Fit-testing for firefighters.

When fit-testing firefighters who may be required to wear an SCBA unit in the positive pressure mode for IDLH or structural firefighting applications, use these guidelines. 1. The firefighter shall be allowed to pick the most acceptable respirator from a sufficient number of respirator models and sizes so the respirator is acceptable to, and correctly fits, the firefighter. 2. Before a firefighter may be required to use the SCBA, he/she must be fit-tested with the same make, model, style, and size of respirator that will be used. If different makes, models, styles, and sizes of facepieces are used, the firefighter must be fit-tested for each. 3. Based on current interpretations and guidance, OSHA requires firefighters to be quantitatively or qualitatively fit-tested while in the negative pressure mode. 4. Quantitative fit-testing of these respirators shall be accomplished by modifying the facepiece to allow sampling inside the facepiece and breathing zone of the user, midway between the nose and mouth. This requirement shall be accomplished by installing a permanent sampling probe onto a surrogate facepiece or by using a sampling adapter designed to temporarily provide a means of sampling air from inside the facepiece. 5. Qualitative fit-testing can be accomplished by converting the user's actual facepiece into a negative pressure respirator with appropriate filters or by using an identical negative pressure air-purifying respirator facepiece with the same sealing surfaces as a surrogate for the SCBA facepiece. 6. If after passing the fit-test the firefighter subsequently determines the fit of the respirator is unacceptable, he/she shall be given a reasonable opportunity to select a different respirator facepiece and be retested. 7. The new standard requires initial and at least annual fit-testing using quantitative or qualitative fit-testing protocols. 8. Additional fit-testing may be required whenever physical changes to the employee occur that may affect respirator fit, such as facial scarring, dental changes, cosmetic surgery, or an obvious change in body weight.