Respirator Fit Test Wallet Card Template
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Respirator fit test wallet card template. Yes no na discontinue use of modified altered or damaged respirators. Start a free trial now to save yourself time and money. The most secure digital platform to get legally binding electronically signed documents in just a few seconds. 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.
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. Respirator fit tested make model style size fit test. Tm isoamyl acetate irritant smoke quantitative. 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.
Perform a positivenegative fit test each time respirator is donned. Available for pc ios and android. N95 respirator training and fit testing verification facility date employee has successfully passed a qualitativequantitative fit test and completed. Machineguardingpptppt 32 mib 691 hits.
Type of osha accepted fit test protocol used. Respirator fit test record. Yes no na assure facial hair eyeglasses or clothing does not interfere with respirator seal each time it is donned. Fit tested due to.
Respirator fit test form. Conduct a user seal check each time a respirator is put on. The card will allow healthcare workers to easily recall the type of n95 respirator for which they have been trained and fitted. Fill out securely sign print or email your respirator fit test form instantly with signnow.
Employee acknowledges the following requirements. 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. A copy of the n95 respirator training and fit testing verification card can be download here. You must be fit tested at least annually and if you change to a different respirator model.
Respirator fit test test date. A fit testing wallet card is documentation designed to be used by the employee to keep record of their fit test. Could not be. Yes no na note.
A new fit test must be performed in the event of significant weight. Generic fit test wallet cardjpg author. 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. Respirator fit testing.
