04/01/2021
FIT TEST REPORT
NUMBER: 870991
LAST NAME: RODOLFO
FIRST NAME: VICENTE SPAZZAPAN
COMPANY: ARAÚJO ENGENHARIA PORTACOUNT S/N: 8038815121
LOCATION: ARAÚJO ENGENHARIA N95 COMPANION: N
TEST DATE: 01/04/2021 PROTOCOL: OSHA
DUE DATE: --- PASS LEVEL: 100
RESPIRATOR: PFF2 APRPROVAL: SIM
MANUFACTURER MODEL: 3M EFFICIENCY -99%: False
MASK STYLE: SF
MASK SIZE: M
EXERCISE
DURATION (SEC)
FIT FACTOR %
PASS
NORMAL BREATHING
60
94%
Y
DEEP BREATHING
60
94%
Y
HEAD SIDE TO SIDE
60
94%
Y
HEAD UP AND DOWN
60
94%
Y
TALKINIG
60
94%
Y
GRIMACE
36
94%
Y
BENDING OVER
60
94%
Y
NORMAL BREATHING
60
94%
Y
OVERFALL FF
---
94%
Y
FIT TESTE OPERATOR: __________________ DATE:_______________
NAME:_________________________________ DATE:_______________
NOTE: CA 41515 - COLABORADOR NÃO TEM TREINAMENTO QUANTO A USO CORRETO DE EPI.
Walter Fonseca
Executor Fit Teste
DRT 004172-6
04/01/2021
