Program evaluation
Respiratory Protection Program Evaluation
Checklist and Instructions for Use
This list of questions can by answered "yes" or "No" as a way of evaluating your program, according to the standard set by OSHA.
1. Is there a written policy which acknowledges employer responsibility for providing a safe and healthful workplace?
2. Has a suitably trained individual been designated as the respirator program administrator (RPA) with overall responsibility for development and implementation of the respiratory protection program
Does the written respiratory protection program include the following required elements? (items 3-12)
3. Written designation of a program administrator;
4. An evaluation of hazards and identification of appropriate respirators for specific job classifications and/or tasks;
5. Procedures for medical evaluations of employees required to use respirators;
6. Fit testing procedures for tight-fitting respirators;
7. Procedures for proper use of respirators;
8. Procedures and schedules for storage, inspection, cleaning, and maintenance of respirators;
9. Procedures for training employees regarding the respiratory protection program;
10. A description of the training curriculum
11. Procedures for voluntary use of respirators; and
12. procedures for regular evaluation of the program.
13. Is the written program readily available to any employee included in the program?
14. Is there a record of medical clearance for each employee required to wear a respirator?
15. Is there a record of a fit test or fit test screening for each respirator user within the last year?
16. Have users been trained in the proper use, maintenance, cleaning, and inspection of respirators?
17. Have workers been trained on the respiratory hazards to which they are potentially exposed during routine and emergency situations?
18. Are workers prohibited from wearing respirators with a tight-fitting facepiece if they have facial hair or other characteristics which may cause face seal leakage?
19. Are respirators stored appropriately so as to prevent them from becoming damaged or deformed
20. Are the users wearing the respirator for which they have passed a fit test?
21. Are N95, or more protective, respirators always worn by employees in areas occupied by a suspected or confirmed case of airborne infectious disease?
22. Are PAPRs always worn by employees in areas where an aerosol-generating procedure is being performed on a suspected or confirmed case of airborne infectious disease? (An N95 respirator is the minimum level of respiratory protection required.)
23. Are N95, or more protective, respirators always worn by employees in areas where a high-hazard procedure is being performed on a suspected or confirmed case of seasonal influenza?
24. Are respirators inspected by the users before each use?
25. Are respirators being put on (donned) and taken off (doffed) correctly?
26. Are respirators cleaned and disinfected as often as necessary, including before being worn by a different individual?
27. Is there a mechanism for users to report problems with respirator use?
28. Is there a mechanism for users to provide feedback about the effectiveness of the program?