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Monthly respirator inspection form 2026

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  1. Click ‘Get Form’ to open the monthly respirator inspection form in the editor.
  2. Begin by entering the employee's name in the designated field at the top of the form. This identifies who is being inspected.
  3. Next, fill in the model number of the respirator being inspected. This helps track specific equipment.
  4. In the inspector section, write your name to confirm who conducted the inspection.
  5. Record the date of inspection in the provided format to maintain accurate records.
  6. Use the checklist provided for each type of respirator. Mark 'yes' or 'no' for each item based on your inspection findings.
  7. If any defects are found, list them in detail at the bottom of the form, specifying parts and issues identified.

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OSHA defines at 29 CFR 1910.134(b) a filtering facepiece respirator (dust mask) as a negative pressure particulate respirator with a filter as an integral part of the facepiece or with the entire facepiece composed of the filtering medium (as mentioned in your incoming letter) (see 63 Fed. Reg.
Examine the face piece of the disposable respirator to determine if it has structural integrity. Discard if there are nicks, abrasions, cuts, or creases in seal area or if the filter material is physically damaged or soiled. Check the respirator straps to be sure they are not cut or otherwise damaged.
Inspect equipment designated for emergency use at least monthly, and before and after each use. Replace all ed, torn, broken, missing, or worn parts (or replace the respirator entirely if it cannot be repaired). Any respirator that needs repair should be identified as out of service (such as with a tag).
During a negative pressure user seal check, the respirator user inhales sharply while blocking the paths for air to enter the facepiece. A successful check is when the facepiece collapses slightly under the negative pressure that is created with this procedure. A user seal check is sometimes referred to as a fit check.

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