Fit test record form 2026

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Click ‘Get Form’ to open the fit test record form in the editor.
Begin by entering your company name, address, city, state, zip code, and telephone number in the designated fields.
Fill in the date of the fit test. Ensure this is accurate for compliance purposes.
Indicate any applicable local, state, or federal regulations that apply to your testing by writing them in the provided space.
Select the type of OSHA accepted fit test protocol used by checking the appropriate box (e.g., Saccharin, BitrexTM).
Enter the name of the fit tester and provide their signature in the specified areas.
For quantitative tests, fill in the model numbers for Portacount and Occupational Health Dynamic as required.
Document any comments regarding the fit test in the comments section.
Finally, indicate whether the respirator fit test passed or failed and provide details about why a fit test could not be conducted if applicable.

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Versions	Form popularity	Fillable & printable
2020	4.2 Satisfied (29 Votes)
2010	4.6 Satisfied (41 Votes)

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What is included on a respirator fit test record?

The record must contain the test subjects name; overall fit factor; make, model, style, and size of respirator used; and date tested.

What are the record keeping requirements for respirator fit testing?

(A) The employer shall establish a record of the qualitative and quantitative fit tests administered to an employee including: The name or identification of the employee tested; Type of fit test performed; Specific make, model, style, and size of respirator tested; Date of test; and.

What must respirator inspections include?

The inspection should include a check of regulator and warning devices to ensure their proper function. Employers must keep records of inspection dates and findings. Users should replace chemical cartridges and gas mask canisters as necessary to provide complete protection, following the manufacturers recommendations.

What does a respirator medical evaluation consist of?

This information includes: the type and weight of the respirator to be used by the employee; the duration and frequency of respirator use; the expected physical work effort; additional protective clothing and equipment to be worn; and the temperature and humidity extremes that may be encountered.

How long to keep fit test records?

The employer must enforce use of the respiratory protection. Document retention: Employers must retain records of employee medical evaluations for the duration of employment plus 30 years. Employers must also retain fit-test records for respirator users until the next fit test is administered.