The worker training course shall adequately address the following topics:

1. (1) Physical characteristics of asbestos:

   1. (A) Identification of asbestos;
   2. (B) Aerodynamic characteristics;
   3. (C) Typical uses;
   4. (D) Physical appearance; and
   5. (E) Summary of abatement control options;

2. (2) Potential health effects related to asbestos exposure:

   1. (A) Nature of asbestos-related disease;
   2. (B) Routes of exposure;
   3. (C) Dose-response relationships and the lack of a safe exposure level;
   4. (D) Synergistic effect between cigarette smoking and asbestos exposure;
   5. (E) Latency periods for asbestos-related diseases; and

   6. (F) Discussion of the relationship of asbestos exposure to:

      1. (i) Asbestosis;
      2. (ii) Lung cancer;
      3. (iii) Mesothelioma; and
      4. (iv) Cancers of other organs;

3. (3) Employee personal protective equipment:

   1. (A) Classes and characteristics of respirator types;
   2. (B) Limitations of respirators;
   3. (C) Proper selection and inspection;
   4. (D) Donning, use, maintenance, and storage procedures for respirators;
   5. (E) Methods for field testing of the face piece-to-face seal (positive- and negative-pressure fit checks);
   6. (F) Qualitative and quantitative fit testing procedures;
   7. (G) Variability between field and laboratory protection;
   8. (H) Factors that alter respiratory fit, e.g., facial hair;
   9. (I) Components of a proper respiratory protection program;
   10. (J) Selection and use of personal protective clothing;
   11. (K) Use, storage, and handling of non-disposable clothing; and
   12. (L) Regulations covering personal protective equipment;

4. (4) State-of-the-art work practices:

   1. (A) Proper work practices for asbestos abatement activities, including descriptions of proper construction;
   2. (B) Maintenance of barriers and decontamination enclosure systems;
   3. (C) Positioning of warning signs;
   4. (D) Lock-out of electrical and ventilation systems;
   5. (E) Proper working techniques for minimizing fiber release;
   6. (F) Use of wet methods;
   7. (G) Use of negative pressure exhaust ventilation equipment;
   8. (H) Use of HEPA vacuums;
   9. (I) Proper cleanup and disposal procedures;
   10. (J) Work practices for removal, encapsulation, enclosure, and repair of ACM;
   11. (K) Emergency procedures for sudden releases;
   12. (L) Potential exposure situations;
   13. (M) Transport and disposal procedures; and
   14. (N) Recommended and prohibited work practices;

5. (5) Personal hygiene:

   1. (A) Entry and exit procedures for the work area;
   2. (B) Use of showers;
   3. (C) Avoidance of eating, drinking, smoking, and chewing (gum or tobacco) in the work area; and
   4. (D) Potential exposures, such as family exposure;

6. (6)

   1. (A) Additional safety hazards.

   2. (B) Hazards encountered during abatement activities and how to deal with them, including:

      1. (i) Electrical hazards;
      2. (ii) Heat stress;
      3. (iii) Air contaminants other than asbestos;
      4. (iv) Fire and explosion hazards;
      5. (v) Scaffold and ladder hazard;
      6. (vi) Slips, trips, and falls; and
      7. (vii) Confined spaces;

7. (7)

   1. (A) Medical monitoring.

   2. (B) United States Occupational Safety and Health Administration and United States Environmental Protection Agency Worker Protection Rule requirements for physical examinations, including:

      1. (i) Pulmonary function test;
      2. (ii) Chest x-rays; and
      3. (iii) Medical history for each employee;

8. (8)

   1. (A) Air monitoring.

   2. (B) Procedures to determine airborne concentrations of asbestos fibers, including:

      1. (i) Descriptions of aggressive air sampling;
      2. (ii) Sampling equipment and methods;
      3. (iii) Reasons for air monitoring;
      4. (iv) Types of samples; and
      5. (v) Interpretation of results;
9. (9) Relevant federal, Arkansas, and local regulatory requirements, procedures, and standards, including but not limited to the items listed in 20 CAR § 860-1307, with particular attention directed at relevant United States Environmental Protection Agency, United States Occupational Safety and Health Administration, and state regulations concerning asbestos abatement workers;
10. (10) Establishment of respiratory protection programs; and

11. (11)

    1. (A) Course review.
    2. (B) A review of key aspects of the training course.