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Personal Protective Equipment Train the Trainer WI DPH Regional Offices October 18, 2007 Jim Morrison, CIH, CHMM WI DPH Chm Preparedness Coordinator.

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Presentation on theme: "Personal Protective Equipment Train the Trainer WI DPH Regional Offices October 18, 2007 Jim Morrison, CIH, CHMM WI DPH Chm Preparedness Coordinator."— Presentation transcript:

1 Personal Protective Equipment Train the Trainer WI DPH Regional Offices October 18, 2007 Jim Morrison, CIH, CHMM WI DPH Chm Preparedness Coordinator

2 Purpose of Training Inform DPH regional staff of PPE concepts and regulations Inform DPH regional staff of PPE concepts and regulations Prepare DPH regional staff to conduct respirator training and fit testing Prepare DPH regional staff to conduct respirator training and fit testing Review administration of DPH PPE programs Review administration of DPH PPE programs

3 PPE Hierarchy of Controls PPE should be a last resort. Try other things first. Elimination Elimination Substitution Substitution Engineering Controls Engineering Controls Administration Administration PPE PPE

4 OSHA PPE Std (29CFR ) Three basic elements: Hazard assessment Hazard assessment Select appropriate PPE & assure use Select appropriate PPE & assure use Training Training

5 Hazard Assessment Conduct a walk-through survey of the areas in question. Purpose is to identify sources of hazards to workers and co-workers. Consider: Impact Impact Penetration Penetration Compression (roll-over) Compression (roll-over) Light (optical) radiation Light (optical) radiation Heat Heat Chemical Chemical Harmful dust Harmful dust These two are key

6 What hazards might our staff encounter? 1. Eyes Airborne dust or particles Airborne dust or particles Liquid chemicals Liquid chemicals 2. Feet Objects that can strike, crush or puncture feet Chemicals/ Unknown Liquids Objects that can strike, crush or puncture feet Chemicals/ Unknown Liquids 3. Hands Materials that might scrape, bruise, or cut Chemicals Materials that might scrape, bruise, or cut Chemicals 4. Head Materials overhead Materials overhead Loud noise Loud noise 5. Respiratory Dust, mists Vapors Dust, mists Vapors 6. Body Particulate Chemicals 7. Other? Talk about the PPE Assessment Form

7 PPE Categories and Standards Eye and face Protection (29 CFR ) Eye and face Protection (29 CFR )29 CFR CFR Respiratory Protection (29CFR ) Respiratory Protection (29CFR )29CFR Head Protection (29CFR ) Head Protection (29CFR )29CFR Foot Protection (29CFR ) Foot Protection (29CFR )29CFR Electrical (29CFR ) Electrical (29CFR )29CFR Hand (29CFR ) Hand (29CFR )29CFR Ear (29CFR ) Ear (29CFR )29CFR

8 Eye and Face Protection ANSI Z ANSI Z Protection against impact, dust, splash, radiation Protection against impact, dust, splash, radiation Safety Glasses/sideshields Safety Glasses/sideshields Goggles Goggles Face shields Face shields Welding Welding

9 Head and Foot Protection Many product types/styles are available. They must comply with the following standards: Many product types/styles are available. They must comply with the following standards: ANSI Z Head ANSI Z Head ANSI Z Foot ANSI Z Foot

10 Foot Protection Protection against falling or rolling objects, or objects piercing the sole, and where such employee's feet are exposed to electrical hazards. Protection against falling or rolling objects, or objects piercing the sole, and where such employee's feet are exposed to electrical hazards.

11 Hand Protection Skin absorption of harmful substances; severe cuts or lacerations; severe abrasions; punctures; chemical burns; thermal burns; and harmful temperature extremes Skin absorption of harmful substances; severe cuts or lacerations; severe abrasions; punctures; chemical burns; thermal burns; and harmful temperature extremes

12 Compatibility Importance of knowing contaminant properties (Will your glove protect against anticipated exposures?) Importance of knowing contaminant properties (Will your glove protect against anticipated exposures?) Glove Tragedy Glove Tragedy Permeation tables can be found in many safety catalogs. One is Lab Safety Supply Permeation tables can be found in many safety catalogs. One is Lab Safety SupplyLab Safety SupplyLab Safety Supply

13 Permeation Table Example

14 Protective Clothing EPA/OSHA/NIOSH/USCG ensembles: Level A =+SCBA, fully encaps. Chem. Resistant suit, inner gloves, chem. Resistant boots Level A =+SCBA, fully encaps. Chem. Resistant suit, inner gloves, chem. Resistant boots Level B= +SCBA, chem. Resist. Clothing, inner/outer gloves, chem. Resistant boots/shoes Level B= +SCBA, chem. Resist. Clothing, inner/outer gloves, chem. Resistant boots/shoes Level C= full face APR, otherwise same as B Level C= full face APR, otherwise same as B Level D= coveralls, safety shoes/boots, goggles, hard hat Level D= coveralls, safety shoes/boots, goggles, hard hat

15 Hearing Protection Exposure limit of 90db w/ action level of 85 db (this is very noisy) Exposure limit of 90db w/ action level of 85 db (this is very noisy) Log scale, sound level doubles w/ every 5 db (90dB is twice the level of 85dB) Log scale, sound level doubles w/ every 5 db (90dB is twice the level of 85dB) Hearing Conservation Program required for exposure greater than 85 db, including: Hearing Conservation Program required for exposure greater than 85 db, including: –Monitoring –Audiometric Testing –Protective Equipment –Training –Recordkeeping

16 Respiratory Protection- Respirator Types Air Purifying. Air Purifying. They only cleanse air, do not increase breathable air. They can not be used in confined spaces or where oxygen deficiency is possible. Cartridges are selected based on physical/chemical properties of contaminants Cartridges are selected based on physical/chemical properties of contaminants

17 Respirator Types (contd.) Atmosphere Supplying (add breathable air) Atmosphere Supplying (add breathable air) Positive Pressure/Negative Pressure Positive Pressure/Negative Pressure Half-face/Full face Half-face/Full face

18 Protection Factors Ratio of concentration outside respirator to concentration inside Ratio of concentration outside respirator to concentration inside APR half-face = 10 APR half-face = 10 APR full-face = 50 APR full-face = 50 PAPR full –face = 1,000 PAPR full –face = 1,000 PAPR hood = 25 to 1,000 PAPR hood = 25 to 1,000 SCBA pressure = 10,000 SCBA pressure = 10,000 SCBA demand = 50 SCBA demand = 50

19 Respiratory Protection Overview Written pgm. Written pgm. Voluntary Use Voluntary Use Protection factors Protection factors Cartridge Change Cartridge Change Medical Evaluation Medical Evaluation Fit Testing Fit Testing Facepiece seal Facepiece seal Cleaning & Disinfecting Cleaning & Disinfecting Storage Storage Inspection Inspection Evaluation Evaluation Recordkeeping Recordkeeping Note: The 3M website has some good training resources.3M website

20 Voluntary Respirator Use Staff must be provided Appendix D of the OSHA respiratory protection standard if they wish to wear a respirator where not required Staff must be provided Appendix D of the OSHA respiratory protection standard if they wish to wear a respirator where not requiredAppendix D Appendix D Anything other than a filtering facepiece mask requires medical evaluation Anything other than a filtering facepiece mask requires medical evaluation Other respirators require medical eval. and assurance of proper maintenance and use Other respirators require medical eval. and assurance of proper maintenance and use

21 Cartridge change Some level of knowledge of exposure level is necessary (Otherwise how do you know your respirator is sufficient?) Some level of knowledge of exposure level is necessary (Otherwise how do you know your respirator is sufficient?) Rule of thumb for sanitarian use may be to change after week of use Rule of thumb for sanitarian use may be to change after week of use Be knowledgeable of Maximum Use Concentrations (10x the Permissible Exposure Limit for half-face respirators). From a practical standpoint, if youre near the PEL, you shouldnt be there and should ask for professional cleanup response Be knowledgeable of Maximum Use Concentrations (10x the Permissible Exposure Limit for half-face respirators). From a practical standpoint, if youre near the PEL, you shouldnt be there and should ask for professional cleanup response

22 Medical evaluation Required because of physiologocal burden of wearing a respirator Required because of physiologocal burden of wearing a respirator Medical questionnaire (DMT-0934) is filled out and reviewed by medical health professional. Typically this is done by a local occupational health provider. If acceptable, the provider writes a statement approving use. Medical questionnaire (DMT-0934) is filled out and reviewed by medical health professional. Typically this is done by a local occupational health provider. If acceptable, the provider writes a statement approving use.DMT-0934 If not, the provider may wish to do an exam. If not, the provider may wish to do an exam. Questionnaire and exam content are confidential. Employers sees only the physician statement. Questionnaire and exam content are confidential. Employers sees only the physician statement.

23 Fit Testing Importance of fit (no facial hair or glasses between mask and skin) Importance of fit (no facial hair or glasses between mask and skin) Self Test Protocol Self Test Protocol Qualitative Protocol Qualitative Protocol Repeated annually Repeated annually

24 Self Fit Check I. Facepiece Positive and/or Negative Pressure Checks I. Facepiece Positive and/or Negative Pressure Checks A. Positive pressure check. Close off the exhalation valve and exhale gently into the facepiece. The face fit is considered satisfactory if a slight positive pressure can be built up inside the facepiece without any evidence of outward leakage of air at the seal. For most respirators this method of leak testing requires the wearer to first remove the exhalation valve cover before closing off the exhalation valve and then carefully replacing it after the test. A. Positive pressure check. Close off the exhalation valve and exhale gently into the facepiece. The face fit is considered satisfactory if a slight positive pressure can be built up inside the facepiece without any evidence of outward leakage of air at the seal. For most respirators this method of leak testing requires the wearer to first remove the exhalation valve cover before closing off the exhalation valve and then carefully replacing it after the test. B. Negative pressure check. Close off the inlet opening of the canister or cartridge(s) by covering with the palm of the hand(s) or by replacing the filter seal(s), inhale gently so that the facepiece collapses slightly, and hold the breath for ten seconds. The design of the inlet opening of some cartridges cannot be effectively covered with the palm of the hand. The test can be performed by covering the inlet opening of the cartridge with a thin latex or nitrile glove. If the facepiece remains in its slightly collapsed condition and no inward leakage of air is detected, the tightness of the respirator is considered satisfactory. B. Negative pressure check. Close off the inlet opening of the canister or cartridge(s) by covering with the palm of the hand(s) or by replacing the filter seal(s), inhale gently so that the facepiece collapses slightly, and hold the breath for ten seconds. The design of the inlet opening of some cartridges cannot be effectively covered with the palm of the hand. The test can be performed by covering the inlet opening of the cartridge with a thin latex or nitrile glove. If the facepiece remains in its slightly collapsed condition and no inward leakage of air is detected, the tightness of the respirator is considered satisfactory.

25 Qualitative Protocol Use of a challenge agent (banana oil, bitrex, saccharin) Use of a challenge agent (banana oil, bitrex, saccharin) Selection and donning of respirator. Selection and donning of respirator. Multiple exercises/head movements Multiple exercises/head movements Jogging in place. Jogging in place. Report if agent detected. Report if agent detected. Results documented on DMT-0925 Results documented on DMT-0925DMT-0925

26 Review Video Video available from 3M online or video/DVD Video available from 3M online or video/DVD3M online 3M online

27 DPH PPE Pgm Administration (Draft) RODs/Pgm Mgrs will do hazard Assessment RODs/Pgm Mgrs will do hazard Assessment PPE needs discussed at PPD PPE needs discussed at PPD Regional staff will do fit testing and coordinate med evaluations Regional staff will do fit testing and coordinate med evaluations Central office will do train the trainer and will manage written plans Central office will do train the trainer and will manage written plans

28 Suggested PPE for Sanitarians Investigating Human Health Hazards Half face respirator w/combination acid gas, HEPA, organic vapor cartridge Half face respirator w/combination acid gas, HEPA, organic vapor cartridge Tyvek suits Tyvek suits Nitrile exam gloves Nitrile exam gloves Steel toe boots Steel toe boots Rubber boots Rubber boots Hard hat Hard hat Ear plugs Ear plugs Safety goggles Safety goggles Nitrile chemical gloves Nitrile chemical gloves

29 Thanks! Jim Morrison Jim Morrison


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