Search results
Use this form when employees complete their N95 respirator training and fit testing. It is vital during onboarding or when there is a change in respirator type. Ensure documentation is up-to-date annually or as regulations change.
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.
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!
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.
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.
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.
The N95 respirator is to be used when entering the room of a patient on Airborne Precautions. The N95 respirator fits tightly and restricts air intake, and therefore requires medical clearance for both fit testing and use. Powered air-purifying respirators (PAPRs) are available for staff who has not been fit tested for the N95 respirator.
