PPE Fit Test Record for Construction Employees
Employee Information
Name
Employee ID
Job Title
Department/Project
Date of Test
Location
Respirator / PPE Information
PPE Type
Manufacturer
Model
Size
Assigned PPE Serial/ID Number
Fit Test Method
Fit Test Type
Qualitative
Quantitative
Protocol Used
Fit Test Results
Exercise/Activity
Pass/Fail
Comments
Normal Breathing
Deep Breathing
Head Side-to-Side
Head Up-and-Down
Talking
Bending
Final Results
Additional Comments
Employee Signature
Fit Tester Signature
Date