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respiratory protection program, their reuse by the same health care
worker is permitted as long as the respirator maintains its structural
and functional integrity and the filter material is not physically
damaged or soiled. The facility must address the circumstances in
which a disposable respirator will be considered to be contaminated
and not available for reuse.

2. The following sample language is provided for citations which are
warranted under 1910.134(a)(2):*

“The employer did not provide respirators which were applicable and
suitable for the purpose intended, nor was a respiratory protection
program established which included the requirements outlined in 29
CFR 1910.134(b):*

(a) Employees were given a [surgical mask or list manufacturer/model
number] respirator for protection against airborne Mycobacterium
tuberculosis when entering isolation rooms or performing high hazard
procedures [including vehicular transporting if applicable]. They shall use
NIOSH approved respirators (HEPA or those certified under 42 CFR
Part 84 Subpart K).

NIOSH approved respirators providing greater protection would also be
acceptable.*

3. When respiratory protection (including disposable respirators) is
required, a complete respiratory protection program must be in place in
accordance with 29 CFR1910.134(b).

3. Access to employee medical and exposure records: 29 CFR 1910.20.

a. A record concerning employee exposure to TB is an employee exposure
record within the meaning of 29 CFR 1910.20.

b. A record of TB skin test results and medical evaluations and treatment
are employee medical records within the meaning of 29 CFR 1910.20.
Where known, the workers exposure record should contain a notation
of the type of TB, to which the employee was exposed to (e.g.,
multidrug resistant TB).

c. These records shall be handled according to 29 CFR 1913.10 in order for
the CSHO to determine compliance with 29 CFR 1910.20.

4. Accident prevention signs and tags: 29 CFR 1910.145.

a. In accordance with 1910.145(f)(8), a warning shall be posted outside
the Respiratory isolation or treatment room. 1910.145(f)(4) requires that
a signal word (i.e.; "STOP," "HALT," or "NO ADMITTANCE") or

* 29 CFR 1910.134 is now codified for protection against TB as 29 CFR 1910.139.

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