Document Rd6Rqa2ZoDm6q49XpJd8eqvn

Subpart I - Personal Protective Equipment A 1910.134 - Respiratory Peotectlon 1. Are engineering controls being used when feasible to control atmospheric contamination? YES NO 2. Does the employer provide respiratory equipment when necessary? 3. Does the employee use the respiratory protection In accordance with Instructions and training he recelved? 4. Are there written operating procedures governing the selection and use of the respirators? 5. Are the respirators selected for the particular hazard? w * 6. Does the employee receive training In the use of the respirator and Its limitations? 7. Are respirators assigned on an Individual basis, when practicable? 8. Are respirators cleaned and disinfected on a regular basis? (When used by more than one person-after each use; individually assigned - after each day's use). 9. Are respirators stored in a convenient>clean and sanitary 1ocation? 10. Are respirators checked during cleaning and deteriorated parts replaced? 11. Are respirators used for emergencies checked on a monthly basis and after each use? 12. Is there appropriate surveillance of the work area? 13. Is the level of exposure to an employee maintained? 14. Is there a continual evaluation of the effectiveness of the respiratory program? 15. Before employees are assigned a task that requires the employee to wear a respirator, is le checked to see if he can perform the work and use the eouiD ment? 16. Is the medical status of an employee who wears a respirator checked periodically? 17. Are the respirators approved by the U. S. Department VAB.0001042271 of Health, Education, and Welfare (National Institute for Occupational Safety and Health; or the II . S. Department of the Interior (Bureau of Mines)? 18* Is the respirator selected according to the guidance of the American National Standard Practices for Respiratory Protection Z'88.2- 1969? A ^ * * * 19. When oxygen is used, does it meet the requirements of the United States Pharmacopoeia for medical or breathing oxygen? 20. Does breathing air meet the requirements of the specifications for Grade D breathing air? 21. Are steps taken to see that compressed oxygen is not used where compressed air had once been used? 22. Are steps taken to see that oxygen is not used for air line respirators? 23; Is the compressor used for supplying air equipped with necessary safety and standby devices? 24. Is the compressor of the breathing air type? 25. Is the compressor designed, constructed and used so that the exhaust doesn't re-enter the system? 26. Does the compressor have in-line air purifying devices installed? 27. Is the receiver of sufficient capacity to allow the user to escape should the compressor fail? 28. Are there alarms installed in the system to indicate compressor failure and over-heating? 29. If the compressor is of the oil-lubricated type, does it have a high-temperature or carbon monoxide alarm or both? 30. If only a high-temperature alarm is installed, are tests performed periodically to see that the carbon monoxide level is less than 20 ppm? 31. Is the air-line coupling incompatible with outlets from other gas systems? 32. Are the breathing gas containers properly marked? 33. When respirators are individually assigned, are they durably marked to identify the user? 34. Is a record maintained showing the date a respirator was issued? VAB.0001042272 35. Are personnel familiar with the written procedures covering the use of respirators In dangerous atmospheres and the use of the respirators In emergencies? 36. Are steps taken to Insure that there Is at least one additional man present when a person wearing a respirator could be overcome by a toxic or oxygen* deficient atmosphere? 37. Is communications (visual, voice or signal line) maintained between all Individuals present In toxic or oxygen-defIcient atmosphere? 38. Are there emergency plans and proper rescue equipment present? 39. Are safety harnesses and safety lines or other equivalent provisions for the rescue of persons using air line respirators In atmospheres immediately hazardous to life or health used? n* 4 40. When persons are using air line respirators in atmospheres immediately hazardous to life or health, is there at least one stqndby man with suitable selfcontaining breathing apparatus available at the nearest fresh air base for emergencies? A 41. Is there frequent random inspection to assure that the respirators are properly selected, used, cleaned, and maintained? 42. Does the training of employees who use respirators include: proper fitting; testing its face-piece-to- face seal; wearing in normal air for a familiarity period and wearing It in a test atmosphere? _ 43. Are employees instructed not to wear beards, sideburns, skull caps, or temple pieces on,glasses that project under the respirator. (Reason: Cannot get a good seal between respirator and face) 44. Does the employee check the respirator after putting it on for proper fit? 45. Are provisions made for people who wear corrective glasses and also must use a respirator? 46. Are employees instructed not to wear contact lenses with a respirator? 47. Are self-contained breathing apparatuses inspected monthly? 48. Is a record maintained of inspection dates and findings of respirators maintained for emergency use? VAB.0001042273 I 49. Is replacement or repair of respirators done only by experienced people with designated parts? _____ _____ 50. . Are reducing or admission valves or regulators adjusted or repaired by the manufacturer or a trained technician? ____ _____ 51. Is the location of respirators used for emergencies clearly marked? _____ _____ 52. Are employees Instructed of the correct way to store respirators? _____ ____ 53. Are checks made to see that employees are not storing respirators in tool boxes or lockers without being In Proper containers? 54.# p 'w * 55. Are respirators stored or packed so that the facepiece and exhalation valve rests In a normal position? Does the person who Issues gas masks see that they are properly labeled and color coded? _____ i ____ _____ _____ ____ ____ 56. Does the person who issues gas masks see that the label and color code is maintained until the canisters have completely served their purpose? ____ ____ 57. On each canister does the following appear in bold letters? Canister for (Name for atmospheric contaminant) or Type N Gas Mask Canister ____ _____ 58. In addition, does the following wording appear beneath the appropriate phrase on the canister? v "For respiratory protection in atmospheres containing not more than percent by volume of ________________________________ _____ (Name of atmospheric contaminant) . ____ ____ 59. Do canisters having a special high efficiency filter for protection against radionuclides and other highly toxic particulates have a label with a statement of the type and degree of protection afforded by the filter? 60. Is the label affixed to the neck end of, or to the gray strip which is around and near the top of the canister? * VAB.0001042274 61. Does each gas mask canister have a label warning that the gas mask should be used only In atmospheres contain* Ing sufficient oxygen to support life (at least 16 percent by volume)? 62. Is each gas mask canister painted a distinctive color or combination of colors In accordance with Table 1-1? A e VAB.0001042275