4.5.4 The level of protection provided by PPE selection shall be
increased when additional information or emergency
29CFR1910.120, Appendix B
conditions show that increased protection is necessary to
reduce employee exposures below permissible exposure
limits and published exposure levels for hazardous substances
and health hazards. (See Appendix B of 29CFR1910.120 for
guidance on selecting PPE ensembles.)
[EXCEPTION: The level of employee protection provided
may be decreased when additional information or site
conditions show that decreased protection will not result in
hazardous exposures to employees.]
4.5.5 At a minimum, all personal protective equipment shall be
selected and used to meet the following elements:
· PPE use and limitations of the equipment,
29CFR1910, Subpart I
· Work mission duration,
· PPE maintenance and storage,
· PPE training and proper fitting,
· PPE donning and doffing procedures,
· PPE inspection procedures prior to, during, and after use,
· Limitations during temperature extremes, heat stress, and
other appropriate medical considerations.
4.6 Medical Support
DOE O 151.1A, Chapter III,
· Medical treatment and planning for mass casualty situations
shall be provided in accordance with DOE O 440.1A.
· Internal medical consultation and surveillance shall be as noted
in sections 4.6.1 through 4.6.8, below.
4.6.1 Members of an organized and designated HAZMAT team and
hazardous materials specialists shall receive a baseline
physical examination which shall be performed as described
below in sections 4.6.2 through 4.6.8.
NFPA 471 Chapter 7, has additional details on personal protective equipment requirements including four levels
protection: A when highest level of respiratory, skin, and eye protection is required; B when the highest
respiratory protection is required, but lesser skin protection is needed; C when the concentration of airborne
contaminants is known and air purifying respirators are required; D when only nuisance contamination exists.
Note: There are numerous other NFPA requirements for PPE, many of which are cited in NFPA 471, Chapter 7.