Title Page

  • Conducted on

  • Fit tester

  • Candidates name

  • Location
  • Covid-19 Precautions - Tester must wear FFP3/P3 mask and nitrile gloves while conducting test on colleague. Test hood must be cleaned with disinfectant wipes, inside and out , in sight of the candidate

  • Acceptable types of facial hair

    facial hair.jpg
  • Mask type

  • Model and Size

  • Hazard

  • Condition

  • PPE worn

  • Sensitivity Level


  • Normal breathing

  • Deeper breathing

  • Turning head side to side

  • Moving head up and down

  • Talking

  • Leaning forwards

  • Normal breathing




  • Was proper fit training provided?

  • Face Seal

  • Fit tester's signature

  • Candidate's signature

  • Expiry date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.