Respirator Fit Test Record - McKenzie Tank Lines Inc 2025

1. Click ‘Get Form’ to open the Respirator Fit Test Record in the editor.
2. Begin by entering the employee's name, date, and employee number in section A. Ensure accuracy as this information is crucial for record-keeping.
3. In section B, fill in the employer's name (Mckenzie Tank Lines, Inc.) and the location/address where the fit test is conducted.
4. Proceed to section C to specify the respirator selected and its manufacturer. This helps in tracking which equipment was used during testing.
5. In section D, check all conditions that could affect respirator fit. Provide comments if necessary to clarify any specific issues.
6. Complete section E with fit checks for both negative and positive pressure tests. Indicate whether each test passed or failed.
7. In section F, document the fit factor and results of qualitative tests like Saccharin. Include any additional comments as needed.
8. Finally, have the employee sign and date in section G, along with the signature of the person conducting the test.

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