Personal Protective Equipment Train the Trainer WI DPH Regional Offices October 18, 2007 Jim Morrison, CIH, CHMM WI DPH Chm Preparedness Coordinator.

Personal Protective Personal Protective Equipment Train the TrainerEquipment Train the Trainer

WI DPH Regional OfficesWI DPH Regional OfficesOctober 18, 2007October 18, 2007

Jim Morrison, CIH, CHMMWI DPH Chm Preparedness Coordinator

Purpose of TrainingPurpose of Training

Inform DPH regional staff of PPE Inform DPH regional staff of PPE concepts and regulationsconcepts and regulations

Prepare DPH regional staff to conduct Prepare DPH regional staff to conduct respirator training and fit testingrespirator training and fit testing

Review administration of DPH PPE Review administration of DPH PPE programsprograms

PPE Hierarchy of ControlsPPE Hierarchy of Controls

PPE should be a last resort. PPE should be a last resort.

Try other things first.Try other things first. EliminationElimination SubstitutionSubstitution Engineering ControlsEngineering Controls AdministrationAdministration PPEPPE

OSHA PPE Std OSHA PPE Std (29CFR 1910.132)(29CFR 1910.132)

Three basic elements:Three basic elements:

Hazard assessmentHazard assessment Select appropriate PPE & assure useSelect appropriate PPE & assure use TrainingTraining

Hazard AssessmentHazard Assessment

Conduct a walk-through survey of the Conduct a walk-through survey of the areas in question. Purpose is to identify areas in question. Purpose is to identify sources of hazards to workers and co-sources of hazards to workers and co-workers. Consider:workers. Consider: ImpactImpact PenetrationPenetration Compression (roll-over)Compression (roll-over) Light (optical) radiation Light (optical) radiation HeatHeat ChemicalChemical Harmful dustHarmful dust

These two are key

What hazards might our What hazards might our staff encounter?staff encounter?

1. Eyes1. Eyes Airborne dust or particlesAirborne dust or particles Liquid chemicalsLiquid chemicals

2. Feet2. Feet Objects that can strike, Objects that can strike,

crush or puncture feet crush or puncture feet Chemicals/ Unknown Chemicals/ Unknown LiquidsLiquids

3. Hands3. Hands Materials that might Materials that might

scrape, bruise, or cut scrape, bruise, or cut ChemicalsChemicals

4. Head4. Head Materials overhead Materials overhead Loud noiseLoud noise5. Respiratory5. Respiratory Dust, mistsDust, mists

VaporsVapors6. Body6. Body

ParticulateParticulateChemicalsChemicals

7. Other?7. Other?

Talk about the PPE Assessment Form

PPE Categories and PPE Categories and StandardsStandards

Eye and face Protection (Eye and face Protection (29 CFR1910.13329 CFR1910.133))

Respiratory Protection (Respiratory Protection (29CFR1910.13429CFR1910.134)) Head Protection (Head Protection (29CFR1910.13529CFR1910.135)) Foot Protection (29CFR1910.136)Foot Protection (29CFR1910.136) Electrical (29CFR1910.137)Electrical (29CFR1910.137) Hand (29CFR1910.138)Hand (29CFR1910.138) Ear (Ear (29CFR1910.19529CFR1910.195))

Eye and Face ProtectionEye and Face Protection

ANSI Z87.1-1989 ANSI Z87.1-1989 Protection against impact, Protection against impact,

dust, splash, radiationdust, splash, radiation Safety Glasses/sideshieldsSafety Glasses/sideshields GogglesGoggles Face shieldsFace shields WeldingWelding

Head and Foot ProtectionHead and Foot Protection

Many product types/styles Many product types/styles are available. They must are available. They must comply with the following comply with the following standards:standards:

ANSI Z89.1-1986 HeadANSI Z89.1-1986 Head ANSI Z41-1991 FootANSI Z41-1991 Foot

Foot ProtectionFoot Protection

Protection against Protection against falling or rolling falling or rolling objects, or objects objects, or objects piercing the sole, piercing the sole, and where such and where such employee's feet employee's feet are exposed to are exposed to electrical hazards.electrical hazards.

Hand ProtectionHand Protection

Skin absorption of harmful substances; Skin absorption of harmful substances; severe cuts or lacerations; severe severe cuts or lacerations; severe abrasions; punctures; chemical burns; abrasions; punctures; chemical burns; thermal burns; and harmful thermal burns; and harmful temperature extremes temperature extremes

CompatibilityCompatibility

Importance of knowing contaminant Importance of knowing contaminant properties (Will your glove protect properties (Will your glove protect against anticipated exposures?)against anticipated exposures?)

Glove TragedyGlove Tragedy Permeation tables can be found in Permeation tables can be found in

many safety catalogs. One is many safety catalogs. One is Lab Safety SupplyLab Safety Supply

Permeation Table ExamplePermeation Table Example

Protective ClothingProtective Clothing

EPA/OSHA/NIOSH/USCG EPA/OSHA/NIOSH/USCG ensembles:ensembles:

Level ALevel A=+SCBA, fully encaps. =+SCBA, fully encaps. Chem. Resistant suit, inner Chem. Resistant suit, inner gloves, chem. Resistant bootsgloves, chem. Resistant boots

Level B=Level B=+SCBA, chem. +SCBA, chem. Resist. Clothing, inner/outer Resist. Clothing, inner/outer gloves, chem. Resistant gloves, chem. Resistant boots/shoesboots/shoes

Level C=Level C=full face APR, full face APR, otherwise same as Botherwise same as B

Level D=Level D=coveralls, safety coveralls, safety shoes/boots, goggles, hard hatshoes/boots, goggles, hard hat

Hearing ProtectionHearing Protection

Exposure limit of 90db w/ Exposure limit of 90db w/ action level of 85 db (this is action level of 85 db (this is very noisy)very noisy)

Log scale, sound level doubles Log scale, sound level doubles w/ every 5 db (90dB is twice w/ every 5 db (90dB is twice the level of 85dB)the level of 85dB)

Hearing Conservation Program Hearing Conservation Program required for exposure greater required for exposure greater than 85 db, including:than 85 db, including:– MonitoringMonitoring– Audiometric TestingAudiometric Testing– Protective EquipmentProtective Equipment– TrainingTraining– RecordkeepingRecordkeeping

Respiratory Protection- Respiratory Protection- Respirator TypesRespirator Types

Air Purifying. Air Purifying. They only cleanse air, do They only cleanse air, do not increase breathable not increase breathable air. air. They can not be used in They can not be used in confined spaces or where confined spaces or where oxygen deficiency is oxygen deficiency is possible.possible.

Cartridges are selected Cartridges are selected based on based on physical/chemical physical/chemical properties of contaminantsproperties of contaminants

Respirator Types (cont’d.)Respirator Types (cont’d.)

Atmosphere Atmosphere Supplying (add Supplying (add breathable air)breathable air)

Positive Positive Pressure/Negative Pressure/Negative PressurePressure

Half-face/Full faceHalf-face/Full face

Protection FactorsProtection Factors

Ratio of concentration outside respirator Ratio of concentration outside respirator to concentration insideto concentration inside

APRAPRhalf-facehalf-face= 10= 10

APRAPRfull-facefull-face= 50= 50

PAPRPAPRfull –facefull –face= 1,000= 1,000

PAPRPAPRhoodhood = 25 to 1,000 = 25 to 1,000

SCBASCBApressurepressure= 10,000= 10,000

SCBASCBAdemanddemand= 50= 50

Respiratory Protection Respiratory Protection 1910.134 Overview1910.134 Overview

Written pgm.Written pgm. Voluntary UseVoluntary Use Protection factorsProtection factors Cartridge ChangeCartridge Change Medical Medical

EvaluationEvaluation Fit TestingFit Testing

Facepiece sealFacepiece seal Cleaning & Cleaning &

DisinfectingDisinfecting StorageStorage InspectionInspection EvaluationEvaluation RecordkeepingRecordkeeping

Note: The 3M website has some good training resources.

Voluntary Respirator UseVoluntary Respirator Use

Staff must be provided Appendix D of Staff must be provided Appendix D of the OSHA respiratory protection the OSHA respiratory protection standard if they wish to wear a standard if they wish to wear a respirator where not requiredrespirator where not required

Anything other than a filtering facepiece Anything other than a filtering facepiece mask requires medical evaluationmask requires medical evaluation

Other respirators require medical eval. Other respirators require medical eval. and assurance of proper maintenance and assurance of proper maintenance and useand use

Cartridge changeCartridge change

Some level of knowledge of exposure Some level of knowledge of exposure level is necessary (Otherwise how do level is necessary (Otherwise how do you know your respirator is sufficient?)you know your respirator is sufficient?)

Rule of thumb for sanitarian use may be Rule of thumb for sanitarian use may be to change after week of useto change after week of use

Be knowledgeable of Maximum Use Be knowledgeable of Maximum Use Concentrations (10x the Permissible Concentrations (10x the Permissible Exposure Limit for half-face respirators). Exposure Limit for half-face respirators). From a practical standpoint, if you’re From a practical standpoint, if you’re near the PEL, you shouldn’t be there near the PEL, you shouldn’t be there and should ask for professional cleanup and should ask for professional cleanup responseresponse

Medical evaluationMedical evaluation

Required because of physiologocal burden of Required because of physiologocal burden of wearing a respiratorwearing a respirator

Medical questionnaire (DMT-0934) is filled out Medical questionnaire (DMT-0934) is filled out and reviewed by medical health professional. and reviewed by medical health professional. Typically this is done by a local occupational Typically this is done by a local occupational health provider. If acceptable, the provider health provider. If acceptable, the provider writes a statement approving use. writes a statement approving use.

If not, the provider may wish to do an exam.If not, the provider may wish to do an exam. Questionnaire and exam content are Questionnaire and exam content are

confidential. Employers sees only the physician confidential. Employers sees only the physician statement.statement.

Fit TestingFit Testing

Importance of fit (no facial hair or Importance of fit (no facial hair or glasses between mask and skin)glasses between mask and skin)

Self Test ProtocolSelf Test Protocol Qualitative ProtocolQualitative Protocol Repeated annuallyRepeated annually

Self Fit CheckSelf Fit Check

I. Facepiece Positive and/or Negative Pressure ChecksI. Facepiece Positive and/or Negative Pressure Checks A. A. Positive pressure check.Positive pressure check. Close off the exhalation valve and Close off the exhalation valve and

exhale gently into the facepiece. The face fit is considered exhale gently into the facepiece. The face fit is considered satisfactory if a slight positive pressure can be built up inside the satisfactory if a slight positive pressure can be built up inside the facepiece without any evidence of outward leakage of air at the facepiece without any evidence of outward leakage of air at the seal. For most respirators this method of leak testing requires seal. For most respirators this method of leak testing requires the wearer to first remove the exhalation valve cover before the wearer to first remove the exhalation valve cover before closing off the exhalation valve and then carefully replacing it closing off the exhalation valve and then carefully replacing it after the test. after the test.

B. B. Negative pressure check.Negative pressure check. Close off the inlet opening of the Close off the inlet opening of the canister or cartridge(s) by covering with the palm of the hand(s) canister or cartridge(s) by covering with the palm of the hand(s) or by replacing the filter seal(s), inhale gently so that the or by replacing the filter seal(s), inhale gently so that the facepiece collapses slightly, and hold the breath for ten seconds. facepiece collapses slightly, and hold the breath for ten seconds. The design of the inlet opening of some cartridges cannot be The design of the inlet opening of some cartridges cannot be effectively covered with the palm of the hand. The test can be effectively covered with the palm of the hand. The test can be performed by covering the inlet opening of the cartridge with a performed by covering the inlet opening of the cartridge with a thin latex or nitrile glove. If the facepiece remains in its slightly thin latex or nitrile glove. If the facepiece remains in its slightly collapsed condition and no inward leakage of air is detected, the collapsed condition and no inward leakage of air is detected, the tightness of the respirator is considered satisfactory. tightness of the respirator is considered satisfactory.

Qualitative ProtocolQualitative Protocol

Use of a challenge agent (banana oil, Use of a challenge agent (banana oil, bitrex, saccharin)bitrex, saccharin)

Selection and donning of respirator.Selection and donning of respirator. Multiple exercises/head movementsMultiple exercises/head movements Jogging in place.Jogging in place. Report if agent detected.Report if agent detected. Results documented on DMT-0925Results documented on DMT-0925

Review VideoReview Video

Video available from 3M online or Video available from 3M online or video/DVDvideo/DVD

DPH PPE Pgm DPH PPE Pgm AdministrationAdministration(Draft)(Draft) RODs/Pgm Mgrs will do hazard RODs/Pgm Mgrs will do hazard

AssessmentAssessment PPE needs discussed at PPDPPE needs discussed at PPD Regional staff will do fit testing and Regional staff will do fit testing and

coordinate med evaluationscoordinate med evaluations Central office will do train the trainer Central office will do train the trainer

and will manage written plansand will manage written plans

Suggested PPE for Sanitarians Suggested PPE for Sanitarians Investigating Human Health Investigating Human Health HazardsHazards

Half face respirator Half face respirator w/combination acid w/combination acid gas, HEPA, organic gas, HEPA, organic vapor cartridgevapor cartridge

Tyvek suitsTyvek suits Nitrile exam glovesNitrile exam gloves Steel toe bootsSteel toe boots

Rubber bootsRubber boots Hard hatHard hat Ear plugsEar plugs Safety gogglesSafety goggles Nitrile chemical Nitrile chemical

glovesgloves

Thanks!Thanks!

Jim MorrisonJim Morrison [email protected]@dhfs.state.wi.us 608-267-3227608-267-3227