Respirator Fit Test Wallet Card Template

Respirator fit test form.

Respirator fit test wallet card template. During a recent aohposha alliance conference call that included the national personal protective technology lab nnnptl a need was identified for healthcare workers to easily recall the type of n95 respirator for which they had been trained and fitted. Respirator fit test test date. A fit testing wallet card is documentation designed to be used by the employee to keep record of their fit test. Start a free trial now to save yourself time and money.

Could not be. Fit testing general information. 992009 43424 pm. Fit testing is a qualitative or quantitative protocol used to evaluate sealing surface leakage of a specific tight fitting respirator while worn by an individual.

Tm isoamyl acetate irritant smoke quantitative. Yes no na assure facial hair eyeglasses or clothing does not interfere with respirator seal each time it is donned. Perform a positivenegative fit test each time respirator is donned. A copy of the n95 respirator training and fit testing verification card can be download here.

Available for pc ios and android. Yes no na discontinue use of modified altered or damaged respirators. You must be fit tested at least annually and if you change to a different respirator model. Fill out securely sign print or email your respirator fit test form instantly with signnow.

A new fit test must be performed in the event of significant weight. Fit tested due to. The most secure digital platform to get legally binding electronically signed documents in just a few seconds. Generic fit test wallet cardjpg author.

Type of osha accepted fit test protocol used. N95 respirator training and fit testing verification facility date employee has successfully passed a qualitativequantitative fit test and completed. Portacount model o ccupational health dynamic model name please print signature. Respirator fit tested make model style size fit test.

The card will allow healthcare workers to easily recall the type of n95 respirator for which they have been trained and fitted. The front of the card details the n95 respirator information and the back of the card offers safety tips for donning and doffing personal protective equipment ppe in the healthcare setting. Respirator fit testing. Fit test results are not tied to the employer so employees can transfer their valid fit test to another job as long as the same make and model respirator are available.

Employee acknowledges the following requirements. Conduct a user seal check each time a respirator is put on. Respirator fit test record. Individuals do not have to be issued the same respirator that they are fit tested with as long as they are issued a respirator that is the same make model.