Employee First NameArielle
Employee Last NameGallucci
Employee Job Title / Description

Student

EmployerTouro University Nevada
  • None
Squeezes Sensitivity10
Fit Test CheckE. Fit Check Test (select one of each):
Positive Pressure
  • Pass
Negative Pressure
  • Pass
Fit Testing
  • Qualitative
BitterPass
Choose fit test solution to test:Bitrex
Reactions to Testing SolutionsNo
Complaints or IssuesNo
Employee acknowledgment of test results and that there were NO ADVERSE REACTIONS to the fit test solutions at the time of the testing:(Required)
Employee Signature
Date:Date: March 16, 2026
Test Conducted By:Dahiana Pimentel
Signature:
Date:Date: March 16, 2026
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.