Respirator Fit Test Record

Fit check respirator must be fit checked by the wearer each time the respirator is put on.

Respirator fit test record. Ecs last modified by. Fit tested due to. 1 23 2014 4 30 00 pm company. A fit testing wallet card is documentation designed to be used by the employee to keep record of their fit test.

Could not be. A qualitative fit test qlft may only be used to fit test certain negative pressure air purifying respirators and positive pressure atmosphere supplying respirators. Sample respirator fit test and training record. Available for pc ios and android.

It relies on the user s ability to detect a particular taste smell or irritant. An individual record is used for each employee assigned a respirator that requires fit testing. Respirator fit tested make model style size fit test. Fit testing conducted in compliance with osha standard 1910 134 f.

The results indicate the performance of the listed respiratory protective device as fitted on the employee named on this record under controlled conditions. A quantitative fit test qnft can be used to fit test any tight fitting respirator. Yes no n a note. Moldex technical assistance call 1 800 421 0668 or 1 310 837 6500 fold here 9700 716 rev e 08 09 respiratory fit test.

Sample respirator fit test and training record author. Bracker anne created date. The most secure digital platform to get legally binding electronically signed documents in just a few seconds. 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.

Are there any additional recordkeeping requirements for fit test results that would prevent the department from destroying historical fit test records as long a current test record is maintained. The above respirator fit test was performed on and by the persons listed. Start a free trial now to save yourself time and money. Whenever you change to a different respirator model.

3 18 2010 10 20 54 am. A new fit test must be performed in the event of significant weight gain loss 20 lb dental work or any facial change that may affect the seal of the respirator. Fill out securely sign print or email your respirator fit test form instantly with signnow. Fit test a fit test must be performed.

Yes no n a assure facial hair eyeglasses or clothing does not interfere with respirator seal each time it is donned. Respirator fit test form. The respirator fit test record is used to document the results of qualitative respirator fit tests as recommended in ansi z88 2 and required in certain osha regulations.