Major Requirements of OSHA's
Respiratory Protection Standard
29 CFR 1910.134

(e) Medical Evaluation (p. 1207)

Must provide a medical evaluation to determine employee's ability to use a respirator, before fit testing and use.

Must identify a physician or other licensed health care professional (PLHCP) to perform medical evaluations using a medical questionnaire or an initial medical examination that obtains the same information as the medical questionnaire (information required is contained in mandatory Appendix C).

Must obtain a written recommendation regarding the employee's ability to use the respirator from the PLHCP.

Additional medical evaluations are required under certain circumstances, e.g.:

	employee reports medical signs or symptoms related to ability to use respirator;
	PLHCP, program administrator, or supervisor recommends reevaluation;
	information from the respirator program, including observations made during fit testing and program evaluation, indicates a need; or
	change occurs in workplace conditions that may substantially increase the physiological burden on an employee.
	Annual review of medical status is not required.

(f) Fit Testing (p. 1221)

All employees using a negative or positive pressure tight-fitting facepiece respirator must pass an appropriate qualitative fit test (QLFT) or quantitative fit test (QNFT).

Fit testing is required prior to initial use, whenever a different respirator facepiece is used, and at least annually thereafter. An additional fit test is required whenever the employee reports, or the employer or PLHCP makes visual observations of, changes in the employee's physical condition that could affect respirator fit (e.g., facial scarring, dental changes, cosmetic surgery, or an obvious change in body weight).

The fit test shall be administered using an OSHA-accepted QLFT or QNFT protocol, as contained in mandatory Appendix A.

QLFT Protocols: Isoamyl acetate Saccharin Bitrex Irritant smoke

QNFT Protocols: Generated Aerosol (corn oil, salt, DEHP) Condensation Nuclei Counter (PortaCount) Controlled Negative Pressure (Dynatech FitTester 3000)

QLFT may only be used to fit-test negative pressure air-purifying respirators (APRs) that must achieve a fit factor of 100 or less.

If the fit factor determined through QNFT is 100 for tight-fitting half facepieces, or 500 for tight-fitting full facepieces, the QNFT has been passed with that respirator.

(g) Use of Respirators (p. 1236)

Tight-fitting respirators shall not be worn by employees who have facial hair or any condition that interferes with the face-to-facepiece seal or valve function.

Personal protective equipment shall be worn in such a manner that does not interfere with the seal of the facepiece to the face of the user.

Employees shall perform a user seal check each time they put on a tight-fitting respirator using the procedures in mandatory Appendix B-1 or equally effective manufacturer's procedures.

Procedures for respirator use in IDLH atmospheres are stated. In addition to these requirements, interior structural firefighting requires the use of SCBAs and a protective practice known as "2-in/2-out" – at least two employees must enter and remain in visual or voice contact with one another at all times, and at least two employees must be located outside. (Note that this is not meant to preclude firefighters from performing emergency rescue activities before an entire team has assembled.)

(h) Maintenance and Care of Respirators (p. 1248)

Must clean and disinfect respirators using the procedures in Appendix B-2, or equally effective manufacturer's procedures at the following intervals:

as often as necessary to maintain a sanitary condition for exclusive-use respirators,

	before being worn by different individuals when issued to more than one employee, and
	after each use for emergency use respirators and those used in fit testing and training.

(i) Breathing Air Quality and Use (p. 1252)

Compressed breathing air shall meet the requirements for Type 1-Grade D breathing air as described in ANSI/CGA Commodity Specification for Air, G-7.1-1989.

(j) Identification of Filters, Cartridges, and Canisters (p. 1257)

All filters, cartridges, and canisters used in the workplace must be labeled and color coded with the NIOSH approval label.

The label must not be removed and must remain legible.

(k) Training and Information (p. 1258)

Must provide effective training to respirator users, including:

	why the respirator is necessary and how improper fit, use, or maintenance can compromise the protective effect of the respirator
	limitations and capabilities of the respirator
	use in emergency situations
	how to inspect, put on and remove, use and check the seals
	procedures for maintenance and storage
	recognition of medical signs and symptoms that may limit or prevent effective use
	general requirements of this standard

Training required prior to initial use, unless acceptable training has been provided by another employer within the past 12 months.

Retraining required annually and when:

	workplace conditions change,
	new types of respirator are used, or
	inadequacies in the employee's knowledge or use indicates need.
	The basic advisory information in Appendix D shall be provided to employees who wear respirators when their use is not required.

(l) Program Evaluation (p. 1262)

Employer must conduct evaluations of the workplace as necessary to ensure proper implementation of the program, and consult with employees to ensure proper use.

(m) Recordkeeping (p. 1264)

Records of medical evaluations must be retained and made available per 29 CFR 1910.1020.

A record of fit tests must be established and retained until the next fit test.

A written copy of the current program must be retained.

(n) Dates (p. 1264)

Determination that respirator use is required [paragraph (a)] shall be completed no later than 9/8/98.

Compliance with all other provisions of this standard shall be completed no later than 10/5/98.

If you need help developing a respiratory protection program, call EHSO at 770-645-0788!