Information
-
Document No.
-
Main Title
-
Conducted on
-
Prepared by
-
Location
PRE TEST REQUIREMENTS
-
This Fit Test Report has been conducted using a TSI Qfit Automatic Respirator Fit Tester
S/N 6027031005069.
The person conducting the Fit Test is Dave Mee.
The test is carried out on behalf of M Lambe Construction Ltd, Newton House, Newton Place, Birmingham, B18 5JY.
Tel: 0121 554 2108 - Fax: 0121 554 8896 - Email: dmee@mlambe.co.uk
A Maintenance schedule sheet will be issued to the candidate upon a successful pass (where serviceable) .
It is their responsibility to maintain, report defects and request consumables (filters) when required.
It is the individual's duty to arrange replacement RPE when required. -
Pre Test Information issued?
-
Client / Title
-
Is the operative clean shaven in the area of the mask interface?
-
Is it safe to proceed? No allergies or claustrophobic issues.
-
Free from neck/backinjuries or blood pressure issues?
-
Confirmation no food or drinks consumed 30 mins prior to the test? (Water is acceptable during this period)
-
The test substance used.
-
Sensitivity test detection period
-
Select date
-
Test ID Number.
-
Mask Make, Model and Size.
-
Mask Type.
- Disposable Flat Pack no valve
- Disposable Flat Pack with Valve
- Disposable Moulded no Valve
- Disposable Moulded with Valve
- Half Mask Serviceable Single Filter
- Half Mask Serviceable Dual Filter
- Half Mask Reusable Non Servicable
-
Rating of Filter Used?
-
Mask issuing
-
Is applicable PPE being worn?
-
Does PPE interface suitably?
The Test
-
TEST CRITERIA
Each of the following exercises will be carried out following the completion sensitivity test to establish a suitable test substance.
The mask will be fitted in accordance with the manufacturers instructions, and maintenance procedure will be explained.
Each test will last 60 seconds. Any sign of the operative tasting or smelling the test substance during this period is a fail on the fit of the mask. The fit will be checked a second time, on second fail an alternative size or type of mask will be tried. -
1) Breathing normally for 60 seconds.
-
2) Deep breathing for 60 seconds.
-
3) Moving head side to side for 60 seconds.
-
4) Moving head up and down for 60 seconds.
-
5) Talking out loud for 60 seconds.
-
6) Bending at the waist for 60 seconds.
-
7) Breathing normally for 60 seconds.
-
RPE seal break carried out before hood removed.
-
Candidate: I confirm that the above test has been carried out and I have completed all tasks indicated without detecting the test substance.
The basic inspection maintenance requirements have been explained to me during the test along with storage and cleaning requirements. I understand that defects must be reported and that masks must be changed in line with the manufactures guidelines. I understand that this test only covers me for the mask used in the test, no other make model or size.
I understand that upon change of circumstance which may affect the fit of the mask, i.e. losing or gaining weight, substantial dental work, or any new facial scars or moles etc around the face seal area that I must request a re-fit of the current mask to ensure continued correct fitting.
The hazards identified during the risk assessment which have lead to this RPE being required have been explained to me.
I understand it is my legal duty to ensure this RPE, in conjunction with other dust suppression equipment is used for all abrasive cutting of concrete, stone, brick, tiles etc.
Fit Test Operator: The test has been carried out in line with the required standards and the below named person has completed all 7 tests without detecting the test substance.
Where necessary RPE has been issued of the same make, model and size as the test equipment. This is accompanied by the Maintenance Document where applicable for serviceable masks. -
Fit Test Operator.
-
Candidate Tested.
