N95 Fit-Test Form Template
Ensure Safe Respirator Usage with Our Fit-Test Form
Insufficient fit-testing can put your team's health at risk, making compliance critical. This N95 fit-test form template is designed for organizations that prioritize workforce safety and regulatory adherence. By using this form, you'll streamline the fit-testing process, enhance compliance with health guidelines, and simplify record-keeping for future audits. Plus, it ensures testers and wearers understand the proper use of respirators. Experience the ease of creating a secure environment with our live template.
When to use this form
Use this form when you must verify the seal of an N95 or other tight-fitting respirator before assigning it to staff. It is ideal for onboarding nurses, lab techs, dental teams, contractors, and students, and for annual rechecks or after weight change, new facial hair, or dental work. If you screen health history first, attach the Medical questionnaire form. For roles that need a physician sign-off, pair results with a Medical clearance form. After facial procedures, your policy may also require a Surgery clearance form before testing. The outcome is a documented pass or fail with the make, model, and size, so you can issue the right respirator and stay compliant.
Must Ask N95 Fit-Test Questions
- Have you had any facial hair, dental changes, weight change, or facial surgery since your last fit test?
These changes can break the face seal and invalidate prior results. If surgery was recent, your policy may require documented clearance before testing.
- Which respirator make, model, and size are you being fitted for today?
Fit is brand-specific, so capturing the exact model ensures valid, repeatable results. It also streamlines inventory and prevents mix-ups during reorders.
- Do you have any medical conditions, symptoms, or medications that could affect respirator use?
Identifying risks helps you pause testing and route the person for clinical review if needed. This protects the tester and the employee and avoids unsafe assignments.
- Can you don the respirator correctly and pass user seal checks while talking, bending, and moving your head?
Demonstrating correct donning and a successful user seal check reduces false failures and confirms training. It shows the person can use the respirator safely during real tasks.
- Have you had a recent respiratory illness or are you returning from leave that could change fit or tolerance?
Illness and recovery can alter facial structure or breathing tolerance, making prior results unreliable. Your workplace may document readiness with a Fitness for duty form before retesting.
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