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Chapter 5 - Respirator Use Under Special Conditions

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The following are special problems which may be encountered in the wearing and use of respiratory protective equipment:
  1. Facial Hair
  2. Facial hair that lies along the sealing area of the respirator, such as beards, sideburns, moustaches, or even a few days growth of stubble, should not be permitted on employees who are required to wear respirators that rely on a tight facepiece fit to achieve maximum protection. Facial hair between the wearer’s skin and the sealing surfaces of the respirator will prevent a good seal. A respirator that permits negative air pressure inside the facepiece during inhalation may allow leakage and, in the case of positive pressure devices, will either reduce service time or waste breathing air. A worker should not enter a contaminated work area when conditions prevent a good seal of the respirator facepiece to the face.

  3. Eye Glasses
  4. Ordinary eye glasses should not be used with full-facepiece respirators. Eye glasses with temple bars or straps that pass between the sealing surface of a full-facepiece and the worker’s face will prevent a good seal, and should not be used. Special corrective lenses can be mounted inside a full-facepiece respirator and are available from all manufacturers of full-facepiece respirators. To ensure good vision, comfort, and proper sealing of the facepiece, these corrective lenses should be mounted by an individual designated by the manufacturer as qualified to install accessory items.

    Eye glasses or goggles may interfere with the half facepieces. When interference occurs, a full-facepiece with special corrective lenses should be provided and worn.

  5. Contact Lenses
  6. Several factors may restrict or even prohibit the use of contact lenses while wearing any type of respiratory device. This is especially true of atmosphere-supplying respirators. With full-facepieces, incoming air directed toward the eye can cause discomfort from dirt, lint or other debris lodging between the contact lens and the pupil.

    OSHA is considering a change in their respiratory standard, with regard to use of contact lenses under respirators. Data generated by Lawrence Livermore National Laboratory is being taken into consideration.

  7. Facial Deformities
  8. Facial deformities, such as scars, deep skin creases, prominent cheekbones, severe acne, and the lack of teeth or dentures, can prevent a respirator from sealing properly.

  9. Communications
  10. Talking while wearing a respirator equipped with a facepiece may break the seal of the facepiece. When communication is necessary within a contaminated area, it should be done with the help of special communicating equipment obtained from the manufacturer of the respirator.

  11. In Dangerous Atmospheres
  12. Written procedures should be prepared for safe respirator use in IDLH atmospheres that may occur in normal operations or emergencies. Personnel should be familiar with these procedures and respirators. At least one standby person, equipped with proper rescue equipment including an SCBA should be present in the nearest safe area for emergency rescue of those wearing respirators in an IDLH atmosphere. Communications (visual, voice, signal line, telephone, radio, or other suitable type) should be maintained among all persons present (those in the IDLH atmosphere and the standby person or persons). The respirator wearers should be equipped with safety harnesses and safety lines to permit their removal from the IDLH atmosphere if they are overcome.

    Confined spaces are enclosures that are difficult to get out of, such as storage tanks, tank cars, boilers, sewers, tunnels, pipelines, pits, and tubs. The atmospheres in a confined space may be immediately dangerous to life or health because of toxic air contaminants or lack of oxygen. Before anyone enters a confined space, tests should be made to determine the presence and concentration of any flammable vapor or gas, or any toxic airborne particulate, vapor, or gas, and to determine the oxygen concentration.

    The confined space should be force-ventilated to keep the concentration of a flammable substance at a safe level. No one should enter if a flammable substance exceeds the lower explosive limit. No one should enter without wearing the proper type of respirator if any air contaminant exceeds the established permissible exposure limit or if there is an oxygen deficiency. Even if the contaminant concentration is below the established breathing time-weighted average limit and there is enough oxygen, the safest procedure is to ventilate the entire space continuously and to monitor the contaminant and oxygen concentrations continuously if people are to work in the confined space without respirators.

    Airline and hose mask type supplied-air respirators or appropriate air-purifying respirators may be worn in a confined space only if tests show that the atmosphere contains adequate oxygen and that air contaminants are below levels immediately dangerous to life or health. While people wearing these types of respirators are in a confined space, its atmostphere should be monitored continuously.

    If the atmosphere in a confined space is immediately dangerous to life or health owing to a high concentration of air contaminant or oxygen deficiency, those who must enter the space should wear a pressure-demand SCBA or a combination pressure-demand airline and self-contained breathing apparatus that always maintains positive air pressure inside the respiratory inlet covering. This is the best safety practice for confined spaces.

    While personnel are in a confined space, at least one standby person with proper rescue equipment, including an SCBA, should be present outside for emergency rescue. Communications (visual, voice, signal line, telephone, radio, or other suitable type) should be maintained with those inside. Also, those inside the space should be equipped with safety harnesses and safety lines to allow their removal in case they are overcome.

  13. In Low and High Temperatures
  14. Low temperatures may fog respirator lenses. Coating the inner surface of the lens with the anti-fogging compound normally available from the respirator manufacturer should prevent fogging down to 32°F, but severe fogging may occur below respirator manufacturer should prevent fogging down to 32°F, but severe fogging may occur below 0°F. Full facepieces with nose cups that direct the warm, moist exhaled air through the exhalation valve without its touching the lens, are available. They should provide satisfactory vision at as low as -30°F. At very low temperatures, exhalation valves may freeze due to moisture. Dry respirable air should be used with airline respirators and with the type of SCBA that has an air cylinder when they are used in low temperatures.

    NIOSH performs cold temperature testing on SCBA. The minimum temperature that the SCBA has been tested to and approved for is listed on the approval label.

    A person working in high temperature air is under stress. Wearing a respirator causes additional stress which should be minimized by using a light-weight respirator with low breathing resistance. In atmospheres that are not immediately dangerous to life or health the airline type supplied-air respirator is recommended. Such a respirator used in low or high temperature atmospheres may be equipped with a vortex tube to either warm or cool the air supplied.

  15. Physiological Response of Respirator Use
  16. Wearing any respirator, alone or in conjunction with other types of protective equipment, will impose some physiological stress on the wearer. Weight of the equipment, for example, increases the energy requirement for a given task. Selection of respiratory protective devices should be based on the breathing resistance, weight of the respirator, the type and amount of protection needed as well as the individual’s tolerance of the given device.

    Use of respirators in conjunction with protective clothing can greatly affect the human response and endurance, especially in hot environments. Normally, in hot environments or during heavy work, the body relies a great deal on heat loss through the evaporation of sweat. With impermeable clothing, the heat loss by water evaporation is not possible. Additionally the weight of the respirator (up to 35 pounds for an SCBA) adds to the metabolic rate of workers, increasing the amount of heat the body produces. The net effect is one of heat stress.

    NIOSH studies of workers wearing chemical protective clothing (CPC) and firefighters’ ensembles have indicated that heat stress is a serious consideration. Significant physiological stress was observed, even at low work intensities (30% of maximum work capacity--level walking at 3.4 miles per hour) in a neutral environment (23oC and 55% R.H.). With the chemical protective (CPC) ensemble, worker tolerance time was reduced by 56% as compared to light work clothing only. Elevated rectal temperatures (in excess of 39.0°C) were observed in three of the nine subjects. With the heavier firefighters’ ensemble, tolerance time was reduced by 84% as compared to light work clothing only and heart rates averaged 25-50 beats per minute higher than with lightweight work clothing. At higher work intensities (60% of maximum), tolerance time was decreased by as much as 96%.

    Based upon this limited research, the following recommendations are made:

    1. Select the lightest weight protective ensembles and respiratory protective devices that adequately protect the worker. This will minimize the physiological demands placed on the worker by carrying the weight of this equipment.
    2. If available, select protective clothing made of material that will allow evaporation of water vapor, while providing skin protection from the contaminant.
    3. Reduce work rate by:
      1. adjusting the work/rest schedules,
      2. using automated procedures and/or mechanical assistance where possible, and
      3. minimize the work intensity,
    4. Educate workers on the symptoms and prevention of heat illness and schedule periodic fluid replacement breaks,
    5. Reduce heat stress by scheduling work at night or early morning or by providing external cooling, where possible (either through cooling garments and/or by providing cool respirable breathing air through pressure-demand air supplied respirators), and
    6. When conducting pipe/boiler lagging removal, ensure that steam lines are cool to minimize heat exposure from these sources.

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