Lee Wheatley

Respirator Fit Test Report

Use this Template

Print as PDF

Use this Template

Title Page

Name
Department / Team
Make / Model / Size or Respirator
Own face piece/Pool or Test Model used?
Fit Test Kit Used
Re-test Required
Test Conducted by
Pass Achieved On
Signature of Tester
Signature of Employee

Lee Wheatley

Respirator Fit Test Report

Use this Template

Print as PDF

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. You should independently determine whether the template is suitable for your circumstances.