Additional Ambient Aerosol CNC Quantitative Fit Testing Protocols: Respiratory Protection Standard
| Published date | 26 September 2019 |
| Citation | 84 FR 50739 |
| Record Number | 2019-20686 |
| Section | Rules and Regulations |
| Court | Occupational Safety And Health Administration |
Federal Register, Volume 84 Issue 187 (Thursday, September 26, 2019)
[Federal Register Volume 84, Number 187 (Thursday, September 26, 2019)]
[Rules and Regulations]
[Pages 50739-50756]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-20686]
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DEPARTMENT OF LABOR
Occupational Safety and Health Administration
29 CFR Part 1910
[Docket No. OSHA-2015-0015]
RIN 1218-AC94
Additional Ambient Aerosol CNC Quantitative Fit Testing
Protocols: Respiratory Protection Standard
AGENCY: Occupational Safety and Health Administration (OSHA),
Department of Labor.
ACTION: Final rule.
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SUMMARY: OSHA is approving two additional quantitative fit testing
protocols for inclusion in appendix A of the Respiratory Protection
Standard. These protocols are: The modified
[[Page 50740]]
ambient aerosol condensation nuclei counter (CNC) quantitative fit
testing protocol for full-facepiece and half-mask elastomeric
respirators and the modified ambient aerosol CNC quantitative fit
testing protocol for filtering facepiece respirators. The protocols
apply to employers in general industry, shipyard employment, and the
construction industry. Both protocols are abbreviated variations of the
original OSHA-approved ambient aerosol CNC quantitative fit testing
protocol (often referred to as the PortaCount[supreg] protocol), but
differ from the test by the exercise sets, exercise duration, and
sampling sequence. These protocols will serve as alternatives to the
four existing quantitative fit testing protocols already listed in
appendix A of the Respiratory Protection Standard and will maintain
safety and health protections for workers while providing additional
flexibility and reducing compliance burdens.
DATES: The final rule becomes effective on September 26, 2019.
ADDRESSES: In accordance with 28 U.S.C. 2112(a), the agency designates
Edmund Baird, Acting Associate Solicitor of Labor for Occupational
Safety and Health, Office of the Solicitor of Labor, Room S-4004, U.S.
Department of Labor, 200 Constitution Avenue NW, Washington, DC 20210,
to receive petitions for review of the final rule.
FOR FURTHER INFORMATION CONTACT: General information and press
inquiries: Frank Meilinger, Director, Office of Communications;
telephone: (202) 693-1999; email: [email protected].
Technical inquiries: Natalia Stakhiv, Directorate of Standards and
Guidance; telephone: (202) 693-2272; email: [email protected].
SUPPLEMENTARY INFORMATION:
Table of Contents
I. Background
II. Summary and Explanation of the Final Rule
III. Procedural Determinations
I. Background
Appendix A of OSHA's Respiratory Protection Standard (29 CFR
1910.134) currently contains four quantitative fit testing protocols:
Generated aerosol; ambient aerosol condensation nuclei counter (CNC);
controlled negative pressure (CNP); and controlled negative pressure
REDON. TSI Incorporated (``TSI'') proposed the ambient aerosol CNC
protocol--often called the PortaCount[supreg] protocol after the CNC
instrument manufactured by TSI--in 1987. OSHA allowed the ambient
aerosol CNC protocol for fit testing under a compliance interpretation
published in 1988. OSHA eventually incorporated that protocol into
appendix A of the Respiratory Protection Standard when it revised the
standard in 1998.
In 2006, TSI submitted two additional quantitative fit testing
protocols to OSHA for approval and inclusion in appendix A of the
Respiratory Protection Standard. These protocols were modified,
abbreviated versions of the original ambient aerosol CNC protocol
already approved by OSHA and listed in appendix A. OSHA published a
notice of proposed rulemaking (NPRM) on January 21, 2009 (74 FR 3526)
to include the two protocols in its Respiratory Protection Standard,
but later concluded that they were not sufficiently accurate or
reliable. OSHA withdrew the proposed rule without prejudice on January
27, 2010 (75 FR 4323), and invited the developers to resubmit the two
protocols after addressing the issues of concern listed in the
withdrawal notification. In 2014, TSI submitted three new quantitative
fit testing protocols for OSHA approval. These three protocols also
were modified, abbreviated versions of the original ambient aerosol CNC
protocol, but different from the two protocols TSI submitted to OSHA in
2006.
Part II of appendix A of OSHA's Respiratory Protection Standard
specifies the procedure for adding new fit testing protocols to the
standard. Under that procedure, if OSHA receives an application for a
new fit testing protocol meeting certain criteria, it must commence a
rulemaking proceeding to consider adopting the proposed protocol. These
criteria are: (1) A test report prepared by an independent government
research laboratory (e.g., Lawrence Livermore National Laboratory, Los
Alamos National Laboratory, the National Institute for Standards and
Technology) stating that the laboratory tested the protocol and found
it to be accurate and reliable; or (2) an article published in a peer-
reviewed industrial hygiene journal describing the protocol and
explaining how the test data support the protocol's accuracy and
reliability. TSI's 2014 application for approval of three new
quantitative fit testing protocols met the second criterion. OSHA
considers such proposals under the notice-and-comment rulemaking
procedures specified in Section 6(b)(7) of the Occupational Safety and
Health Act of 1970 (the ``Act'') (29 U.S.C. 655(b)(7)).
II. Summary and Explanation of the Final Rule
A. Proposed Rulemaking
In July 2014, TSI submitted an application requesting that OSHA
approve three new quantitative fit testing protocols for inclusion in
appendix A of OSHA's Respiratory Protection Standard (OSHA-2015-0015-
0003). These three protocols were modified, abbreviated versions of the
original ambient aerosol CNC protocol approved by OSHA and listed in
appendix A, but different from the ones submitted to OSHA by TSI in
2006. TSI's application included three peer-reviewed articles (``the
Richardson studies'') describing the accuracy and reliability of TSI's
proposed protocols.\1\ The application letter also included a copy of
the 2010 ANSI/AIHA (American National Standards Institute/American
Industrial Hygiene Association) Z88.10 ``Respirator Fit Testing
Methods'' standard (``the ANSI standard''), which contains ``Annex A2:
Criteria for Evaluating New Fit Test Methods'' (``the ANSI annex'')
(OSHA-2015-0015-0007). TSI also submitted two white papers: One
describing TSI's analysis of its talking exercise data and the second
describing TSI's process and rationale behind the fit test exercises
that were employed in the Richardson studies (OSHA-2015-0015-0001,
OSHA-2015-0015-0008). OSHA determined that the information submitted in
TSI's application met the criteria required for initiating a rulemaking
to determine whether OSHA should approve the new protocols and add them
to appendix A of the Respiratory Protection Standard. OSHA issued a
notice of proposed rulemaking (NPRM) on October 7, 2016, proposing to
add the new protocols and inviting public comments.
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\1\ Richardson, A.W. et al. (2014a), ``Evaluation of a Faster
Fit Testing Method for Elastomeric Half-Mask Respirators Based on
the TSI PortaCount,'' Journal of the International Society for
Respiratory Protection 31(1): 9-22 (OSHA-2015-0015-0004);
Richardson, A.W. et al. (2013), ``Evaluation of a Faster Fit Testing
Method for Full-Facepiece Respirators Based on the TSI PortaCount,''
Journal of the International Society for Respiratory Protection
30(2): 116-128 (OSHA-2015-0015-0005); Richardson, A.W. et al.
(2014b), ``Evaluation of a Faster Fit Testing Method for Filtering
Facepiece Respirators Based on the TSI PortaCount,'' Journal of the
International Society for Respiratory Protection 31(1): 43-56 (OSHA-
2015-0015-0006).
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The three new protocols submitted by TSI in July 2014 included one
for full-facepiece elastomeric respirators (the Fast-Full method), one
for half-mask elastomeric respirators (the Fast-Half method), and one
for filtering facepiece respirators (FFRs) (the Fast-FFR method). The
authors of the Richardson
[[Page 50741]]
studies evaluated each of the three types of respirators for method
performance separately, but the protocols for the Fast-Full and Fast-
Half methods were identical. As such, and to prevent duplicative
regulatory text, OSHA proposed to consolidate the Fast-Full and Fast-
Half methods into a single protocol for approval: The modified ambient
aerosol condensation nuclei counter (CNC) quantitative fit testing
protocol for full-facepiece and half-mask elastomeric respirators. OSHA
further proposed to approve the Fast-FFR protocol as the modified
ambient aerosol condensation nuclei counter (CNC) quantitative fit
testing protocol for filtering facepiece respirators. No commenters
objected to the consolidation and naming of the protocols during the
public comment period.
The original ambient aerosol CNC protocol consists of eight test
exercises, performed in the following order: Normal breathing, deep
breathing, turning head side-to-side, moving head up-and-down, talking,
grimace, bending over, and normal breathing again. The modified ambient
aerosol CNC protocol for full-facepiece and half-mask elastomeric
respirators differs as follows: (1) It includes only three of the eight
original test exercises (bending over, head side-to-side, and head up-
and-down); (2) it adds jogging-in-place as a new exercise; and (3) it
reduces the total test duration from 7.2 to 2.5 minutes. The modified
ambient aerosol CNC protocol for FFRs differs from the original ambient
aerosol CNC protocol as follows: (1) It includes only four of the eight
original test exercises (bending over, talking, head side-to-side, and
head up-and-down) and (2) it reduces the total test duration from 7.2
to 2.5 minutes.
The three Richardson studies (OSHA-2015-0015-0004, OSHA-2015-0015-
0005, OSHA-2015-0015-0006) compared the fit factors for the new
protocols to a reference method based on the approach specified in the
ANSI annex.\2\ This approach requires the performance evaluation study
to administer sequential paired tests using the proposed fit testing
method and reference method during the same respirator donning. The
reference method consisted of the standard OSHA exercises listed in
Section I.A.14 of appendix A of the Respiratory Protection Standard
(which are also the eight test exercises used for the original ambient
aerosol CNC protocol), minus the grimace exercise, in the same order as
described in the standard (i.e., normal breathing, deep breathing, head
side-to-side, head up-and-down, talking, bending over, normal
breathing). Each exercise was performed for 60 seconds.
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\2\ A fit factor is a quantitative estimate of the fit of a
particular respirator to a specific individual, and typically
estimates the ratio of the concentration of a substance in ambient
air to its concentration inside the respirator when worn.
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These protocols will serve as alternatives to the four existing
quantitative fit testing protocols already listed in appendix A of the
Respiratory Protection Standard and will maintain safety and health
protections for workers while providing additional flexibility and
reducing compliance burdens. This rule is a deregulatory action under
Executive Order 13771 (82 FR 9339 (January 30, 2017)). It has
annualized net cost savings estimated at $4.1 million. A detailed
discussion of OSHA's estimates of the rule's benefits, costs, and cost
savings is included in the Final Economic Analysis and Regulatory
Flexibility Certification section.
B. Articles Supporting New Fit Testing Protocols
TSI supported its application for adding the new protocols with the
three Richardson studies that indicate respectively that the proposed
Fast-Half, Fast-Full, and Fast-FFR methods can identify poorly fitting
respirators as well as the reference method used. Each article
described a study that compared fit test results using a reference
method specified in the ANSI annex with results using one of the
proposed methods. The following subsections detail the methodologies
and findings of the three Richardson studies.
1. Evaluation of the Fast-Half Method
a. Study Methods
The first Richardson study evaluated the Fast-Half method.\3\ The
study authors selected three models of NIOSH-approved, half-mask air-
purifying respirators--each available in three sizes--from ``leading
U.S. mask manufacturers'' equipped with P100 filters.\4\ Respirators
were probed with a flush sampling probe located between the nose and
mouth. The study included 9 female and 16 male participants.
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\3\ Richardson, A.W. et al. (2014a), ``Evaluation of a Faster
Fit Testing Method for Elastomeric Half-Mask Respirators Based on
the TSI PortaCount,'' Journal of the International Society for
Respiratory Protection 31(1): 9-22 (OSHA-2015-0015-0004).
\4\ The authors chose not to identify the specific respirator
models ``because the intentional mis-sizing and lack of performing a
user seal check would misrepresent performance of these respirators
when used as part of a proper respiratory protection program''
(OSHA-2015-0015-0004).
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Each test subject donned a respirator for a five-minute comfort
assessment and then performed two sets of fit test exercises, one using
the reference method and another the Fast-Half method. The study
authors randomized the order of the two sets of fit test exercises for
each test subject. The reference method consisted of the eight standard
OSHA exercises listed in Section I.A.14 of appendix A of the
Respiratory Protection Standard, minus the grimace exercise, in the
same order as required in the standard (i.e., normal breathing, deep
breathing, head side-to-side, head up-and-down, talking, bending over,
normal breathing). The study subject performed each exercise for 60
seconds.
The study authors explained that they decided to exclude the
grimace exercise because it ``is intended to break the respirator seal
to the face'' which ``potentially results in a shift of the
respirator'' (OSHA-2015-0015-0004). TSI submitted an additional
explanation as to why the grimace exercise was excluded in all three
Richardson studies (OSHA-2015-0015-0008). According to TSI, ``[l]ittle
or no support was found for the grimace exercise among respirator fit
test experts,'' and ``[t]he most common fault expressed by a number of
experienced fit testers and industry experts was that the grimace
cannot be consistently applied or even defined'' (Id.). TSI further
explained that the grimace exercise is intended to break the face seal,
which may not reseal in the same way for subsequent exercises. As a
result, the shift in the respirator caused by grimacing can potentially
confound comparisons between the fit test methods. TSI finally noted
that the fit factor from the grimace exercise (if measured) is not used
to calculate the overall fit factor result under the original ambient
aerosol CNC method.
The Fast-Half method included four exercises: Bending, jogging-in-
place, head side-to-side, and head up-and-down. Each test subject took
two breaths at each extreme of the head side-to-side and head up-and-
down exercises and at the bottom of the bend in the bending exercise.
Although not discussed in the Richardson study, TSI explained its
rationale for selecting the exercises that were later utilized in the
three Richardson studies. The exercises were identified, by TSI, as
being the most rigorous for (i.e., the best at) identifying poor
fitting respirators in two white papers TSI prepared and submitted to
OSHA (OSHA-2015-0015-0001, OSHA-2015-0015-0008). TSI reached its
conclusions and selected the exercises based on a literature review,
informal conversations with industry fit test experts, and in-house
pilot studies.
[[Page 50742]]
``Talking out loud,'' ``bending,'' and ``moving head up/down'' were
determined to be the three most critical exercises in determining the
overall fit factor for abbreviated respirator fit test methods by
Zhuang et al. (OSHA-2015-0015-0011).\5\ TSI's in-house pilot fit
testing studies supported the conclusions made by Zhuang et al.,
however, additional analysis of the TSI data by TSI uncovered an
unexpected trend within the data for the talking exercise (OSHA-2015-
0015-0001, OSHA-2015-0015-0008). TSI collected fit test data on
subjects using consecutive sets of the seven-exercise reference method
described above. TSI analyzed the frequency with which each exercise
produced the lowest fit factor. Fit test data were separated into three
groups: All fit tests, good-fitting fit tests, and poor-fitting fit
tests. A poor-fitting fit test was defined as any test where at least
one exercise failed, and a good-fitting fit test was defined as one
where no exercises failed.\6\ TSI's results showed that normal
breathing, deep breathing, and talking rarely produced the lowest fit
factor (frequency
3 standard deviations from the mean of the remaining data points). The
exclusion zone calculated by the study authors ranged from 82 to 123
and did not include the five outliers. During review of the study
methods, OSHA felt that omitting outliers to define a variability-based
exclusion zone deviated from the usual scientific practice. Therefore,
OSHA recalculated the exclusion zone with the outlier data included in
the analysis (OSHA-2015-0015-0009). The recalculated exclusion zone was
somewhat wider, ranging from 68 to 146.
The final dataset for the ANSI Fast-Half performance evaluation
included 134 pairs of fit factors from 25 participants. The respirator
models and sizes were used in nearly equal proportion. The study
authors omitted eleven pairs of fit factors because the ratio of
maximum to minimum normal breathing fit factors was greater than 100.
They also omitted one pair due to a methodological error (sample line
[[Page 50743]]
detached from respirator during test). As such, 122 pairs were included
in the data analysis.
The study authors concluded that their statistical analysis
indicates that the Fast-Half method met the required acceptance
criteria for test sensitivity, predictive value of a pass, predictive
value of a fail, test specificity, and kappa statistic \7\ as defined
in the ANSI annex (see Table 1). The same was indicated by OSHA's
statistical analysis, utilizing the wider OSHA-recalculated exclusion
zone, which excluded an additional three pairs for a total of nine
pairs excluded and 119 pairs included in the analysis. OSHA therefore
agrees with the study authors that the Fast-Half method can identify
poorly fitting respirators at least as well as the reference method.
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\7\ The kappa statistic is a measure of agreement between the
proposed and reference fit test methods. It compares the observed
proportion of fit tests that are concordant with the proportion
expected if the two tests were statistically independent. Kappa
values can vary from -1 to +1. Values close to +1 indicate good
agreement. ANSI/AIHA recommends kappa values >0.70.
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2. Evaluation of Fast-Full Method
a. Study Methods
The second Richardson study evaluated the Fast-Half method.\8\ The
study authors selected three models of NIOSH-approved, full-facepiece
air-purifying respirators from ``leading U.S. mask manufacturers''
equipped with P100 filters. Each model was available in three sizes.
Respirators were probed with a non-flush sampling probe inside the nose
cup, extending 0.6 cm into the breathing zone. The study included 11
female and 16 male participants. The reference method, choice of
exercises, PortaCount[supreg] instrument, test aerosol, and sampling
sequence were identical to those used for the Fast-Half method.
Appendix A of the Respiratory Protection Standard requires a minimum
fit factor of 500 for full-facepiece respirators.
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\8\ Richardson, A.W. et al. (2013), ``Evaluation of a Faster Fit
Testing Method for Full-Facepiece Respirators Based on the TSI
PortaCount,'' Journal of the International Society for Respiratory
Protection 30(2): 116-128 (OSHA-2015-0015-0005).
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b. Richardson Study Results
The study authors determined the variability associated with the
reference method using 54 pairs of fit factors from 17 participants.
The exclusion zone was defined as fit factor measurements within one
standard deviation of the 500 pass/fail value. Five pairs of fit
factors were omitted because the normal breathing fit factor ratio
exceeded 100, and three pairs of fit factors were omitted because they
were identified as outliers (> 3 standard deviations from the mean of
the remaining data points). The exclusion zone calculated by the study
authors ranged from 345 to 726 and did not include the three outliers.
OSHA recalculated the exclusion zone with the outlier data included in
the analysis (OSHA-2015-0015-0009). The recalculated exclusion zone
determined by OSHA was somewhat wider ranging from 321 to 780.
The final dataset for the ANSI Fast-Full performance evaluation
included 148 pairs of fit factors from 27 participants. The respirator
models and sizes were used in nearly equal proportion. Eleven pairs
were omitted because the ratio of maximum to minimum normal breathing
fit factors was greater than 100; one pair was omitted due to an
observational anomaly (a torn piece of a cleaning wipe was observed in
the respirator during the test); 136 pairs were included in the data
analysis.
The study authors concluded that their statistical analysis
indicates that the Fast-Full method met the required acceptance
criteria for test sensitivity, predictive value of a pass, predictive
value of a fail, test specificity, and kappa statistic as defined in
the ANSI annex (see Table 1). The same was indicated by OSHA's
statistical analysis, utilizing the wider OSHA-recalculated exclusion
zone, which excluded an additional three pairs for a total of 15 pairs
excluded and 133 pairs included in the analysis. OSHA therefore agrees
with the study authors that the Fast-Full method can identify poorly
fitting respirators at least as well as the reference method.
3. Evaluation of Fast-FFR (Filtering Facepiece Respirator) Method
a. Study Methods
The third Richardson article evaluated the Fast-FFR method.\9\ Ten
models of NIOSH-approved N95 FFRs from six ``leading U.S. mask
manufacturers'' were selected for study.\10\ The different models were
selected to represent a range of styles: six cup-shaped, two horizontal
flat-fold, and two vertical flat-fold models. No information was
provided in the publication about whether models were available in
different sizes. However, at OSHA's request, TSI submitted the
following additional information regarding the choice of respirators
(OSHA-2015-0015-0010):
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\9\ Richardson, A.W. et al. (2014b), ``Evaluation of a Faster
Fit Testing Method for Filtering Facepiece Respirators Based on the
TSI PortaCount,'' Journal of the International Society for
Respiratory Protection 31(1): 43-56 (OSHA-2015-0015-0006).
\10\ The authors chose not to identify the specific respirator
models ``because the intentional mis-sizing and lack of performing a
user seal check would misrepresent performance of these respirators
when used as part of a proper respiratory protection program''
(OSHA-2015-0015-0006).
The study plan for FFR called for 10 N95 FFR. Unlike elastomeric
respirators, FFR designs vary widely and are typically not offered
in different sizes. The authors felt it was important to use a
variety of designs that represent the styles currently available in
the US. Of the 10 models used, 6 were cup-shaped, 2 were vertical-
fold, and 2 were horizontal-fold designs. The cup-shaped style is by
far the most common, which is why 6 of the 10 model selected have
that fundamental design. Four flat-fold designs (2 vertical-fold and
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2 horizontal-fold) models are also included.
Respirators were probed with a flush sampling probe located between
the nose and mouth. Lightweight sample tubing and neck straps were used
to ensure the tubing did not interfere with respirator fit. Twenty-nine
participants (11 female; 18 male) were included in the study. The
reference method, test aerosol, and most other study procedures were
analogous to those used for the Fast-Half and Fast-Full methods.
However, the Fast-FFR method employed these four exercises: Bending,
talking, head side-to-side, and head up-and-down with the same sampling
sequence and durations as the other test protocols. The talking
exercise replaces the jogging exercise used in the Fast-Half and Fast-
Full methods. TSI decided not to eliminate the talking exercise for
FFRs even though their pilot study indicated that it rarely produces
the lowest fit factor (OSHA-2015-0015-0008). They felt from their own
experience that jogging does not represent the kind of motions that FFR
wearers do when using the respirator (OSHA-2015-0015-0008). TSI also
indicated that the sampling probe configured on lightweight FFR
respirators caused the respirator to pull down and away from the face
during jogging creating unintentional leakage. A PortaCount[supreg]
Model 8038 operated in the N95 mode (TSI Inc., Shoreview MN) was used
to measure aerosol concentrations throughout the experiments. The
particle concentrations in the test chamber were expected to be greater
than 400 p/cm\3\. A minimum fit factor of 100 is required in order to
be regarded as an acceptable fit for these types of respirators under
appendix A of the Respiratory Protection Standard.
b. Richardson Study Results
The study administered sequential paired fit tests using the Fast-
FFR
[[Page 50744]]
method and a reference method according to the ANSI annex. The study
authors randomized the order of the two sets of fit test exercises for
each test subject. The study authors determined the variability
associated with the reference method using 63 pairs of fit factors from
14 participants. They defined the exclusion zone as fit factor
measurements within one standard deviation of the 100 pass/fail value.
Two pairs of fit factors were omitted by the study authors because the
normal breathing fit factor ratio exceeded 100, and six pairs of fit
factors were omitted because they were identified as outliers (>3
standard deviations from the mean of the remaining data points). The
exclusion zone calculated by the study authors ranged from 78 to 128
and did not include the six outliers. OSHA recalculated the exclusion
zone with the outlier data included in the analysis (OSHA-2015-0015-
0009). The recalculated exclusion zone was somewhat wider, ranging from
69 to 144.
The final dataset for the ANSI Fast-FFR performance evaluation
included 114 pairs of fit factors from 29 participants. The respirator
models were used in nearly equal proportion. The authors omitted two
pairs because the ratio of maximum to minimum normal breathing fit
factors was greater than 100, leaving 112 pairs for the data analysis.
The study authors concluded that their statistical analysis
indicates that the Fast-FFR method met the required acceptance criteria
for test sensitivity, predictive value of a pass, predictive value of a
fail, test specificity, and kappa statistic as defined in the ANSI
annex (see Table 1). The same was found by OSHA's statistical analysis,
utilizing the wider OSHA-recalculated exclusion zone, which excluded an
additional four pairs for a total of 11 pairs excluded and a 102 pairs
included in the analysis. OSHA therefore agrees with the study that the
Fast-FFR method can identify poorly fitting respirators at least as
well as the reference method.
Table 1--Comparison of Fit Test Protocols With ANSI Criteria
----------------------------------------------------------------------------------------------------------------
ANSI Z88.10 Fast-full Fast-half Fast-FFR
----------------------------------------------------------------------------------------------------------------
Sensitivity..................................... >=0.959 0.98 0.96 1.00
PV Pass......................................... >=0.95 0.98 0.97 1.00
Specificity..................................... >=0.50 0.98 0.97 0.85
PV Fail......................................... >=0.50 0.98 0.93 0.93
Kappa........................................... >=0.70 0.97 \1\ 0.89 \1\ 0.89
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\1\ The kappa values in the table are those determined using the OSHA recalculated exclusion zone. The kappa
values reported by the study authors using a narrower exclusion zone were 0.90 and 0.87, respectively, for the
Fast-Half and Fast-FFR methods.
Other statistical values were the same for both OSHA and study author exclusion zone determinations.
C. Consensus Standards
While appendix A of OSHA's Respiratory Protection Standard
specifies the procedure for adding new fit testing protocols to the
standard, it does not specify any particular method(s) or criteria for
evaluating a new fit test. Section 6(a) of the Act directs the
Secretary of Labor to promulgate by rule ``as an occupational safety or
health standard any national consensus standard . . . unless he
determines that the promulgation of such a standard would not result in
improved safety or health for specifically designated employees.'' 29
U.S.C. 655(a). Section 6(b)(8) of the Act further states: ``Whenever a
rule promulgated by the Secretary differs substantially from an
existing national consensus standard, the Secretary shall, at the same
time, publish in the Federal Register a statement of the reasons why
the rule as adopted will better effectuate the purposes of this Act
than the national consensus standard.'' 29 U.S.C. 655(b)(8). And OSHA
has a long history of considering national safety and health consensus
standards, such as ANSI and NFPA (National Fire Protection
Association), in developing its own standards.
The National Technology Transfer and Advancement Act of 1995
similarly endorses agencies' use of national consensus standards: ``all
Federal agencies and departments shall use technical standards that are
developed or adopted by voluntary consensus standards bodies, using
such technical standards as a means to carry out policy objectives or
activities determined by the agencies and departments.'' Public Law
104-113, section 12(d), 110 Stat. 775, 783 (1996), 15 U.S.C. 272 note.
ANSI/AIHA is such a voluntary consensus standards body, whose
standards, including Z88.10, are widely recognized and accepted by the
industrial hygiene community. OSHA concurs with ANSI that ``this annex
[A2] provides a specific procedure for evaluating fit test methods
against the current body of knowledge.'' OSHA therefore considers the
annex's procedure to be a valid, acceptable method for evaluating new
fit test protocols (ANSI/AIHA, 2010).
D. Comments to the Proposal
In the October 2016 NPRM, OSHA preliminarily determined that the
new protocols met the sensitivity, specificity, predictive value, and
other criteria outlined in the ANSI annex and would, therefore, provide
employees with at least as much protection as the reference method.
That reference method consisted of the standard OSHA exercises listed
in Section I.A.14 of appendix A of the Respiratory Protection Standard
(which are the eight test exercises used for the original ambient
aerosol CNC protocol), minus the grimace exercise, in the same order as
described in the standard (i.e., normal breathing, deep breathing, head
side-to-side, head up-and-down, talking, bending over, normal
breathing). OSHA further concluded that it was reasonable to remove the
grimace exercise from the reference method during the method comparison
testing, because its inclusion would unpredictably impact respirator
fit (see Question #10 below for a more detailed discussion). After
having considered the comments submitted in response to the NPRM
(discussed below), OSHA has concluded that it is appropriate to amend
appendix A of the Respiratory Protection standard to include the
proposed fit test protocols.
In the NPRM, OSHA invited public comment on the accuracy and
reliability of the proposed protocols, their effectiveness in detecting
respirator leakage, and their usefulness in selecting respirators that
will protect employees from airborne contaminants in the workplace.
OSHA invited public comment on the following specific questions:
1. Were the three studies described in the peer-reviewed journal
articles well controlled and conducted according to
[[Page 50745]]
accepted experimental design practices and principles?
2. Were the results of the three studies described in the peer-
reviewed journal articles properly, fully, and fairly presented and
interpreted?
3. Did the three studies treat outliers appropriately in
determination of the exclusion zone?
4. Will the two proposed protocols generate reproducible fit
testing results?
5. Will the two proposed protocols reliably identify respirators
with unacceptable fit as effectively as the quantitative fit testing
protocols, including the OSHA-approved standard PortaCount[supreg]
protocol, already listed in appendix A of the Respiratory Protection
Standard?
6. Did the protocols in the three studies meet the sensitivity,
specificity, predictive value, and other criteria contained in the
ANSI/AIHA Z88.10-2010, Annex A2, Criteria for Evaluating Fit Test
Methods?
7. Are the specific respirators selected in the three studies
described in the peer-reviewed journal articles representative of the
respirators used in the United States?
8. Does the elimination of certain fit test exercises (e.g., normal
breathing, deep breathing, talking) required by the existing OSHA-
approved standard PortaCount[supreg] protocol impact the acceptability
of the proposed protocols?
9. Is the test exercise, jogging-in-place, that has been added to
the Fast-Full and Fast-Half protocols appropriately selected and
adequately explained? Should the jogging exercise also be employed for
the Fast-FFR protocol? Is the reasoning for not replacing the talking
exercise with the more rigorous jogging exercise in the Fast-FFR
protocol (as was done in Fast-Full and Fast-Half) adequately explained?
10. Was it acceptable to omit the grimace from the reference method
employed in the studies evaluating performance of the proposed fit
testing protocols? Is it appropriate to exclude the grimace completely
from the proposed protocols, given that it is not used in the
calculation of the fit factor result specified under the existing or
proposed test methods? If not, what other criteria could be used to
assess its inclusion or exclusion?
11. The protocols in the three studies specify that participants
take two deep breaths at the extreme of the head side-to-side and head
up-and-down exercises and at the bottom of the bend in the bend-forward
exercise. According to the developers of these protocols, the deep
breaths are included to make the exercises more rigorous and
reproducible from one subject to the next. Are these additional
breathing instructions adequately explained in the studies and in the
proposed amendment to the standard? Are they reasonable and
appropriate?
12. Does OSHA's proposed regulatory text for the two new protocols
offer clear instructions for implementing the protocols accurately?
OSHA received 27 comments from 25 separate individuals, with one
individual submitting three separate comments (OSHA-2015-0015-0015 to
OSHA-2015-0015-0042). In addition, TSI submitted a comment several
months after the close of the comment period (OSHA-2015-0015-0047).
OSHA added TSI's comment to the docket as a late submission in the
interest of full disclosure but did not take it into account.
Of the 27 timely comments, six did not specifically address any of
OSHA's specific questions, but were generally in favor of the proposed
protocols (OSHA-2015-0015-0016, OSHA-2015-0015-0018, OSHA-2015-0015-
0019, OSHA-2015-0015-0020, OSHA-2015-0015-0030, OSHA-2015-0015-0039).
Among other things, these comments agreed that the abbreviated
protocols would save time and resources and would increase employer
compliance with safety and health regulations.
OSHA addresses below the comments that addressed the NPRM's
specific questions:
1. Were the three studies described in the peer-reviewed journal
articles well controlled and conducted according to accepted
experimental design practices and principles?
The majority of concerned comments about the proposed protocols
related to the experimental design and methods used in the three
Richardson studies supporting the proposed protocols. The most common
of these criticisms was that the testing was not representative of
``real world'' settings (OSHA-2015-0015-0022, OSHA-2015-0015-0025,
OSHA-2015-0015-0026, OSHA-2015-0015-0027, OSHA-2015-0015-0032, OSHA-
2015-0015-0033, OSHA-2015-0015-0040, OSHA-2015-0015-0041, OSHA-2015-
0015-0042). For example, one commenter asserted that the environment of
the test chambers used in the three Richardson studies was ``too
controlled'' and that the studies ``did not allow for variables
encountered by fit test providers when conducting fit testing in real
world settings'' (OSHA-2015-0015-0026). Another commenter stated: ``In
an uncontrolled environment many factors, including but not limited to,
ventilation, doors being opened, and room temperature can greatly
affect the particle count in a relatively short time'' (OSHA-2015-0015-
0040).
Regarding these comments, OSHA would like to stress that the
proposed protocols were evaluated using the criteria outlined in Annex
A2 of the ANSI/AIHA Z88.10-2010 standard, which does not require
uncontrolled testing conditions with variables such as fluctuating
climate, temperature, elevation, air currents, ventilation, etc. OSHA
considers the ANSI annex method to be a valid method for evaluating new
fit test protocols.
Many of these comments related specifically to the use of generated
aerosols in the three Richardson studies (OSHA-2015-0015-0022, OSHA-
2015-0015-0026, OSHA-2015-0015-0033, OSHA-2015-0015-0041). For example,
one commenter stated:
The PortaCount[supreg] was designed and marketed to be used for
conducting quantitative fit tests using room aerosols, whereas the
supporting studies were conducted in a test chamber using a
generated aerosol. Concentrations of room aerosols are typically
about 1x10\3\ p/cc, whereas in these studies the average challenge
concentrations were about 2x10\4\ p/cc. . . . I would recommend that
the protocols not be accepted until these validation tests are
conducted using ambient aerosols. . . . (OSHA-2015-0015-0033).
Another commenter questioned why the study authors used generated
aerosol in a test chamber when their goal was to prove the
acceptability of a new ambient aerosol test protocol (OSHA-2015-0015-
0041).
None of the three Richardson studies, however, employed a
``generated aerosol'' atmosphere as described in the ANSI/AIHA Z88.10
standard; instead, they used ``the ambient laboratory aerosol which was
augmented by NaCl particles from a TSI Model 8026 Particle Generator''
(OSHA-2015-0015-0004, OSHA-2015-0015-0005, OSHA-2015-0015-0006). This
approach is allowed by ANSI/AIHA in Annex A2, which states that ``a
proposed modification to an accepted QNFT [quantitative fit testing]
protocol can be evaluated using the accepted protocol for that
instrument as the reference standard.'' As some commenters noted (OSHA-
2015-0015-0031, OSHA-2015-0015-0041), it is often necessary to augment
the ambient environment when using the original OSHA-approved ambient
aerosol CNC fit test method in a relatively clean office environment.
The TSI particle generator is one of several approaches commonly used
(OSHA-2015-0015-0051, OSHA-2015-0015-0050). In fact, as noted by one
commenter, technicians sometimes burn candles or incense in order to
reach and
[[Page 50746]]
maintain ambient particle counts (OSHA-2015-0015-0032). OSHA has
concluded that there is no material difference between the experimental
atmosphere employed in the three Richardson studies and the atmosphere
commonly used for quantitative fit testing with the ambient aerosol CNC
method.
Other commenters expressed concerns that the ambient and purge
times were too short (OSHA-2015-0015-0022, OSHA-2015-0015-0026, OSHA-
2015-0015-0027, OSHA-2015-0015-0032, OSHA-2015-0015-0033, OSHA-2015-
0015-0036, OSHA-2015-0015-0038, OSHA-2015-0015-0041, OSHA-2015-0015-
0042). For example, one commenter recommended that the proposed
protocols ``should provide for suitable ambient and respirator purge
durations to address the full range of particle concentrations that the
device is recommended for use in instead of selecting a duration based
on the optimum conditions that were selected for the studies. . . .''
(OSHA-2015-0015-0026). Several commenters were also concerned that each
ambient sample conducted at the beginning and end of the new protocols
lasted only five seconds (OSHA-2015-0015-0032, OSHA-2015-0015-0036,
OSHA-2015-0015-0042).
Regarding these comments, OSHA notes that for every exercise
(except the grimace), the original OSHA-approved ambient aerosol CNC
protocol involves a 4-second ambient purge, a 5-second ambient sample,
and an 11-second mask purge, followed by a 40-second mask sample. A
final 4-second ambient purge and 5-second ambient sample occur after
the last 40-second exercise (normal breathing) mask sample. The
proposed protocols employ the same 4-second ambient purge, 5-second
ambient sample, and 11-second mask purge, followed by 4 consecutive 30-
second mask samples during each of the 4 exercises, and a final 4-
second ambient purge and 5-second ambient sample. The ambient purge and
sample times are the same. The new protocols differ from the original
OSHA-approved sampling protocol in these ways: The ambient environment
is measured only at the beginning and end of the exercises and not
between each exercise, mask purging occurs just once (after the first
ambient sample), and mask sampling time is 30 seconds rather than 40
seconds. Additionally, requirements for conducting the fit test in an
environment with an adequate particle concentration also did not
change; they have been standard practice for the ambient aerosol CNC
fit test method since its inception and approval by OSHA.
Regarding ambient measurements, the only difference between the new
protocols and the original OSHA-approved protocol is that the new
protocols take measurements at the beginning and end of the exercises,
while the original protocol does so between each exercise. Because the
total duration of the new protocols is much shorter than the original--
2.5 minutes versus 7.2 minutes--OSHA has concluded that there is no
need to take periodic samples between exercises. In particular, the
time between the two ambient samples in the proposed protocol is 2
minutes 15 seconds, compared to 55 seconds between each ambient sample
in the original protocol. This minor difference is unlikely to
introduce any significant errors if fit testers follow standard
practice: (1) Ensure the aerosol concentration falls between 1,000 and
30,000 particles/cm\3\ (p/cm\3\) for filters with a NIOSH designation
of N/R/P-99 or 100, and 30 to 1,500 p/cm\3\ for filters with a N/R/P-95
designation; and (2) do not augment the ambient environment if the
concentration exceeds 8000 p/cm\3\ or 800 p/cm\3\ for the 99/100 or the
95 filters, respectively (OSHA-2015-0015-0049).
Two commenters expressed concern over eliminating purging between
exercises altogether (OSHA-2015-0015-0022, OSHA-2015-0015-0038). But
there is no reason for purging between the different exercises in the
proposed protocol because the instrument continues to sample from the
same environment (inside the facepiece) throughout the exercises.
Particles measured during the first few seconds of transition from one
exercise to the next will have almost no influence on the average
concentration over a 30-second exercise sampling period.
Purging ensures that the sensing volume evaluates particles from
the correct environment and is only necessary when switching between
ambient and mask samples or vice versa. The proposed protocols do not
switch between ambient and mask sampling during the exercises, so
purging is not required.
Some commenters requested further review of the methodology of the
three Richardson studies or further validation testing by a ``third
party'' (OSHA-2015-0015-0029, OSHA-2015-0015-0040). OSHA notes that the
studies were conducted by a third party, Battelle Memorial Institute,
and the study methods were approved by Battelle's Institutional Review
Board. In addition, NIOSH stated that their ``review determined that
the three methods met the criteria contained in the ANSI/AIHA Z88.10-
2010, Annex A2'' (OSHA-2015-0015-0031). And one commenter who had some
concerns about the proposed protocols conceded that the ``referenced
peer-reviewed articles in J. of Respiratory Protection appear to meet
the mathematical and statistical criteria we expect'' (OSHA-2015-0015-
0024). Finally, the publication of the three Richardson studies in a
peer-reviewed industrial hygiene journal suggests they were well-
controlled and conducted according to accepted experimental design
practices and principles. In summary, OSHA determined that the public
comments did not identify any significant shortcomings in the
experimental design and methodology used in the three studies.
2. Were the results of the three studies described in the peer-
reviewed journal articles properly, fully, and fairly presented and
interpreted?
Although critical of the fact that the studies were conducted in a
test chamber as opposed to a real world setting, one commenter stated
``that under the specific set of conditions that the tests were
performed that they were presented well'' (OSHA-2015-0015-0026). But
another commenter expressed that it was ``impossible to determine if
the articles were properly, fully, and fairly presented and
interpreted'' because the articles did not provide data tables listing
``respirator make, model, style, size, individuals tested, and the
paired results of the new test and the reference test'' as outlined in
the ANSI annex (OSHA-2015-0015-0038). The annex recommends--but does
not require--such tables, and it is often difficult to publish a peer-
reviewed article containing a complete dataset. Regardless, OSHA
reviewed the full datasets provided by TSI as part of the review of the
study protocols, and no commenters asked to see the datasets. In
summary, OSHA finds that the public comments did not identify any
significant shortcomings in the way that the results of the three
journal articles were presented or interpreted.
3. Did the three studies treat outliers appropriately in
determination of the exclusion zone?
While OSHA disagreed with the studies' omissions of outliers in
calculating exclusion zones, OSHA recalculated exclusion zones with the
outlier data included, and the results of the re-analysis did not
change any of the studies' conclusions. In addition, NIOSH considered
the study authors' identification of outliers to be ``a reasonable
method for diagnosing/identifying outliers'' (OSHA-2015-
[[Page 50747]]
0015-0031). Finally, no commenters expressed concern about the
treatment of outliers. OSHA concludes that the treatment of outliers in
the studies did not undermine any of the studies' results or
conclusions.
4. Will the two proposed protocols generate reproducible fit
testing results?
Some commenters questioned the reproducibility of fit testing
results using the two proposed protocols (OSHA-2015-0015-0022, OSHA-
2015-0015-0042), but did not offer any compelling data or research
suggesting their non-reproducibility. One of these commenters had
concerns based on NIOSH's recommendation that OSHA (OSHA-2015-0015-
0042) conduct additional research to gather evidence for a more
informed decision. The commenter stated:
With this recommendation OSHA should not accept a protocol that
still needs further evidence to show it will produce reproducible
fit testing results. There are too many respirators and employees in
hazardous conditions to allow a protocol to move forward that isn't
fully vetted and accurate (OSHA-2015-0015-0042).
OSHA believes this commenter took NIOSH's comment out of context. The
NIOSH response to this question--in its entirety--is the following:
The studies used the OSHA-accepted ambient aerosol condensation
nuclei counter (CNC) quantitative fit testing protocol as the
reference method. This method has been shown to produce reproducible
fit testing results [Zhuang et al. 1998; Coffey et al. 2002]. Using
the procedures and requirements of ANSI Z88.10-2010, the abbreviated
methods provided results comparable to the reference method.
Therefore, the proposed protocols are anticipated to generate
reproducible results. NIOSH recommends that additional research be
conducted to provide evidence for a more informed decision (OSHA-
2015-0015-0031).
While additional research is always valuable, OSHA agrees with
NIOSH that the proposed protocols are anticipated to generate
reproducible results. The proposed protocols were evaluated based on
the approach specified in the ANSI annex, which provides a specific
procedure for evaluating fit test methods ``against the current body of
knowledge'' and is considered a valid method by much of the industrial
hygiene community. Having met the criteria of the ANSI annex, OSHA
concludes that the proposed protocols will generate reproducible fit
testing results.
5. Will the two proposed protocols reliably identify respirators
with unacceptable fit as effectively as the quantitative fit testing
protocols, including the OSHA-approved standard PortaCount[supreg]
protocol, already listed in appendix A of the Respiratory Protection
Standard?
Several commenters questioned not only the acceptability of the
proposed protocols, but also the validity of the original ambient
aerosol particle counting quantitative method already accepted by OSHA
and listed in appendix A (OSHA-2015-0015-0022, OSHA-2015-0015-0026,
OSHA-2015-0015-0027, OSHA-2015-0015-0029). Some of these commenters
were also of the opinion that the CNP-based fit testing methods are
superior to other quantitative fit testing methods. One commenter
(OSHA-2015-0015-0042) stated that the following NIOSH ``statement
raises major concerns to the ability & proven accuracy of this proposed
protocol to identify respirators with unacceptable fit'':
Evidence is not available in the literature to assess whether
the two proposed protocols reliably identify respirators with
unacceptable fit as effectively as the other accepted quantitative
fit testing protocols (generated aerosol and controlled negative
pressure (CNP)). It is recommended that further side-by-side studies
be conducted to test the equivalency of the new PortaCount Fast-Fit
methods in identifying poorly fitting respirators as effectively as
the OSHA-accepted CNP testing; potentially, tests using other
``generated aerosols'' would be needed to determine whether the
methods are equivalent (OSHA-2015-0015-0031).
Although NIOSH recommended future research, it nonetheless recommended
that OSHA accept the proposed protocols. In its review of the three
Richardson studies, NIOSH also determined that the proposed protocols
conform to the requirements of the ANSI annex.
The validity of the original OSHA-approved ambient aerosol CNC fit
testing protocol was never under question in this rulemaking. Appendix
A of OSHA's Respiratory Protection Standard states that quantitative
fit testing using ambient aerosol as the test agent and appropriate
instrumentation (condensation nuclei counter) to quantify the
respirator fit has ``been demonstrated to be acceptable.'' In addition,
the members of the ANSI/AIHA Z88.10 ``Respirator Fit Testing Methods''
committee, who represent many of the nation's leading respiratory
protection experts, opted to retain, rather than reject, this method as
an acceptable quantitative fit testing method when they updated the
national consensus standard in 2010. Furthermore, the proposed
protocols were evaluated using the method described in the ANSI annex,
which does not require a statistical comparison against the CNP method
(OSHA-2015-0015-0007). Likewise, OSHA's Respiratory Protection Standard
does not require that a new fit testing protocol be compared to the CNP
method, or any other specific fit testing method. Moreover, just as
OSHA does not rank specific makes and models of respirators, OSHA also
does not rank fit testing methods. Each fit testing method has its own
advantages and disadvantages.
In summary, OSHA determined that the new protocols met the
sensitivity, specificity, predictive value, and other criteria outlined
in the ANSI annex and will, therefore, provide employees with
protections comparable to protections afforded to them by the reference
method, which consisted of the standard OSHA exercises listed in
Section I.A.14 of appendix A of the Respiratory Protection Standard,
minus the grimace exercise, in the same order as described in the
standard (i.e., normal breathing, deep breathing, head side-to-side,
head up-and-down, talking, bending over, normal breathing). These are
the same test exercises, minus the grimace, that are utilized for both
the CNC and CNP protocols. OSHA concluded that it was reasonable to
remove the grimace exercise from the reference method during the method
comparison testing, because its inclusion would unpredictably impact
respirator fit within each pair of data comparing the current and new
fit test protocols (see Question #10 below for a more detailed
discussion).
6. Did the protocols in the three studies meet the sensitivity,
specificity, predictive value, and other criteria contained in the
ANSI/AIHA Z88.10-2010, Annex A2, Criteria for Evaluating Fit Test
Methods?
One commenter stated that evaluating the sensitivity of the new
protocols ``presents a quandary because the sensitivity of the standard
PortaCount protocol has itself not been established'' (OSHA-2015-0015-
0022). As discussed under question #5, the validity of the original
OSHA-approved ambient aerosol CNC fit testing protocol is not at issue
in this rulemaking.
OSHA's evaluation of the proposed protocols determined that they
met the criteria outlined in the ANSI annex (see sections A-B above).
In addition, NIOSH stated that their ``review determined that the three
methods met the criteria contained in the ANSI/AIHA Z88.10-2010, Annex
A2'' (OSHA-2015-0015-0031). Another commenter agreed that ``the
submitted request has followed the defined procedures and the results
fit within the statistical limits set forth in ANSI Z88.10-2010''
(OSHA-2015-0015-0035). Furthermore, OSHA
[[Page 50748]]
determined that the public comments did not provide any substantive
data or information suggesting that the proposed protocols in the three
studies did not meet the sensitivity, specificity, predictive value,
and other criteria contained in the ANSI annex.
7. Are the specific respirators selected in the three studies
described in the peer-reviewed journal articles representative of the
respirators used in the United States?
One commenter questioned the ``very small sample of the wide range
of tight sealing respirators that were used in the [studies]'' (OSHA-
2015-0015-0029), and another expressed that ``the small sample size of
respirators chosen for testing lends itself to being less than ideal''
(OSHA-2015-0015-0040). However, neither commenter provided specific
recommendations or statistical data regarding the numbers and types of
respirators that should have been selected or why. Further, the
industrial hygiene research community does not require a specified
sample size of respirators to assess fit testing protocols. Finally,
had the respirator sample size been too small to produce reliable
results, the studies likely would not have been accepted for
publication in a peer-reviewed journal.
One commenter questioned why the Richardson studies included only
filtering facepiece respirators without exhalation valves, noting that
many users opt to wear filtering facepiece respirators with exhalation
valves for comfort reasons (OSHA-2015-0015-0026). But an exhalation
valve does not affect respirator fit. While the study authors did not
explain how they selected the respirator models and designs, OSHA has
determined that the public comments did not identify any significant
shortcomings in respirator selection and believes that the models and
designs selected for the three experiments were appropriately
representative.
8. Does the elimination of certain fit test exercises (e.g., normal
breathing, deep breathing, talking) required by the existing OSHA-
approved standard PortaCount[supreg] protocol impact the acceptability
of the proposed protocols?
Several commenters expressed concern over removing certain fit test
exercises (OSHA-2015-0015-0021, OSHA-2015-0015-0024, OSHA-2015-0015-
0025, OSHA-2015-0015-0029, OSHA-2015-0015-0032, OSHA-2015-0015-0033,
OSHA-2015-0015-0038, OSHA-2015-0015-0041), but did not provide any
peer-reviewed data or published research to support their opinions.
Three commenters (OSHA-2015-0015-0021, OSHA-2015-0015-0025, OSHA-2015-
0015-0032) expressed concern about removing the talking exercise,
because they had experienced fit test failures during the talking
exercise when fit testing workers. Another commenter felt that ``it
doesn't make sense to eliminate [the talking] exercise simply because
it wasn't the worst contributing exercise with poor fitting
respirators'' (OSHA-2015-0015-0033). A third suggested retaining the
head side-to-side, head up-and-down, and talking exercises because he
believes they are currently the most rigorous exercises (OSHA-2015-
0015-0024).
Another commenter suggested that ``the conclusion to eliminate
Normal Breathing 2 (NB2) from the Fast Full Protocol is extremely
subjective'' and questioned how ``NB2 [normal breathing #2] could be
eliminated and UD [moving head up and down] kept if there is no
correlation with the study data?'' (OSHA-2015-0015-0038). This
commenter suggested increasing the purge time to improve the ability of
the NB2 exercise to detect poor fits. Regarding this question, OSHA has
concluded that TSI properly excluded the second normal breathing
exercise. In TSI's study of the Fast-Full method, the second normal
breathing exercise had the lowest fit factor 19% of the time for poor-
fitting respirators. While this score normally indicates an exercise
was effective at detecting poor-fitting respirators, TSI concluded that
score was anomalous because the corresponding score for the first
normal breathing (NB1) exercise was 0%. TSI reasoned the 19% score was
a result of particles introduced into the facepiece during the
preceding (bending over) exercise that were not purged (OSHA-2015-0015-
0008). Increasing the purge time to clear such particles would not, as
the commenter suggests, improve the ability of the NB2 exercise to
detect poor fits. Instead, NB2 would likely be as ineffective as NB1,
which was never the lowest fit factor for any poor-fitting respirators.
This is also supported by the fact that the NB1 and NB2 exercises
produced the lowest fit factors only 2% and 5% of the time,
respectively, for good-fitting respirators.
One commenter noted that ``[e]limination of the normal breathing,
deep breathing, and talking fit test exercises from the proposed Fast
protocols has significant potential for adverse impact on PortaCount
fit test results in the real world'' (OSHA-2015-0015-0022). With
respect to normal breathing and talking, the commenter noted that
several studies not mentioned by the three Richardson studies indicate
that the first normal breathing exercise fit factor is typically lower
than fit factors from all subsequent exercises and that the talking
exercise also often results in a lower fit factor. But this commenter
did not provide any basis to believe eliminating these exercises will
put workers at risk. Indeed, he conceded that ``respirator donning has
a greater effect on respirator fit than do fit test exercises'' and
``the lower fit factors produced by the talking exercise appear to be
more consistent with sampling artifact than with actual exercise
dynamics.'' And, as TSI explained, fit factors for the second normal
breathing exercise are likely to be contaminated by prior exercises
(OSHA-2015-0015-0008). Finally, this commenter offered no data or
published information that suggest deep breathing is more rigorous than
other exercises or that eliminating deep breathing will put workers at
risk.
One commenter (OSHA-2015-0015-0029) stated that ``our experience
strongly suggests that the Deep Breathing and Talking Exercises are
frequently the exercises that see the lowest fit factors calculated and
often are `THE Exercises' which determine whether a respirator wear
will achieve a Pass or Failure following the completion of the fit test
series of exercises.'' He further suggested ``a more thorough
evaluation of this change by a third party such as NIOSH-NPPTL. . . .''
Another commenter requested that a review of the studies be performed
by an independent third party (OSHA-2015-0015-0040). NIOSH/NPPTL did in
fact review and evaluate the studies. In the comments NIOSH submitted
to OSHA, NIOSH did not express any concern over the removal of the
talking exercise and ultimately ``recommend[ed] that OSHA accept the
three protocols'' (OSHA-2015-0015-0031).
Regarding all these comments, the industrial hygiene community has
not come to a consensus as to which test exercises must be used in a
new fit testing protocol. Neither the ANSI annex nor OSHA's appendix
requires any specific test exercise(s) be used in a new fit testing
protocol. Further, in 2004, OSHA approved an abbreviated version of the
CNP protocol, called the CNP REDON protocol, which excludes the deep
breathing and talking exercises, and includes only the facing forward
(same as normal breathing), bending over, and head shaking exercises.
In sum, the information submitted in the public comments did not
convince OSHA that the elimination of the deep breathing and talking
exercises adversely impacted the acceptability of the proposed
protocols,
[[Page 50749]]
which met the sensitivity, specificity, predictive value, and other
criteria contained in the ANSI annex.
9. Is the test exercise, jogging-in-place, that has been added to
the Fast-Full and Fast-Half protocols appropriately selected and
adequately explained? Should the jogging exercise also be employed for
the Fast-FFR protocol? Is the reasoning for not replacing the talking
exercise with the more rigorous jogging exercise in the Fast-FFR
protocol (as was done in Fast-Full and Fast-Half) adequately explained?
One commenter was of the opinion that ``[t]he jogging exercise,
while rigorous, is not representative of real-life civilian
activities'' (OSHA-2015-0015-0024). NIOSH stated that it would have
liked to have seen references to support that the jogging-in-place
exercise used in the protocols for elastomeric respirators was
aggressive in evaluating the respirator seal. However, this did not
prevent NIOSH from recommending that OSHA approve the proposed
protocols (OSHA-2015-0015-0031). Furthermore, as stated above under
question #8, the industrial hygiene community has not come to a
consensus as to which test exercise(s) must be included in new fit
testing protocols. More importantly, neither the ANSI annex nor OSHA's
appendix requires that any specific test exercise(s) be used in a new
fit testing protocol.
10. Was it acceptable to omit the grimace from the reference method
employed in the studies evaluating performance of the proposed fit
testing protocols? Is it appropriate to exclude the grimace completely
from the proposed protocols, given that it is not used in the
calculation of the fit factor result specified under the existing or
proposed test methods? If not, what other criteria could be used to
assess its inclusion or exclusion?
One commenter (OSHA-2015-0015-0026) stated that he ``seriously
question[s] the choice of the study and protocol authors in removing
the Grimace exercise.'' While he ``concur[s] with their statement that
it cannot be consistently applied and with their statement that the fit
factor if measured should not be used in calculation of the fit
factor,'' his ``interpretation is that the importance of the grimace is
not in the fit factor achieved during this step of the protocol but
instead in the ability of the mask to re-seal after this exercise which
goes to the respirator['s] proper fit.''
While NIOSH (OSHA-2015-0015-0031) ``recommends that the grimace
test be included in the abbreviated protocols when used in the
workplace since it is part of the currently accepted protocols,'' NIOSH
agrees that the new ``protocols provide a valid reason for not
including [the grimace] in the method comparison testing since it would
add a non-controlled variable.'' Similarly, another commenter stated:
The Grimace exercise is intended to break the face seal and then
measure the recovery of the seal in the following exercises. By
breaking the seal in the Grimace exercise during the reference
protocol you have now altered the original fit of the mask and
compromised the second fit test data. Therefore it makes logical
sense that this exercise was eliminated from the test procedure for
both the reference test and the proposed test. The fit of the mask
as originally donned is consistent for both the reference test and
the proposed protocol test (OSHA-2015-0015-0035).
OSHA agrees that it is reasonable to remove the grimace exercise
from the reference method during the method comparison testing, because
its inclusion would unpredictably impact respirator fit. Some
respirator fit test protocols include the grimace exercise because it
is believed that it will unseat the respirator facepiece; whether this
occurs is assessed, however, only during the subsequent exercise--fit
measured during the grimace exercise is not included in the calculation
of overall fit. Because method comparison requires a range of fit
factors (from poor- to well-fitting respirators), OSHA believes that
excluding the short grimace exercise allows for a more consistent
assessment of fit between the reference and new fit test protocols.
Finally, neither the ANSI annex nor the OSHA appendix specifies
which exercises must be used in a new fit testing protocol. The 2010
ANSI Z88.10 standard specifically considers the grimace exercise to be
elective for the particle-counting instrument quantitative fit test
procedure that it describes (see Table I). And although OSHA requires
the grimace exercise as part of the original ambient aerosol CNC
protocol, OSHA approved an abbreviated CNP REDON protocol in 2004 that
excluded the grimace exercise among four other exercises. As such, OSHA
concludes that it is not necessary to add the grimace exercise to the
proposed protocols.
11. The protocols in the three studies specify that participants
take two deep breaths at the extreme of the head side-to-side and head
up-and-down exercises and at the bottom of the bend in the bend-forward
exercise. According to the developers of these protocols, the deep
breaths are included to make the exercises more rigorous and
reproducible from one subject to the next. Are these additional
breathing instructions adequately explained in the studies and in the
proposed amendment to the standard? Are they reasonable and
appropriate?
OSHA received no comments regarding these questions, which suggests
that the breathing instructions were adequately explained in both the
studies and in the proposed amendment to the standard, and that
stakeholders were not concerned about this issue.
12. Does OSHA's proposed regulatory text for the two new protocols
offer clear instructions for implementing the protocols accurately?
Neither TSI nor any commenters expressed concern about the clarity
of OSHA's proposed regulatory text instructions for implementing the
protocols. In the absence of such comments, the only changes that OSHA
has made to the proposed regulatory text include an expansion of the
titles of Tables A-1 and A-2 to match the names of the new protocols
exactly. OSHA did this solely for clarity, so employers correctly
correlate these two new tables with the two new proposed protocols.
Several commenters expressed miscellaneous concerns that did not
fall directly under any of OSHA's specific questions for public
comment. OSHA addresses each in turn. One commenter was not in favor of
any quantitative fit testing methods because, in his view, qualitative
fit tests are more convincing to the respirator wearers themselves
(OSHA-2015-0015-0017):
[p]assing quantitative measurements may be literally orders of
magnitude apart. If the machine says a 13 is passing, and a 400 is
passing as well, how are the wearers of the respirators supposed to
feel when they compare their numbers? (I have literally seen those
numbers before entering a CBRN Defense Training Facility (CDTF) with
live nerve and mustard agent; each individual was concerned that
his/her mask was not as ``good'' as the other's, as they had no idea
what the numbers meant.
As an initial matter, this rulemaking was not intended to compare
qualitative fit tests to quantitative fit tests--employers are free to
choose such tests as appropriate under appendix A of the Respiratory
Protection Standard. The two new protocols will serve only as
additional quantitative fit testing options to employers. That said,
qualitative fit testing is not appropriate for certain respirators. In
fact, the individuals described by the commenter could not have used
qualitative fit testing because proper protection against CBRN
(chemical, biological, radiological and nuclear) exposures
[[Page 50750]]
requires a full-facepiece, which must be fit tested using a
quantitative method.\11\
---------------------------------------------------------------------------
\11\ Qualitative fit tests are limited to negative pressure air-
purifying respirators that must achieve a fit factor of 100 or less,
i.e., they may only be used to fit test half-mask, not full-
facepiece, respirators. 29 CFR 1910.134(f)(6).
---------------------------------------------------------------------------
Another commenter was concerned about shortening the protocols to
less than an eight-minute period, because she thought that symptoms of
claustrophobia/panic attacks might not manifest before eight minutes
(OSHA-2015-0015-0021). However, the risk of claustrophobia/panic
attacks is already addressed when the wearer is required, under Sec.
1910.134(e)(1) of the Respiratory Protection Standard, to undergo a
mandatory medical evaluation ``to determine the employee's ability to
use a respirator, before the employee is fit tested or required to use
the respirator in the workplace.'' And the mandatory medical
questionnaire in Appendix C of the standard includes a question
regarding claustrophobia. In addition, OSHA is unaware of this having
been an issue for respirator wearers fit tested using the CNP REDON
protocol, which also lasts less than eight minutes and was approved by
OSHA in 2004.
Two commenters who favored shorter protocols expressed interest in
making the new protocols available on all ambient aerosol CNC-based fit
testing instruments, particularly the older PortaCount[supreg] (model
8020) machines (OSHA-2015-0015-0028, OSHA-2015-0015-0030). OSHA notes
that the new protocols are not restricted to any particular testing
instrument because OSHA only approves fit testing protocols, not
specific fit testing machines.\12\ OSHA has no authority to require
specific fit testing machines or models for new protocols. Employers
must contact the manufacturers of CNC fit testing machines to determine
which models support the new protocols.
---------------------------------------------------------------------------
\12\ TSI informed OSHA that the new protocols would not be
available on the now-discontinued 8020 models (OSHA-2015-0010).
---------------------------------------------------------------------------
E. Conclusions
After reviewing the comments submitted to the record, OSHA finds
that the two proposed modified ambient aerosol CNC quantitative fit
testing protocols are supported by peer-reviewed studies that were
conducted according to accepted experimental design practices and
principles and that produced results that were properly, fully, and
fairly presented and interpreted. In addition, based on the peer-
reviewed studies and comments submitted to the record, OSHA finds that
the two proposed protocols meet the sensitivity, specificity,
predictive value, and other criteria contained in the ANSI annex.
Moreover, the proposed protocols met the criteria of the ANSI annex,
and in the absence of any compelling data or research in the record
that would suggest that the proposed protocols would not generate
reproducible fit testing results, OSHA concludes that the proposed
protocols will generate reproducible fit testing results. In summary,
OSHA concludes that the two proposed protocols are sufficiently
accurate and reliable to approve and include in appendix A of its
Respiratory Protection Standard.
F. N95-CompanionTM Technology
The original TSI PortaCount[supreg] machine (model 8020) could only
be used to fit test respirators equipped with >=99% efficient filter
media (i.e., N-, R-, or P-99 and 100 NIOSH filter designations). In
1998, TSI introduced the N95-CompanionTM Technology, which,
when combined with the PortaCount[supreg] 8020 model, could be used to
fit test respirators equipped with TM Technology already
built into the machine, can test any type of filter by selecting the
appropriate operating mode. Because employers are sometimes confused by
this distinction, OSHA considered using this rulemaking to propose
additional language to Part I.C.3 of appendix A of the Respiratory
Protection Standard to reflect this technological development. The
additional language proposed by OSHA did not alter the fit testing
protocol or impose any new requirements on employers; it was merely
intended for clarification purposes.
One commenter expressed concern over the use of the brand name
``Portacount[supreg]'' within the regulatory text, stating that
``[t]his seems to exclude other potential CNC providers'' (OSHA-2015-
0015-0024). Regarding this comment, the original OSHA-approved ambient
aerosol CNC protocol is often commonly referred to as the
PortaCount[supreg] protocol because of the name of the CNC machines
manufactured by the company (i.e., TSI) that proposed the original
protocol. OSHA is aware of only one other manufacturer that produces
CNC instrumentation that is sold in the U.S. at this time. This new CNC
instrumentation was only recently introduced into the market, so OSHA
estimates that the overwhelming majority of the CNC instruments used in
the U.S. at this time are still TSI PortaCount[supreg] machines. As
such, OSHA determined that it is in the best interests of worker health
and safety to retain the PortaCount[supreg] name within the regulatory
text, as it has appeared in appendix A since 1998. This language is not
intended to be exclude other manufacturers. It is intended merely to
reflect that TSI's machines are those typically used for this test at
this point in time. OSHA does not approve any safety equipment or
require employers to use specific brands of safety equipment. However,
it does sometimes refer to company or brand names when it is in the
interest of safety and health. For example, appendix A of the
Respiratory Protection Standard also includes the brand name (i.e.,
Bitrex[supreg]) for the substance (i.e., denatonium benzoate solution
aerosol) overwhelmingly used for one of the OSHA-approved qualitative
fit testing protocols. In addition, appendix A refers to the name of
the company (i.e., Occupational Health Dynamics) that proposed the
original CNP protocol and manufacturers CNP instrumentation.
OSHA has, however, decided not to add the clarifying information
about the different types of PortaCount[supreg] machines, due to
commenter concerns that the inclusion of such information could create
the appearance of a product endorsement. Since OSHA approves fit
testing protocols rather than machines, OSHA feels that employers can
contact fit testing instrument manufacturers for product specificity
and capabilities.
III. Procedural Determinations
A. Legal Considerations
OSHA's Respiratory Protection Standard is based on evidence that
fit testing is necessary to ensure proper respirator fit for employees,
which protects them against excessive exposure to airborne contaminants
in the workplace. Employers covered by this revision already must
comply with the fit testing requirements specified in paragraph (f) of
OSHA's Respiratory Protection Standard at 29 CFR 1910.134.
OSHA has determined that the additional modified ambient aerosol
CNC protocols provide employees with protection that is comparable to
the protection afforded them by the existing fit testing provisions.
The additional
[[Page 50751]]
modified ambient aerosol CNC protocols do not replace existing fit
testing protocols, but instead are alternatives to them. Therefore,
OSHA finds that the final standard does not directly increase or
decrease the protection afforded to employees, nor does it increase
employers' compliance burden. The additional modified ambient aerosol
CNC protocols reduce the total fit test duration, and therefore may
reduce the compliance burden for employers that elect to use one of
these protocols.
B. Final Economic Analysis and Regulatory Flexibility Certification
The rule is not economically significant under Executive Order
12866 (58 FR 51735) or a ``major rule'' under Section 804 of the Small
Business Regulatory Enforcement Fairness Act of 1996 (5 U.S.C. 804).
The rule imposes no additional costs on any private- or public-sector
entity and is not a significant or major rule under Executive Order
12866 or other relevant statutes or executive orders. This rulemaking
increases employers' flexibility in choosing fit testing methods for
employees, and the final rule does not require an employer to update or
replace its current fit testing method(s) if the fit testing method(s)
currently in use meets existing standards. Furthermore, because the
rule offers additional options that employers would be expected to
select only if those options did not impose any net cost burdens on
them, the rule will not have a significant impact on a substantial
number of small entities.
OSHA received several comments in response to the NPRM related to
the time savings anticipated by the proposal. As discussed in the
``Summary and Explanation,'' a number of commenters noted that time
savings of the proposed fit testing protocols would increase efficiency
and be substantial when aggregated across a large number of employees
(OSHA-2015-0015-0018, OSHA-2015-0015-0020). No comments indicated that
the time savings estimates would be significantly different from those
put forth in the Preliminary Economic Analysis (PEA).\13\ As a result,
OSHA has not changed its methodology for calculating the potential cost
savings of implementing the new protocols.
---------------------------------------------------------------------------
\13\ As discussed in the ``Summary and Explanation,'' several
comments (OSHA-2015-0015-0022, OSHA-2015-0015-0032, OSHA-2015-0015-
0042) expressed concern about the estimated decrease in total
ambient test time included as part of the protocol. The ``Summary
and Explanation'' explains why this test time is reasonable and
sufficient in this context. However, the comments did not question
the total estimated time savings for the new protocols, per se.
---------------------------------------------------------------------------
The new quantitative fit testing (QNFT) protocols will provide
employers additional options to fit test their employees for respirator
use. While OSHA approves fit testing protocols rather than fit testing
machines, OSHA understands that, currently, the market for fit testing
machines using the original ambient aerosol CNC protocol is dominated
by TSI's PortaCount[supreg] machines (Models 8020, 8030, 8038, 8040,
8048).\14\ As such, OSHA's Final Economic Analysis (FEA) focuses
specifically on TSI's PortaCount[supreg] machines. Employers already
using the original ambient aerosol CNC protocol with a
PortaCount[supreg] machine (with the exception of the now-discontinued
8020) may switch from the original ambient aerosol CNC protocol to the
new protocols. OSHA estimates switching saves approximately 5 minutes
per fit test, and grants the employer corresponding cost savings.
---------------------------------------------------------------------------
\14\ TSI indicated that as of the beginning of 2018, there were
no active competitors, but that at least one company may be entering
the market later in the year (OSHA-2015-0015-0046).
---------------------------------------------------------------------------
According to TSI, ``[e]xisting owners of the PortaCount[supreg]
Respirator Fit Tester Pro Model 8030 and/or PortaCount[supreg] Pro+
Model 8038 will be able to utilize the new protocols without additional
expense. It will be necessary for fit testers to obtain a firmware and
FitPro software upgrade, which TSI will be providing as a free
download. As an alternative to the free download, PortaCount[supreg]
Models 8030 and 8038 returned for annual service will be upgraded
without additional charge. Owners of the PortaCount[supreg] Plus Model
8020 with or without the N95-CompanionTM Technology (both
discontinued in 2008) will be limited to the current 8-exercise OSHA
fit test protocol'' (OSHA-2015-0015-0010).\15\ There are approximately
12,000 Model 8030 or 8038 units in the field.\16\ Existing
PortaCount[supreg] users may adopt the new protocols with minimal
effort: The fit tester will be able to select the new protocol after
taking an estimated less than five minutes to download TSI's firmware
and software updates. The individual being fit tested is also likely to
learn the new protocols with minimal time. In fact, information about
the new protocols could be imparted during the annual training mandated
by OSHA's respiratory protection rule (OSHA-2015-0015-0012). As a
practical matter, the new protocols contain fewer exercises requiring
mastery. And Part I.A.12 of appendix A of OSHA's Respiratory Protection
Standard already requires the fit tester to describe the fit test to
the respirator wearer, regardless of which fit test it is or how often
it is used. Thus, there should be no additional burden to the employer
or employee.
---------------------------------------------------------------------------
\15\ TSI later confirmed this information still applied in 2018,
even after the introduction of their new models (OSHA-2015-0015-
0046).
\16\ As indicated by TSI in 2015 (OSHA-2015-0015-0012). As
explained later on in this FEA, the aggregate cost savings were
based on estimates of current use of the 8030 and 8038 models. As
the market is now being augmented with the 8040 and 8048 models, it
is likely a conservative estimate of the potential cost savings.
---------------------------------------------------------------------------
OSHA anticipates many employers who currently use the original
ambient aerosol CNC protocol will adopt the new protocols because they
could be adopted at negligible cost to the employer and would take less
time to administer. OSHA expects that the new protocols are less likely
to be adopted by employers who currently perform fit testing using
other quantitative or qualitative fit tests because of the significant
equipment and training investment that they already have made to
administer these fit tests. For example, OSHA estimates, based on
information from TSI, that switching from qualitative to quantitative
fit testing would require upfront costs of $8,700 to $12,000 per
machine (OSHA-2015-0015-0012).
OSHA has estimates of the number of users of the PortaCount[supreg]
technology at the establishment level, both from the manufacturer and
from the 2001 NIOSH Respirator Survey. However, what is not known is
how many respirator wearers, that is, employees, are fit tested using a
PortaCount[supreg] device. As described in the PEA, OSHA expects that
economies of scale will apply in this situation--larger establishments
will be more likely to encounter situations needing QNFT, but will also
have more employees over which to spread the capital costs. OSHA
received no comments about its understanding of employer size in
relation to QNFT use. Once employers have invested capital in a
quantitative fit testing device, they have more of an incentive to
perform QNFT in a given situation, even if not technically required to
use QNFT in every situation. Also, some QNFT devices are acquired by
third parties, or ``fit testing houses,'' that provide fit testing
services to employers. In short, as put forth in the PEA, OSHA believes
that employers using PortaCount[supreg] QNFT will process more
respirator wearers than the average establishment. OSHA received no
comments about this conclusion.
As set forth in the PEA, if one started with an estimate of 12,000
establishments using PortaCount[supreg]
[[Page 50752]]
models 8030 and 8038 annually for all of their employees and assumed an
average of 100 respirator wearers fit tested annually per
establishment, this yielded an estimate of 1.2 million respirator
wearers that could potentially benefit from the new QNFT protocols.\17\
Alternatively, as also set out in the PEA, a similar estimate would
have been obtained if one assumed, employing data from the 2001 NIOSH
Respirator Survey, that 50 percent of the devices requiring QNFT (such
as full-facepiece elastomeric negative pressure respirators) use
PortaCount[supreg] currently, as well as 25 percent of half-mask
elastomeric respirators, and 10 percent of filtering facepieces.\18\
These estimates in the PEA were not questioned in public comment. In
the intervening period between the PEA and the FEA, the total number of
employees and estimated respirator wearers increased somewhat, raising
the estimated number of respirator wearers affected by the rulemaking,
based on survey data, to approximately 1.3 million.
---------------------------------------------------------------------------
\17\ TSI estimated the number of users of their devices at over
12,000 establishments (OSHA-2015-0015-0012). As indicated in the
PEA, this was consistent with data from the 2001 NIOSH respirator
survey (OSHA-2015-0015-0045), which, if benchmarked to a 2012 count
of establishments (OSHA-2015-0015-0048) and containing fit testing
methods to include ambient aerosol, generated aerosol, and a
proportionally allocated percentage of the ``don't know''
respondents, would provide an estimate of 12,458 establishments
using PortaCount[supreg] currently. Based on information from TSI,
the large majority of these are estimated to be the newer 8030 and
8038 devices.
\18\ Based on the 2001 NIOSH respirator survey (OSHA-2015-0015-
0045), benchmarked to 2015 County Business Patterns (OSHA-2015-0015-
0048), OSHA estimates 1,273,616 (or approximately 1.3 million)
employees will be affected by the rulemaking. These estimates are
based only on private employers. Accounting for governmental
entities would result in an even larger number of total estimated
respirator users affected.
---------------------------------------------------------------------------
If applied to approximately 1.3 million respirators wearers, an
estimated savings of 5 minutes per respirator wearer would equal over
100,000 hours of employee time saved annually. Consistent with
Department of Labor policy for translating the labor time savings into
dollar cost savings for this FEA, OSHA included an overhead rate when
estimating the marginal cost of labor in its primary cost calculation.
Overhead costs are indirect expenses that cannot be tied to producing a
specific product or service. Common examples include rent, utilities,
and office equipment. Unfortunately, there is no general consensus on
the cost elements that fit this definition. The lack of a common
definition has led to a wide range of overhead estimates. Consequently,
the treatment of overhead costs needs to be case-specific. OSHA adopted
an overhead rate of 17 percent of base wages, consistent with overhead
rates used for other regulatory compliance rules.\19\ For example, this
is consistent with the overhead rate used for sensitivity analyses in
the 2017 Improved Tracking FEA and the FEA in support of OSHA's 2016
final standard on Occupational Exposure to Respirable Crystalline
Silica. For example, in this case, to calculate the total labor cost
for a typical respirator wearer, based on the mean worker wage, three
components are added together: Base wage ($23.86) + fringe benefits
($10.42--43.7% of $23.86); \20\ and the applicable overhead costs
($4.06--17% of $23.86). This results in an hourly labor cost of a
respirator wearing employee to $38.34. This implies an estimated cost
savings of $4.1 million attributable to the adoption of the new fit
testing protocols.
---------------------------------------------------------------------------
\19\ The methodology was modeled after an approach used by the
Environmental Protection Agency. More information on this approach
can be found at: U.S. Environmental Protection Agency, ``Wage Rates
for Economic Analyses of the Toxics Release Inventory Program,''
June 10, 2002. This analysis itself was based on a survey of several
large chemical manufacturing plants: Heiden Associates, Final
Report: A Study of Industry Compliance Costs Under the Final
Comprehensive Assessment Information Rule, Prepared for the Chemical
Manufacturers Association, December 14, 1989.
\20\ Mean wage rate of $23.86 (OSHA-2015-0015-0043), assuming
fringe benefits are 30.4 percent of total compensation (OSHA-2015-
0015-0043), or by extension, 43.7% of base wages (1/(1-bw)).
---------------------------------------------------------------------------
Because the $4.1 million represents annual cost savings, the final
estimate is the same when discounted at either 3 or 7 percent. For the
same reason, when the Department of Labor uses a perpetual time horizon
to allow for cost comparisons under E.O. 13771, the annualized cost
savings of the final rule are also $4.1 million with 7 percent
discounting. As indicated earlier, this final estimate includes an
overhead factor in the labor costs. This is estimated to add an
additional savings of approximately 12%, or over $400,000, on what
would have been an estimated savings of $3.6 million.
In addition to costs related to the respirator wearer's time, there
will also likely be time savings for the person administering the fit
tests. However, OSHA did not include this cost savings element in the
PEA because it lacked specific empirical information on this point at
the time of the proposal. OSHA requested comment on this question, but
did not receive any. While OSHA believes this element of the cost
savings is potentially substantial, it is not a critical element for
the FEA, as it is simply a question of how large the cost savings are,
and not required, for example, to determine economic feasibility.
Therefore, OSHA is maintaining in the final analysis the same
analytical approach used in the PEA.\21\
---------------------------------------------------------------------------
\21\ For example, in the PEA OSHA posited that the time saved
may potentially be as much as a 1:1 ratio between the tester and
those being tested. But, for purposes of argument, if the ratio was
only 1:4 (or the equivalent of 1 minute 15 seconds of tester's time
per employee tested), OSHA estimates the cost savings related to the
tester would be an additional $1.3 million.
---------------------------------------------------------------------------
In addition, as discussed, this FEA does not account for potential
conversions from testing methods other than the original ambient
aerosol CNC protocol. While such conversions could further increase
time and cost savings, OSHA cannot predict the number of conversions
with confidence. In short, while certain factors could change the
precise cost savings estimates in the FEA, OSHA believes its estimates
reasonably capture the direction and order of magnitude of the
rulemaking's economic effects.
Regulatory Flexibility Certification
In accordance with the Regulatory Flexibility Act, 5 U.S.C. 601 et
seq. (as amended), OSHA has examined the regulatory requirements of the
final rule to determine whether these requirements will have a
significant economic impact on a substantial number of small entities.
This rule will impose no required costs and could provide a cost
savings in excess of $4 million per year to regulated entities. While
measureable in the aggregate, these savings will be dispersed widely,
and therefore are not estimated to have a substantial economic impact
on any small entity, although the impacts are estimated to be positive.
The Assistant Secretary for Occupational Safety and Health therefore
certifies that the final rule will not have a significant economic
impact on a substantial number of small entities.
C. Paperwork Reduction Act
Overview
The Paperwork Reduction Act (PRA) requires that agencies obtain
approval from OMB before conducting any collection of information (44
U.S.C. 3507). The PRA defines ``collection of information'' to mean
``the obtaining, causing to be obtained, soliciting, or requiring the
disclosure to third parties or the public, of facts or opinions by or
for an agency, regardless of form or format'' (44 U.S.C. 3502(3)(A)).
In accordance with the PRA, 44 U.S.C. 3506(c)(2), OSHA solicited
public comments on proposed revisions to the Respiratory Protection
Standard Information Collection Request (ICR) (paperwork burden hour
and cost
[[Page 50753]]
analysis) for the information collection requirements associated with
the Additional PortaCount[supreg] Quantitative Fit-Testing Protocols:
Amendment to Respiratory Protection Standard proposed rule (81 FR
69747). The Department submitted this ICR to OMB for review in
accordance with 44 U.S.C. 3507(d) on October 7, 2016. A copy of the ICR
for the proposed rule is available to the public at: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=201511-1218-005.
Solicitation of Comments
On November 22, 2016, OMB issued a Notice of Action withholding its
approval of the ICR. OMB requested that, ``[p]rior to publication of
the final rule, the agency should provide a summary of any comments
related to the information collection and their response, including any
changes made to the ICR as a result of comments. In addition, the
agency must enter the correct burden estimates.''
No public comments were received specifically in response to the
proposed ICR submitted to OMB for review. However, several public
comments submitted in response to the NPRM, described earlier in this
preamble, substantively addressed provisions containing collections of
information and included information relevant to the burden hour and
costs analysis. These comments are addressed in the preamble, and OSHA
considered them when it developed the revised ICR associated with this
final rule. See the comment analysis in section II.D above.
Under the PRA, a Federal agency cannot conduct or sponsor a
collection of information unless it is approved by OMB under the PRA,
and the collection of information notice displays a currently valid OMB
control number (44 U.S.C. 3507(a)(3)). Also, notwithstanding any other
provision of law, no employer shall be subject to penalty for failing
to comply with a collection of information if the collection of
information does not display a currently valid OMB control number (44
U.S.C. 3512). The revised information collection requirements found in
the final rule are summarized below.
The Department of Labor has submitted the final ICR concurrent with
the publication of this final rule. The ICR contains a full analysis
and description of the burden hours and costs associated with the
information collection requirements of the final rule to OMB for
approval. A copy of the ICR is available to the public at https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=201904-1218-002. OSHA will
publish a separate notice in the Federal Register announcing the
results of OMB's review. That notice will also include a list of OMB-
approved information collection requirements and the total burden hours
and costs imposed by the final rule.
The additional protocols adopted in this final rule revise the
information collection in a way that reduces existing burden hours and
costs. In particular, the information collection requirement specified
in paragraph (m)(2) of OSHA's Respiratory Protection Standard, at 29
CFR 1910.134, states that employers must document and maintain the
following information on quantitative fit tests administered to
employees: The name or identification of the employee tested; the type
of fit test performed; the specific make, model, style, and size of
respirator tested; the date of the test; and the test results. The
employer must maintain this record until the next fit test is
administered. While the information on the fit test record remains the
same, the time to obtain the necessary information for the fit test
record is reduced since the additional PortaCount[supreg] protocols
will take an employer less time to administer than those currently
approved in appendix A of the Respiratory Protection Standard. As a
result, the total estimated burden hours decrease by 201,640 hours,
from 7,622,100 to 7,420,460 hours. This decrease is a result of the
more efficient protocols established under the final rule. OSHA
accounts for this burden under the Information Collection Request, or
paperwork analysis, for the Respiratory Protection Standard (OMB
Control Number 1218-0099). Note that OSHA cannot require compliance
with the information collection requirements for the new information
collection in this final rule until OMB has approved the information
collection requirements.
Title of Collection: Respiratory Protection Standard (29
CFR1910.134).
OMB Control Number: 1218-0099.
Affected Public: Private Sector--business or other for-profits.
Total Estimated Number of Respondents: 24,710,469.
Total Estimated Number of Responses: 25,042,236.
Total Estimated Annual Time Burden Hours: 7,420,460.
Total Estimated Annual Other Burden: $316,906,665.
D. Federalism
OSHA reviewed this rulemaking according to the Executive Order on
Federalism (E.O. 13132, 64 FR 43255, Aug. 10, 1999), which requires
that Federal agencies, to the extent possible, refrain from limiting
state policy options, consult with states before taking actions that
would restrict states' policy options and take such actions only when
clear constitutional authority exists and the problem is of national
scope. The Executive Order provides for preemption of state law only
with the expressed consent of Congress. Federal agencies must limit any
such preemption to the extent possible.
Under section 18 of the Occupational Safety and Health Act (the
``Act,'' 29 U.S.C. 651 et seq.), Congress expressly provides that
states may adopt, with Federal approval, a plan for the development and
enforcement of occupational safety and health standards (29 U.S.C.
667). OSHA refers to states that obtain Federal approval for such a
plan as ``State Plan states.'' Occupational safety and health standards
developed by State Plan states must be at least as effective in
providing safe and healthful employment and places of employment as the
Federal standards. Subject to these requirements, State Plan states are
free to develop and enforce under state law their own requirements for
occupational safety and health standards. With respect to states that
do not have OSHA-approved plans, OSHA concludes that this standard
conforms to the preemption provisions of the Act. Section 18 of the Act
prohibits states without approved plans from issuing citations for
violations of OSHA standards. OSHA finds that the rule does not expand
this limitation. Therefore, for States that do not have approved
occupational safety and health plans, the rule will not affect the
preemption provisions of Section 18 of the Act.
OSHA's rulemaking to adopt additional fit testing protocols under
its Respiratory Protection Standard at 29 CFR 1910.134 is consistent
with Executive Order 13132 because the problems addressed by these fit
testing requirements are national in scope. OSHA concludes that the fit
testing protocols adopted by this rulemaking provide employers in every
state with procedures that will assist them in protecting their
employees from the risks of exposure to atmospheric hazards. In this
regard, the rule offers thousands of employers across the nation an
opportunity to use additional protocols to assess respirator fit among
their employees. Therefore, the rule provides employers in every state
with an alternative means of complying with the fit testing
requirements specified by paragraph (f) of OSHA's Respiratory
Protection Standard.
Section 18(c)(2) of the Act (29 U.S.C. 667(c)(2)) requires State
Plan states to
[[Page 50754]]
adopt an OSHA standard, or to develop and enforce an alternative that
is at least as effective as the OSHA standard. However, the new fit
testing protocols adopted by this rulemaking provide employers with
alternatives to the existing fit testing protocols specified in the
Respiratory Protection Standard; therefore, the alternative is not,
itself, a mandatory standard. Accordingly, states with OSHA-approved
State Plans are not obligated to adopt the additional fit testing
protocols adopted here. Nevertheless, OSHA strongly encourages them to
adopt the final provisions to provide additional compliance options to
employers in their states.
In summary, this rulemaking complies with Executive Order 13132. In
states without OSHA-approved State Plans, this rulemaking limits state
policy options in the same manner as other OSHA standards. In State
Plan states, this rulemaking does not significantly limit state policy
options.
E. State Plan States
Section 18(c)(2) of the Act (29 U.S.C. 667(c)(2)) requires State
Plan states to adopt mandatory standards promulgated by OSHA, or to
develop and enforce an alternative that is at least as effective as the
OSHA standard. However, as noted in the previous section of this
preamble, states with OSHA-approved State Plans are not obligated to
adopt the provisions of this final rule. Nevertheless, OSHA strongly
encourages them to adopt the final provisions to provide compliance
options to employers in their States. In this regard, OSHA concludes
that the fit testing protocols adopted by this rulemaking provide
employers in the State Plan states with procedures that protect the
safety and health of employees who use respirators against hazardous
airborne substances in their workplace at least as well as the
quantitative fit testing protocols in appendix A of the Respiratory
Protection Standard.
There are 28 states and U.S. territories that have their own OSHA-
approved occupational safety and health programs called State Plans.
The following 22 State Plans cover state and local government employers
and private-sector employers: Alaska, Arizona, California, Hawaii,
Indiana, Iowa, Kentucky, Maryland, Michigan, Minnesota, Nevada, New
Mexico, North Carolina, Oregon, Puerto Rico, South Carolina, Tennessee,
Utah, Vermont, Virginia, Washington, and Wyoming. The following six
State Plans cover state and local government employers only:
Connecticut, Illinois, Maine, New Jersey, New York, and the Virgin
Islands.
F. Unfunded Mandates Reform Act
OSHA reviewed this rulemaking according to the Unfunded Mandates
Reform Act of 1995 (UMRA) (2 U.S.C. 1501-1507) and Executive Order
12875 (58 FR 58093 (1993)). As discussed above in section III.B of this
preamble (``Final Economic Analysis and Regulatory Flexibility
Certification''), OSHA has determined that the rule imposes no
additional costs on any private-sector or public-sector entity. The
substantive content of the rule applies only to employers whose
employees use respirators for protection against airborne contaminants,
and compliance with the protocols contained in the final rule are
strictly optional for these employers. Accordingly, the final rule does
not require additional expenditures by either public or private
employers. Therefore, this rulemaking is not a significant regulatory
action within the meaning of Section 202 of the UMRA, 2 U.S.C. 1532.
As noted above under Section E (``State Plan States'') of this
preamble, OSHA standards do not apply to state or local governments
except in states that have voluntarily elected to adopt an OSHA-
approved State Plan. Consequently, this final rulemaking does not meet
the definition of a ``Federal intergovernmental mandate'' (see 2 U.S.C.
658(5)). Therefore, for the purposes of the UMRA, the Assistant
Secretary for Occupational Safety and Health certifies that this
rulemaking does not mandate that state, local, or tribal governments
adopt new, unfunded regulatory obligations, or increase expenditures by
the private sector of more than $100 million in any year.
G. Applicability of Existing Consensus Standards
Section 6(b)(8) of the Act (29 U.S.C. 655(b)(8)) requires OSHA to
explain ``why a rule promulgated by the Secretary differs substantially
from an existing national consensus standard,'' by publishing ``a
statement of the reasons why the rule as adopted will better effectuate
the purposes of the Act than the national consensus standard.'' The
American National Standards Institute (ANSI) developed a national
consensus standard on fit testing protocols (``Respirator Fit Testing
Methods,'' ANSI Z88.10-2001) as an adjunct to its national consensus
standard on respiratory protection programs. ANSI/AIHA updated the
Z88.10 standard in 2010 (``Respirator Fit Testing Methods,'' ANSI
Z88.10-2010) (OSHA-2015-0015-0007).
Paragraph 7.2 of ANSI/AIHA Z88.10-2010 specifies the requirements
for conducting a particle-counting-instrument (e.g.,
PortaCount[supreg]) quantitative fit test. The modified CNC protocols
adopted by the final rule are variations of this national consensus
standard's particle counting-instrument quantitative fit test
procedures: The new protocols require the same 30-second duration for
fit testing exercises, but not the same exercises as ANSI/AIHA.
However, Annex A2 of ANSI/AIHA Z88.10-2010 recognizes that a
universally accepted measurement standard for respirator fit testing
does not exist and provides specific requirements for evaluating new
fit testing methods. OSHA has concluded that the modified CNC protocols
submitted by TSI meet the evaluation criteria outlined in ANSI/AIHA
Z88.10-2010, Annex A2.
H. Advisory Committee for Construction Safety and Health (ACCSH) Review
of the Proposed Standard
The Contract Work Hours and Safety Standards Act (Construction
Safety Act) (40 U.S.C. 3704), OSHA regulations governing the Advisory
Committee for Construction Safety and Health (ACCSH) (i.e., 29 CFR
1912.3), and provisions governing OSHA rulemaking (i.e., 29 CFR
1911.10) require OSHA to consult with the ACCSH whenever OSHA proposes
a rule involving construction activities. Specifically, 29 CFR 1911.10
requires that the Assistant Secretary provide the ACCSH with ``any
proposal of his own,'' together with ``all pertinent factual
information available to him, including the results of research,
demonstrations, and experiments.''
The addition of two quantitative fit test protocols to appendix A
of OSHA's Respiratory Protection Standard affects the construction
industry because it revises the fit testing procedures used in that
industry (see 29 CFR 1926.103). Accordingly, OSHA provided the ACCSH
members with TSI's application letter, supporting documents, and other
relevant information, prior to the December 4, 2014 ACCSH meeting. OSHA
explained its proposal to add new protocols to the ACCSH at that
meeting, and the ACCSH unanimously approved proceeding with a proposed
rule.
List of Subjects in 29 CFR Part 1910
Fit testing, Hazardous substances, Health, Occupational safety and
health, Respirators, Respiratory protection, Toxic substances.
[[Page 50755]]
Authority and Signature
Loren Sweatt, Acting Assistant Secretary of Labor for Occupational
Safety and Health, U.S. Department of Labor, authorized the preparation
of this document pursuant to Sections 4, 6, and 8 of the Occupational
Safety and Health Act of 1970 (29 U.S.C. 653, 655, 657), 29 CFR part
1911, and Secretary's Order 1-2012 (77 FR 3912).
Signed at Washington, DC, on September 19, 2019.
Loren Sweatt,
Principal Deputy Assistant Secretary of Labor for Occupational Safety
and Health.
Amendments to the Standard
For the reasons stated in the preamble, the agency amends 29 CFR
part 1910 as follows:
PART 1910--[AMENDED]
Subpart I--[Amended]
0
1. Revise the authority citation for subpart I of part 1910 to read as
follows:
Authority: 29 U.S.C. 653, 655, 657; Secretary of Labor's Order
No. 12-71 (36 FR 8754), 8-76 (41 FR 25059), 9-83 (48 FR 35736), 1-90
(55 FR 9033), 6-96 (62 FR 111), 3-2000 (65 FR 50017), 5-2002 (67 FR
65008), 5-2007 (72 FR 31160), 4-2010 (75 FR 55355), or 1-2012 (77 FR
3912), as applicable, and 29 CFR part 1911.
0
2. Amend Part I in appendix A to Sec. 1910.134 as follows:
0
a. Revise Section A.14(a) introductory text;
0
b. In Section C.3:
0
i. Revise the introductory text; and
0
ii. Remove the terms ``PortacountTM'' and ``Portacount'' and
add in their place the term ``PortaCount[supreg]'';
0
c. Redesignate Sections C.4 and 5 of as Sections C.6 and 7;
0
d. Add new Sections C.4 and 5; and
0
e. In newly redesignated Section C.7:
0
i. Revise paragraph (a) and paragraph (b) introductory text; and
0
ii. Redesignate Table A-1 as Table A-3; and
The revisions and additions read as follows:
Sec. 1910.134 Respiratory protection.
* * * * *
APPENDIX A to Sec. 1910.134--FIT TESTING PROCEDURES (MANDATORY)
Part I. OSHA--Accepted Fit Test Protocols
A. Fit Testing Procedures--General Requirements
* * * * *
14. Test Exercises. (a) Employers must perform the following
test exercises for all fit testing methods prescribed in this
appendix, except for the two modified ambient aerosol CNC
quantitative fit testing protocols, the CNP quantitative fit testing
protocol, and the CNP REDON quantitative fit testing protocol. For
the modified ambient aerosol CNC quantitative fit testing protocols,
employers shall ensure that the test subjects (i.e., employees)
perform the exercise procedure specified in Part I.C.4(b) of this
appendix for full-facepiece and half-mask elastomeric respirators,
or the exercise procedure specified in Part I.C.5(b) for filtering
facepiece respirators. Employers shall ensure that the test subjects
(i.e., employees) perform the exercise procedure specified in Part
I.C.6(b) of this appendix for the CNP quantitative fit testing
protocol, or the exercise procedure described in Part I.C.7(b) of
this appendix for the CNP REDON quantitative fit testing protocol.
For the remaining fit testing methods, employers shall ensure that
the test exercises are performed in the appropriate test environment
in the following manner:
* * * * *
C. Quantitative Fit Test (QNFT) Protocols
* * * * *
3. Ambient aerosol condensation nuclei counter (CNC)
quantitative fit testing protocol.
The ambient aerosol condensation nuclei counter (CNC)
quantitative fit testing (PortaCount[supreg]) protocol
quantitatively fit tests respirators with the use of a probe. The
probed respirator is only used for quantitative fit tests. A probed
respirator has a special sampling device, installed on the
respirator, that allows the probe to sample the air from inside the
mask. A probed respirator is required for each make, style, model,
and size that the employer uses and can be obtained from the
respirator manufacturer or distributor. The primary CNC instrument
manufacturer, TSI Incorporated, also provides probe attachments (TSI
mask sampling adapters) that permit fit testing in an employee's own
respirator. A minimum fit factor pass level of at least 100 is
necessary for a half-mask respirator (elastomeric or filtering
facepiece), and a minimum fit factor pass level of at least 500 is
required for a full-facepiece elastomeric respirator. The entire
screening and testing procedure shall be explained to the test
subject prior to the conduct of the screening test.
* * * * *
4. Modified ambient aerosol condensation nuclei counter (CNC)
quantitative fit testing protocol for full-facepiece and half-mask
elastomeric respirators.
(a) When administering this protocol to test subjects, employers
shall comply with the requirements specified in Part I.C.3 of this
appendix (ambient aerosol condensation nuclei counter (CNC)
quantitative fit testing protocol), except they shall use the test
exercises described below in paragraph (b) of this protocol instead
of the test exercises specified in section I.C.3(a)(6) of this
appendix.
(b) Employers shall ensure that each test subject being fit
tested using this protocol follows the exercise and duration
procedures, including the order of administration, described in
Table A-1 of this appendix.
Table A-1-- Modified Ambient Aerosal CNC Quantitative Fit Testing Protocol for Full Facepiece and Half-Mask
Elastomeric Respirators
----------------------------------------------------------------------------------------------------------------
Exercises \1\ Exercise procedure Measurement procedure
----------------------------------------------------------------------------------------------------------------
Bending Over....................... The test subject shall bend at the waist, as if A 20 second ambient
going to touch his/her toes for 50 seconds and sample, followed by a 30
inhale 2 times at the bottom \2\. second mask sample.
Jogging-in-Place................... The test subject shall jog in place comfortably A 30 second mask sample.
for 30 seconds.
Head Side-to-Side.................. The test subject shall stand in place, slowly A 30 second mask sample.
turning his/her head from side to side for 30
seconds and inhale 2 times at each extreme \2\.
Head Up-and-Down................... The test subject shall stand in place, slowly A 30 second mask sample
moving his/her head up and down for 39 seconds followed by a 9 second
and inhale 2 times at each extreme \2\. ambient sample.
----------------------------------------------------------------------------------------------------------------
\1\ Exercises are listed in the order in which they are to be administered.
\2\ It is optional for test subjects to take additional breaths at other times during this exercise.
5. Modified ambient aerosol condensation nuclei counter (CNC)
quantitative fit testing protocol for filtering facepiece
respirators.
(a) When administering this protocol to test subjects, employers
shall comply with the requirements specified in Part I.C.3 of this
appendix (ambient aerosol condensation nuclei counter (CNC)
quantitative fit testing protocol), except they shall use the test
exercises described below in paragraph (b) of this protocol instead
of the test exercises specified in section I.C.3(a)(6) of this
appendix.
(b) Employers shall ensure that each test subject being fit
tested using this protocol follows the exercise and duration
procedures, including the order of administration, described in
Table A-2 of this appendix.
[[Page 50756]]
Table A-2-- Modified Ambient Aerosal CNC Quantitative Fit Testing Protocol for Filtering Facepiece Respirators
----------------------------------------------------------------------------------------------------------------
Exercises \1\ Exercise procedure Measurement procedure
----------------------------------------------------------------------------------------------------------------
Bending Over....................... The test subject shall bend at the waist, as if A 20 second ambient
going to touch his/her toes for 50 seconds and sample, followed by a 30
inhale 2 times at the bottom \2\. second mask sample.
Talking............................ The test subject shall talk out loud slowly and A 30 second mask sample.
loud enough so as to be heard clearly by the
test conductor for 30 seconds. He/she will
either read from a prepared text such as the
Rainbow Passage, count backward from 100, or
recite a memorized poem or song.
Head Side-to-Side.................. The test subject shall stand in place, slowly A 30 second mask sample.
turning his/her head from side to side for 30
seconds and inhale 2 times at each extreme \2\.
Head Up-and-Down................... The test subject shall stand in place, slowly A 30 second mask sample
moving his/her head up and down for 39 seconds followed by a 9 second
and inhale 2 times at each extreme \2\. ambient sample.
----------------------------------------------------------------------------------------------------------------
\1\ Exercises are listed in the order in which they are to be administered.
\2\ It is optional for test subjects to take additional breaths at other times during this exercise.
* * * * *
7. Controlled negative pressure (CNP) REDON quantitative fit
testing protocol.
(a) When administering this protocol to test subjects, employers
must comply with the requirements specified in paragraphs (a) and
(c) of part I.C.6 of this appendix (``Controlled negative pressure
(CNP) quantitative fit testing protocol,'') as well as use the test
exercises described below in paragraph (b) of this protocol instead
of the test exercises specified in paragraph (b) of part I.C.6 of
this appendix.
(b) Employers must ensure that each test subject being fit
tested using this protocol follows the exercise and measurement
procedures, including the order of administration described in Table
A-3 of this appendix.
* * * * *
[FR Doc. 2019-20686 Filed 9-25-19; 8:45 am]
BILLING CODE 4510-26-P
