VECA Respirator Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

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  Address

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  Date

Respirator Inspections

• Company Respirator Protection Program in place?

  Yes

  No

  N/A

• Employees wearing Respirators have current Medical Evaluations?

  Yes

  No

  N/A

• Does the respirator fit correctly and do you have a current Fit test? (Fit Test can be done at the time of the medical evaluation)

  Yes

  No

  N/A

• Are employees clean shaven?

  Yes

  No

  N/A

Proper Respirators

• FULL FACE Supplied Air

  Yes

  No

  N/A

• SCBA

  Yes

  No

  N/A

• 1/2 FACE Air purifying

  Yes

  No

  N/A

• FULL FACE Purifying

  Yes

  No

  N/A

• FULL FACE PAPR

  Yes

  No

  N/A

Proper Air Cartridge

• Black and Magenta: Organic Vapor cartridge with P100 Particulate Filter (99.97% minimum filter efficiency) for all particulates.

  Yes

  No

  N/A

• Yellow: Organic Vapor and acid Gas (Chlorine, Hydrogen Chloride, Sulfur Dioxide, Hydrogen Fluoride, Chlorine Dioxide) cartridge.

  Yes

  No

  N/A

• Magenta: Particulate Filter (99.7% minimum filter efficiency) for all particulates.

  Yes

  No

  N/A

• Black: Organic Vapor cartridge

  Yes

  No

  N/A

• White: Acid Gas (Chlorine, Hydrogen Chloride, Sulfur Dioxide< Hydrogen Fluoride, Chlorine Dioxide) and Formaldehyde Cartridge.

  Yes

  No

  N/A

• Green: Ammonia and Methylamine Cartridge

  Yes

  No

  N/A

• Olive: Mercury Vapor cartridge with End of Service Life Indicator (ESLI) for Mercury vapor (note: stacked cartridges for multiple protection)

  Yes

  No

  N/A

Respirator Hygiene and Storing

• Are Respirators stored properly?

  Yes

  No

  N/A

• Are respirators stored in a plastic bag with tape over the filters so particulates do not escape?

  Yes

  No

  N/A

• Are Respirators inspected and a cleaning program in place?

  Yes

  No

  N/A

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