• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • 1. Are all applicable legal requirements identified, maintained and complied with?

  • 2. Has a documented assessment been carried out of the workplace to identify and evaluate potential safety and health risks from exposure to hazardous atmospheres or airborne contaminants, and the controls used to mitigate those risks?

  • 3. Are entrances to areas for which respirator use is required for entry clearly signed and understandable to all personnel in the facility?

  • 4. If the facility specifies the use of respiratory protection for emergency response or any other situation, have they documented and implemented a respiratory protection program?

  • 5. Are Company requirements met for the voluntary use of dust masks?

  • 6. Are the respirators selected and in use identified in the site's Respiratory Protection Program to be suitable for their intended use and in compliance with the Company requirements?

  • 7. Has documented fit testing been carried out for associates expected to wear air-purifying or atmosphere-supplying tight-fitting respirators?

  • 8. Have associates using respirators undergone a medical evaluation prior to fit testing and using a respirator, and annual review, to determine suitability for using a respirator?

  • 9. Has the facility established and implemented procedures for the safe use of respirators that meet the Company requirements?

  • 10. Has respiratory protection as indicated by the site's risk assessment and emergency response procedures been provided and is it in compliance with the Company's requirements?

  • 11. If Supplied Air Respirators (SARs) or Self Contained Breathing Apparatus (SCBA) are used, is the air supply of sufficient quality and quantity to prevent injury or illness?

  • 12. Have storage, cleaning, maintenance and inspection practices been implemented that are at least as stringent as manufacturer's recommendations to ensure respirators remain fit for use and meet the Company's requirements?

  • 13. Are affected personnel adequately trained to recognize situations in which respiratory protection is required, and, for those who must use respirators, are they trained to use them effectively?


Recommendation & Evaluation

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