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  • N95/respirator Mask Fit Testing Exemption Form

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N95/Respirator Mask Fit testing Exemption Form TRAINEE NAME: Last Name First Name PROGRAM: Training Level (PGY2, Fellow, etc) I am aware that I am not mask fit tested and will not be permitted to.

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Under 1910.134, fit testing must be performed initially (before the employee is required to wear the respirator in the workplace) and must be repeated at least annually. Fit testing must also be conducted whenever respirator design or facial changes occur that could affect the proper fit of the respirator.

FIT TESTING Fit-testing is not required for voluntary respirator wearers. However, individuals voluntarily wearing tight-fitting respirators may request that the OESO perform a fit test to ensure that the respirator achieves an effective mask-to-face seal.

During its tests, NIOSH uses a “near worst-case penetrating aerosol size (i.e., particles that are best able to make it through a filter).” An N95 respirator must block at least 95% of those particles, which typically measure at 0.3 microns in diameter.

Any respirator (N95 FFR or elastomeric) must be fit tested before the first use if your job exposes you to people who have or may have COVID-19. After that, your employer should test your fitting with the respirator every year and whenever something happens that could affect the seal.

PAPRs with loose-fitting facepieces, hoods, or helmets do not require fit testing. Fit tests must be performed by a qualified individual, able to follow the protocol & train employees. Records must be kept on Know fit tested size and A fit test is required before a file until the next annual test model of respirator.

Medical evaluations are required even for voluntary respirator usage in the workplace. The only exception is for voluntary use of disposable filtering facepiece respirators – in which case 3M still recommends having workers undergo the medical evaluation. The standard medical evaluation is a questionnaire.

Response 2: No, the voluntary use of respirators in work atmospheres which are not hazardous does not require the respirator wearer to be fit tested.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232