Respiratory Code Of Practice Worksheet
  • Respiratory Code Of Practice Worksheet

  • Step 1

    A. Name the Person Responsible for Selecting and Providing Respiratory Protective Equipment

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  • Respiratory Code Of Practice Worksheet

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  • Step 2

    B. Conditions for Use of RPE:

    1. Health Surveillance: Workers must be medically fit to wear a respirator. (A sample respirator user screening form can be found in Appendix E of CSA Standard Z94.4-02)

    2. Fit-Testing: RPE that depends on an effective seal for its safe use must be properly fit-tested by a competent (trained) person. (this must be done every two years or when physical conditions change)

    3. NIOSH Approval: RPE required at the worksite must be NIOSH approved (it will bear a NIOSH approval # e.g. TC- XXXX)

    4. Clean-Shaven: Workers must be clean shaven where the respirator contacts the face.

  • Respiratory Code Of Practice Worksheet

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  • D. Maintenance/Cleaning/Storage of Respiratory Protective Equipment:

    Maintenance: Cartridges/filters must be replaced as per the manufacturer’s instructions or earlier if smell, taste or irritation from contamination is detected or if there is resistance to breathing. (see the manufacturer’s instructions)

    Cleaning: RPE should be cleaned after each use. Wipes may be used, but should not be the only method of cleaning RPE (see the manufacturer’s instructions)

    Storage: RPE must be stored in a manner that will prevent its contamination (e.g. sealed bag (Ziploc™))

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  • All workers affected must be trained in this RPE Code of Practice

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