Template

Qualitative Face Fit Test Certificate Template

by Aiden O'Mahoney, from the Community

30+

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.

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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
Use this qualitative face fit test certificate to document RPE fit testing for workers. Record wearer details, make and model, size and ID, test method and sensitivity, eyewear use, facial hair, and repeat tests. Capture results for normal and deep breathing, head movements, talking, bending, final seal check, and overall result. Include tester name, test date, expiry, and comments. Keep records for at least five years and retest when equipment or facial features change to meet HSE guidance.
by Dean Crowe, from the Community
Downloads: 30+
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Template
MMA Prevent Qualitative Respirator Fit Test Report
Use this qualitative respirator fit test report template to document pre test information, sensitivity checks, fit test exercises, and assessor comments. Capture candidate details, results, and repeat testing decisions. Records should be kept for five years and are valid for two years, with retesting required after weight change, dental work, or facial changes.
by John Bestman, CSP, from the Community
Downloads: 10+
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Template
Face Fit Record Template
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.
by Liam Fryatt, from the Community
Downloads: 0
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Template
Respirator Face Fit Testing Checklist
Use this respirator face fit testing checklist to document essential information during qualitative or quantitative fit tests. Capture the users name, site, date conducted, tester details, respirator make and model, filter type, test results, and any comments. Include signatures from the tester and user to validate completion and support regulatory compliance. This template helps standardize PPE fit testing records across teams and improves safety documentation.
by Eddie Harris, from the Community
Downloads: 0
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Qualitative Face Fit Test Certificate

Use this qualitative face fit test certificate to document RPE fit testing for workers. Record wearer details, make and model, size and ID, test method and sensitivity, eyewear use, facial hair, and repeat tests. Capture results for normal and deep breathing, head movements, talking, bending, final seal check, and overall result. Include tester name, test date, expiry, and comments. Keep records for at least five years and retest when equipment or facial features change to meet HSE guidance.

by Dean Crowe, from the Community

30+

Get

Template

MMA Prevent Qualitative Respirator Fit Test Report

Use this qualitative respirator fit test report template to document pre test information, sensitivity checks, fit test exercises, and assessor comments. Capture candidate details, results, and repeat testing decisions. Records should be kept for five years and are valid for two years, with retesting required after weight change, dental work, or facial changes.

by John Bestman, CSP, from the Community

10+

Get

Template

Face Fit Record Template

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.

by Liam Fryatt, from the Community

Get

Template

Respirator Face Fit Testing Checklist

Use this respirator face fit testing checklist to document essential information during qualitative or quantitative fit tests. Capture the users name, site, date conducted, tester details, respirator make and model, filter type, test results, and any comments. Include signatures from the tester and user to validate completion and support regulatory compliance. This template helps standardize PPE fit testing records across teams and improves safety documentation.

by Eddie Harris, from the Community

Get

Qualitative Face Fit Test Certificate Template

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Qualitative Face Fit Test Certificate

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Qualitative Face Fit Test Certificate

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