Section 144-220-D-H-1703 - Use of individual respiratory protection equipmentA. If the licensee or registrant assigns or permits the use respiratory protection equipment to limit the intake of radioactive material pursuant to D.1702, (1) Except as provided in D.1704.A(2), the licensee or registrant shall use only respiratory protection equipment that is tested and certified by the National Institute for Occupational Safety and Health (NIOSH).(2) If the licensee or registrant wishes to use equipment that has not been tested or certified by the National Institute for Occupational Safety and Health, the licensee or registrant shall submit an application for authorized use of that equipment, including a demonstration by testing, or a demonstration on the basis of reliable test information, that the material and performance characteristics of the equipment are capable of providing the proposed degree of protection under anticipated conditions of use. This must be demonstrated either by licensee testing or on the basis of reliable test information.(3) The licensee or registrant shall implement and maintain a respiratory protection program that includes: (a) Air sampling sufficient to identify the potential hazard, permit proper equipment selection, and estimate doses; Note: In those cases where air sampling is difficult or even impossible, the exposure can be calculated based upon the known chemicals and ventilation rates; (b) Surveys and bioassays, as appropriate, to evaluate actual intakes;(c) Testing of respirators for operability (user seal check for face sealing devices and functional check for others) immediately prior to each use;(d) Written procedures regarding respirator selection, fit testing, storage, issuance, maintenance, repair, testing of respirators, including testing for operability immediately prior to each use; quality assurance of respiratory protection equipment supervision and training of respirator users; monitoring, including air sampling and bioassays; breathing air quality, inventory and control, and recordkeeping; and limitations on periods of respirator use and relief from respirator use; and(e) Determination by a physician that the individual user is medically fit to use the respiratory protection equipment; before. (i) The initial fitting of a face sealing respirator;(ii) Before the first field use of non-face sealing respirators, and(iii) Either every 12 months thereafter, or periodically at a frequency determined by a physician.(f) Fit testing, with a fit factor [GREATER THAN OR EQUAL TO]10 times the APF for negative pressure devices, and a fit factor [GREATER THAN OR EQUAL TO] 500 for any positive pressure, continuous flow, and pressure-demand devices, before the first field use of tight fitting, face sealing respirators and periodically thereafter at a frequency not to exceed one year. Fit testing must be performed with the facepiece operating in the negative pressure mode.(4) The licensee or registrant shall advise each respirator user that the user may leave the area at any time for relief from respirator use in the event of equipment malfunction, physical or psychological distress, procedural or communication failure, significant deterioration of operating conditions, or any other conditions that might require such relief.(5) The licensee or registrant shall use respiratory protection equipment within the equipment manufacturer's expressed limitations for type and mode of use and shall provide for vision correction, adequate communication, low temperature work environments and the concurrent use of other safety or radiological protection equipment. The licensee shall use equipment in such a way as not to interfere with the proper operation of the respirator.(6) Standby rescue persons are required whenever one-piece atmosphere-supplying suits, or any combination of supplied air respiratory protection device and personnel protective equipment are used from which an unaided individual would have difficulty extricating himself or herself. The standby persons must be equipped with respiratory protection devices or other apparatus appropriate for the potential hazards. The standby rescue persons shall observe or otherwise maintain continuous communication with the workers (visual, voice, signal line, telephone, radio, or other suitable means), and be immediately available to assist them in case of a failure of the air supply or for any other reason that requires relief from distress. A sufficient number of standby rescue persons must be immediately available to assist all users of this type of equipment and to provide effective emergency rescue if needed.(7) Atmosphere-supplying respirators must be supplied with respirable air of grade D quality or better as defined by the Compressed gas Association in publication G-7.1, "Commodity Specification for Air" 1997 and included in the regulations of the Occupational Safety and Health Administration (29 CFR 1910.134(i)1(ii)(A) through (E). Grade D quality air criteria include: (a) Oxygen content (v/v) of 19.5-23.5%;(b) Hydrocarbon (condensed) content of 5 milligrams per cubic meter or air or fewer;(c) Carbon Monoxide (CO) content of 10 ppm or fewer;(d) Carbon Dioxide content of 1,000 ppm or fewer; and(e) Lack of noticeable odor(9) The licensee shall ensure that no objects, materials or substances, such as facial hair, or any conditions that interfere with the face-facepiece seal or valve function, and that are under the control of the wearer, are present between the skin of the wearer's face and the sealing surface of a tight-fitting respirator facepiece.(10) In estimating the dose to individuals from intake of airborne radioactive materials, the concentration of radioactive material in the air that is inhaled when respirators are worn is initially assumed to be the ambient concentration in air without the respiratory protection, divided by the assigned protection factor. If the dose is later found to be greater than the estimated dose, the corrected value must be used. If the dose is later found to be less than the estimated dose, the corrected value may be used.10-144 C.M.R. ch. 220, § D-H-1703