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Appendix C: Voluntary Use of Elastomeric Respirator Form Employee shall review and initial each of the following points:1. ELASTOMERIC RESPIRATORS AND OSHA REQUIREMENTS Voluntary use is defined as
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To fill out assigned protection factors, follow these steps:
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Start by reviewing the assigned protection factors table provided by the relevant authority or organization.
03
Identify the type of respiratory protection equipment being used or considered for use.
04
Determine the hazard or contaminants present in the work environment.
05
Determine the concentration level of the hazard or contaminants.
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Cross-reference the hazard or contaminant concentration level with the type of respiratory protection equipment in the table to find the corresponding assigned protection factor (APF).
07
Fill out the assigned protection factors form by entering the APFs for each type of respiratory protection equipment being used or considered for use in the appropriate field.
08
Double-check the accuracy of the information provided before submitting or using the assigned protection factors.

Who needs assigned protection factors?

01
Assigned protection factors are needed by:
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- Employers responsible for ensuring the safety and health of their workers in environments with potential respiratory hazards.
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- Safety professionals and industrial hygienists who assess and recommend appropriate respiratory protection for specific work activities.
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- Occupational health and safety regulatory bodies responsible for setting standards and guidelines to protect workers from respiratory hazards.
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- Workers who rely on respiratory protection equipment to minimize their exposure to hazardous substances or environments.
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Assigned protection factors (APFs) are numerical values that represent the level of respiratory protection a given respirator or type of respiratory protection equipment provides to the wearer when used correctly. They indicate the expected degree of protection against specific airborne hazards.
Employers who use respirators for their employees are required to file assigned protection factors as part of their respiratory protection program. This includes industries where there is potential exposure to harmful airborne contaminants.
To fill out assigned protection factors, employers must assess the respiratory hazards present in the workplace, select appropriate respirators, determine the APFs based on the type of respirator used, and document this information as part of their respiratory protection program.
The purpose of assigned protection factors is to quantify the level of respiratory protection provided by different types of respirators, ensuring that the chosen equipment offers sufficient protection against hazardous exposures in the workplace.
The information that must be reported includes the type of respirator used, the assigned protection factor for that respirator, the specific airborne hazards present, and details related to employee training and fit testing.
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