Respirator Fit Test Wallet Card Template

Respirator fit test record.

Respirator fit test wallet card template. Yes no na note. Respirator fit test test date. Respirator fit test form. A new fit test must be performed in the event of significant weight.

992009 43424 pm. Could not be. N95 respirator training and fit testing verification facility date employee has successfully passed a qualitativequantitative fit test and completed. Available for pc ios and android.

Fill out securely sign print or email your respirator fit test form instantly with signnow. Yes no na discontinue use of modified altered or damaged respirators. The card will allow healthcare workers to easily recall the type of n95 respirator for which they have been trained and fitted. A fit testing wallet card is documentation designed to be used by the employee to keep record of their fit test.

You must be fit tested at least annually and if you change to a different respirator model. 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. Start a free trial now to save yourself time and money. A copy of the n95 respirator training and fit testing verification card can be download here.

Yes no na assure facial hair eyeglasses or clothing does not interfere with respirator seal each time it is donned. Conduct a user seal check each time a respirator is put on. The most secure digital platform to get legally binding electronically signed documents in just a few seconds. Fit tested due to.

Respirator fit tested make model style size fit test. 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. Tm isoamyl acetate irritant smoke quantitative. Generic fit test wallet cardjpg author.

Perform a positivenegative fit test each time respirator is donned. Type of osha accepted fit test protocol used. Respiratory fit test fit w fit and if s ml dc pr. 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.

Fit testing general information. 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. 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. Portacount model o ccupational health dynamic model name please print signature.