EOI for Fit Testing Re-certification Course

Fill out this form to register your interest to our pilot Respiratory Fit Testing Re-certification Program (N95) course.

Respiratory Fit Testing Program (N95)

The Respiratory Fit Testing Program provides education and assessment to conduct Fit Testing in line with the OSHA 1910.134 protocol, AS/NZS 1715: 2009, and Standard 3 of the NSQHS.

The Respiratory Fit Testing Program is a blended course that requires the participant to complete the online learning before attending the 8hr face-to-face component. The course covers fit testing set-up, conducting a fit test, debriefing, documentation, packing up and cleaning the fit testing equipment.

Tea and coffee will be provided; however, participants will provide their lunch.

Expression of Interest Form

Your details

Name*

First

Last

Email address*

Contact number*

Employment stream*

Current role*

Which health service are you currently working for?*

Have you gained consent from your line manager to continue to support your local fit testing service?*

Yes

No

Line Manager details

Please ensure you have spoken to your line manager to be released to attend the course, and to be released for ongoing support for your local fit testing program.

Name*

First

Last

Email address*

Pre-requisites

Are you currently a certified fit-tester?*

Yes

No

Date of fit testing certificate*

Number of fit tests conducted in the past 12 weeks*

Which fit testing protocol have you used?*

When is the earliest date you can attend this course?*

Please nominate your earliest availability over the next 4 weeks.

This field should be left blank