This document outlines a standard operating procedure for a respiratory protection plan. It describes the purpose of conducting medical evaluations to determine an employee's ability to use a respirator. The objectives are to prevent occupational illness and injuries. The SOP applies to employees required to wear respirators during work and emergencies. Components include environmental monitoring, engineering controls, respirator selection, training, and medical examinations. Duties of the program administrator include hazard assessment, respirator selection, training, and record keeping.

1. SOP-Medical evaluation-Respiratory protection
plan
DR.ASHOK LADDHA—OCCUPATIONAL HEALTH
PHYSICIAN

2. Purpose:
The purpose of this SOP is—Medical evaluation to determine whether an employee is able to
use given respirators an important element of Respiratory protection plan.

3. Objectives
To prevent occupational illness and injuries
To prevent death from the physiological burden imposed on employee by respirator use

4. Scope
This SOP is applicable to all those employee who are required to wear respirators during normal
working hours, as well as non –routine or emergency occurs such as spills of hazardous
materials. Each employee is responsible for wearing his/her respirator when and where required
and in manner in which they are trained.

5. Components of Program
1. Regular environmental monitoring
2. Engineering control
3. Selection and provision of suitable respirators
4. Supervision
5. Proper maintenance
6. Training
7. Disinfection Methods
8. Medical examination of fitness

6. Description
Employees will not be allowed or assigned to use of respirators unless medical evaluation and
fitness given .Before subjecting for medical evaluation the candidate has to fill up questionaries'
form as per annexure-1 provided to him by the respirator program administrator which he has
fill up and duly signed form return back to RPP administrator. The RPP administrator should
provide following information to Medical professional.
1. Type and weight of respirator
2. Duration and frequency of use
3. Temperature and humidity extremes that can be encountered
4. Additional protective clothing and equipment to be worn

7. Follow up medical examination
It is necessary if,
1. Employee reports signs and symptoms
2. A change occurs in workplace condition which may result in substantial increase in the
physiological burden placed on employee.

8. Role & Responsibility
1. All employee
2. RPP Administrator
3. Department head
4. Safety advisor
5. Occupational health team

9. Program Administrator Duties
 Identifying work areas, processes or tasks that require workers to wear respirators, and
evaluating hazards-(Hazard assessment)
 Selection of respiratory protection options
 Monitoring respirator use to ensure that respirators are used in accordance with their
certifications
 Arranging for and/or conducting training
 Ensuring proper storage and maintenance of respiratory protection equipment
 Conducting or arranging for fit testing
 Administering the medical surveillance program
 Maintaining records required by the program
 Evaluating the program

10. Simplified Version For Respirator Selection
Hazard Respirator remark
O2 deficiency, Gas/Vapor contaminants and
other highly toxic air contaminants
Full face piece, Pressure demand SCAB
certified for a minimum service of life for
30 minutes. A Full pieces pressure demand
SAR with an auxiliary escape SCAB.
IDLH
Contaminated Atmosphere-For ESCAPE Positive pressure SCAB, Gas mask
combination positive pressure SAR with
escape SCAB
IDLH
Gas /Vapor contaminants Positive pressure SAR.Gas mask chemical
cartridge or canister respirator
Not IDLH
Particulate Contaminants Positive pressure SAR INCLUDING ABRASIVE
BLASTING RESPIRATOR. Powered air
purifying respirator equipped with high
efficiency filters. Any air purifying respirator
with specific particulate filter.
Not IDLH
Gaseous and Particulate contaminants Positive pressure supplied respirator, Gas
mask chemical cartridge respirator with
mechanical filters
Not IDLH
Smoke band other free related
contaminants
Positive pressure SCAB Not IDLH

11. Responsibility
To implement SOP RPP Co-
Coordinator/Safety
advisor
Identification of employees Safety
manager/HOD/Admin
department
To fill up Medical fitness questionaries' form Concern Employee
To send fitness certificate to admin department after medical evaluation OHC
To Design RPP with other component Site Environment Officer

12. Annexure-1 Medical Fitness questionaries' form
This must include following
1. Date of examination
2. Name of employee
3. Age
4. Job Title
5. Contact Number
6. Height
7. Weight
8. Blood pressure
9. Pulse
10. SPO2

13. Annexure-1 Medical Fitness questionaries' form
Do You currently smoke tobacco YES/NO
Have you ever had following conditions?
Diabetes/Hypertension/Epilepsy/Allergic
reaction/Acrophobia/Claustrophobia/Difficulty in
smelling
YES/NO, If yes-Provide Details
Are you suffering from any Lung or Pulmonary
Problems?
YES/NO, If yes-Provide Details
Do you currently have following symptoms?
Cough with expectoration/Breathing
difficulty/shortness of breath while
walking/rest/climbing
YES/NO, If yes-Provide Details
Have you ever had CVS or heart problem?
Chest pain/Heart burn/Tightness in chest
YES/NO, If yes-Provide Details
With respirator have you ever had following
problems?
Allergic reaction/Eye
YES/NO, If yes-Provide Details

14. Annexure-1 Medical Fitness questionaries' form
What is your Vision status?
Do you currently have any type of the following
vision problems?
Wearing contact lens/corrected vision with
glass/color deficiency
YES/NO, If yes provide details
Have you ever had hearing problem? YES/NO, If yes provide details
Have you ever had back problem?
Back /cervical injury/difficulty in moving
head/Bending/squatting to the ground/any other
problems related to skeleton system?
YES/NO, If yes provide details
Have you ever had head injury? YES/NO, If yes provide details
Have you ever met with accident? YES/NO, If yes provide details

15. Investigations
ECG
CBC
VISION CHECK
AUDIOMETRY
PFT
DETAIL PHYSICAL AND CLINICAL EXAMINATION
ACROPHOBIA/CALUSTROPHOBIA TEST

16. Hazard assessment sheet
Department Contaminants Exposure level PEL Control

17. Cleaning & Disinfecting respirator
As per procedure each respirator user with a respirator that is clean, sanitary, and in
good working order. Ensure that respirators are cleaned and disinfected _________
(Indicate Frequency, e.g., Daily, Weekly, etc.) or as often as necessary to be
maintained in a sanitary condition. Respirators are cleaned and disinfected using the
procedures specified in manufacturer’s recommendations.
Respirators are cleaned and disinfected:
 As often as necessary when issued for the exclusive use of one employee;
 Before being worn by different individuals;
 After each use for emergency use respirators; and After each use for respirators used
for fit testing and training

18. Training
The Program Administrator will provide training to respirator users and their supervisors on
following.
• Respiratory hazards encountered at Company and their health effects
• Proper selection and use of respirators
• Limitations of respirators
• Respirator donning and user seal (fit) checks
• Fit testing
• Emergency use procedures
• Maintenance and storage
• Medical signs and symptoms limiting the effective use of respirators