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UNIVERSITY OF CINCINNATI University Health Services APPENDIX E ENVIRONMENTAL 5564968 Health & Safety Fit Test Report Last Name: First Name: ID number Last Name Company Location Test Date Test Time
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How to fill out appendix e fit test

How to fill out Appendix E fit test:
01
Start by reading the instructions provided in Appendix E to understand the purpose and requirements of the fit test.
02
Gather all the necessary equipment and materials, including a fit test kit and a copy of the fit test form.
03
Begin by filling out the basic information section on the fit test form, such as the individual's name, job title, and department.
04
Check the appropriate box indicating the type of fit test being conducted (e.g., qualitative or quantitative).
05
Document the make, model, and size of the respirator being tested in the designated section.
06
Next, record the fit test agent to be used, such as Bitrex or Saccharin, and its concentration level.
07
Follow the specific instructions provided in Appendix E to administer the fit test accurately. Note down the date and time of the fit test.
08
Record the individual's response during the fit test, including any discomfort, irritation, or leakage of the respirator.
09
Assess the fit test results and determine whether the individual passed or failed the fit test. Document this information accordingly.
10
Remember to have the fit test form reviewed and signed by the fit test administrator.
11
Once the fit test is completed, store the fit test record securely for future reference and compliance purposes.
Who needs Appendix E fit test:
01
Any individual who is required to wear a respirator in their workplace as a means of protection against hazardous or airborne substances needs to undergo the Appendix E fit test.
02
This can include employees in industries such as construction, healthcare, manufacturing, agriculture, and others where respiratory protection is necessary.
03
Employers have the responsibility to identify the need for respiratory protection and ensure that employees are fit tested to ensure the proper use and effectiveness of respirators.
04
The fit test helps determine if the selected respirator is the right fit for the individual and if they can achieve an adequate seal to prevent exposure to harmful substances.
05
Additionally, individuals who experience changes in their facial structure (e.g., weight gain or loss, facial surgery) or change to a different respirator model or size may need to undergo a fit test to ensure continued protection.
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