Table I.

Example Respirator Visual Inspection Checklist

Visual Inspection Items	Evaluation
1. Does the packaging have any signs of damage?	□ YES □ NO □ NA
2. Does the respirator have an odor?	□ YES □ NO □ NA
3. Does the respirator have a presence of dust?	□ YES □ NO □ NA
4. Is the respirator deformed in any way?	□ YES □ NO □ NA
5. Is the nose clip cracked, corroded, or detached?	□ YES □ NO □ NA
6. Is the nose foam flaking, or does it appear damaged?	□ YES □ NO □ NA
7. Does the respirator appear moldy?	□ YES □ NO □ NA
8. If applicable, are the staples attaching the straps cracked, corroded, or rusty?	□ YES □ NO □ NA
9. Are the straps detached from the respirator?	□ YES □ NO □ NA
10. Are the straps damaged in any way?	□ YES □ NO □ NA