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How to fill out the Qualitative Fit Test Form online
Filling out the Qualitative Fit Test Form is an essential step in ensuring safety and compliance in the workplace. This guide will provide you with clear instructions to help you complete the form accurately and efficiently online.
Follow the steps to successfully complete the form
- Click ‘Get Form’ button to access the Qualitative Fit Test Form and open it in your preferred online editor.
- Begin by entering the employee information. Fill in the fields for employee name, social security number (SSAN), and telephone numbers (business and home) as applicable.
- Next, specify the date of the test and enter the job title of the employee under the employee information section.
- Proceed to the information regarding the fit tester. Enter the tester's name, SSAN, company/job title, and their contact numbers.
- Indicate the substances used for the qualitative fit test by checking the appropriate options (e.g., banana oil, solution, or other).
- Document any factors that might affect the fit, such as beard growth, dentures, or glasses by checking the relevant boxes.
- Complete the sensitivity test section. Confirm if a sensitivity test was conducted by selecting Yes or No.
- Fill in the respirator selection table by answering whether the test was conducted in a separate room and if respirator donning/fitting techniques were reviewed.
- Assess comfort with the selected respirator by reviewing the listed positional factors. Mark each as Yes or No as you assess.
- Conduct the fit test exercises. Mark the pass or fail status for each exercise that the test subject completes.
- Finalize the fit test results by detailing any criteria for passing or failing based on the user's experience during the fit test.
- Complete the respirator fit certification section by confirming the respirator brands and sizes the individual is qualified to wear.
- Finally, review all entries for accuracy and completeness. Save your changes, and when finished, download, print, or share the form as needed.
Complete your Qualitative Fit Test Form online today to ensure compliance and safety in the workplace.
Yes, you must be certified to perform respirator fit testing. Certification ensures that the individual conducting the tests understands the procedures and can produce reliable results. Moreover, utilizing a Qualified Fit Test Form allows for standardized documentation, helping compliance with industry regulations.
Fill Qualitative Fit Test Form
This fit test is required annually. Does employee wear glasses? Qualitative Fit Test Report. 3M FT-10 or 3M FT -30. NOTE: This form is specifically for the use of Qualitative Fit Tests (QLFT) only. (Please Print Clearly). Following are the forms that should be used when performing a qualitative fit test. A. Qualitative Fit Test Record. 1. Normal Breathing. Fit. The personal information requested on this form is collected under the authority of Section 33(c) of the Alberta.
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