Edit: Complete List of Exercises Here
Also: @ghhughes@zeroes.ca released a video covering the QLFT procedure for Bitrex and saccharin: https://www.youtube.com/watch?v=-UEKtJRI4pk
This one's a long one. I hope I've caught most mistakes and inconsistencies, but I didn't really plan this out, since I didn't expect it to be this long, so for the sake of correctness, I implore you to look up more established documentation, like... the PortaCount manual.
(Which, unlike this thread, is actually written for the general public, and not just a way to preserve information for myself for later use.)
With that said, a substantial amount of information here was stuck on Twitter and chat rooms for quite a while before I had the motivation to write it down here, so maybe you ought to DM me (@fediversefittester@fedia.social) if you notice a mistake, need clarification, or just want to join a community of CPC-havers on Matrix.
Okay, back on topic:
What's the point of these exercises, anyway?
Did you know: A user seal check does not test an exhalation valve or unseen respirator failures?
These unseen respirator failures are usually due to movement, most of the time. Or... maybe it's the wrong size. Or maybe you just wore it too long. And you know, when you do a user seal check, aren't you technically supporting the mask, and artificially making it better at doing mask stuff?
Lots of questions here, none of which should matter if you do a proper fit test.
(Either your mask works or it doesn't. No reason to overthink it.)
It might be obvious for surgical and cloth masks that they suck, since they immediately fail on the PortaCount, but it's less obvious for earloop KN95s, which may not slip until you move your head.
That's why fit test protocols exist. And why fit testing takes a considerable amount of time, be it electronic or via smelly aerosols.
But if you've been browsing this magazine, and can't afford a PortaCount, don't worry, we'll also cover qualitative fit tests, (a.k.a. the smelly ones, not involving a computer) later on. But keep reading: someday, you might come across a CPC machine, maybe even the OpenCPC currently being developed by OpenAeros.
Since you're on /m/CPCSupport, let's cover the protocols for CPCs first:
If you plan on submitting your personal respirator (used non-occupationally, regardless of type) fit test results somewhere, the current consensus protocols on the socials are modified OSHA(*), Crash-2.5 and Crash-UM. The timings below are published for consistency, should you decide to submit results to some forum.
Again, this is all really only a way to become an informed customer on respirators you can wear during an ongoing pandemic, and which legally does not require respirator usage. So don't use this guide for asbestos mitigation work or something. We are glossing over many other protocols required OH&S bodies in other countries, so, if you plan on using your respirator for work purposes, please refer to your OH&S body for guidance.
Also we're not going to cover CNP machines in this thread, since they don't work with N95s.
(If you don't know what CNP is, it's basically any portable fit testing machine that's not a PortaCount or AccuFit 9000, which is probably not you.)
So with all that said, let's go over the agreed upon protocols for disposable respirators:
*Modified OSHA
TSI has a helpful guide on the actual, classic OSHA compliant fit test protocol. Technically, these old guidelines have been superseded in 2019, however for our purposes, we're just going to ignore them.
The OSHA protocols generally call for 8 exercises, each 40 seconds long in terms of mask sampling on a CPC, with each exercise lasting 1 minute total. The exercise actions are:
- Normal Breathing
- Deep Breathing
- Head Side to Side
- Head Up and Down
- Talking (use rainbow passage, or count)
- Grimace
- Bending
- Normal Breathing
Normally, OSHA excludes grimace and only makes the exercise last 15 seconds, causing massive headaches for fit testers without computers, as proctors have to recalculate the overall fit factor, and ignore what the PortaCount says, but for modified OSHA, grimace is included as a 1 minute exercise, so no recalculation is necessary. Just take the overall fit factor put out by the PortaCount.
General CPC Settings
For all exercises described in this thread, these are the general timings for a CPC machine:
8020 Actions |
Timings |
Mask purge |
11 sec. |
Ambient sample |
5 sec. |
Ambient purge |
4 sec. |
Mask sample |
40 sec. |
Total time per exercise |
60 sec. |
If you own an 8020M, your timings may be different. Please adjust your timings accordingly.
Calculating the "Overall Fit Factor"
The overall fit factor is basically the harmonic mean of all exercise fit factors. Simple English Wikipedia summarizes it succinctly.
If you have no idea what a "fit factor" is, make sure you read this prerequisite..
(Also, thanks for coming to my magazine! You might want to read the sidebar first, or click this link.)
Crash 2.5
The timings for each exercise are the same as above (40 seconds mask sampling) but replace each exercise action with:
- Normal Breathing
- Jaw Rotation
- Normal Breathing
- Normal Breathing
- Jaw Rotation
- Normal Breathing
- Normal Breathing
- Jaw Rotation
- Normal Breathing
- Normal Breathing
- Jaw Rotation
- Normal Breathing
For each Jaw Rotation, rotate your jaw, slowly, at least 2 times, each exercise action during the protocol.
To add additional exercises to a PortaCount 8020, hold the "No. of Exercises" button, until the number of exercises reaches 12.
Crash UM
This is essentially an abridged version of Crash 2.5:
- Normal Breathing
- Talking (use rainbow passage, or count)
- Normal Breathing
- Normal Breathing
- Talking
- Normal Breathing
N95 Mode CPC Settings
Not relevant for 8020 (original) or 8020M users
In N95 mode, particles have to go through a charged particle separator, increasing the amount of tubing required. Given this, if you perform an N95 mode test, these are the timings you should use:
8020 Actions |
Timings |
Mask purge |
15 sec. |
Ambient sample |
15 sec. |
Ambient purge |
6 sec. |
Mask sample |
50 sec. |
Total time per exercise |
86 sec. |
"Redon"
This exercise is borrowed from CNP machines. We said we weren't going to cover CNP protocols, and, well, we aren't, but as an individual exercise, redon can be quite useful for making sure your N95 straps stay intact across multiple wears. We don't have any consensus protocols yet involving Redon, but if you want to add add a redon exercise to your custom CPC exercise protocol, here are some things to be aware of:
- You need to add an excluded exercise, like "grimace" in classic OSHA. Try to make this excluded exercise as long as possible.
- You'll also need to add a standard "normal breathing" exercise immediately afterwards for consistent fit factor measurements.
- To summarize, if the time for a normal exercise is 1 minute, the time for a complete redon exercise will be 2 minutes, spread across 2 exercises involving excluded "redon" and a "normal breathing" measurement.
Qualitative (Smelly) Fit Tests
Oh, where to begin? To start, viruses are massive compared to other harmful substances. They're made of proteins, which are made of organic compounds, which are massive compared to water, let alone individual atoms. That's unlike gases, which are closer in size to water, since they're usually small organic compounds, which as we've established, are smaller than proteins, which in turn, are smaller than viruses.
So you can imagine separating oxygen, nitrogen, and carbon dioxide from other gases requires an enormous amount of power, not unlike the energy requirements of running a desalination plant, so the only practical way to stop gases from going through requires a chemical reaction, like VOCs with activated carbon. Or VOCs and your nose, which is less desirable for obvious reasons.
Last time I checked, electrostatic filtration media doesn't contain activated carbon. So each of these qualitative fit test methods has to be artifically packed into larger particles, to prevent "smelly particles" from making it through the mask, and you smelling it. Because surprise surprise, without an instrument telling you your fit factor, the only way you know you passed a fit test or not is your nervous system. Good luck to you if some of your nerves are disabled by COVID...
And some smells, no matter how minute they become after packing, get detected anyways. Maybe someone is hypersensitive to one Bitrex compound making it through, even if it would have no relevance in the real world. We call these people supertasters, the opposite problem of not being able to smell (or taste) at all. Good luck with consistency!
So with all that said, here are the general procedures for fit testing qualitatively, with some noted hazards and pitfalls:
Bitrex, Banana Oil, or Anything Else That Requires Sense of Smell
Notes:
- You need a nebulizer to pack these smelly compounds into a particle large enough to not pass through N95 electrostatic filtration media.
- You'll need a hood to contain whatever aromatic compound you've chosen.
- Try to finish the fit test quickly, to avoid aromas making it through the mask due to evaporation.
Steps:
- Without a mask, don the hood.
- Have someone spray the substance inside the hood. Remember the smell. If you can't smell it, try a different substance.
- Take off the hood, and air it out.
- Put on your mask.
- Follow the fit test procedure outlined below the othe qualitative fit test methods. If you detect a smell, your fit test is a failure.
- Ventilate before doing another fit test.
Irritant Smoke
Notes:
- DO NOT USE IRRITANT SMOKE NEXT TO A PORTACOUNT.
- Irritant smoke tubes are made to spec by manufacturers, and should automatically produce large enough particles for fit testing. DIYing it ypourself is probably not a good idea, and would probably not be OSHA approved.
- Try to finish the test quickly, or your respiratory system will have a bad time. This irritant smoke, after all, described in the MSDS as a bit of a hazard.
- Do not use a hood. See above.
- Unless your N95 scores at least 100 on a PortaCount in N100 mode, it will likely fail. This is because the N95 spec allows for filter penetration. That does not necessarily mean it runs afoul of any specifications.
- Ignore any smells you detect. Failure is determined through involuntary coughing.
- If you can't feel pain, or have never coughed in your life, then this fit test method is probably not for you.
Steps:
- Put on your mask. Hope your reflexes work.
- Have your assistant wear a mask too, to avoid irritant smoke exposure.
- Have your assistant read the instructions on how to activate the smoke tubes.
- Once activated, follow the fit test procedure outlined below the other qualitative fit test methods. Have your assistant spray irritant smoke around your mask during exercises. If you audibly cough, even just a little, your fit test is a failure.
- Ventilate before doing another fit test.
Actual Gas
Hopefully you didn't just skip to this section because you only believe gas can be used for fit testing, only believe your own experiences to be true and didn't actually read the regulation that even your sacred gas mask manufacturer has to follow...
(Yes, NIOSH approves gas masks. If you thought otherwise, you might want to adjust your worldview...)
- This fit test will only work if you have an elastomeric with an vapor cartridge. Don't fall into the misconception that your pink P100 will stop paint fumes.
- You have to sacrifice an expensive vapor cartridge. Those things expire in a few months once you open them, so hopefully you're planning on doing some painting before then. Pretty nonviable unless you have a industrial complex to throw money at...
- In contrast, meltblown charge lasts for years, well past the expiration date.
- It's probably unnecessary, since PortaCount fit factors are highly correlated with gas fit testing. And it's a lot cheaper too!