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N95 Filtering Face piece Respirator Fit Test San Mateo County Health System Employee Title Phone Number Date of Fit Test Employee Signature To be Completed by Employee (Please Print): Name: DOB: Soc
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How to fill out n95 filtering facepiece respirator

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How to fill out an N95 filtering facepiece respirator:

01
Start by washing your hands thoroughly with soap and water or using hand sanitizer to ensure cleanliness before handling the respirator.
02
Hold the N95 respirator in your hand with the nosepiece at your fingertips, allowing the headbands to hang freely below your hand.
03
Position the N95 respirator under your chin with the nosepiece up and pull the headbands over your head, resting them above your ears.
04
Hold the respirator against your face, covering your nose and mouth completely, while ensuring a tight seal by adjusting the metal nose clip along the bridge of your nose.
05
Use both hands to perform a user seal check, by placing your hands completely over the respirator and exhaling sharply. If you feel leakage from any part of the respirator (e.g., around the edges or through the exhalation valve, if present), readjust the nose clip and headbands to improve the seal.
06
Once properly fit, avoid touching the front surface of the respirator during use to prevent contamination.
07
When you're finished using the respirator, grasp the bottom headband and lift it over your head, followed by the top headband. Avoid touching the front surface while removing.
08
Dispose of the used respirator according to local guidelines and ensure proper hygiene by washing your hands again with soap and water or using hand sanitizer.

Who needs an N95 filtering facepiece respirator?

01
Healthcare workers: N95 respirators are essential for doctors, nurses, and other healthcare professionals who come in close contact with patients afflicted with infectious diseases, including respiratory infections like tuberculosis, COVID-19, etc.
02
General public during disease outbreaks: During epidemics or pandemics, wearing an N95 respirator can provide protection to the general public when they have to be in close proximity to infected individuals or when social distancing is challenging.
03
Individuals working in dusty environments: N95 respirators are also important for individuals working in occupations like construction, mining, and manufacturing, where exposure to hazardous airborne particles (e.g., silica, asbestos, wood dust) is common and needs to be reduced.
04
Air pollution affected areas: In regions with high levels of air pollution or wildfires, wearing N95 respirators can help individuals protect themselves from the harmful effects of particulate matter present in the air.
05
Other high-risk occupations: Some occupations, such as first responders, industrial hygienists, and laboratory workers, may require the use of N95 respirators to protect against exposure to hazardous substances or aerosols.
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The N95 filtering facepiece respirator is a type of respiratory protective device designed to achieve a very close facial fit and efficient filtration of airborne particles.
Employers in industries where employees are exposed to respiratory hazards are required to provide and ensure the proper use of N95 filtering facepiece respirators.
To fill out an N95 filtering facepiece respirator, employees must ensure a proper seal over the face, adjust the straps for a secure fit, and conduct a user seal check to confirm proper fit.
The purpose of the N95 filtering facepiece respirator is to protect the wearer from inhaling hazardous airborne particles, such as dust, fumes, and infectious agents.
Information that must be reported on an N95 filtering facepiece respirator includes the manufacturer's name, model number, and any relevant approvals from regulatory agencies.
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