Respiratory Protection Some of the most dangerous hazards you will encounter in the workplace are airborne. Many areas in industrial facilities have low oxygen levels, and the air in some areas may contain hazardous particles, gases, or vapors. If you perform any job duties in these dangerous areas, respiratory protection equipment will be vital to complete these tasks. Training in the identification of hazards and the proper use of respiratory protection equipment can save your life. After completing this course, you will be able to identify respiratory hazards and the types of respirators that can protect you from each hazard. You will also know the key elements of an effective respiratory protection program and how to properly use, maintain, and store respiratory protection equipment. Hazards What are the major types of respiratory hazards? Sources and effects To protect against respiratory hazards, you should know not only what types of hazards you may encounter, but how they affect you and where you might encounter them. Click on each dot in the image below to learn more about the major types of respiratory hazards, their possible sources, and their effects. Particles The air passages leading to your lungs contain cilia - small hairs that protect your lungs from many contaminants. However, cilia cannot filter every contaminant, and some small particles can enter your lungs and cause damage. Smoke, fumes, dusts (e.g., silica), fibers, and chemical mists are considered hazardous particles. Those particles that are under 5 microns (1 micron = one millionth of a meter) in diameter are the most hazardous, and you may need respiratory protection to keep them out of your lungs. Particles: Sources Processes that can produce these particles include welding, grinding, sandblasting, combustion, incineration, asbestos and fiberglass work, and even spray painting. Particles: Effects Depending on how toxic they are, particles can cause minor distress, allergic reactions, acute respiratory distress, cancer, and even death. Gases and vapors Several areas in the workplace may contain toxic gases and vapors. You may need respiratory protection in these areas to protect you from their harmful effects. Gases and vapors: Sources You may encounter some gases and vapors on a regular basis. For instance, chlorine and ammonia are commonly used cleaning agents, and gas-powered engines produce carbon monoxide. Other chemicals, such as benzene and vinyl chloride, have more specialized uses but are still common in industrial facilities. Gases and vapors: Effects Some gases and vapors cause irritation and inflammation of the respiratory system. These are called irritants and include chlorine and ammonia. Other gases and vapors can cause cancer. Known as carcinogens, these include benzene and vinyl chloride. Still others can reduce the amount of oxygen in the air and pose a suffocation risk. These are called asphyxiants and include nitrogen, carbon dioxide, and carbon monoxide. Oxygen deficiency Normal breathing air is about 21% oxygen. Atmospheres that are less than 19.5% oxygen are considered oxygen deficient. An oxygen-deficient atmosphere can cause death by asphyxiation. Oxygen deficiency: Sources Oxygen deficiency can occur in any location that is enclosed and has restricted airflow. Examples include tanks, pits, mines, wells, and areas where the presence of certain chemical vapors displaces the available oxygen in the air. Oxygen deficiency: Effects Decreasing levels of oxygen in the air can pose an increasing threat to your health and life. At oxygen levels below 19.5%, you will begin to have vision, breathing, and coordination problems. At oxygen levels below 17%, you will experience increasing adverse effects, such as impaired thinking, nausea, vomiting, and unconsciousness. Continued exposure to oxygen levels this low can have irreversible health effects and could be fatal. IDLH environments Immediately Dangerous to Life and Health (IDLH) environments are defined as “environments with conditions that would pose an immediate or delayed threat to your life, cause irreversible adverse effects to your health, or interfere with your ability to escape.” These environments may include: These environments present extreme forms of the hazards mentioned above and require special precautions, which are discussed in greater detail later in this course. Protection Program What is a respiratory protection program? Components A good respiratory protection program contains an initial hazard assessment, written procedures, designated administration, and training. Hazard assessment A hazard assessment determines which respiratory hazards are present. A company must perform a hazard assessment to gain an understanding of the processes, equipment, raw materials, endproducts, by-products, and worker activities in the workplace. Air monitoring The hazard assessment may include air monitoring, which determines the amounts of harmful substances that may be present in the working environment. The monitoring results are compared to permissible exposure limits (PELs) for any harmful substances detected. A PEL is the maximum amount of a harmful substance that you can legally be exposed to over a certain period of time. PELs are set by regulatory agencies. Reduction plan If the hazard assessment reveals exposure above the PEL, your company must develop a plan to reduce your exposure below these limits. The company accomplishes this through the use of engineering controls, work practices, and respiratory protection, which we will discuss in this course. Written procedures Written procedures must be in place for: the selection, inspection, and use of respirators. the maintenance and repair of respirators. locations where respirator use is and is not required. equipment fit testing and medical evaluation. air quality standards for Supplied Air Respirators (SARs). Designated administration Your company should designate someone with special training and qualifications to administer the company's respiratory protection program. This person is responsible for evaluating the program regularly to ensure it is effective. You may be asked your opinion regarding the program's strengths and weaknesses. Be sure to report any problems you have experienced. Training Prior to wearing a respirator and annually thereafter, you will receive respiratory protection training based on the respiratory hazards in your work environment. The training will include information about the type(s) of respirators selected for you, the proper use and limitations of each respirator, routine and emergency use, and other information that will enable you to use the respirators properly. Respirators What equipment will protect me from respiratory hazards? Use, types, and hazards Respirators provide safe breathing air through a face piece that covers your nose and mouth and keeps out hazardous substances. To use a respirator, put on the face piece and breathe normally, making sure the respirator maintains a good seal to your face at all times. Two types of respirators Air Purifying Respirators APRs filter or purify existing air so that harmful substances do not enter your lungs. These respirators are effective protection against particle, gas, and vapor hazards. Supplied Air Respirators SARs provide an independent source of clean breathing air rather than filtering existing air. An example is a Self-Contained Breathing Apparatus (SCBA). These respirators are effective protection for environments that are Immediately Dangerous to Life and Health (IDLH), such as an oxygen-deficient atmosphere. Use the correct respirator When you are performing a task in a hazardous environment, using the wrong respirator can have devastating — even fatal — results. Make sure you use the correct pre-selected respirator for the task you are performing. If you are ever unsure about which respirator to use, check with your supervisor or program administrator. Prolonged use Can prolonged breathing through respirators cause harm? Answer No. Breathing through respirators does not create a hazard, as long as you make sure your selected respirator protects against the potential harmful contaminant in the air and you are medically fit to use a respirator. IDLH environments IDLH environments include situations where: the level of oxygen is insufficient to sustain life. substances are in concentrations high enough to cause death. the hazards in the atmosphere are unknown. APRs What should I know about Air Purifying Respirators? Based on hazards APRs use cartridges and filters to purify the air before harmful substances can enter your lungs. Your company will select the appropriate APR you will use, based on the respiratory hazard to which you will be exposed. Types of APRs There are two types of APRs: particulate APRs and gas-and-vapor APRs. Particulate APRs use filters to mechanically stop or remove particle hazards in the air. Remember that these APRs provide protection ONLY against airborne particles. Gas-and-vapor APRs use chemical-absorbent cartridges to clean the air of gas and vapor contaminants. Remember that these APRs provide protection ONLY against gases and vapors. Cartridges Cartridges are color-coded and labeled according to the contaminant they remove. The table shown here indicates the most common color codes for APR cartridges in the U.S. Filters APR filters, which can be used alone or with a cartridge, have both a rating and efficiency level. The rating indicates how resistant the filter is to oil. Filters are coded with the letters N (not oil resistant), R (oil resistant), or P (oil proof). The efficiency of a filter indicates the percent of airborne particles that are stopped or removed from the air. The three levels of efficiency are 95%, 99%, and 99.97%, which is rounded to 100%. Type 100 filters (i.e., filters that are 100% efficient) are sometimes referred to as High Efficiency Particulate Air (HEPA) filters, which are capable of trapping 99.97% of particles as small as 0.3 microns in diameter and can filter out dusts, mists, fumes, fibers, and even some radioactive materials. Both P100 and HEPA filters have the color code magenta (purple), making them easy to identify. Identification All filters and cartridges must be labeled and color-coded according to the National Institute for Occupational Safety & Health's (NIOSH) standards. The label includes the word "NIOSH," the manufacturer's name and part number, and an abbreviation to indicate the cartridge or filter type (e.g., N95, P100). The abbreviation for a filter type combines the oil-resistant letter rating with the efficiency level. For example, a filter marked with "R99" is somewhat resistant to oil and removes at least 99% of the airborne particles. Filters marked "P100" are oil proof and remove almost 100% of the airborne particles. Face pieces The two most commonly used face pieces are half-face and full-face. Your selection of a face piece will depend on the shape of your face, the hazards around you, and input from your program administrator. Cartridges and filters fit either face piece, as long as the face piece and the cartridge (or filter) are from the same manufacturer and are appropriate for the respirator model. Cartridge and filter replacement Cartridge and filter replacement procedures are different for each type of APR. However, keep the following guidelines in mind: To learn how to replace the cartridge or filter on the respirator selected for your use, consult with your supervisor or respiratory program administrator. Further instructions Make sure that you don’t mix different manufacturers’ respirator parts. Follow the manufacturer’s instructions and any further cautions and limitations provided with your APR. Also, make sure you follow your company’s site-specific procedures for APRs, especially when you need additional protection against oil mist or lubricant spray (e.g., in a machine shop, near spray paint). High Efficiency Particulate Air (HEPA) Why does the Occupational Safety and Health Administration (OSHA) use the term “HEPA” as a high efficiency rating when NIOSH uses “100”? Answer Although OSHA requires the use of NIOSH-certified respirators in its regulation, they still use the term “HEPA filter” in many substance-specific standards. NIOSH uses N100, R100, and P100 to identify high efficiency filters with an oil resistance rating. SARs What should I know about Supplied Air Respirators? Use, limitations, and standards SARs provide an independent source of clean breathing air that must meet certain standards. SARs are effective when hazards are especially great. However, all SARs have certain limitations, and each type of SAR has specific limitations due to the way it functions. Types of SARs: Airline An airline SAR has a stationary source of compressed air and provides this air to the user through a hose. You will use an airline SAR when the task you must perform requires extended use of a respirator. Types of SARs: SCBA In a Self-Contained Breathing Apparatus (SCBA), a limited amount of air is supplied through a portable compressed air cylinder. SCBAs offer the highest level of protection of all respirators. SCBAs are used when an airline SAR could be restricted or damaged by hazards (e.g., when fighting a fire) or in Immediately Dangerous to Life and Health (IDLH) environments. Limitations: Airline Airline SARs can restrict your ability to move around freely. Maximum airline hose length may restrict the use of devices with distance requirements. You must be careful when working around obstructions or moving machinery; the airline hoses may snag and break. Also, airline respirators provide no protection if the air supply fails. For IDLH atmospheres, you can use an airline respirator if it is equipped with a separate bottle of air. Limitations: SCBA SCBAs can be heavy and bulky, restricting free movement. They also have a short service life. Most provide between 30 and 60 minutes of air, and some emergency units may only provide 5 to 15 minutes of air. Strenuous work may decrease the amount of available air time. Also, extensive site training is required for maintenance and safe use of SCBAs. Air quality requirements: Air standards The air in a SAR must be Grade D breathing air, as established by the American National Standards Institute (ANSI) and the Compressed Gas Association (CGA). This will limit your exposure to carbon monoxide, carbon dioxide, oil, and odors. This standard will also make sure you have enough oxygen (19.5%-23.5%) available in the system. Air quality requirements: Air compressor requirements When the SAR supplies air through a compressor, the air intake must be away from contaminants, such as cars and delivery vehicles. If the compressor is a non-oil-lubricated compressor, the carbon monoxide (CO) concentration in the air it provides must not exceed 10 parts per million (ppm). If it is oil-lubricated, you must use an alarm to warn of high CO levels, or use a CO monitor to make sure the CO concentration remains below 10 ppm. All air compressors must have tags that indicate when the air filters were changed and who performed the work. Air quality requirements: Fitting and coupling requirements Contaminants from non-breathing-air systems may lower the quality of air in a SAR. Therefore, all fittings and couplings on SARs must be incompatible with non-breathing-air systems. This also prevents connection to a cylinder of air or other gases that do not meet air quality standards for a SAR. Additional considerations Most SARs do not provide protection against skin irritation and absorption hazards presented by certain hazardous substances. Therefore, you may need a protective suit or similar additional protection in certain areas. Also, SAR face pieces may present special problems for individuals who must wear prescription lenses. Regulations and site-specific procedures You must always follow the manufacturer’s instructions and your company’s sitespecific procedures, as well as any further cautions and limitations, when using your SAR. Take time to review these items before using this equipment. Preparation What must I do before using a respirator? Crucial to health Procedures to prepare for respirator use are crucial to maintaining your health. These procedures will also give you confidence that your equipment will protect you against hazardous atmospheres. Medical evaluation Your company will give you a medical screening questionnaire designed to identify medical conditions that could affect your health while wearing a respirator. This information, along with a copy of your company's respirator program, a copy of the respiratory protection regulation, and specific information about your respirator use, will be provided to a company-identified physician for a medical evaluation. Based on the questionnaire, the physician will determine if you require medical monitoring while using a respirator or if another respirator may be more beneficial to you. The physician will include this information in a written recommendation. Depending on your condition and your hazard exposure, you may receive ongoing medical evaluations. Fit testing Many factors can affect how well a respirator fits, including scars, facial hair, weight gain or loss, dental changes, and eyeglasses. Because of this, you will receive a fit test before you begin using a respirator. The fit test should be repeated once a year to make sure that your respirator still fits well and the face piece maintains a good seal. Additional fit testing will be required if your physical (e.g., facial) characteristics change or if you, your supervisor, or your program administrator thinks there may be respirator leakage. Qualitative Fit Testing (QLFT) The QLFT determines your reaction to a substance while you are wearing the respirator. A relatively harmless material (sweet or bitter-tasting substances, such as saccharin or irritant smoke) is placed into the atmosphere around your respirator. If you do not smell, taste, or react to the substance, then it did not enter the respirator and the fit is good. Quantitative Fit Testing (QNFT) The QNFT uses a machine that measures and compares concentrations of contaminants inside and outside your respirator. When the measurement inside the respirator mask has lower predetermined levels than the level outside the respirator, then the fit is good. User seal checks You must perform seal checks to make sure you have a good seal each time you put on your respirator. These include negative and positive pressure checks. If a good seal is not maintained during either check, contact your supervisor to see if you must undergo additional fit testing. Negative pressure check To do a negative pressure check, seal the respirator cartridges, breathe in through your nose or mouth, and hold your breath for 10 seconds. If the respirator has a good seal, the face piece will collapse slightly and no air will enter around the seal. If the respirator does not have a good seal, air will leak through and the face piece will not collapse inward. Positive pressure check To do a positive pressure check, seal the exhalation valve and blow air out slightly through your nose or mouth. If the respirator has a good seal, then some pressure builds up inside the face piece without any outward air leakage at the seal. If the respirator does NOT have a good seal, air will leak past the face piece, and you will need to reposition the face piece or adjust the straps. Site-specific training You will receive site-specific training before the first time you wear a respirator in a hazardous environment and at least once a year after that. This training will include hands-on experience and site-specific details about routine and emergency respirator use, storage and maintenance procedures, cartridge replacement procedures, limitations of each respirator type, and medical signs and symptoms of contaminant exposure. Make sure you understand all the material. Alert your supervisor if anything is unclear to you. Certification All respirators must meet criteria established by the National Institute of Occupational Safety and Health (NIOSH). Every respirator must be tested and certified before use and will receive a Tested and Certified (TC) number. You cannot use a respirator that does not have a TC number. Respirator failure If you ever detect signs of respirator failure (e.g., a leaking face piece) or if you feel, taste, or smell chemicals in the air, you should always leave your work area immediately and consult your supervisor or program administrator. If you experience irritation, immediately wash your face thoroughly. Maintenance How can I keep respirators in good condition? Ready for use Proper cleaning and storage ensures that a respirator will be ready for use when you need it. Cleaning If respirators are shared, then they must be cleaned and disinfected after each use. If a respirator is assigned to only one person, it must be cleaned and disinfected as often as you deem it necessary. Cleaning before each use is a good rule to follow. Your supervisor will explain the specific procedures for cleaning and disinfecting your respirator. Make sure you follow these procedures, and notify your supervisor if you are unclear about how or when to do this. Storage When not in use, respirators must be stored in a designated area that is marked, clean, and quickly accessible. The area must keep the respirators away from dust, dirt, sunlight, temperature extremes, damaging chemicals, and excessive moisture. All respirators must be stored in either a sealed plastic bag hanging on the wall or a designated respirator room or cabinet. They must also be properly labeled for use; labeling information includes inspection dates for emergency use respirators. Inspection What should I know about respirator inspection? Requirements Your employer will check some of the parts of your respirator periodically to make sure it is functioning properly. However, you should also check the parts of the respirator and follow the manufacturer’s recommendations. Inspection procedures and documentation are similar for most respirators, but inspection schedules can differ greatly. Face piece, head straps, and valves Check the face piece for scratches, cracks, tears, holes, distortion, and a lack of flexibility. Look for broken, missing, badly worn, or incorrectly mounted parts, especially clips and lenses. Check the head straps for loss of elasticity, stretched or broken straps, broken buckles or attachments, and worn parts on head harnesses. Look for foreign materials (e.g., hair or dust particles) in valves. Also, look for any missing or defective valve covers, improper valve installation, or cracks, breaks, or chips in the valve body. Connections and connecting tube Make sure all parts are tightly connected. Look for broken or missing tube connectors or clamps. Stretch the connection tube and look for cracks, which would indicate deterioration. Cartridges, canisters, or filters Make sure the cartridge, canister, or filter in the respirator is appropriate for the hazard and has not expired. Check the holder for incorrect installation, loose connections, missing gaskets, and cross threading. Look for cracks, dents, extra holes, or tape on the outside, especially over the inlet. Compressed air Compressed air cylinders should be at 100% capacity when they arrive for use. Check these cylinders periodically to make sure the levels do not fall below 90%. If they do, notify your supervisor. Compressed air cylinders must be periodically tested professionally prior to refilling. The frequency for testing is based on the type of material used in construction of the cylinder. General requirements All respirators should be inspected before being brought into the workplace. In addition, you should inspect respirators on various schedules based on how often they are used. Routine use Respirators that are used for everyday tasks (e.g., welding) should be inspected before and after each use and during cleaning. Non-routine-use Some respirators are used in non-routine (e.g., emergency) situations. These respirators, which include SCBAs and airline SARs as well as emergency escape packs, must be inspected: at least monthly, or according to the manufacturer's recommendations. before and after each use. Types of documentation Inspections must be documented. Documentation should be in the form of a tag or label attached to the respirator's storage compartment. It should also be included in the inspection reports. In some cases, electronic files recording inspection can also be used. Required information The tag or label on a respirator should include the date of inspection, the name of the person who performed it, the serial number of the respirator (or other identification), and the results (including any required action). Removing defective respirators Respirators found to be defective must be tagged, removed from service, and discarded, repaired, or adjusted. Authorized repair persons must use only the manufacturer’s NIOSHapproved parts. Contact your program administrator to learn about your company’s replacement procedure. IDLH What additional precautions must I take in IDLH environments? Right equipment and personnel In any hazardous situation, you should have access to the right equipment and personnel so that you can escape safely and quickly if an accident occurs. In Immediately Dangerous to Life and Health (IDLH) environments, this access becomes even more crucial. Remember, an IDLH environment means that the surrounding hazards may pose an immediate threat to your life. Adequate respirator You must have an adequate respirator to supply you with fresh, uncontaminated air. This could be a pressure-demand SCBA (one that always contains a slight amount of positive pressure inside the facepiece so contaminants cannot get inside) or a pressure-demand airline SAR with an emergency escape bottle. Standby employees One or more trained employees must be located outside the IDLH atmosphere, standing by to provide effective emergency rescue. These equipped persons must have: pressure-demand SARs or SCBAs. appropriate retrieval equipment. visual, voice, or signal line communication equipment. Designated person There must be a procedure in place to notify a designated person when one of the equipped persons must enter to provide an emergency rescue. This ensures that at least one person is aware of your presence in the area as well as the rescue worker's presence. The designated person can provide backup assistance as well, if needed. IDLH, unless proven otherwise IDLH areas do not just contain harmful chemicals. They may also lack sufficient oxygen or have unknown contents. Therefore, unless you know the oxygen level and the contents of an enclosed area, you should always consider it IDLH until you can prove otherwise. Structural firefighting The requirements for entering IDLH environments are more stringent when you and your coworkers are involved in structural firefighting. If you are involved in this work, check with your supervisor about these requirements.