes/No i. Coughing that occurs mostly when you are lying down: Yes/No

APPENDIX E RESPIRATORY QUESTIONAIRE

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j. Coughing up blood in the last month: Yes/No k. Wheezing: Yes/No l. Wheezing that interferes with your job: Yes/No m. Chest pain when you breathe deeply: Yes/No n. Any other symptoms that you think may be related to lung problems: Yes/No

5. Have you ever had any of the following cardiovascular or heart problems?

a. Heart attack: Yes/No b. Stroke: Yes/No c. Angina: Yes/No d. Heart failure: Yes/No e. Swelling in your legs or feet (not caused by walking): Yes/No f. Heart arrhythmia (heart beating irregularly): Yes/No g. High blood pressure: Yes/No h. Any other heart problem that you've been told about: Yes/No

6. Have you ever had any of the following cardiovascular or heart symptoms?

a. Frequent pain or tightness in your chest: Yes/No b. Pain or tightness in your chest during physical activity: Yes/No c. Pain or tightness in your chest that interferes with your job: Yes/No d. In the past two years, have you noticed your heart skipping or missing a beat: Yes/No e. Heartburn or indigestion that is not related to eating: Yes/ No f. Any other symptoms that you think may be related to heart or circulation problems: Yes/No

7. Do you currently take medication for any of the following problems?

a. Breathing or lung problems: Yes/No b. Heart trouble: Yes/No c. Blood pressure: Yes/No d. Seizures (fits): Yes/No

8. If you've used a respirator, have you ever had any of the following problems? (If you've never used a respirator, check the following space and go to question 9:)

a. Eye irritation: Yes/No b. Skin allergies or rashes: Yes/No c. Anxiety: Yes/No d. General weakness or fatigue: Yes/No e. Any other problem that interferes with your use of a respirator: Yes/No

9. Would you like to talk to the health care professional who will review this questionnaire about your answers to this questionnaire: Yes/No APPENDIX E RESPIRATORY QUESTIONAIRE

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Questions 10 to 15 below must be answered by every employee who has been selected to use either a full-facepiece respirator or a self-contained breathing apparatus (SCBA). For employees who have been selected to use other types of respirators, answering these questions is voluntary. 10. Have you ever lost vision in either eye (temporarily or permanently): Yes/No 11. Do you currently have any of the following vision problems?

a. Wear contact lenses: Yes/No b. Wear glasses: Yes/No c. Color blind: Yes/No d. Any other eye or vision problem: Yes/No

12. Have you ever had an injury to your ears, including a broken ear drum: Yes/No 13. Do you currently have any of the following hearing problems?

a. Difficulty hearing: Yes/No b. Wear a hearing aid: Yes/No c. Any other hearing or ear problem: Yes/No

14. Have you ever had a back injury: Yes/No 15. Do you currently have any of the following musculoskeletal problems?

a. Weakness in any of your arms, hands, legs, or feet: Yes/No b. Back pain: Yes/No c. Difficulty fully moving your arms and legs: Yes/No d. Pain or stiffness when you lean forward or backward at the waist: Yes/No e. Difficulty fully moving your head up or down: Yes/No f. Difficulty fully moving your head side to side: Yes/No g. Difficulty bending at your knees: Yes/No h. Difficulty squatting to the ground: Yes/No i. Climbing a flight of stairs or a ladder carrying more than 25 lbs: Yes/No j. Any other muscle or skeletal problem that interferes with using a respirator: Yes/No

Part B Any of the following questions, and other questions not listed, may be added to the questionnaire at the discretion of the health care professional who will review the questionnaire. 1. In your present job, are you working at high altitudes (over 5,000 feet) or in a place that has lower than normal amounts of oxygen: Yes/No If "yes," do you have feelings of dizziness, shortness of breath, pounding in your chest, or other symptoms when you're working under these conditions: Yes/No APPENDIX E RESPIRATORY QUESTIONAIRE

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2. At work or at home, have you ever been exposed to hazardous solvents, hazardous airborne chemicals (e.g., gases, fumes, or dust), or have you come into skin contact with hazardous chemicals: Yes/No If "yes," name the chemicals if you know them:________________________________ __________________________________________________________________________________________________________________________________________ 3. Have you ever worked with any of the materials, or under any of the conditions, listed below:

a. Asbestos: Yes/No b. Silica (e.g., in sandblasting): Yes/No c. Tungsten/cobalt (e.g., grinding or welding this material): Yes/No d. Beryllium: Yes/No e. Aluminum: Yes/No f. Coal (for example, mining): Yes/No g. Iron: Yes/No h. Tin: Yes/No i. Dusty environments: Yes/No j. Any other hazardous exposures: Yes/No If "yes," describe these exposures:____________________________________

_____________________________________________________________________ _____________________________________________________________________ 4. List any second jobs or side businesses you have:___________________________ _____________________________________________________________________ 5. List your previous occupations:__________________________________________ _____________________________________________________________________ 6. List your current and previous hobbies:____________________________________ _____________________________________________________________________ 7. Have you been in the military services? Yes/No If "yes," were you exposed to biological or chemical agents (either in training or combat): Yes/No 8. Have you ever worked on a HAZMAT team? Yes/No 9. Other than medications for breathing and lung problems, heart trouble, blood pressure, and seizures mentioned earlier in this questionnaire, are you taking any other medications for any reason (including over-the-counter medications): Yes/No If "yes," name the medications if you know them:_______________________ APPENDIX E RESPIRATORY QUESTIONAIRE

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10. Will you be using any of the following items with your respirator(s)?

a. HEPA Filters: Yes/No b. Canisters (for example, gas masks): Yes/No c. Cartridges: Yes/No

11. How often are you expected to use the respirator(s) (circle "yes" or "no" for all answers that apply to you)?:

a. Escape only (no rescue): Yes/No b. Emergency rescue only: Yes/No c. Less than 5 hours per week: Yes/No d. Less than 2 hours per day: Yes/No e. 2 to 4 hours per day: Yes/No f. Over 4 hours per day: Yes/No

12. During the period you are using the respirator(s), is your work effort:

a. Light (less than 200 kcal per hour): Yes/No If "yes," how long does this period last during the average shift:____________hrs.____________mins. Examples of a light work effort are sitting while writing, typing, drafting, or performing light assembly work; or standing while operating a drill press (1-3 lbs.) or controlling machines.

b. Moderate (200 to 350 kcal per hour): Yes/No

If "yes," how long does this period last during the average shift:____________hrs.____________mins. Examples of moderate work effort are sitting while nailing or filing; driving a truck or bus in urban traffic; standing while drilling, nailing, performing assembly work, or transferring a moderate load (about 35 lbs.) at trunk level; walking on a level surface about 2 mph or down a 5-degree grade about 3 mph; or pushing a wheelbarrow with a heavy load (about 100 lbs.) on a level surface.

c. Heavy (above 350 kcal per hour): Yes/No If "yes," how long does this period last during the average shift:____________hrs.____________mins. Examples of heavy work are lifting a heavy load (about 50 lbs.) from the floor to your waist or shoulder; working on a loading dock; shoveling; standing while bricklaying or chipping castings; walking up an 8-degree grade about 2 mph; climbing stairs with a heavy load (about 50 lbs.). 13. Will you be wearing protective clothing and/or equipment (other than the respirator) when you're using your respirator: Yes/No If "yes," describe this protective clothing and/or equipment:__________ _____________________________________________________________________ APPENDIX E RESPIRATORY QUESTIONAIRE

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14. Will you be working under hot conditions (temperature exceeding 77 deg. F): Yes/No 15. Will you be working under humid conditions: Yes/No 16. Describe the work you'll be doing while you're using your respirator(s): __________________________________________________________________________________________________________________________________________ 17. Describe any special or hazardous conditions you might encounter when you're using your respirator(s) (for example, confined spaces, life-threatening gases): __________________________________________________________________________________________________________________________________________ 18. Provide the following information, if you know it, for each toxic substance that you'll be exposed to when you're using your respirator(s): Name of the first toxic substance:______________________________________ Estimated maximum exposure level per shift:_____________________________ Duration of exposure per shift_________________________________________ Name of the second toxic substance:____________________________________ Estimated maximum exposure level per shift:______________________________ Duration of exposure per shift:_________________________________________ Name of the third toxic substance:______________________________________ Estimated maximum exposure level per shift:______________________________ Duration of exposure per shift:_________________________________________ The name of any other toxic substances that you'll be exposed to while using your respirator: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 19. Describe any special responsibilities you'll have while using your respirator(s) that may affect the safety and well-being of others (for example, rescue, security): _____________________________________________________________________