Respiratory Mask Fit Testing Respiratory Mask Fit Testing Date test performed Location Person Details Name of person being mask fit-tested * Name of person being mask fit-tested First First Last Last I give consent for this test to be undertaken * Clear I agree that by signing this Declaration I gave consent for Trainee & Apprentice Placement Service (TAPS) to test fit a respiratory mask. Company TAPS EmployeeOther Company Facial Hair * Yes No Clean Palate * Yes No If you are human, leave this field blank. Next
