Fit Test Wallet Card Template

These have hazmat placards on one side and placard descriptions on the other and are essential tools whether used for air rail water or ground transport training.
Fit test wallet card template. You must be fit tested at least annually and if you change to a different respirator model. 992009 43424 pm. Fit testing conducted in compliance with osha standard 1910134f. Conduct a user seal check each time a respirator is put on.
Fit testing uses a test agent either qualitatively detected by the wearers sense of taste smell or involuntary cough irritant smoke or quantitatively measured by an instrument to verify the respirators fit. Your consent to treat in an emergency physician emergency ice contact medical conditions allergies and other medical information. Now key the text see example above into the address box. Some medical professionals are not aware that these conditions are especially threatening for people living with paralysis.
The following test subject has been fit tested and trained in the use of the noted respirator. Make sure that avery standard appears in the label product box. Bdwalletcard v2 8503 230 pm page 1 the following test subject has been fit tested and trained in the use of the noted respirator. Respiratory fit test fit w fit and if s ml dc pr.
Use the name and hours of just one person at this point. Medical id wallet cards 3 x 2 inch credit card size color card with emergency medical symbol includes. Fit test wallet card a fit testing wallet card is documentation designed to be used by the employee to keep record of their fit test. Respirator fit test wallet card.
A fit test is a test protocol conducted to verify that a respirator is both comfortable and correctly fits the user. Generic fit test wallet cardjpg author. Scroll down the list in the product number box and choose business card. Conduct a user seal check each time a respirator is put on.
If other local state or federal regulations apply such as msha you may list them here. You must be fit tested at least annually and if you change to a different respirator model. Reeve foundation wallet cards enable people living with autonomic dysreflexia deep vein thrombosis dvt and sepsis to carry critical information on their person.