Template

Qualitative Face Fit Test Certificate

by Dean Crowe, from the Community

30+

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.

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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+
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Template
Face Fit Certificate
This Face Fit Certificate template helps you document and certify respirator fit tests. Record mask details (type, make, model, size, condition), company and site, wearer and assessor names, sensitivity score, retest frequency, test date, and test exercises including normal and deep breathing, head movements, talking, bending, and final normal breathing. Capture number of repeat tests, assistance required, overall result, and obtain wearer and tester signatures for compliance records.
by Phillip Sparks, from the Community
Downloads: 0
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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
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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
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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

30+

Get

Template

Face Fit Certificate

This Face Fit Certificate template helps you document and certify respirator fit tests. Record mask details (type, make, model, size, condition), company and site, wearer and assessor names, sensitivity score, retest frequency, test date, and test exercises including normal and deep breathing, head movements, talking, bending, and final normal breathing. Capture number of repeat tests, assistance required, overall result, and obtain wearer and tester signatures for compliance records.

by Phillip Sparks, from the Community

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

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

Get

Qualitative Face Fit Test Certificate

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Qualitative Face Fit Test Certificate Template

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Qualitative Face Fit Test Certificate Template

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