Respirator fit test card template 2025

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  1. Click ‘Get Form’ to open the respirator fit test card template in the editor.
  2. Begin by filling in the 'Facility' and 'Date' fields at the top of the form. This information is essential for record-keeping.
  3. Next, enter the 'Employee' name who has successfully passed the fit test. This personalizes the document and confirms their training.
  4. In the section confirming successful completion of training, ensure that you check off whether a qualitative or quantitative fit test was passed.
  5. Fill in details about the respirator used, including 'Manufacturer', 'Model', and 'Size'. This information is crucial for compliance and safety.
  6. Have the trainer sign in the designated area to validate that all procedures were followed correctly.
  7. Finally, review all entries for accuracy before saving or exporting your completed form. This ensures that all necessary information is captured correctly.

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Fit-to-Work Testing is a workplace testing program used to determine whether a worker can safely complete the tasks and duties required by a particular job.
A fit factor of at least 100 is required for half-mask respirators and a minimum fit factor of 500 for a full facepiece negative-pressure respirator.
There are two types of fit tests that can be performed as part of the respiratory protection program: quantitative and qualitative....OSHA accepts three quantitative fit test methods: Generated aerosol; Ambient aerosol; and. Controlled Negative Pressure.

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(5) The fit test solution is prepared by adding 83 grams of sodium saccharin to 100 ml of warm water. (6) As before, the test subject shall breathe through the slightly open mouth with tongue extended, and report if he/she tastes the sweet taste of saccharin.
So what is a fit test? A \u201cfit test\u201d tests the seal between the respirator's facepiece and your face. It takes about fifteen to twenty minutes to complete and is performed at least annually. After passing a fit test with a respirator, you must use the exact same make, model, style, and size respirator on the job.
This study found that male participants obtained a higher pass rate (72.1% for both respirators) compared with females (58.1% and 53.1%) in the QNFT of N95 respirators. The accuracy of user-seal-check for males (68.2\u201370.5%) was higher than that for females (57.5\u201359.4%).
(5) The fit test solution is prepared by adding 83 grams of sodium saccharin to 100 ml of warm water. (6) As before, the test subject shall breathe through the slightly open mouth with tongue extended, and report if he/she tastes the sweet taste of saccharin.
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.

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