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Emory University EHSO Respirator Fit Testing Form 2009 free printable template

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1762 Clifton Road, Suite 1200 Atlanta, Georgia 30322 (404) 727-5922 FAX: (404) 727-9778 RESPIRATOR FIT TESTING FORM Name: Employee ID: Department: Email Address: Facial Hair Y N Phone: Name of Principal
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How to fill out Emory University EHSO Respirator Fit Testing Form

01
Obtain the Emory University EHSO Respirator Fit Testing Form from the EHSO website or your supervisor.
02
Complete the personal information section including your name, department, and contact details.
03
Indicate the type of respirator you will be using on the form.
04
Provide information about any previous fit testing, including dates and results.
05
Check any applicable medical history or conditions that may affect respirator safety.
06
Sign and date the form to certify that the information provided is accurate.
07
Submit the completed form to your supervisor or the relevant EHSO department.

Who needs Emory University EHSO Respirator Fit Testing Form?

01
All employees who are required to use respirators for their job functions.
02
Individuals working in environments with airborne hazards.
03
Personnel involved in healthcare or laboratory settings where respiratory protection is necessary.
04
Students participating in research or practical activities requiring the use of respirators.
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People Also Ask about

Most respirators come in three sizes: small, medium, and large. The size of the mask is determined by the size of the rubber seal. The rubber seal should fit over the person's entire face, including their nose, mouth, and eyes. The larger the person's face, the large the rubber seal needs to be.
Nevertheless OSHA continues to require that, for a quantitative fit test, the wearer of the respirator must achieve a fit factor of at least 100. The agency also requires, as addressed in [29 CFR 1910.134], that wearers of respirators conduct a fit check each and every time they don a respirator.
A “fit test” tests the seal between the respirator's facepiece and your face. It takes about 15-20 minutes to complete and should be performed at least annually. After passing a fit test with a respirator, you must use the exact same make, model, style, and size respirator on the job to ensure a proper fit.
Are fit tests required? Yes. The Occupational Safety and Health Administration (OSHA) (29 CFR 1910.134) requires respirator users to be fit tested to confirm the fit of any respirator that forms a tight seal on your face before using it in the workplace.
There are two types of fit tests: qualitative and quantitative. 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.
OSHA requires half-mask respirators like N95 filtering-facepieces to have a fit factor of at least 100 to pass the fit-test. The fit factor pass level of 100 is not to be confused with the OSHA workplace rating of 10 for N95 respirators called the Assigned Protection Factor. Fit-testing employs a safety factor.
As mentioned above, the N95 Mask comes in different sizes: small, medium, and large. In reality, the N95 masks are all the same in sizes, but the rubber-mounted in the respirator gives the size variations. The rubber present in the mask is the one that dictates what size your N95 respirator has.
Place the respirator over your nose and under your chin. If the respirator has two straps, place one strap below the ears and one strap above. If you're wearing a hat, it should go over the straps.

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The Emory University EHSO Respirator Fit Testing Form is a document used to record the results of respiratory fit testing, ensuring that respiratory protection used by individuals is properly fitted and effective.
Individuals who are required to use respirators as part of their job duties, including those who work in environments with potential airborne hazards, must file the Emory University EHSO Respirator Fit Testing Form.
To fill out the form, individuals should provide their personal information, details about the type of respirator being tested, and the results of the fit test, including any corrective actions taken.
The purpose of the form is to document that proper fit testing has been conducted for respirators, ensuring the safety and health of employees by confirming that the respirators provide an adequate seal.
The form must include the individual's name, job title, department, the type of respirator used, fit test results, date of the test, and the name of the person who conducted the fit testing.
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