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HomeMy WebLinkAboutFit Test Report 2FIT TEST REPORT These fit tests will determine whether your respirator is fitting well or not. Follow the guidelines below for both the Irritant Smoke Fit Test and the Banana Oil Fit Test. After you are through, use the evaluation form (Fit Test Report Form) and keep it for your records. Irritant Smoke: 1. The wearer must don a respirator equipped with HEPA (high efficiency) filters. 2' The wearer must close his/her eyes tightly. 3. The tester must break the ends of the smoke tube and insert one end of the tube into the squeeze bulb. 4. Squeeze the bulb to create a cloud of smoke near the wearer's face. The wearer should run through the exercises listed below for 15 seconds apiece. If he/she coughs, sneezes, complains of irritation, try repositioning the headband and face piece to eliminate the leak. 5. If, in two attempts, the wearer has not stopped the leak, he/she has failed the fit test and must try another size. Banana Oil: 1. The wearer must don a respirator equipped with G100 cartridges. 2. The tester must crush the ampoule between thumb and forefinger. 3. HoId ampoule approximately 1 to 2 inches from the wearer's face. Pass ampoule around the face seal area and exhalation valve. The wearer should run through the exercises listed below for 15 seconds apiece. 4. Leakage will be noted by a "banana -like" odor in the face piece. 5. If, in two attempts, the wearer has not stopped the leak, he/she has failed the fit test, and must try another size. Employee: Company: FIT TEST REPORT Fit Test Method Used: Irritant Smoke Banana Oil Respirator Size: Move Head Up & Down: Move Head Side to Side: Run In Place: Bend At Waist: Breath Deeply: Talk: Fit Test Results: Pass Fail Comments: Employee's Signature TEST ADMINISTERED Date: 11