Cal/OSHA Respiratory Protection Regulations
Cal/OSHA's requirements for workplace respiratory protection can be found in 8 CCR §5144. Violations of the respiratory protection standard are one of the top 10 most frequently cited violations by Cal/OSHA, and a high-priority enforcement area.
Any employer whose employees are required to use respirators must develop a written respiratory protection program and provide employees with medical evaluations, respirator training, and fit testing before they use respirators at work.
This article summarizes these regulatory requirements and explains why they are important.
Written Program
Why: Trying to run a respirator program without a written plan is like building a house without blueprints. Work will happen, but not in a consistent, reliable, or compliant way.
Your written program must be customized to your workplace. It should specify which positions or tasks require respirator use, what types of NIOSH-approved respirators are to be used, and how your company will provide required medical evaluations, fit testing, and training for your employees. The program should also describe procedures for respirator use and maintenance, ongoing program evaluation, and who is responsible for overseeing the respirator program.
Cal/OSHA §5144(c): "The employer shall ... develop and implement a written respiratory protection program with required worksite-specific procedures and elements for required respirator use. The program must be administered by a suitably trained program administrator."
Medical Evaluation
Why: Respirator use puts greater stress on the worker’s body, especially the heart and lungs. A medical evaluation helps rule out any serious health problems that could be worsened by respirator use.
Before wearing a respirator at work, employees must complete a health history questionnaire that is evaluated by a healthcare provider, who then determines whether the employee is approved to wear a respirator or if additional evaluation (such as a physical exam or pulmonary function test) is required.
Cal/OSHA §5144(e): "The employer shall provide a 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."
Employee Training
Why: Workers need to know how the respirator works, how to use it correctly in the workplace, and what problems to watch out for.
Employees should receive training on the capabilities and limitations of the respirator, what tasks they should use the respirator for, how to inspect, put on, remove, and use the mask, procedures for maintenance (if applicable) and storage, identifying and troubleshooting problems, and the general requirements of the OSHA standard.
Cal/OSHA §5144(k): "The employer shall ... provide effective training to employees who are required to use respirators. The training must be comprehensive, understandable, and recur annually, and more often if necessary."
Fit Testing
Why: Every person's body is different, and employees need to make sure they are wearing a respirator that makes an adequate seal to their face.
Employees should be fit tested to identify the specific make, model, style, and size of the respirator that is best suited for each employee, and check for problems with respirator condition, use, and donning procedure.
Cal/OSHA §5144(f): "...before an employee may be required to use any respirator with a negative or positive pressure tight-fitting facepiece, the employee must be fit tested with the same make, model, style, and size of respirator that will be used."
Together, the written program, medical evaluations, employee training, and fit testing form the core of an OSHA-compliant workplace respirator program. Safewest can assist employers with all required elements of a respiratory protection program. If you need help, or just want a few questions answered, contact us for a free consultation.




