HomeMy WebLinkAboutRespiratory Inspection ChartRESPIRATORY INSPECTION CHART
ITEM
HALF FULL
FACE FACE PARP TYPE SCUBA
APR APR
FACE PIECE
DIRT OF DEBRIS X X X X X
CRACKS, TEARS OR HOLES X X X X X
DISTORTION X X X X X
CRACKED OR SCRATCHED LENS X X X X
LOOSENESS OF PARTS X X X X X
HEAD STRAPS
BREAKS OR TEARS X X X X X
LO SS OF ELASTICITY X X X X X
BROKEN OR MALFUNCTIONING -
BUCKLES X X X X X
VALVES
DIRT OR DUST X X X X X
DETERGENT RESIDUE X X X X X
DISTORTION X X X X X
MISSING PIECES X X X X X
FIT OF VALVE SET X X X X X
FILTERS/CARTRIDGES
PROPER ONE FOR USE X X X
APPROVAL DESIGNATION X X X MISSING OR WORN GASKET X X X
WORN THREADS ON FILTER X X X
WORN THREADS ON FACE PIECE X . X X
CRACKS OR DENTS X X X
MISSING OR LOOSEN HOSE CLAMPS X X X
PUMPS
MOTORS WORKING X
CHARGING UNITS X
HOSES X
BATTERIES X
TEST GAUGES X
POWER CORDS X
BELT HOLDER X
COMPRESSORS
AIR QUALITY
BREAKS OR KINKS IN SUPPLY HOSE
SUPPLY HOSE FITTINGS
CONNECTIONS
REGULATOR SET PROPERLY & WORKING
VALVES WORKING CORRECTLY
CARBON MONOXIDE ALARMS
HIGH TEMPERATURE ALARMS
AIR -PURIFYING ELEMENTS
TANKS
REGULATOR
VALVES
RESERVE AIR SYSTEM
HARNESS
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X
X
X
X
MEDICAL SURVEILLANCE
I. Content of the medical examination
A. A medical and work history with special emphasis directed to the pulmonary,
cardiovascular, and gastrointestinal systems.
B. Completion of the "Initial Medical Questionnaire" during initial examinations, and
the "Periodic Medical Questionnaire" during annual examinations.
C. A physical examination directed to the pulmonary and gastrointestinal systems,
including a chest roentgenogram to be administered at the discretion of the
physician, and pulmonary function tests of forced vital capacity (FVC) and forced
expiratory volume at one second (FEVI). Interpretation and classification of chest
roentgenogram will be conducted according the following:
1. Chest roentgenogram will be interpreted and classified in accordance with a
. professionally accepted classification system and recorded on a roentgen
graphic interpretation form (Form CSD/NIOSH (M) 2.8).
2. Roentgenogram will be interpreted and classified only by a B-Reader, a
board eligible/certified radiologist, or an experienced physician with known
expertise in pneumoconiosis.
3. All interpreters, whenever interpreting chest roentgenogram made under this
section must have immediately available for reference a complete set of the
ILO-U/C International Classification of Radiographs for Pneumoconiosis,
1980.
II. Information provided to the physician
A. A description of the affected employees' asbestos related duties.
B. The employee's representative exposure level or anticipated exposure level.
C. A description of any personal and respiratory protective equipment used or to be
used.
D. Pertinent inforrnation from previous medical examinations of which the examining
physician may be unaware.
E. Medical Surveillance Guidelines
1. ROUTE OF ENTRY
Inhalation, Ingestion
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2. TOXICOLOGY
Clinical evidence of the adverse effects associated with asbestos, tremolite,
anthophyllite, and actinolite, is present in the form of several well-conducted
epidemiological studies of occupationally exposed workers, family contacts
of workers, and persons living near asbestos, tremolite, anthophyllite, and
actinolite mines. These studies have shown a definite association between
exposure to asbestos, tremolite, anthophyllite, and actinolite and an increased
incidence of lung cancer, pleural and peritoneal mesothelioma,
gastrointestinal cancer, and asbestosis. The latter is a disabling fibre tic lung
disease that is caused only by exposure to asbestos. Exposure to asbestos,
tremolite, anthophyllite, and actinolite has also been associated with an
increased incidence of esophageal, kidney, laryngeal, pharyngeal, and buccal
cavity cancers, as with other known chronic occupational diseases, disease
associated with asbestos, tremolite, anthophyllite, and actinolite generally
appears about 20 years following the first occurrence of exposure. There are
no known acute effects associated with exposure to asbestos, tremolite,
anthophyllite, and actinolite.
Epidemiological studies indicate that the risk of lung cancer among exposed
workers who smoke cigarettes is greatly increased over the risk of lung
cancer among non -exposed smokers or exposed nonsmokers. These studies
suggest that cessation of smoking will reduce the risk of lung cancer for a
person exposed t6 asbestos, tremolite, antlioiphyllite, and actinolite but will
not reduce it to the same level of risk as that existing for an exposed worker
who has never smoked.
Signs and symptoms of exposure -related disease the signs and symptoms of
lung cancer or gastrointestinal cancer induced by exposure to asbestos,
tremolite, anthophyllite, and actinolite are not unique, except that a chest t x-
ray of an exposed patient with lung cancer may show pleural calcification, or
pleural fibrosis.
Symptoms characteristic of mesothelioma include shortness of breath, pain
on the walls of the chest, or abdominal pain. Mesothelioma is therefore more
likely to be found among workers who were first exposed to asbestos at an
early age. Mesothelioma is always fatal.
Asbestosis. is pulmonary fibrosis caused by the accumulation of asbestos
fibers in the lungs. Symptoms include shortness of breath, coughing, fatigue,
and vague feelings of sickness. When the fibrosis worsens, shortness of
breath occurs even at rest. The diagnosis of asbestosis is based on a history of
exposure to asbestos, the presence of characteristic radiologic changes, end -
inspiratory crackles (rales), and other clinical features of fibrosis -producing
lung disease. Pleural plaques and thickening may also be observed on x-rays.
Asbestosis is often a progressive disease even in the absence of continued
exposure, although this appears to be a highly individualized characteristic.
In severe cases, death may be caused by respiratory or cardiac failures.
3. SURVEILLANCE AND PREVENTIVE CONSIDERATIONS
As noted above, exposures to asbestos, tremolite, anthophyllite, and
actinolite has been linked to an increased risk of lung cancer, mesothelioma,
gastrointestinal cancer, and asbestosis among occupationally exposed
workers. Adequate screening tests to determine an employee's potential for
developing serious chronic diseases, such as cancer, from exposure to
asbestos, tremolite, anthophyllite, and actinolite do not presently exist.
III. Physicians Written Opinion
A. The physician's opinion as to whether the employee has any detected medical
conditions that would place the employee at an increased risk of material health
impairment from exposure to asbestos.
B. Any recommended limitations on the employee or on the use of personal protective.
C. A statement that the employee has been informed by the physician of the results of
the medical examination and of any medical conditions that may result from asbestos
expo sure.
RESPIRATORY TRAINING PROGRAM OUTLINED
SELECTION OF RESPIRATORS
Selection of respirators is based upon the type of Asbestos Abatement work being performed.
Preparation of work area Half Face
Preparation of work area higher levels P A.P.R.
Gross Removal of "ACM" .P.A.P.R.
Gross Removal of "ACM" higher levels Type C
All employees are taught the proper wear and maintenance of their respirators. The following is a
brief description
The employees have received training in the use of the respirators. Sergio Otazo, Compliance
Manager -Health Manager, conducted this training. Attached is an outline of training. We also
provided training to employees who might be associated with an emergency condition. Attached is
a list of all employees who have received training and the dates they received their training.
There is a random inspection of areas where respirators are used to see that employees are using the
respirators properly and have not developed any conditions that interfere with the function of their
respirator.
INSPECTIONS ARE MADE ON A WEEKLY BASIS OF RESPIRATORS AS WELL AS
EMERGENCY CONDITIONS. A RECORD IS MAINTAINED OF THE DATE AND THEIR
FINDINGS.
This policy serves as a guiding principal for the preparation, implementation, and enforcement of an
effective Respiratory Protection Program.
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The training in this program will provide a detailed discussion of the use, maintenance and
limitations of respiratory protection.
A. Respiratory System
There are three ways that hazardous materials can enter the body;
1. Through the Gastrointestinal tract, usually through the mouth.
2. Through the skin.
3. Through the respiratory systems.
NOTE: Asbestos does not appear to pose a serious threat to the body through the first
or second routes of entry. It can, however, cause serious diseases when it enters the body
through the respiratory system.
B. Respiratory Hazards on the Job
Respiratory Hazards are generally divided into two categories:
1. Toxic Contaminants
2. Oxygen Deficiency
Generally, Asbestos Abatement projects do not pose oxygen deficiency hazards, but
it must always be considered. (example: Steam Tunnels, Mechanical Chases or
Boiler Room.)
Toxic Contaminants are a more common category of Respiratory Hazards. These
toxic contaminants are generally divided into three categories:
1. Particulate
2, Gaseous materials
3. Vapors
Or a combination of two or all of the above. Asbestos fibers are an example of the
Particulate category, Carbon Monoxide is an example of the Gaseous category, and
an Epoxy Encapsulant is an example of a harmful organic vapor.
C. The Selection of Appropriate Respiratory Equipment
A. The respirator selected must conform to O.S.H.A, standards and guidelines
published by respiratory manufacturers. (29 CFR 1910.134) Requires that only
approved respirators be used, and they must be approved for protection specifically
against Asbestos fibers.
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The National Institute For Occupational Safety and Health (NIOSH) is the official testing and
approval agency for respirators. If all of the accessories pass the NIOSH test, then they issue a
NIOSH approval number. The specific number is preceded by the letters "TC", which indicates the
respirator assembly was "Tested and Certified".
SEE ATTACHED
SEE ATTACHED
OSHA PROTECTION MAXIMUM USE
FACTOR
CONCENTRATION
Half -Face Air Purifying
with HEPA Filters
Powered Air Purifying
(PAPR)
10
0.1 F/cc
100 1.0 F/cc
Full Face Piece Supplied
Air Pressure Demand and
HEPA Escape 1000 10 F/cc
The discussion will only be on respirators that we, MCO ENVIRONMENTAL, INC. will be
utilizing on Asbestos Abatement projects.
TV. Fit -Testing
A. The employee shall be trained on how to put a respirator on.
After the employee has adjusted the respirator for the comfort of this face, at least 10
minutes, then he goes on to perform a qualitative test which consists of the person to
run in place, talking, head movements the method to be used for qualitative fit test
will be an irritant smoke test.
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B. For Half Face respirators after the employee has selected his respirator and no visual
leaks are evident a negative pressure check and pressure check are performed.
Negative Pressure Check
The employee closes off the inlet of the filter or cartridges by covering them
with the palms of the hands or by squeezing the breathing tube so that the air
cannot pass through, inhales so that the face piece collapses slightly, and
holds his/her breath for about 10 seconds.
2. Positive Pressure Check
It is conducted by closing off the exhalation valve of the respirator and gently
exhaling into the face piece. The respirator fit is considered passing if the
positive pressure can be built up inside the face piece without evidence of
outward air leakage around the face piece.
VI. Inspecting the Respirator
All respirators are inspected before and after each use and inspected at least monthly.
A general inspection checklist includes the following:
Check for:
On Type C Respirators:
VII. Storage Area
Dirt
Cracks, Holes, Tears
Deterioration
Material Between valve and valve seat
• Condition of Headbands
Condition of Pace Piece
Cartridge Holders
Filters
The Compressor
Warning Devices
Hoses and Attachments
All respirators are put in Ziploc Freezer Bags and stored in a lock Tuff -Box.
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