Title Page
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Site conducted
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Date & Time
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Task
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Work Area
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Prepared by
Engineering Control Systems
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Are the mechanical ventilation or extraction systems in your work area turned on and operating?<br>
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Are the dust suppression water spray systems in your work area turned on and operating?<br>
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Are the controls in your work area protecting you and those around you (e.g. pot / cell hoods, seals, skirts, ducting, enclosures, boilermaker bay)?
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If there is a positive pressure system (e.g. in-cab or control room), is it turned on and operating?<br>
Administration Controls
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Do you know the areas and tasks where mandatory respiratory protection is required in your work area?
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Are you washing your hands before eating, drinking and smoking?<br>
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Have you cleaned, maintained and stored your respirator correctly?
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If required, are you showering and changing at the end of the shift?
Personal Protective Equipment (PPE)
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Are you wearing your respirator at all times in mandatory respiratory protection device (RPD) areas or when completing mandatory RPD tasks?<br>
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Are you communicating without removing your respirator in mandatory RPD areas / tasks?<br>
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If required, are you using the right respirator filter cartridge for the job?
Face Fitting Respirator
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Have you been fit tested for the face fitting respirator you will wear?
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Have you completed a fit check (positive and negative pressure seal checks)?<br>
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Have you shaved to meet the site facial hair policy?
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Have you made sure nothing is between the seal of the respirator and your skin (e.g. balaclavas, headscarves, jewellery, glasses, hair and other PPE)?
Positive Pressure Respirator
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Have you done your air flow check before wearing your respirator?
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Is the respirator and it components free of damage or leaks (e.g. seals, hose)?
