| Touro University | |
| Date | 08/25/2025 |
| Job Title | N/A |
| Conditions which could affect your respirator fit: |
|
| Conditions which could affect your respirator fit: | E. Fit Check Test (select one of each): |
| Fit Check Test | E. Fit Check Test (select one of each): |
| Positive Pressure |
|
| Negative Pressure |
|
| Respirator Type | N95 |
| Manufacturer | 3M |
| Model Number | 1860 |
| Size | Standard N95 |
| Fit Testing |
|
| Isoamyl Acetate | Pass |
| Sweet | Pass |
| Bitter | Pass |
| Irritant Smoke | Pass |
| Select One | Employee acknowledgment of test results and that there were NO ADVERSE REACTIONS to the fit test solutions at the time of the testing:(Required) |
| Comments | None |
| Choose fit test solution to test: | Bitrex |
| Reactions to Fit Testing Solutions | No |
| Complaints or Issues | No |
| Fit test: Pass/Fail | Pass |
| Type Full Name | Allen Angelo Harina |
| Please check |
|
| First and Last Name of Worker: | Allen Angelo Harina |
| Date: | Date: December 14, 2025 |
| Retest Date | 08/25/2026 |
| Test Conducted By: | Julia Gallegos |
| Signature: | |
| Date: December 14, 2025 | |
| Disclaimer: | The above respirator fit test was performed on and by the persons listed. The results indicate the performance of the listed respiratory protective device, as fitted on the employee named on this record under controlled conditions. Fit testing as performed measures the ability of the respiratory protective device to provide protection to the individual tested. The Test Conductor express or imply no guarantee that this or an identical respiratory protective device will provide adequate protection under conditions other than those present when this test was performed. Improper use, maintenance, or application of this or any other respiratory protective device will reduce or eliminate protection. |
Touro University Fit Test Records Files