Sunday, March 26, 2017

Respiratory Quantitative Fit Testing

          As mentioned in OSHA 29 CFR 1910.134(f), respiratory fit testing is required for all those who wear respirators.  The reason for fit testing is to ensure proper protection, training, and comfort.  There are many different times when respiratory fit testing is needed: before initially entering the workplace, changing respirators, or changes in physical condition.  After the initial fit testing, retesting should be done each year after.  There are two types of fit testing: quantitative and qualitative. The qualitative aspect involves asking the subject if the respirator feels comfortable and feels like it fits. On the other hand, qualitative fit testing involves measurement with a device, which results in a numerical value, fit factor, of how well the respirator fits the subject. There are advantages and disadvantages to each of the two types of analysis mentioned in Grainger Quick Tips-Safety.  The advantages of qualitative fit testing are low cost, and easy pass/fail results.  The disadvantages are chance of the subject deceiving, as well as the limited protection verification.  The advantages of the quantitative fit testing are documentable numerical results and no chance of subject deception.  The disadvantage of quantitative is that it requires expensive equipment and maintenance.
            The Respiratory Fit Testing 101: Into talks a lot about how the quantitative fit test is able to tell much more about how the respirator fits and what parts of the test cause a break in the seal of the mask.  There are devices that hook up to the respirator to run a quantitative analysis, such as the Portacount Pro.  Once all the tests are run, the device will result in a numerical value called the fit factor. The fit factor is a ratio of the concentration outside the mask and inside the mask, which tells how well the respirator works and fits an individual.  As stated by OSHA, half face respirators must have a fit factor of at least 100, while full face respirators must have a minimum fit factor of 500.
Before a fit test is conducted, the subject must wear the respirator for at least five minutes to ensure that it can be worn and is comfortable.  Mentioned in the TSI Portacount Pro manual, there are eight exercises, lasting 60 seconds each, that are required by OSHA when conducting a quantitative fit test.  As a note, these steps must be completed while the subject is standing. The eight steps are outlined below:
1.     Normal breathing
2.     Deep breathing
3.     Head side to side
4.     Head up and down
5.     Talking
6.     Grimace (15 sec)
7.     Bending over
8.     Normal breathing

Each of the steps above will result in a numerical value that will be formulated into an overall fit factor value.  Even if a respirator does not pass one of the eight steps, the overall fit factor may still be in compliance.  Another important aspect of fit testing is making sure that the subject is comfortable wearing the respirator.  If the subject is not comfortable in a certain respirator, it may be wise to try another one and determine if it is a better fit for that individual by completing another quantitative fit test.