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Revised: 02/02/2023 1 <br />ACTIVITY HAZARD ANALYSIS <br />Date Prepared:02 / 02 / 2023 <br />AHA No.:20210319-003 <br />Project Name:Various <br />Activity/Work Task:Respiratory Protection <br />Department/Division/Section:All <br />Location(s):Various <br />Developed By:Terry Dussault <br />Start Date:02 / 01 / 2023 <br />Duration:Various <br />Supervisor:TBD <br />Reviewed By:Health and Safety Department <br />Overall Risk Assessment Code (RAC): M <br />RISK ASSESSMENT CODE MATRIX <br />E=EXTREMELY HIGH <br />RISK <br />H=HIGH RISK <br />M=MODERATE RISK <br />L=LOW RISK <br />PROBABILITY <br />FREQUENT LIKELY OCCASIONAL SELDOM UNLIKELY <br />S <br />E <br />V <br />E <br />R <br />I <br />T <br />Y <br />CATASTROPHIC E E H H M <br />CRITICAL E H H M L <br />MARGINAL H M M L L <br />NEGLIGIBLE M L L L L <br />Job Steps Hazards Actions to Eliminate or Minimize Hazards RAC <br />1. Fit Test Individual for Half or Full <br />Face Air Purifying Respirator (APR)- <br />Irritant Smoke <br />- Improper Fit of APR <br />- claustrophobic <br />- Difficulty Breathing <br />1. Prior to fit testing ask each individual if they've ever <br />experienced an allergic reaction to synthetic material or latex <br />rubber, accordingly select whichever is most suitable. <br />2. Do not proceed with fit testing individuals if they have had <br />any past experiences with claustrophobia or if it occurs during <br />testing. <br />3. If the individual experiences difficulty breathing during fit <br />testing stop the test immediately and determine why. Note: <br />Slight difficulty is normal as air does not move freely through <br />the respirator cartridge. However, should the issue seem <br />medical in nature consult with Human Resources as person <br />being tested may need to be reevaluated by way of Spirometry <br />for medical fitness. <br />L <br />NC-25-1137 Tiwana & Sons <br />1210 East Hammer Lane, Stockton, CA 95210