RESPIRATOR FIT TEST FORM - University of Victoria
Sensitivity Test Results: 10 20 30 Difficulties testing? Yes No Adverse reaction to Bitrex or Saccharin? Yes No Comments: Sensitivity Sol. Lot # Fit Test Sol. Lot # Respirator(s) Fit Tested: N95 Elastomeric Half-face Elastomeric Full-face Make Model Result 1. Pass Fail 2. Pass Fail 3.