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____________ (3) Can administrative and engineering controls eliminate the need for respirators?

____________ (4) Are there written procedures/statements covering the various aspects of the
respirator program, including:

____________ (a) designation of an administrator;
____________ (b) respirator selection;
____________ (c) purchase of NIOSH certified respirators;
____________ (d) medical aspects of respirator usage;
____________ (e) issuance of equipment;
____________ (f) fitting;
____________ (g) training;
____________ (h) maintenance, storage, and repair;
____________ (i) inspection;
____________ (j) use under special conditions; and
____________ (k) work area surveillance?

B. Program Operation

(1) Respiratory protective equipment selection

____________ (a) Are work area conditions and worker exposures properly surveyed?
____________ (b) Are respirators selected on the basis of the hazard to which the worker
is exposed?
____________ (c) Are selections made by individuals knowledgeable in proper selection
procedures?

____________ (2) Are only NIOSH certified respirators purchased and used; do they provide
adequate protection for the specific hazard?

____________ (3) Has a medical evaluation of the prospective user been made to determine
physical and psychological ability to wear the selected respiratory protective
equipment?

____________ (4) Where practical, have respirators been issued to the users for their exclusive
use, and are there records covering issuance?

(5) Respiratory protective equipment fitting

____________ (a) Are the users given the opportunity to try on several respirators to
determine whether the respirator they will be subsequently wearing is the
best fitting one?

____________ (b) Is the fit tested at appropriate intervals?

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