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Respiratory Protection in Workplace A. H. Mehrparvar, MD Occupational Medicine department Yazd University of Medical Sciences.

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Presentation on theme: "Respiratory Protection in Workplace A. H. Mehrparvar, MD Occupational Medicine department Yazd University of Medical Sciences."— Presentation transcript:

1 Respiratory Protection in Workplace A. H. Mehrparvar, MD Occupational Medicine department Yazd University of Medical Sciences

2 Airborne contaminants  Particulate (aerosol) Dust Mist Smoke  Gas  Vapor

3 Methods of controlling airborne contaminants  Engineering controls (elimination of the hazard) substitution Isolation vetilation  Administrative controls  Personal protective devices

4 Respiratory personal protective devices (respirators)  used to protect against inhaled agents or to improve the quality of inhaled air  An effective component of a worker protection program  Used for protection against chemical agents (e.g., asbestos, lead), and biologic agents

5 Use of Respirators  not the method of choice for controlling exposures  completely dependent on voluntary compliance by the worker  requires an ongoing multifaceted program to ensure proper maintenance and utilization

6 When respirators are needed?  when the work is of a varied nature, preventing the construction of adequate engineering controls  during maintenance and repair operations when ventilation controls are disengaged or nonoperative.  when relatively infrequent operations are conducted (e.g., transfers of liquid raw materials).  for emergency and unplanned events (e.g., as part of the emergency response to a spill) or when the agent is unknown.  when product substitutions or engineering controls are not financially feasible.

7 Different kinds of respirators  (a) air-purifying respirators use ambient air and filter or adsorb the contaminants  (b) atmosphere-supplying  Most respirators in use are air-purifying respirators.  Generally, atmosphere-supplying respirators provide a higher level of protection.

8 Air-purifying respirators  decrease contaminant levels by several mechanisms: Filtration Electrostatic characteristics Sorbent respirators

9 Air- purifying respirators  Mechanical filter  Chemical-cartridge respirator  Gas mask  Powered air-purifying respirator

10 Mechanical-filter respirator  For particulates  3 kinds:  N (Not resistant to oil)  R (Resistant to oil)  P (oil Proof)  efficacy

11 Chemical-cartridge respirator  For vapors and gases  Cartridge contains chemical to absorb gases and vapors

12 Gas mask  Designed for: Organic vapors and gases Alkaline gases Acid gases Pesticides Paint vapors Radioactive particulates Dusts Fumes Mists  Full face  Use a canister (sorbent: 2-10 times a cartridge)

13 Powered air-purifying respirator (PAPR)  Used for particulates, gases and vapors

14 Atmosphere -supplying  Self-contained breathing apparatus (SCBA)  Air line: air via a hose  Combined air line with backup tank

15 SCBA

16 Airline

17 Combination

18 Atmosphere -supplying  Continuous flow  Demand: air flow only during inspiration  Pressure demand: attempts to maintain mask pressure positive throughout respiration

19 Mask type  Quarter mask  Half mask  Full-face mask  Other (e.g., air hat) Quarter Mask

20 Half Mask Full Face

21 Fit type  Tight fitting  Loose fitting

22  Tight-fitting respirator

23 Loose fitting- PAPR helmet

24 Respirator efficacy  The overall efficacy of the respirator is described by protection factor.  Protection factor: the ratio of the contaminant concentration outside the mask to the concentration inside the mask.  Assigned protection factor (APF)  Measured protection factor (MPF)  Workplace protection factor (WPF)  Usually MPF>APF>WPF

25 Fit Testing and Checking  Every time a user dons a respirator, should perform a fit check  Typically for the first time  Qualitative and quantitative fit tests  Qualitative: detection of a tracer material by the subject.  Quantitative: concentration of a marker substance inside and outside the mask is measured under laboratory conditions for the specific user.

26 Occupational Respiratory Protection Program  Assessment of whether respirators are needed  Exposure assessment  Respirator selection  Medical assessment of users  Training  Cleaning and maintenance  Program audit

27 Respirator Selection  Two factors inform respirator selection: exposure situation per se worker medical condition Worker preferences

28 Sequence of activities  Should respirators be used at all?  What are the exposures of concern?  What degree of contaminant reduction is necessary? permissible exposure level (PEL). The ratio of the actual workplace exposure level to the permissible exposure defines the degree of reduction that the respirator must afford. the 8-hour time-weighted average (TWA) short-term exposure limits (STEL)

29  What safety factor is necessary?  A safety factor of tenfold is added  Greater safety factors are needed with highly toxic agents on unpredictable exposures.  single-use disposable respirators have a maximum assigned protection factor of 10 ppm  The fit test may misestimate the actual workplace protection by a factor of ten.  Meaningful fit testing for single-use respirators may not feasible since their protection factor is only ten at most.

30  Is there an immediately dangerous to life and health ‌ (IDLH) situation? an atmosphere-supplying rather than an air-purifying respirator is generally required. In particularly hazardous situations, dual protection is necessary to ensure safety a full-face mask with positive pressure mode operation is employed to avoid inward movement of contaminants during inspiration.  Does the agent have good warning properties? End-of-service-life indicators (if available) are necessary if air- purifying respirators are employed with agents with poor warning properties.  What respirator types are compatible with the work situation? Air-line respirators cannot be used where considerable mobility is necessary.

31  Can the individual worker safely and effectively use the respirator?  Will the worker actually use the device when needed?  What can be afforded?  How do respirators integrate with other protective measures (e.g., protective suits)?  Respirator programs must be periodically evaluated and adjusted to be effective in real-life situations.

32  ratio of workplace air concentration to the occupational exposure level (e.g., PEL) defines the minimum degree of protection to be afforded, and greater respiratory protection may be needed occasionally.  physical state of an inhaled agent  Particle size  greater degree of respiratory protection for small-size particles (e.g., fumes)  For fibers, the dimensions and charge affect uptake and clearance  Greater degrees of respiratory protection for longer duration of exposure  The level of exertion  Personal susceptibility

33 Medical evaluation for respirator use  Prior to respirator use  Periodically during use  Upon change in health status  When respirator use problems are suspected

34  A questionnaire about respiratory and other health conditions, prior to use of respirators  Medical examination  In some circumstances, a limited exercise test  In marginal cases, observation of the worker using the respirator in the workplace or during work simulation may be needed.

35  Periodic evaluation of users is also advisable.  For special examinations of selected individuals who have expressed difficulty with respirator use, more intensive assessment of the user is warranted.

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41 Negative pressure respirators Half-face cartridge respirator Full-face cartridge respirator

42 N95 Particulate respirator

43 Filters and cartridges

44 What are the ten parts of a respirator program?  1. Administrator of the Program  2. Medical Evaluation  3. Selection of Respiratory Protection- Choose the right respirator to protect from contaminant-consult with EH&S. Respirators must be NIOSH approved. Evaluate workplace exposure, assume IDLH if contaminant is not known. Air purifying respirators cannot be used in IDLH atmospheres.

45  4. Training  Initial training required with periodic refresher training every year. The training shall encompass the following: Why the respirator is necessary and how improper fit, usage, or maintenance can compromise the protective effect of the respirator; What the limitations are Use of respirator effectively in emergencies, including situations in which the respirator malfunctions; How to inspect, put on and remove, use, check the seals of the respirator Maintenance and storage procedures How to recognize medical signs and symptoms that may limit or prevent the effective use of respirators

46  5. Fit testing for all tight fitting respirators annually, or if changes occur to facial features, weight gain/loss, eyewear changes, fitcheck fails  6. Inspection & care inspect before each use replace defective parts immediately

47  7. Cleaning after each use, disassemble and thoroughly clean and disinfect respirator  8. Use inspect before using, proper storage, positive/negative fit check before each use,

48  9. Review Periodic audits of the UR Respiratory Protection Program  10. Record Keeping Medical certifications Training records Fit test records Air monitoring records

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50 Types of Fit Tests Qualitative: Test agent directed around the head of the respirator wearer If user can detect agent, test is failed Quantitative: Test atmosphere Quantifies respirator fit using instrumentation to determine the amount of leakage into the respirator facepiece

51 Qualitative Fit Test Banana oil Irritant smoke Saccharin challenge Bitrex solution Quantitative Fit Test Expensive machinery Fit Factors  Outside to inside concentration Standard prohibits facial hair which interferes with face - to - facepiece seal or valve function

52 ASSIGNED PROTECTION FACTOR TABLE Air-Purifying Respirators Quarter Mask APF=5 Filtering Facepiece APF=10 Elastomeric Half Mask APF=10 Full-Face Respirator APF=50

53 ASSIGNED PROTECTION FACTOR TABLE Powered Air-Purifying Respirators Half Mask APF=50 Loose-fitting Facepiece APF=25 Hood/Helmet APF=25/1,000 4 Full-Face APF=1,000 4 Must be proven to provide APF of 1,000 or be treated as Loose-fitting Facepiece PAPR with APF=25.

54 ASSIGNED PROTECTION FACTOR TABLE Demand Supplied-Air Respirators Half Mask APF=10 Full Face APF=50

55 ASSIGNED PROTECTION FACTOR TABLE Pressure Demand Supplied-Air Respirators Half Mask APF=50 Full Face APF=1,000

56 ASSIGNED PROTECTION FACTOR TABLE Continuous Flow Supplied-Air Respirators Half Mask APF=50 Full Face APF=1,000 Hood/Helmet APF=25/1,000 4 Loose-fitting Facepiece APF=25 4 Must be proven to provide APF of 1,000 or be treated as Loose-fitting Facepiece SAR with APF=25.

57 ASSIGNED PROTECTION FACTOR TABLE Demand Self Contained Breathing Apparatus Half Mask APF=10 Full Face APF=50 Helmet/Hood APF=50

58 ASSIGNED PROTECTION FACTOR TABLE Hooded Demand Self Contained Breathing Apparatus The demand unit is Draeger’s Air Boss Guardian, which consists of a hood with an inner nose cup with 30 minute air supply. Neck seal forms gas-tight seal. Fit Test adapter, P/n for fit testing with Portacount TM Plus Per NIOSH, fit testing requirements apply.

59 ASSIGNED PROTECTION FACTOR TABLE Pressure Demand Self Contained Breathing Apparatus Full Face APF=10,000 Includes closed circuit SCBA Helmet/Hood APF=10,000 Not NFPA compliant

60 ASSIGNED PROTECTION FACTOR TABLE Pressure Demand Self Contained Breathing Apparatus Inappropriate Marketing NIOSH warns that facial hair cannot interfere with neck or nosecup seal. NIOSH certified the tight-fitting hooded Survivair Puma respirator as a pressure-demand SCBA with 30, 45, or 60 min air supply. Has a nosecup. Fit test adapter for qualitatively fit testing Puma

61 Combination Respirators When using a combination respirator ensure that the APF is appropriate to the mode of operation in which the respirator is being used [paragraph (d)(3)(i)(A)]. Full Face PD Airline APF = 1,000 Full Face Air-purifying APF = 50 Preamble states: “…the combination pressure- demand full facepiece SAR with auxiliary SCBA respirator is equivalent to an SCBA, and, therefore, the APF for an SCBA applies. Not in APF Table


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