Template

Face Fit Record Template

by Liam Fryatt, from the Community

Use this Face Fit Record template to document qualitative or quantitative respirator fit tests for tight-fitting RPE. Capture worker details, assessor information, mask make, model and size, pre-test checks, sensitivity grouping, PPE and eyewear considerations, and the full sequence of fit test exercises. Log pass or fail outcomes, repeat tests, corrective actions, and signatures, then schedule retests to maintain compliance. Ideal for construction sites and other dust-exposed workplaces, this template helps demonstrate adherence to occupational health and safety requirements and standardized record keeping.

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Qualitative Face Fit Test Certificate Template
Use this Qualitative Face Fit Test Certificate template to record respirator fit testing for workers using RPE. Capture wearer details, RPE make and model, method and sensitivity, pass/fail exercises, eye protection and facial hair notes, tester name, test date, expiry date, and comments. The record aids compliance with HSE guidance, outlines when repeat testing is required, and supports employers in retaining documented evidence of fit tests for at least five years.
by Aiden O'Mahoney, from the Community
Downloads: 30+
Get
Template
Respirator Fit Test Report
This respirator fit test report template helps supervisors and safety officers record key details for qualitative or quantitative fit testing. Capture employee and tester names, respirator make, model and size, fit test kit used, test method, pass or fail results, retest requirements, dates, and signatures. Use it to standardize respiratory protection documentation, demonstrate PPE compliance, and maintain records across worksites in construction and other high-risk industries.
by Lee Wheatley, from the Community
Downloads: 30+
Get
Template
Respirator Fit Test Checklist
Use this respirator fit test checklist to document qualitative fit testing for tight-fitting masks such as N95s and half-face respirators. Capture mask make, model, and size, conduct a sensitivity test, and record exercise results including normal and deep breathing, head movements, talking, bending, and repeat tests if required. Note assistance provided to the wearer, training needs, and assessor name, signature, date, and time. Suitable for healthcare infection control and occupational safety across construction, manufacturing, and other workplaces requiring respiratory protection.
by George Hyatt, from the Community
Downloads: 0
Get
Template
SDS Face Fit Test Record
This SDS Face Fit Test Record template helps teams document qualitative respirator fit tests in the field. Record client and site details, the make and model of the face piece, the test agent (sweet or bitter), and each exercise performed, including normal and deep breathing, head movements, talking, and bending. Capture pass or fail outcomes, retest requirements, and required signatures to demonstrate PPE compliance and worker protection on site.
by Alan Prodger, from the Community
Downloads: 0
Get

Face Fit Record Template

About author

You might also like

Qualitative Face Fit Test Certificate Template

Respirator Fit Test Report

Respirator Fit Test Checklist

SDS Face Fit Test Record

You might also like

Qualitative Face Fit Test Certificate Template

Respirator Fit Test Report

Respirator Fit Test Checklist

SDS Face Fit Test Record