North Cartridge Change Out Record

Cartridge Order #	Description	Approved For:	Cartridge Type / Color
OF-41584	Organic Vapors Cartridge	Organic vapors	Black
OF-41585	Organic Vapors / Acid Gases Cartridge	Organic vapors, chlorine, hydrogen chloride, sulfur dioxide, or chlorine dioxide hydrogen fluoride or hydrogen sulfide (escape only)	Yellow
OF-41590	P100 Filter	At least 99.97% efficient against all types of particulate aerosols.	Purple
OF-38153	Defender Cartridge / P100 Filter	Ammonia, chlorine, chlorine dioxide, hydrogen fluoride, hydrogen sulfide (escape only), formaldehyde, methylamine, sulfur dioxide or organic vapors; at least 99.97% efficient against all types of particulate aerosols.	Purple/Brown
OF-37483	Organic Vapor / Acid Gases Cartridge / P100 Filter	Organic vapors; chlorine, hydrogen chloride, chlorine dioxide or sulfur dioxide; hydrogen fluoride or hydrogen sulfide (escape only); at least 99.97% efficient against all types of particulate aerosols.	Purple/Yellow
OF-37484	Ammonia / Methylamine Cartridge / P100 Filter	Ammonia or methylamine; at least 99.97% efficient against all types of particulate aerosols.	Purple/Green
OF-7210	Half Mask Respirator Small	Half Mask Respirator S. M , L.
OF-9838	Half Mask Respirator Medium	Full Face Respirator S. M. L

Employee Name: ___________________________________________

Contaminant(s): __________________________________________

Cartridge: _______________________________________________

Use Recommendation: ______________________________________

Estimated Service Life: __________________________________

Dates and length of time respirator was worn:

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Date: __________________________________