PROGRAM OF

PROTECTION
RESPIRATORY
REVIEW: 01
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PPR
RESPIRATORY PROTECTION PROGRAM

Achievement: SANTA BERNADETE CLINIC

VIATECNICA ENGINEERING LTD

Coverage Period: 02/01/2024 to 02/01/2025

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HISTORY OF REVIEWS
Review Data Chapter Description of changes

00 01/02/2024 - First Edition

01 01/02/2025 - 1st Review

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Corporate Name: Viatecnica Engineering Ltd.

Cnpj: 42.378.470/0001-33

State Registration: 160.277-0050

Municipal Registration: 01686240012

Rua Cel Virgílio dos Santos, n°218, Vila Jagurá JAGUARÁ -

Address:
SP

Cnae: 42.12-0-00

Grau De Risco: 04 (Four)

Work: Km 244+760 Lavrinhas SP

Responsible
Diogo Luís Martins Silva
By the Company:

Function: Director

Telefone: (31) 3491-1211

E-Mail: diogomartins@[Link]

Responsible for
Diogo Luís Martins Silva
approval
Responsible for Lorena Santos
development Tiago Moreira
Telephone (31) 3491-1211 (31) 984053512
diogomartins@[Link]
Email Segtrab6@[Link]
engenharia4@[Link],

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Technical Responsibility

Program developed by the company CLINICA SANTA BERNADETE, having as

responsible parties:

Nome: Dr. Mauro Reis

Position: Coordinator Doctor of PCMSO
CRM: 4472-5 / MG
Tel: (31) 3444-7474
E-mail :

Nome: Watila Rodrigues Miranda

Position: Occupational Safety Technician
Reg/MTE: 020902 / PR
Phone: (12) 99115-1691
E-mail: [Link]@[Link] / wrodrigues@[Link]

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RESPIRATORY PROTECTION PROGRAM

CHAPTER I - COMPANY POLICY AND RESPONSIBILITIES

According to Ordinance number I of April 11, 1994, issued by the Ministry of

Work, whose content establishes a technical regulation on the use of equipment of
respiratory protection, every employer must adopt a set of measures with the
purpose of adapting the use of respiratory protection equipment - RPE, when
necessary to complement the implemented elective protective measures, or with the
purpose of ensuring complete protection for the worker against existing risks in the
work environments.

COMPANY POLICY

This company has as its primary goal to ensure that all of its workers in
the performance of their professional activities have their health conditions preserved.
All workplaces where there is a possibility of the release of contaminants
atmospheric, such as: dust, smoke, fog, mist, gases, and vapors; or has potential
for the atmosphere to be deficient in oxygen; the workers will be assessed and monitored
in such a way that sufficient data and information are obtained to identify levels of
exposure that may be harmful to the health of exposed workers.
In cases where such risks are identified, this policy establishes that it must be
implemented one or more of the following control methods, according to the hierarchy
below:

I - Replacement of the raw materials used with substances that are proven to be
less toxic

2 - Change in the production process in order to eliminate or reduce this exposure to levels
acceptable, isolation of the worker or the production process in order to reduce or eliminate
the exhibition;

3 - Implementation of environmental or local exhaust ventilation systems to reduce the

contaminant concentration;

4 - - Adoption of the use of individual respiratory protective equipment, in accordance with the
technical and administrative criteria established in this document.

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RESPONSIBILITY

I - Company Board

It is the responsibility of the Company's Board to determine the specific activities that
they require the use of respiratory protective equipment. It must also provide the respirator
convenient and appropriate for each specific activity, training and detailed instructions
about its use.

2 - Management and Supervision

It is the responsibility of Management and Supervision of each area to ensure that all people
Under your control, they are informed about the need to use protective equipment.
respiratory - PPE for carrying out activities that require the use of such equipment,
as determined in the chapter Selection of Respirators. They must also ensure that their
subordinates shall strictly follow all the determinations of the protection program
respiratory, including inspection and maintenance of respirators. It is also the responsibility of
Management and Supervision establish disciplinary measures for those who do not comply.
these determinations.

3 - Ventilator users

It is the responsibility of workers in areas of activities that require the use of

respiratory protective equipment - RPE, use the indicated respirator correctly,
following
the instructions provided during the training. And it is also your responsibility to
maintenance, storage and cleaning of the equipment, keeping it always in good condition
use. The company will provide the means for this maintenance to be carried out.

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CHAPTER II – ADMINISTRATION OF THE RESPIRATORY PROTECTION PROGRAM

The following individuals have total responsibility for the management of the protection program.
respiratory in the company.

Nome: WATILA RODRIGUES MIRANDA

Position: WORK SAFETY TECHNICIAN - MTE: 020902/PR

Signature: _____________________________________

This person has the authority to act on all matters related to administration.
and the operation of the respiratory protection program. All workers, departments
operational and service teams should be collaborative in order to achieve complete
the effectiveness of the program your responsibilities include: measurements, estimates or information
updated information on the concentration of the contaminant in the work area, record keeping
the written procedures in such a way that the program is documented and allows for a
evaluation of its effectiveness, through an auditor.

Nome: Maurício Ferreira

Position: Civil Engineer / Occupational Safety Engineer – CREA: 2015121013 -RJ

Signature: _______________________________________

The person mentioned above has the role of auditor of the PPR, their function is to ensure that the PPR
be fulfilled in its entirety, reporting to the company's management any irregularity that
may compromise the progress of the program or the integrity of the company. Your inspections
They must be periodic and followed by a compliance report.

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CHAPTER III - MEDICAL EVALUATION

All workers included in the respiratory protection program must

to undergo a medical evaluation. This assessment should be done first at hiring
of the worker, when there is a change in their duties that require the use of
respiratory protection equipment - RPE; and every 12 months thereafter.
The worker must fill out the medical questionnaire for respirator users, which
should be reviewed by the doctor.
According to the doctor's judgment, the worker must or must not undergo an exam. The
The objective of the questionnaire and the medical examination is to ensure that the worker is in good physical and
psychologically able to perform their activities and use protective equipment
respiratory - EPR.
If deemed so by the doctor, the worker may not be qualified to use the
respiratory protection equipment - RPE and not participate in the Protection Program
Respiratory.
The copies of the evaluation and the medical questionnaire must be archived.
The medical assessment during the period will be the responsibility of the doctor below or another indicated:

Nome: Dr. Mauro Reis

Position: Coordinator Physician of PCMSO
CRM: 4472-5 / MG

CHAPTER IV – EVALUATION OF WORKER EXPOSURE LEVEL

All work areas where there is a deficiency of Oxygen, presence of contaminants

potential and/or that is, pollutants released into the atmosphere must be assessed using methods
appropriate for quantitative analysis.
The identification of these areas must be done according to the following criteria:
Places, processes, or operations that handle or process substances that are
recognized as potentially harmful to human health. Data should be consulted
the toxicological information of these substances using national literature and
foreign and through cumulative information or studies conducted by the company itself.
A investigação destes processos e operações deve ser feita de modo a identificar o potencial
of these risks. A risk analysis study; or information contained in the risk maps;
or information about similar processes and/or operations; or still medical information from the
exposed workers can be useful in identifying areas where there is potential for
superexposure of the worker. Using techniques and instruments of acuity and
precision recognized as suitable for the type of evaluation that one wishes to perform, the
environments where these risks are present will be sampled and analyzed in order to
identify the levels of concentration of atmospheric pollutants.
Special care must be taken in this evaluation so that: The operations and/or
processes being carried out at the time of sampling should be representative
of daily work on site.
The samples must be collected in suitable media for their preservation so that they do not...
loss of contaminant during handling.
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The sampling period will be annual for the entire company, and whenever there is any
changes to processes or inclusion of new equipment, a new sampling at the locations
altered will be essential.

The company hires specialized consulting to conduct environmental risk assessments under
responsibility of:

OUTSOURCED COMPANY

CHAPTER V. USE OF RESPIRATORS

In atmospheres that are considered or have the potential to be IPVS (Immediately

Dangerous to Life or Health) and in atmospheres with unknown danger only mask
self-contained or compressed air line respirator must be used.

No equipment that requires facial sealing, whether positive or negative pressure,

should not be used by people who use or other facial hairs that hinder the
contact of the respirator edge with the user's face.

It will be allowed for the respirator user to leave the contaminated area for any of the
reasons below:

Respirator failure, altering the protection provided;

Malfunction of the respirator;
Detection of contaminated air penetration inside the respirator;
Increased resistance of respiration;
Great discomfort due to the use of the respirator;
Discomfort felt by the user, such as nausea, weakness, cough, sneeze, difficulty
to breathe, chills, dizziness, vomiting, fever;
Wash the face and the facial piece whenever necessary to reduce skin irritation,
replace the filter or other components whenever necessary; periodic rest in
non-contaminated area, as assessed by the administrator or auditor of the
Respiratory Protection Program RPP.

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CHAPTER VI _ TRAINING

All workers in areas or activities that require the use of respirators must
be instructed about their responsibilities in the Respiratory Protection Program. They
They must be trained on the need, use, limitations, and care of respirators. The
conteúdo especifica do treinamento será provido por instrutor habilitado e com formação
minimum of Occupational Safety Technician.

A new training will be conducted every 12 months. The records of these trainings will be
archived by the program administrator.

CHAPTER VII – VENTILATION TEST (FIT TEST)

This item will be carried out after the quantitative analysis of chemical risks, in case the exposure
is above the acceptable levels of exposure.

CHAPTER VII - INSPECTION, MAINTENANCE AND STORAGE OF RESPIRATORS

Periodic maintenance must be carried out on the respirators so that they maintain their
original efficiency through inspections, repairs, cleaning, and proper storage.

1 - Inspection:

Users must conduct daily inspections and cleanings of the respirator whenever it is
in use. Supervisors should conduct quick checks on the respirators in use by their
subordinates to check their general condition and sealing and other apparent aspects. It will not be
the use of defective respirators is allowed
.
Defective respirators should be returned to the following person:

Work Safety Technician

For provisions regarding recovery, disposal, or complaints to the manufacturer

.
2 - Repairs:

The respirators that are not considered during inspection, cleaning, or maintenance
those suitable for use should be repaired or replaced immediately. All the
replacements of parts or pieces must be made according to the manufacturer's instructions. None
adjustment, modification, replacement of components or repair must be done if it is not
recommended by the manufacturer of the respiratory protection equipment - RPE.

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3 - Cleaning:

All respirators (except those intended for use by a single shift) must be
cleaned daily (or after each use in the case of respirators that are not for single use)
daily), according to the manufacturer's instructions, by the user themselves or by another person
designated in CHAPTER II Administration of the Respiratory Protection Program. It will be
determined by the Supervisor of the worker the location, time and supply of the material
necessary to do this cleaning.

4 - Guard:

The respirators that are not discarded after the work shift should be stored.
in a suitable place, away from the contaminated area and protected from sunlight, dust, heat, cold,
humidity and aggressive chemicals. When possible, these respirators should be
marked and stored in a way to ensure they are used only by one worker. If
Used by more than one worker, the respirator must be cleaned after each use.

5 - Compressed air system:

Special precautions will be taken with the compressed air line respirators and
autonomous masks. The air from these systems must be breathable quality.

CHAPTER IX - PROGRAM EVALUATION

This program should be reviewed and evaluated annually. A written report will be prepared.
this evaluation for each deficiency found. A corrective action will be developed. The
The program auditor will observe the following topics in their evaluation:

a. Program management
b. Training
c. Medical evaluation
d. Sealing tests
e. Air sampling and risk classification
f. Selection and distribution of ventilators
g. Cleaning, maintenance and inspection
h. Sources of breathable air
i. Store two ventilators
j. Emergency preparedness
k. Special problems

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CHAPTER X - WRITTEN OPERATING PROCEDURES

The company will establish operational procedures that must be followed by everyone.
users and their superiors, to determine how each type of respirator will be used. These
procedures will have the signature of agreement and adhesion of each person involved with the
use of respirators. See attachments.

CHAPTER XI - SELECTION OF RESPIRATORS

The outsourced SESMT attribute selects respirators for routine use and
emergency following this the Normative Instruction No I of I April 1, 1994 (of
Secretary of Labor Security and Health) and the publication PROGRAM OF
Respiratory protection from Fundacentro, which becomes an integral part of the Program
of Respiratory Protection of this company, which recognizes its validity and commits to
to follow your recommendations and revise them when there are future changes.

ANNEXES

Nas paginas seguintes existem diversos textos anexos que detalhem tópicos do Programa de
Respiratory Protection and should be used by the people responsible for the application of
even by employees and supervisors.

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SELECTION, LIMITATIONS ON THE USE OF RESPIRATORS

I - FACTORS INFLUENCING THE SELECTION OF A RESPIRATOR

1.1. User activity

When selecting a respirator, the user's activity should be taken into account (for example):
Whether to remain continually in the risk area or not, during the work shift, or if the
work is light, medium, or heavy and its location in the risk area.

1.2. Conditions of use of the respirator

It is important to consider the duration of use of the respirator.
Each ventilator has its characteristics that make it suitable for routine use, not
routine, emergencies or rescues.

1.3. Location of the risk area

The selection must take into account the location of the risk area in relation to areas
ensured that they have breathable air. This allows for escape planning in the event of a
emergency, the entry of people for the performance of maintenance or repairs or
for the redemption operations.

[Link] and (limitations of respirators)

It is very important to also take into account the physical and functional characteristics of
ventilators, as well as their limitations.

[Link] characteristics
The conditions of the environment and the level of effort required from a respirator user can
drastically reduce the lifespan of the respirator. For example: in cases of extreme exertion, the
the autonomy of an autonomous mask is reduced by half, or more.

2 - SELECTION OF RESPIRATORS FOR ROUTINE USE

2.1. Use of approved respirators

Only approved respirators should be used. Any modification, even if
small, can significantly affect the performance of the respirator.
2.2. The selection of a respirator requires knowledge of each operation, to determine the
risks that may be present and, therefore, select the type or class of respirator that
provide adequate protection.

2,2.1. Stages for risk identification

The nature of respiratory risk should be determined as follows:
a) to determine the contaminant(s) that may be present in the work environment;
b) check if there is a tolerance limit, or any other exposure limit, or estimate the
toxicity of contaminants. Check if there is an IPVS concentration (Immediately
Dangerous to Life or Health;
c) check if there are regulations or specific legislation for the contaminant(s) (by

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example: asbestos, silica, etc.). If it exists, the selection of the respirator depends on those.
indications;
d) if there is a potential risk of oxygen deficiency, measure the oxygen content in the environment;
e) measure or estimate the concentration of the contaminant(s) in the environment;
I) determine the physical state of the contaminant. If it is an aerosol, determine or estimate the
particle size Evaluate whether the vapor pressure of the particle will be high at maximum
expected temperature in the workplace;
g) check if the contaminant present can be absorbed by the skin, causing sensitization of
peel, be irritating or corrosive to the eyes or skin;
h) if the contaminant is a vapor or gas, check if the concentration of odor and taste is known
or skin irritation.

2.2.2. Stages for respirator selection

The appropriate respirator must be selected according to the following procedure:
a) if it is not possible to determine which potentially present toxic contaminant in
environment, or its concentration, consider the IPVS atmosphere (Immediately Dangerous to Life)
Life or Health.
Continue with item 4.3;
b) if no exposure limit or guidance values are available, and if it cannot be
having estimated the toxicity, consider the IPVS atmosphere (Immediately Dangerous to Life or
Health).
Continue with item 4.3;
c) if there is an exposure limit or guidance available for the contaminant, follow it;
d) if the atmosphere is deficient in oxygen, the type of respirator selected will depend on the
partial pressure of oxygen, ambient pressure and the concentration of contaminants that
they may be present. Continue in item (e) and from 4.3.1 to 4.3.4,
e) if the measured or estimated concentration of the contaminant is considered IPVS
(Immediately Dangerous to Life or Health), continue to item 4.3;
f) divide the measured or estimated concentration of each contaminant by the exposure limit or
guidelines to obtain the Required Protection Factor. If more than one substance
if present consider the synergistic effects. From table I, select a respirator
or type of respirator that has an Assigned Protection Factor greater than the Protection Factor
Required. (If the selected respirator is of the air purifying type, continue to item g);
g) if the contaminant is only gas or vapor, choose a respirator with Protection Factor
Assigned greater than the Required Protection Factor. The concentration of the contaminant in
the environment must, however, be lower than the maximum concentration for the use of the chemical filter
chosen. Continue with item (m). If the contaminant is an aerosol, continue with item (h);
h) if the contaminant is paint, lacquer, or varnish base, use a respirator with a filter
combined: chemical filters against organic vapors and mechanical filter class P1;
j) if the contaminant is a pesticide containing an organic carrier, use a respirator with
combined filter: chemical filter against organic vapors and mechanical filter class P2; filter
classe P1.*
k) if the contaminant is a thermally generated aerosol (for example, metallic fumes),
use filter
l) if the contaminant is of the aerosol type containing asbestos or crystalline silica, see Annex
7
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If the aerosol is of highly toxic substances or of unknown toxicity, it must be

selected a P3 class filter, preferably used with a full face piece.

m) if the contaminant is a gas or vapor with weak warning properties, it is recommended to

use of air intake respirators. If these cannot be used due to the
non-existence of a breathable air source, or due to the need for mobility of
worker, the air purifying respirator may be used only when:

The respirator has a reliable end-of-life indicator that alerts the user before it
contaminant begins to pass through the filter;
There should be a filter exchange plan that takes into account the filter's lifespan as well as desorption.
(unless the replacement is daily), the expected concentration, the mode of use and the
exposure times are established, and that the contaminant does not have a limit of
Tolerance Value Ceiling.

3. SELECTION OF RESPIRATORS FOR USE IN IPVS ATMOSPHERES

(IMMEDIATELY DANGEROUS TO LIFE OR HEALTH), CONFINED SPACES OR
ATMOSPHERES WITH REDUCED PRESSURE.

3.1. IPVS Atmospheres (Immediately Dangerous to Life or Health)

A location is considered IPVS (Immediately Dangerous to Life or Health) when:
a) the concentration is known or suspected to be above the exposure limit IPVS
(Immediately Dangerous to Life or Health);
b) it is a confined space with an oxygen level lower than normal (20.90% by volume), the
unless the cause of the reduction in oxygen levels is known and controlled.
c) the oxygen level is lower than 72.50Á at sea level, or
d) the atmospheric pressure at the location is less than 450mmHg (equivalent to 4240m altitude) or
any combination of reduced oxygen percentage and reduced pressure that leads to
a partial pressure of oxygen lower than 95mmHg.
3.2. Respirators for use in IDLH conditions (Immediately Dangerous to Life or Health)
Health) at normal atmospheric pressure
The respirator that must be used in IPVS (Immediately Dangerous to Life or Health) conditions
Health) caused by the presence of toxic contaminants, or by the reduction of the content of
oxygen as described in conditions a, b, and c in 4.3.1, is the autonomous mask, or a
combination of a compressed air line respirator with an auxiliary cylinder for escape.
3.3. Considerations on confined spaces:
Confined spaces are the cause of numerous deaths and serious injuries. Therefore, any
confined space with less than 20.9% oxygen must be considered as IPSV
(Immediately Dangerous to Life or Health), unless the cause of the reduction in content of
oxygen should be known and controlled. This restriction is imposed because any reduction of
Oxygen levels are, at the very least, proof that the location is poorly ventilated. It may be possible
enter without the use of respirators in confined spaces that contain from 16% to 20.9% oxygen
oxygen volume at sea level, only when one knows and understands the cause of
reduction of oxygen levels and if you are sure that there are no poorly ventilated areas in
what the oxygen levels may be below the mentioned range. The cause is not known

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low oxygen levels and if it is not controlled, the atmosphere of the confined space must be
considered immediately dangerous to life and health.

3.4. Reduced atmospheric pressure Atmospheric pressure, when reduced, can lead to
partial pressure of oxygen pp02 at low values, even maintaining the concentration in
20.9%. Therefore, when working at reduced atmospheric pressure, it is necessary to
define the concentration of oxygen in terms of partial pressure of oxygen and not in
percentage in volume.
3.4.1. Definition of oxygen deficiency IPVS (Immediately Dangerous to Life or
Health) involving reduced atmospheric pressure
It must be considered a condition IPVS (Immediately Dangerous to Life or Health),
when the partial pressure of oxygen is equal to or less than 95mmHg. This deficiency of
Oxygen deficiency can be caused by the reduction of atmospheric pressure to 450mmHg (equivalent to
a height of 4240m), or by the combination of the decrease in the percentage of oxygen and the
atmospheric pressure. Table 2 indicates the conditions under which masks should be used
autonomous and compressed air line respirators combined with auxiliary cylinder for
escape.
3.4.2, Definition of oxygen deficiency not IPVS (Immediately Dangerous to Life or
Health)
An environment where the partial pressure of oxygen is between 95 and 122 mmHg should be
considered an atmosphere with oxygen deficiency, but not IPVS (Immediately
Dangerous to Life or Health). This environment can adversely affect people with
small tolerance to reduced levels of oxygen, or unacclimated people
performing tasks that require great mental acuity or very heavy tasks.
Under these conditions, air supply respirators should be used in order to mitigate.
these effects. Any adverse medical condition that affects tolerance should be considered
of an individual to reduced levels of oxygen. For these individuals, it may be advisable
the use of air intake ventilators from the higher partial pressure of oxygen
that the indicated values. This decision should be made during the medical examination that
precedes the assignment of that task.

4. BLASTING OPERATIONS (not applicable)

Respirators specifically approved for this purpose must be selected. The jetting in
confined spaces can generate contamination levels that exceed the capacity of
any respirator, requiring the adoption of other resources to reduce the Protection Factor
Required below the Assigned Protection Factor for that respirator. One must be attentive.
to the maximum permitted noise level inside the hood (85 dBA) and the requirement for the use of air
breathable.

5. OTHER FACTORS THAT AFFECT SELECTION IN A RESPIRATOR

5.1. FACIAL HAIR respirator with coverage of the airways of any type, whether
of positive or negative pressure, should not be used by people whose facial hair (beard,
mustache, sideburns or hair) may interfere with the functioning of the valves, or harm the
seal in the area of contact with the face.

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5..2. NEED FOR COMMUNICATION

In the selection of certain types of respirators, one must take into account the noise level of
environment and the need for communication. Speaking aloud can cause displacement of
some facial pieces.

5.3 VISION
5.3.1. When the user needs to use corrective lenses, safety glasses, facial protectors,
welding goggles or other types of eye or face protection, they should not hinder the
seal.
5.3.2. When the facial piece is whole or of the type that requires perfect sealing, they must be
worn glasses without straps or arms that pass the sealing area of the respirator, whether of
negative or positive pressure.
5.3.3. The use of contact lenses is only permitted when the respirator user is
perfectly accustomed to using this type of lens. With contact lenses in place, the
the worker must practice using the respirator.

5.4. SEALING PROBLEMS IN RESPIRATORS

5.4.1. Caps with brims that interfere with the sealing of the facial piece should not be used.
on the face.
5.4.2, The straps of the respirators should not pass over hard parts of the helmets.
5.4.3. The use of other personal protective equipment, such as helmets or masks
Welders should not interfere with the sealing of the facepiece.

5.5. USE OF RESPIRATORS IN LOW TEMPERATURES

The performance of the respirator can be impaired when it is used at low
temperature and this must be taken into account in the selection (lenses or visors can fog up and the
freezing can impair the sealing of the valves
The autonomous mask approved for operation below 0°C must have a nasal pinch,
internal mask or another means that avoids these inconveniences. The humidity of the compressed air
must be within the specifications (see NBR-12543), and other aspects must be observed
details:
a) check all connections that may be affected by low temperature;
b) in the cold, carefully store all elastomeric components (facial piece, trachea,
etc.), of
so that they do not deform and harm the sealing on the face. Other components must
maintain the
elasticity even at low temperature: gaskets, seals, diaphragms, and O-rings.
very low temperature, the ventilator valves may freeze open or closed due to
in the presence of moisture. Some air intake respirators use the Vortex tube to
to warm the air that reaches the facial piece.
5.6. USE OF RESPIRATORS IN HIGH TEMPERATURES
In addition to influencing the performance of a respirator, heat causes thermal stress that is
aggravated by the use of these PPE. For these reasons, when selecting the respirator, one must take into account
consider these factors, and the doctor must approve the choice. One can reduce the contribution to
"stress" due to the respirator, using a lightweight respirator with low breathing resistance and with
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dead space as small as possible. The exhaled air that remains in the dead space of the respirator is
delivered in the following cycle.
By reducing dead space, the carbon dioxide content in the inhaled air is reduced, which is the highest.
responsible for the stress due to the use of a respirator It is recommended to use a respirator
motorized air purifier, continuous flow air inlet ventilator, ventilator with
request a semi-facial piece instead of a full facial piece, if possible, and the use of a full facial piece with
mascarilha intema (regardless of the mode of operation).
The use of the Vortex tube reduces the temperature of the air supplied to the facial piece. The respirator guard
in a high temperature environment facilitates the deterioration of the facial piece and components
elastomers, creating permanent deformations.
Under these conditions, the inspection must be frequent.

ANNEX 2

MEDICAL EVALUATION OF WORKERS CANDIDATES FOR THE USE OF

INDIVIDUAL RESPIRATORY PROTECTIVE EQUIPMENT

The use of individual respiratory protection against inhalants should only be adopted after
the evaluation of the following parameters:

1. Physical characteristics of the work environment, notably temperature, humidity and

partial pressures of O2 and the need for the use of other PPEs.
2. Specific physical demands of the activities to which the user is assigned.
3. Usage time in relation to the work shift (continuous use during the shift or not).
You are
Information must be forwarded to the examining physician by the person responsible for the area of
hygiene
and the security of the location in question. With this data, the examiner will proceed to the interview,
clinical examination and, if necessary, functional assessment of the candidate for the use of PPE. The conditions below
listed items require careful assessment:

Facial deformities: The presence of bony facial deformities or extensive scars

can prevent a proper facial fit of the respirator and hinder its use. The use of
dental prostheses must also be appropriate, as the absence of prostheses in the jaws
inferior or superior causes facial deformities.

Facial hair: The beard prevents proper facial fitting.

Pulmonary diseases: candidates for the use of respiratory protective equipment

EPR with previously diagnosed obstructive and restrictive lung diseases and
symptomatic individuals should not use them. The isolated presence of symptoms notably, dyspnea
of efforts, requires careful assessment, including functional respiratory assessment. Asthma
bronchial, with sporadic crises may not exclude the use of ventilators, with the due
user orientation.

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Cardiovascular diseases: Chronic coronary insufficiency, arrhythmias, notably

ventricular arrhythmias, and users with previous infarction should not use equipment.
respiratory protection - mechanical EPR with negative pressure.

Neurological diseases: Controlled epilepsy, that is, absence of seizures in the last 12
months and good pharmacological control do not contraindicate the use of equipment from
respiratory protection - RPE.

Psychological changes: Candidates exhibiting claustrophobia should not use

respiratory protection equipment - RPE. Anxiety can also be a
limiting, depending on its magnitude

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The specific medical assessment of users of respiratory protective equipment - RPE

it must be renewed annually, together with the periodic exam. In case of complaints
related to the respiratory system, it is necessary to pay attention to the convenience of use
continued use of respiratory protection equipment - RPE in relation to clinical findings.

APPENDIX: EVALUATION OF PULMONARY FUNCTION

SPIROMETRY

The recommended pulmonary function tests for candidates to use equipment

of respiratory protection - EPR, with previous respiratory complaints, is basically the Volume
Forced Expiratory Volume in the first second (FEV 1), Forced Vital Capacity (FVC), the ratio
VEFI/CVF is the Maximum Voluntary Ventilation (WM). Exclusion criteria for use of
respiratory protection equipment with mechanical filters with negative pressure are one or
but of the items below;

1. FEV1/CVF less than the lower limit of normality and FEV1 less than 80% of predicted
2. VEFI/CVF normal with CVF less than 70% of the expected
3. VVM lower than 75% of the expected

Estes testes deverão ser feitos sempre por técnicos treinados e equipamentos que estejam em
compliance with the norms of the American Thoracic Society.
Standardization of spirometry - 1987 update. Am. Rev. Respir. Dis. 1987;136: 1285-98

CHEST RADIOGRAPHY PA (criteria of the ILO/1980)

A chest X-ray should be performed according to the criteria established by the ILO - International Labour Organization.
International Labor in 1980, made by trained technicians and report provided in
specific form for this evaluation.

Below we present a table template to be filled with the evaluation results.

medical examinations performed on employees exposed to contaminants:

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REPORT OF
AGENT REPORT OF Chest X-Ray OPINION
LOCAL FUNCTION
CHEMICAL SPIROMETRY PA TECHNICIAN
ILO/1980

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ANNEX 4
GLOSSARY
Aerosol: solid or liquid particles suspended in the air.
2, Breathing air: air suitable for respiration. It must meet the specified requirements.
in the Brazilian Standard NBR - 12543.
3. Dangerous atmosphere: an atmosphere that contains one or more contaminants at concentration
superior to the Exposure Limit, or that is deficient in oxygen.
4. Covering of the airways: part of a respirator that covers the airways of the
user. It can be a facial piece, helmet, hood, inflatable clothing, and mouthpiece with a nasal clip.
5. Coverage of the respiratory pathways with facial sealing: type of coverage of the pathways
respiratory designed to provide a complete seal on the face. The semi-facepiece
(including a quarter face and the filtering facepiece) covers the nose and mouth; the full face covers the
nose, mouth and eyes.
6. Coverage of the airways without facial seal: type of airway coverage
respirators designed to provide partial sealing on the face. Does not cover the neck and the
shoulders, which may or may not provide protection for the head against impact and penetration.
7. Contaminant: substance or material that is dangerous, irritating, or uncomfortable.
8. Hood helmet that also offers protection against impact and penetration.
9. Hood: a type of covering for the respiratory pathways that completely covers the head,
neck, possibly covering part of the shoulders.
10. Aerodynamic diameter: diameter of a spherical particle with unit density that
it has the same terminal velocity as the particle considered.
11. Mean aerodynamic mass diameter: point in the particle size distribution, in
What is the half of the mass of the particles that have a diameter smaller than the aerodynamic diameter?
mass medium. And the other half have a larger diameter.
12. Sealing test: it is the use of certain substances with the purpose of evaluating the sealing of
a specific respirator for a given individual.
13. Qualitative sealing test: pass/fail test based on the response
sensory to the substance used in the test.
14. Quantitative sealing test: a test that uses an instrument to measure the
concentration of the substance used in the test, inside and outside the respirator.
15. Confined space: enclosed space with the following characteristics.
a) its main function is not human occupation;
b) has small entry and exit dimensions. Examples of confined spaces: tanks,
silos, tanks, wells, sewer networks, pipes, tank trucks, boilers, septic tanks and
caves, tanks, and structures under construction, while not completely closed, do not
can be considered confined spaces. Entry and exit of small dimensions
it means that to pass it is necessary to use hands or to contort the body.
16. Assigned Protection Factor: the level of protection that is expected to be achieved in the environment of
work, when a trained worker uses a respirator (or class of respirator) in good condition
It is adjusted correctly.
17. Required Protection Factor: it is the quotient between the concentration of the contaminant
your exposure limit.

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18. Sealing Factor: quantitative measure of the sealing obtained by using a respirator.
specific to a given individual. And the quotient between the concentration of the substance used
in the rehearsal, outside and inside the respirator.
19. Filter: it is a device designed to retain specific impurities contained in the air.
20. Warning properties of alert: characteristic of substances whose odor, taste or effects
irritants are not detectable or are not persistent at concentrations below the limit of
exhibition.
21. Fumes: aerosol particles, thermally generated, consisting of solid particles
formed by condensation of metallic vapors or chemical reaction.
Gas: a fluid that has no shape or volume and tends to expand indefinitely.
23. Hygienization: removal of contaminants and inhibition of the action of causative agents of
infections or diseases.
24. IPVS (Immediately dangerous to life or health): any atmosphere that poses a risk.
immediate to life or produce immediate irreversible debilitating effect on health.
25. Exposure limit: maximum allowable concentration of a contaminant in the air to which one
An individual may be exposed. It can be the Tolerance Limit - Weighted Average, Limit of
Tolerance - Ceiling Value, or short exposure limits.
26. Tolerance Limit - Weighted Average: the average concentration of a contaminant in
environment for a specified time.
2T, Limited Tolerance - Ceiling Value: represents the maximum concentration that cannot be exceeded.
exceeded at no time during the work journey.
28. Autonomous mask: self-contained breathing apparatus for compressed air protection in which
the user carries their own breathable air supply that is independent of the atmosphere
environment.
It can be open or closed circuit.
29. Fog: mechanically generated aerosol composed of liquid particles
formed by the mechanical rupture of a liquid.
30. Facepiece: part of the respirator that covers the airways, which may or may not provide protection.
the eyes.
31. Semi-facial filtering piece: semi-facial piece made totally or partially of materials
filters. The same as disposable mask,
Dust: an aerodispersoid consisting of solid particles formed by mechanical rupture
of a solid.
33. Respirator: respiratory protective equipment designed to protect the user against
inhalation of contaminants. The same as a mask.
34. Air intake respirator: equipment consisting of a face piece interconnected by means of
hose to the air cement hunger system, which can be obtained by simple depression
respiratory, forced by means of a fan or similar, and compressed air from
compressor or cylinders.

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SCHEDULE OF ACTIVITIES–PPR 2024-2025

ACTIVITY Responsible SITUATION FEB MAR APR MAY JUN JUL AGO SET OUT NOV DEZ JAN
Initial audit, PGS Done
survey of sources of
aerodispersoids
Survey of Functions PGR Completed
exposed to chemical risks
Conducting the evaluations SESMT Realizado
environmental
Survey and study of Doctor Forecasted
spirometry and X-ray exams
Chest of the collaborators
exposed
Survey and study of PGR Done
spirometry exams and X-rays
Chest of the collaborators
exposed
Proposal of the measures of PGR Completed
agent control
aerodispersoids to the company
Audit for verification of the PGR Completed
effectiveness of the PPR

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CLOSURE

This document based on the PPR is introductory in nature and is signed by the responsible party.

_______________________________________________
Nome: Dr. Mauro Reis
Position: Medical Coordinator of PCMSO
CRM: 4472-5 / MG

01/02/2024

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