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NUS OCCUPATIONAL HEALTH PROGRAMME:

RESPIRATOR USE AND RESPIRATORY PROTECTION PROGRAMME

 Introduction

1.  The most important route by which hazardous agents such as chemicals, biological agents, etc enter our bodies is through inhalation.  The best way to protect workers from inhaling such hazardous agents is to reduce or prevent contamination of the air they breathe through the use of engineering control measures such as enclosures, local exhaust ventilation systems and substitution of to a lower risk agent.  Where such measures are not feasible or cannot be implemented immediately or are inadequate to control the inhalation hazard, then respiratory protection has to be used.  Respiratory protection may also have to be used in maintenance operations or during emergencies.

Aim

2. To outline the requirements for use of respirators in laboratory based research and teaching activities in NUS.  

What should you use a respirator?

3.  There are two main indicators for respirator use:

a. When exposed to hazardous air contaminants in concentrations which exceed the permissible exposure limits/levels – this is determined via a risk assessment (for information on risk assessment, refer to the NUS risk assessment system)

b. When in an oxygen deficient environment (<19%) e.g. in a confined space such as a storage tank or manhole

c. If you are not sure if your research or teaching activities require risk assessment, please contact your safety officer or OSHE.

What do ensure your respiratory is effective?

4. If respirators are used, they should be used properly so as to ensure effective protection.  Otherwise they can give a false sense of security and in fact be a danger to the user.

5.  For respirators to be effective, they must:

a.  Be of the correct type for the situation or hazard

b.  Fit the persons using them

c.  Be worn all the time in the hazardous environment

d.  Be properly maintained in good working condition

What are the types of respirator available?

6.  There is no all purpose respirator.  It is very important to select the correct type of respirator for the particular hazard or situation.  Basically, there are two types of respirators:  air-supplied and air-purifying.

7.  Air-supplied respirators provide a separate supply of air e.g., air-line respirators and self-contained breathing apparatus (SCBA).  These respirators must be used when in an oxygen deficient environment or when the levels of the contaminants are at very high concentrations beyond the protective limits of most air-purifying respirators.  Examples of such situations are maintenance operations or emergencies e.g. fire-fighting, rescue and accidental leakage.

8.  Air-purifying respirators work by filtering or absorbing air contaminants as they pass through the respirator filter or cartridge.  There are filters for particulates e.g. dust, mist and fume and cartridges for aerosols, vapours and gases.  Some of the cartridges are specific for certain types of gases or vapours.  Sometimes, a combination of a toxic dust filter and an organic solvent cartridge is required e.g.  a worker exposed to both pesticide dust and solvent vapour.  The respirators also come in various types of facepieces e.g. full-face mask or half mask.  Full-face mask respirators have the advantage of eye protection and a higher protection level but are heavier and bulkier.  There are also disposable respirators which have the advantage of being lighter and being maintenance free.  However, these may not be available in different sizes. 

How should you wear your respirator properly?

9.  There must be a good seal between the edges of the respirator and your face.  Otherwise, the air contaminants would leak in through the edges of the respirator.  The following may contribute to poor fit:  wrong size of respirator, wrong method of wearing respirator, wrong positioning of facepiece or straps, straps too loose, beard, facial deformities, defective respirator.

10. To ensure proper fit:

a.    Select the correct size/type of respirator.
b.
    Put on the respirator according to the manufacturer's instruction, adjusting the straps and facepiece to obtain the test fit.
c.
    Carry out a fit test at a time of issue of respirator.  (Fit test:  This is based on the ability to taste an aerosol of a substance like saccharin with the respirator worn.  With a proper fit, your should not be able to taste it) and
d.
   
Carry out fit checks each time the respirator is used.  (Fit checks:  With the respirator worn, cover the filter or cartridge with the palm of your hands.  Breathe in and hold your breath.  The facepiece should collapse slightly and remain so, if there is no obvious leak).

Consistent Usage

11. The protection factor is reduced each time the respirator is removed in the presence of contaminanted air. They should be worn all the time while in a contaminanted environment.

How should you maintain your respirator? 

12. The cartridges or filters of non-disposable respirators must be regularly changed to ensure continued protection.  Particulate filters should be changed once they are clogged up resulting in increased breathing resistance.  Gas and vapour cartridges must be changed once they are saturated and can no longer absorb any more of the contaminants.  This would be indicated by a “breakthrough” of the chemical into the respirator e.g. smell or irritation by the chemical.  The higher the concentration, the more frequent the change.  Once there is a breakthrough of the contaminant, the worker must leave the area and change the cartridge immediately.  There must be good warning properties of the contaminant in order that a breakthrough can be detected.  Otherwise air-supplied respirators are indicated.

What training is required for use of respirators?

13. All personnel required to use respirators at work need to be adequately trained in its use. The training should cover the areas highlighted within this document, and also specific to the respirator being used along the course of their work.

Why do I need to do a Medical Fitness test?

14. Most workers should have no problems breathing through the respirators and working.  A few workers with poor lung or heart function may have difficulty breathing through the respirators.  Workers with poor effort tolerance or unstable angina may have difficulty doing strenuous exercise and carrying the heavy air-supplied respirators.  Where indicated, lung function tests and stress ECG can be carried out. The conduct of medical fitness examinations are to be done by a Designated Factory Doctor or an Occupational Health Physician. This should be done at the University Health and Wellness Centre.  NUS would fund for respiratory related medical tests

(please refer to NUS Occupational Health Programme https://wws.nus.edu.sg/osh/programme/ohp/index.htm)

Laboratory Respiratory Protection Programme

15. Departments or PIs that require their personnel to use respirators for laboratory based research and teaching activities should implement a self-regulatory and comprehensive respiratory protection programme.  This should include the following:

a. Risk assessment of laboratory based activities to determine exposure potential.
b.
 Engineering control to reduce the hazard where practicable
c.
 Selection and provision of suitable respirators if engineering controls are unable to reduce exposure to acceptable levels
d.
 Medical examinations for fitness of staff and students (to be done at UHWC)
e.
 Training in use and care of respirators
f.
  Supervision to ensure proper fit and consistent usage
g.
  Proper maintenance of respirators
h.
   
Regular environmental monitoring of exposure levels to ensure effectiveness of respirators

Conclusion

16. A comprehensive respiratory programme is required where there is risk of inhalational hazards (such as chemical and biological hazards). A respirator may be used routinely or during emergencies. To ensure effective use of respirators, personnel need to be fit-tested, medically fit to wear respirators and trained in its use.

Reviewed by:

Mr Saravanan G
Occupational Safety and Health Manager, OSHE

Prepared by:
Dr Gregory Chan
Senior Occupational Health Advisor, OSHE

Reference: Singapore Standard CP 74: 1998, Code of Practice for Selection, use and maintenance of respiratory protective devices

 
 

 

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