RPE Fit Test Providers Training Course Approval Scheme Training Provider:
RPE Fit Test Providers Training Course Approval Scheme Training course approval checklist Training Provider: Course Content:Qual / Quant / N95 Course Title / Reference: Assessed by: Date of Assessment: Review Date: Notes: The task of the assessor is to review training course material and instructional staff guidance notes to confirm that the training course content meets and exceeds the minimum requirements of the Fit2Fit scheme. The aim of the training course assessment is to ensure the course contains sufficient content to potentially train RPE fit testers to a competent level. The material is to be assessed against those topics identified by Fit2fit (using the Fit2Fit syllabus as the benchmark) and should adequately cover each topic to ensure sufficient knowledge and practical experience is delivered to the course candidates. Both theoretical (i.e. lectures and notes) and practical sessions must be assessed as, at a minimum, adequate. The assessor will grade each section of the training to ensure it meets minimum requirements. The grading will use a traffic light system. Green for adequately covered, amber for covered, but may need additional material, red for inadequately covered. If the training material is scored as a marginal (amber) in any area, then the assessor must decide if the overall result meets the standard required. Red marks equate to fail. . Marginal marks should only be used where the training material includes a particular topic but in the judgment of the assessor is deemed to be lacking in sufficient detail, clarity or is delivered in a way which may cause confusion to trainees. It is not the assessor’s role to correct the training content. However where a failure occurs, the assessor should indicate in which areas improvement is required. Fit2Fit Training Course Assessment Form 3-14-4 Major Marginal Classification PASS Training topic Comments PASS - Fully covered Marginal – Partially covered Major – Not covered 1. General understanding of RPD use in workplace - Potential hazards Oxygen deficiency Particulates – different types Gases and vapours 1.1 Implementing RPD use in the workplace - CE marking What it means – legal requirement Example including 4 digit number 1.1 Implementing RPD use in the workplace - selection 1.1 Implementing RPD use in the workplace - use Storage – purpose Storage – management responsibility Use – wearer training Use – management and supervision Maintenance – purpose Maintenance – competent person Maintenance – records Maintenance – manufacturer’s instruction 1.2 Protection factors Fit factor - explained APF - explained NPF - explained Fit2Fit Training Course Assessment Form 3-14-4 1.3 Types and classes Filters – 2 groups Filters – importance of correct selection Respirators – what they are Respirators – limitations Negative pressure – how they work - tight fitting Negative pressure – limitations Powered/assisted - how they work -tight fitting Power assisted - limitations Airfed devices – how they work Fresh air hose – tight fitting? SCBA Tight fitting Practical demonstrations - examples available 1.4 Assembly, Inspection, maintenance prior to fit testing (no FFM for Qualitative training only) Facepiece components and their function Filter(s) Why inspect?- potential hazards to fit tester and wearer Why inspect?- false result particles inside Why inspect?- leakage into facepiece What? components For? present For? correct For? damage/deterioration For? contamination Facepiece identification - markings, sizes Demonstration session faults Practical session fault finding Fit2Fit Training Course Assessment Form 3-14-4 1.5 Donning & wearer related factors (no FFM for Qualitative training only) Ref Manufacturer’s instructions Generic rules for donning - positioning Generic rules for donning - straps Generic rules for donning – nose piece Generic rules for donning - demo Generic rules for donning – practical session Wearer factors – hair facial and long Wearer factors – specs & other PPE Fit-checking - why Fit-checking – how - different methods demo Fit-checking – practical session Visual inspection - why Visual inspection - how demo Visual inspection – practical session 3 types of facepiece covered in above Action where fault found 2.1 Required Legal Knowledge and Understanding Where to find relevant regulations and ACOPs Understands the standing of an ACOP Where to find guidance on RPE use Where to find guidance on fit testing 2.2 Purpose of fit testing Demonstration of suitability Limitations Applicability – facepiece type Applicability – situations e.g. comfort Applicability – repeat needed - ACOP Applicability – repeat needed - other Decline – facial hair Decline – smoking (eating and drinking) clearly inadequate RPE Decline – heavy cold Fit2Fit Training Course Assessment Form 3-14-4 3.1 Fit test methods Principles of Qual. - 2 part Why? Qual test agents Qual. limitations on facepiece type Principles of Quant. Quant. Outline of methods Quant. Limitations on facepiece type N 95 companion why and when Pros and cons – taste sensitivity Pros and cons – ease of training in correct donning Pros and cons – result decided by test subject v independent measurement Pros and cons – wearer generated particles Pros and cons – sufficient ambient particle count Pros and cons – room environment Illustrations of examples of equipment 3.2 Fit test exercises and activities Purpose of exercises (7) What they are How they should be conducted action How they should be conducted pace Purpose of activity cycling, stepping etc How activity should be conducted Practical demonstration of exercises Precautions – wearer safety Precautions – wearer physical ability and coordination Recording deviations from protocol 3.3 Information for and requirements of the wearer What the wearer will need to know and when Explaining the test purpose Explaining possibility of a test fail and solutions Explaining the test protocol Explaining what wearer needs to do at the end of the test and why Wearer requirements - facial hair Wearer requirements - smoking Wearer requirements - eating and drinking Fit2Fit Training Course Assessment Form 3-14-4 3.4 Considerations for the employer prior to fit testing Information conveyed to the wearer - 3.3 Wearer and task specific needs - specs PPE, appropriate filter(s) Suitable room – space and furniture Suitable room – air quality Declaration that wearer is medically fit 3.5 Examination of facepieces for adequate condition for fit testing See section 1.4 3.6 Record keeping Why What needs to be recorded Who needs to have records How long to keep records 3.7 Preparing the wearer immediately before the test Explain the purpose of the test - briefly Explain how the test works - briefly Explain what the wearer needs to do and how to do it Restriction on talking Check - Facial hair Check - smoking Check - eating and drinking Agree means of communication with wearer Explain what to do at end of test 3.8 Post-test requirements - equipment Clean and disinfect facepiece and fit test equipment Return facepiece to usable condition Debrief wearer Fit2Fit Training Course Assessment Form 3-14-4 3.9 Diagnosing reasons for failures Visual Examination of fit – changes during test Corrective actions before re - testing Diagnostic checks on equipment Visual checks on facepiece 3.10 Interpretation of results Pass/fail criteria 4.1 Qualitative Fit Testing 4.1.1 Knowledge of test basis and equipment required Aerosol mist taste test Purpose of hood Difference between sensitivity solution and fit test solution Purpose of sensitivity soln Purpose of fit test soln Types of facepiece it may be used with Why these facepieces – equivalent fit factor OSHA standard kit – basis for test method Additional equipment – timing Additional equipment – record keeping 4.1.2 Environmental Requirements Ventilation requirements Reasons Fit2Fit Training Course Assessment Form 3-14-4 4.1.3 How to Prepare the equipment Hood purpose and use Nebulisers – how they work Nebulisers - applying solution Nebulisers - applying solution demo Nebulisers - applying solution practical session Nebulisers – importance of labelling Nebulisers – checking function Nebulisers – checking function demo Nebulisers - checking function practical session Nebulisers - correct use during tests Nebulisers - correct use during tests demo Nebulisers – correct use during tests practical session Nebulisers – resolving function problems demo Nebulisers – resolving function problems practical Nebulisers – care of Facepiece – checks see section 1.5 4.1.4 Sensitivity test Brief wearer – taste test mouth open tongue forward breathe through mouth Application of sensitivity solution – how? Application of sensitivity solution – how much? Constant engagement with nebuliser function – sound Constant engagement with nebuliser function - visible droplets/mist Brief wearer – taste test mouth open tongue forward Application of sensitivity solution – how? Application of sensitivity solution – how much? Constant engagement with nebuliser function – sound Constant engagement with nebuliser function - visible droplets/mist End of test Nil taste Test result and significance Need to clear taste in mouth – why? Need to clear taste in mouth – how? Deposition of aerosol on lips – significance Deposition of aerosol on lips – action Fit2Fit Training Course Assessment Form 3-14-4 4.1.5 Fit test Ensure sensitivity taste has cleared, how long? Remind wearer of exercises and safety Remind wearer of restriction on talking Remind wearer of taste test - mouth open…breathe through mouth Explain what to do if wearer can taste the test agent Observe donning, giving instruction Inspect fit - settling and comfort time Use of sensitivity test result Application of fit test aerosol Constant engagement with aerosol generation Timings of aerosol application Continuity of aerosol application throughout test Continuity of exercises Time for each exercise Total time for test Correct exercise action and pace End of test pass – reassurance of correct result - check nebuliser function End of test pass – reassurance of correct result - reveal test option Ensure sensitivity taste has cleared, how long? Remind wearer of exercises and safety Remind wearer of restriction on talking Remind wearer of taste test - mouth open… breathe through mouth Explain what to do if wearer can taste the test agent Observe donning, giving instruction Inspect fit - settling and comfort time Use of sensitivity test result Application of fit test aerosol Constant engagement with aerosol generation Timings of aerosol application Continuity of aerosol application throughout test Continuity of exercises Time for each exercise Total time for test Fit2Fit Training Course Assessment Form 3-14-4 4.1.5 Fit test (continued) Correct exercise action and pace End of test pass – reassurance of correct result - check nebuliser function End of test pass – reassurance of correct result - reveal test option Explain meaning of result to wearer End of test fail – inspect fit What to do with spare solution in nebuliser Cleaning - nebulisers Cleaning - hood Communicating the result 4.1.6 Troubleshooting Nil response sensitivity test Reasons for fails – poor donning, Reasons for fails – facepiece faults When to re test Test equipment problems Communicating result to wearer and employer Conducting further fit tests on the same wearer – need to repeat sensitivity test 4.1.7 Interpretation of fit test results Confirming a positive result Slight taste of test agent Definite taste – always assume a negative result is true unless proved otherwise Definite taste – possible causes Fit2Fit Training Course Assessment Form 3-14-4 4.2 Portacount Fit testing 4.2.1 Knowledge of the Portacount Function – ambient particle counter Need for IPA & purity Function – compares particle numbers from inside and outside facepiece Limitations of use – ambient particle operating range identified Modes of operation – usually controlled by computer software Modes of operation – also stand alone 4.2.2 Set-up the Portacount plus ready for use Connect and switch on demo Daily checks – purpose ambient count – purpose zero check Failed zero check - actions Particulate environment needed -Min ambient p/cc disposable -Min ambient p/cc half mask -Min ambient p/cc full facemask Why we need these levels Max p/cc co-incidence Effect of AC on particle levels Effect of room size on particle levels Increasing particle conc. pros and cons - opening windows - candles - particle generator Using the software Entering details demo Pass criteria inc N95 companion Selecting and checking protocol timings demo demo User preferences – stop at fail - flag up >100,000 Fit2Fit Training Course Assessment Form 3-14-4 4.2.3 Prepare an RPD for fit testing using an adaptor Pre-use check of facepiece - Actions if fails Correct positioning of sample tube termination Why this is important Potential consequences of poor sample tube termination Use of disposable ports for FFP Demo examples of application of disposable ports Types of fit test adaptors for reusable facepieces Precautions with sample tubing extensions – what? Precautions with sample tubing extensions – why? Use of fit test adaptors at least 3 examples for demo Applying a fit test adaptor - demo Applying a fit test adaptor - practical exercise Common errors using fit test adaptors - examples demo - no tubing extension into mask - Sample tube termination on inside of visor - sample tube termination not far enough into inner mask/half mask - sample tube twisted/ blocked/ detached Common errors using fit test adaptors - consequences fit factor Common errors using fit test adaptors - consequences pass/fail Common errors using fit test adaptors - consequences health of wearer Correct filter selection – P3 why? Correct filter selection – considering intended RPE use Fit2Fit Training Course Assessment Form 3-14-4 4.2.4 Conduct a Portacount 282/28 fit test demo Remind/Brief wearer - process -exercise physical workload - exercises (–no talking) - safety - communication - correct facepiece - correct filter - correct PPE/ specs - check clean shaven - check smoking restriction eating drinking - instruction for end of test Observation of donning facepiece and PPE - and fit check - settling and comfort time Conduct a fit test - control wearer exercise conduct – no talking -correct pace & action -correct activity - observe real time test counts - note any issues e.g. coughing - ending test - pass all exercises - ending test - fail actions - ending test – explaining the pass result - caution with conveying FF measured - ending test – explaining the fail result and actions 4.2.5 Post fit test requirements Returning RPE to usable condition - clean and disinfect - remove adaptor and replace valves etc Care of Portacount – HEPA filter Shut down Care of Portacount – remove wick to prevent flooding Sample tube moisture management 4.2.6 Care and maintenance of Portacount Annual calibration for valid fit tests - manual gives some advice e.g. changing wick - other servicing requires return to TSI Fit2Fit Training Course Assessment Form 3-14-4 4.2.7 Troubleshooting Investigating failures - Inspect fit - Check facepiece - check equipment Use of real-time function –donning problems Insufficient ambient particle count alcohol warning low or flooded Wearer generated particles 4.2.8 Interpretation of Results Very high fit factors may indicate a problem with facepiece sample collection Consequences - false passes especially with same set-up where results are ‘typical’ – risk to health Reasons – poor sample tube positioning twisted or detached tubing inside adaptor - tube blocked against wearer’s face Open facepiece check of sample tubing connection Wearer generated particles Condensation in sample tubing Fit2Fit Training Course Assessment Form 3-14-4 4.3 Portacount with N95 companion Fit testing Function of N95 comp tech Why N95 comp tech When to use N95 comp tech Effect on ambient particle count measured 4.3.1 Set-up the Portacount with N95 companion technology Either: Demo connection to the Portacount 8020 Or: Switching on the N95 with the Portacount 8038 Daily checks - Ambient particle concentration needed - increasing the Ambient particle Increased sample path length - increased Software timings purge time - increased individual exercise time - increased overall test time - maximum fit factor limited 4.3.2 Conduct a fit test using Portacount with N95 companion technology Supporting the pendant and sample lines - more weight on less substantial FFP1 and FFP2 - significance Fit2Fit Training Course Assessment Form 3-14-4 Notes & Additional Items of Interest: Overall Result & Comments Pass Assessor…………………………………… Fit2Fit Training Course Assessment Form Fail Comment Date…………………… 3-14-4 Fit2Fit Training Course approval Observations Observations & Comments from the Assessment Observations Actions Assessors Signature………………… Assessors Name (Print)…………… Training Company Name (Print)……………………… Date…………………………………. Fit2Fit Training Course Assessment Form 3-14-4 Additional Comments Fit2Fit Training Course Assessment Form 3-14-4
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