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Your height feet inches. 4. Your weight pounds. 5. Your job title. 6. A phone number where you can be reached by the health-care professional who reviews this questionnaire (include area code) 7. The best time to phone you at this number.
This form serves a critical role in ensuring the safety and efficacy of N95 respirators for individuals who require respiratory protection. It captures vital participant information and evaluates the proper fit of respirators through a structured testing process.
You should do the following: Read and heed all instructions provided by the manufacturer on use, maintenance, cleaning and care, and warnings regarding the respirators limitations. Choose respirators certified for use to protect against the contaminant of concern.
30 mar 2021 · According to OSHA, “a ‘fit test’ tests the seal between the N95 mask’s, or respirator's, facepiece and your face.” It typically takes 15-20 minutes to complete and should be performed when this type of mask is first used and then at least annually.
Respirator fit testing is just one important part of a healthcare facility’s Respiratory Protection Program. 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.
14 kwi 2023 · Download form Print Last updated: April 14, 2023. How to Use. Complete this questionnaire if you have to wear a N95 respirator. Submit it to your supervisor in a sealed envelope, along with the N95 Respirator Training Quiz.
Start conducting fit-testing for your organization using this N95 fit-test form. Having this form lets every tester and wearer be guided on how should the wearing of respirators be done. Use this N95 fit-test form for free here in Jotform!
