Inspection

Disposable Respirators

Are there holes in the filter?

Obtain new respirator

Is there a deterioration or loss of elasticity in straps?

Obtain new respirator

Is there a deterioration of metal nose clip?

Obtain new respirator

Air-Purifying Respirators (half mask, full face piece, hood or helmet)

Rubber Face Piece:

Is there excessive dirt?

Clean all dirt from face piece

Are there cracks, tears, or holes?

Obtain new respirator

Are full face respirators cracked, scratched, or loose fitting lenses?

Obtain new respirator

Head Straps:

Are there breaks or tears?

Replace head straps

Is there loss of elasticity?

Replace head straps

Broken or malfunctioning buckles?

Obtain new straps & buckles or respirator

Inhalation Valve and Exhalation Valve:

Is there detergent residue, dust particles, or dirt on valve or valve seat?

Clean with water or a weak solution of Clorox and water one cup of bleach per gallon of water

Any cracks, tears, or lack of flexibility in the valve material?

Obtain new valve

Any cracks and flexibility of valve seats?

Obtain new respirator

Filter Element:

Is it the proper filter for the hazard?

Are there worn threads; both in filter and face piece?

Replace filter or face, as applicable

Any cracks or dents in filter housing A?

Replace filter

Are cartridge gaskets in place? (if applicable)

Atmosphere Supplying Respirators

Self Contained Breathing Apparatus (SCBA)

Consult manufacturer’s literature

Completion

Comments/Recommendations

Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.