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  • Qualitative Respirator Fit Test Record 2020

Get Qualitative Respirator Fit Test Record 2020-2025

QUALITATIVE RESPIRATOR FIT TEST RECORD Date: Fit testing conducted in compliance with OSHA Standard 1910.134(F). If other local, state or federal regulations apply (such as OSHA), you may list them.

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How to fill out the Qualitative Respirator Fit Test Record online

The Qualitative Respirator Fit Test Record is an essential document used to ensure that respiratory protection is appropriately fitted to users. This guide will provide clear instructions on how to effectively complete this record online, ensuring compliance with safety regulations.

Follow the steps to accurately complete the form online.

  1. Click ‘Get Form’ button to access the Qualitative Respirator Fit Test Record and open it in your preferred editor.
  2. Enter the date in the designated field to record when the fit testing was conducted.
  3. Indicate compliance with applicable regulations by listing any other local, state, or federal regulations next to the section provided.
  4. Select the type of qualitative OSHA accepted fit test protocol used from the provided options, ensuring accuracy in your choice.
  5. In the 'Name' field, print the name of the individual who underwent the fit test.
  6. Provide any relevant comments in the comments section to document additional observations or necessary information.
  7. Obtain the signature of the person being tested in the specified area.
  8. Fill in the company name, address, city, state, and zip code in the corresponding fields.
  9. Enter the telephone number in the designated field for contact purposes.
  10. Record the name of the fit tester in the appropriate section and ensure they sign the document.
  11. Specify the make, model, style, and size of the respirator that was fitted.
  12. Indicate the fit test result by choosing 'Pass' or 'Fail' in the designated area.
  13. If the fit test could not be completed, briefly note the reason in the section provided.
  14. After completing all sections, users can save the changes, download, print, or share the completed form as needed.

Complete your Qualitative Respirator Fit Test Record online today to maintain compliance and ensure safety.

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Exposure records must be maintained for 30 years. Medical records must be maintained for the duration of employment plus 30 years.

Qualitative fit testing is a pass/fail test method that uses your sense of taste or smell, or your reaction to an irritant in order to detect leakage into the respirator facepiece. Qualitative fit testing does not measure the actual amount of leakage.

The qualitative fit testing procedures shall be conducted as follows: Negative User Seal Check: With the intake port(s) blocked, the wearer inhales gently and holds. ... Positive User Seal Check: With the exhaust port(s) covered, the wearer exhales gently to generate a slight positive pressure within the facepiece.

Document retention: Employers must retain records of employee medical evaluations for the duration of employment plus 30 years. Employers must also retain fit-test records for respirator users until the next fit test is administered.

Keep a written record of fit-tests carried out for each worker, including the: type of test performed • make, model, style and size of respirator tested • date and result of the test. Issue workers with a fit-test record card after fit-testing.

Fit testing must be done prior to use, whenever a different respirator is worn, and at least annually thereafter (pending). Fit testing will be administered using an OSHA-accepted qualitative fit test or quantitative fit test protocol.

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.

Qualitative fit testing is a pass/fail method used on half-masks that relies on senses - such as taste and smell - to detect air leakage from your respirator. The half masks being tested much have an overall fit factor (mask particle concentration divided by the ambient particle concentration) of 100 or less.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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