NYC 9/11 Public Portal Document
WRS Infrastructure & Environment, Inc.
Quantitative Fit Testing Certificate
Employee
Name: Date:
Employee
Dept: No.:
Quantitative Fit Testing Device: DNI Nevada lit Tester 3000 (Controlled Negative Pressure)
Test Parameters
Work Rate: Heavy 300 kcal/ hr. Cartridge Type: Hi (Combination)
Mask Type: Full Face or Half Face Challenge Pressure:” H2O
Manufacturer:_________________ Breathing Rate:___________________ LPM
Model:________________________ Gender:_______________________________
Size; _______________________ Minimum Passing Fit Factor: 500
18 Step Protocol Exercises & Tests
Step 10; Test Face Forward
Step 1; Breathing 60 seconds FF: TestQ:
Step 2: Test Face Forward
FF: TestQ: Step 11: Grimace 20 seconds
Step 3: Move Head Side to Side 60 seconds Step 12; Test Face Forward
FF: Test Q;
Step 4: Test Face Left
FF: TestQ; Step 13: Bend at Waist 30 seconds
Step 5: Test Face Right Step 14; Test Face Forward
FF: TestQ; FF: Test Q;
Step 6: Move Head Up & Down 60 seconds Step 15: Jog in place 30 seconds
Step 7: Test Head Up Step 16; Test; Face Forward
FF; Test Q; FF; Test Q;
Step 8: Test Head Down
FF: TestQ: Step 17: Re-don Respirator 60 seconds
Step 18: Test Face Forward
Step 9: Reading 30 seconds FF; Test Q;
Average of Fit Test Exercises
Average % Leak: Test Quality: Equivalent Fitactor:
Employee Signature: Date:
Tester’s Signature: Date:
WRS Infrastructure & Environment, Inc
NYC-WTC_000145114
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