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Environmental Health & Safety

Respiratory Protection Program

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Training

In order to provide adequate protection, employees and students must be trained on the proper use and care of respiratory protective equipment.  This training shall be given before initial use and at least annually thereafter and shall include the following points:

  • why the respirator is necessary and how improper fit, usage, or maintenance can compromise the protective effect of the respirator;
  • the limitations and capabilities of the respirator;
  • how to use the respirator effectively in emergency situations, including situations in which the respirator malfunctions;
  • how to inspect, put on and remove, use, and check the seals of the respirator;
  • procedures for maintenance and storage of the respirator;
  • how to recognize medical signs and symptoms that may limit or prevent the effective use of respirators;
  • the general requirements of this section.

The University shall ensure that employees and students can demonstrate their knowledge of these areas by use of a competency test.  Employees or students who do not pass this test shall be retrained, and may not use respiratory protective equipment or perform tasks that require it until they successfully complete the exam. Tests are administered by UHS and OEM during the initial respirator clearance procedure, and thereafter as part of the annual health updates/fit testing, mandatory lab safety training, SMH annual mandatory inservices, and/or spill response/respirator training.

Employees and students shall be retrained whenever there are changes in the workplace or task that make previous training obsolete, it becomes apparent that the employee’s knowledge of respiratory protection is inadequate, and when any other situation arises that indicates a need for retraining.

Initial general safety and PPE training is provided by EH&S at New Hire Orientation. Documentation of the initial training is maintained in the HRMS system.

Initial respirator training is provided by UHS or OEM as part of the initial medical evaluation and fit testing. UHS and OEM also provide annual refresher training for all personnel for whom they perform fit testing. The refresher training materials can be found at http://www.safety.rochester.edu/ih/respiratoryprotection/pdf/GeneralRespiratoryProtectionTraining.pdf and must be studied prior to the fit test appointment. A written examination is administered before the fit test.

Research laboratory personnel receive basic annual respirator training as part of their mandatory annual lab safety training. Individual departments are required to provide annual site- and/or task-specific training to their personnel.

Clinical laboratory personnel receive basic annual respirator training as part of their mandatory annual lab safety training. Individual departments are required to provide annual site- and/or task-specific training to their personnel.

Annual training for the Spill Response Team, Pest Control, and the Hazardous Waste Management Unit is conducted by EH&S; training records for these personnel are maintained by EH&S.

General PPE training for Facilities personnel is provided by EH&S as part of the annual mandatory safety training. Site- or task-specific training for these personnel is provided by Facilities supervisors.

Environmental Services provides annual training and maintains those training records for all Environmental/Building Services workers. Additional training is provided annually as part of the medical clearance and fit testing process by OEM, which maintains those records.

Annual training for medical care providers, nurses, patient care personnel, medical students, Infectious Disease Project Nurses, Security, Vivarium, and all other personnel is provided by UHS or OEM as part of the annual health update process. Associated records are maintained by UHS and OEM.

Record Keeping

UHS, the OEMP and EH&S retain written information regarding medical evaluations, fit testing, and the University of Rochester Respiratory Protection Program.

Records of medical evaluations are retained by OEM and UHS and made available in accordance with 29 CFR 1910.1020.

Established records of the qualitative and quantitative fit tests are retained by UHS, OEM and EH&S and include:

  1. The name or identification of the employee tested;
  2. Type of fit test performed;
  3. Specific make, model, style and size of respirator tested;
  4. Date of test;
  5. The pass/fail results for QLFTs or the fit factor and strip chart recording or other recording of the test results for QNFTs

These records are retained for respirator users until the next fit test is administered.

Initial fit test records for all employees are maintained by UHS and OEM.

EH&S maintains annual fit test records for the Spill Response Team, Pest Control, and the Hazardous Waste Management Unit.

Initial and annual fit test records for all other employees, including Facilities, Environmental/Building Services, laboratory, Physicians/Providers, Nurses and other medical personnel, medical students, Infectious Disease Project Nurses, Security, and Vivarium personnel, are maintained by OEM and UHS.

Training records for the Spill Response Team, Pest Control, and the Hazardous Waste Management Unit are maintained by EH&S.

General PPE training records for Facilities personnel are maintained by Facilities Administration. Site- or task-specific training records are maintained by Facilities supervisors.

Environmental Services maintains internal training records for all Environmental/Building Services workers.

Training records for research laboratory personnel are required to be sent to EH&S. EH&S personnel enter the records into HRMS where they are maintained. Individual departments are required to maintain records for annual site- and/or task-specific training provided to their personnel.

Training records for clinical laboratory personnel are entered directly into HRMS via the Blackboard training system. Individual departments are required to maintain records for annual site- and/or task-specific training provided to their personnel.

Annual training records for medical care providers, nurses, patient care personnel, medical students, Infectious Disease Project Nurses, Security, Vivarium, and all other personnel are maintained by UHS or OEM.

UHS and OEM maintain training records for personnel for whom they provide fit testing.

A written copy of the University of Rochester’s Respirator Protection Program can be obtained from EH&S, UHS or OEMP.

Respiratory Protection for M. tuberculosis

Respiratory protection for employees who enter rooms in which patients with known or suspected infectious M. tuberculosis (TB) are being isolated is covered under OSHA standard 29 CFR 1910.134. Specific requirements and procedures are covered in the URMC/SMH Infection Prevention Manual, Appendix K: Tuberculosis Respiratory Protection Program, which can be found at: http://intranet.urmc-sh.rochester.edu/policy/InfControl/ICManual/Resp%20Prot%20Prog%20(L).pdf


QUESTIONS or COMMENTS?
Contact EH&S at (585) 275-3241 or e-mail EH&S Questions.

This page last updated 8/17/2012. Disclaimer.