Face Fit Certificate Template UK

The Face Fit Certificate Template UK is offered in multiple formats, including PDF, Word, and Google Docs, and features customizable and printable samples.


Sample

Face Fit Certificate Template UK

Editable – Printable



Face Fit Certificate Template UK

1. Employee Information



2. Employer Information


3. Fit Test Details


4. Test Results

5. Test Conditions

6. Tester Information


7. Recommendations

8. Acknowledgment

9. Signatures and Agreement

10. Declaration and Signatures




PDF


WORD

Examples


Face Fit Certificate Template UK (1)
Certificate Issued To:
[Name of the Individual]
[Employee ID or Reference Number]
[Employer’s Name]
[Employer’s Address]
Date of Test:
[Date of Testing]
Test Conducted By:
[Name of the Tester]
[Tester’s Qualification]
[Tester’s Company/Organization]
Introduction:
This document certifies that the individual named above has successfully completed a face fit test for respiratory protective equipment (RPE), in accordance with HSE guidelines and regulations in the UK.
Test Details:
The following equipment has been tested:
– [Type of RPE, e.g., FFP2 respirator]
– Model: [Model Name]
– Manufacturer: [Manufacturer Name]
Results:
The individual achieved a satisfactory fit factor of [Fit Factor], which meets the required standards for safe use in their working environment.
Recommendations:
It is recommended that this certificate be reviewed annually or whenever a significant change in the individual’s physical condition or role occurs.
Limitations:
This certificate is valid only for the individual named above and the specific type of RPE tested. It does not cover other equipment or scenarios not tested during this assessment.
Signed on behalf of [Company Name] in [City] on [Date].
Sincerely,
[Signature of the Tester]
[Name of the Tester]
[Position of the Tester]
Face Fit Certificate Template UK (2)
Certificate Issued To:
[Name of the Individual]
[Employee ID or Reference Number]
[Employer’s Name]
[Employer’s Address]
Date of Test:
[Date of Testing]
Test Conducted By:
[Name of the Tester]
[Tester’s Qualification]
[Tester’s Company/Organization]
Introduction:
This certificate confirms that the above-named individual successfully passed the face fit test for specified respiratory protective equipment (RPE) according to UK health and safety standards.
Test Equipment:
The following RPE was tested:
– [Type of RPE, e.g., N95 mask]
– Model: [Model Name]
– Manufacturer: [Manufacturer Name]
Test Results:
The fit factor recorded was [Fit Factor], satisfying the requirements for a successful test, ensuring adequate protection in the intended workplace environment.
Recommendations:
Reevaluation of fit should occur at least every 12 months or upon change of the equipment or significant change in facial structure.
Limitations:
This certificate is specific to the equipment and individual named. It does not extend to cover other equipment or scenarios.
Signed on behalf of [Company Name] in [City] on [Date].
Sincerely,
[Signature of the Tester]
[Name of the Tester]
[Position of the Tester]

Printable



Face Fit Certificate Template UK