Guidance On PPE
Guidance On PPE
Guidance on respiratory
protective equipment (RPE)
fit testing
Introduction This is a web-friendly
version of leaflet
This guide gives advice on fit testing for the employer and those conducting fit tests.
INDG479 (rev1),
This guide provides: published 03/19
Following this guidance is not compulsory and you are free to take other actions to comply with the requirements
of the law. But if you do follow the guidance you will normally be doing enough to comply with the law. Health and
safety inspectors seek to secure compliance with the law and may refer to this guidance as illustration of good
practice.
HSE does not approve nor recommend any particular fit testing equipment.
Any equipment included in this guidance provides representative information.
Further advice on the practical aspects of fit testing is provided by the British Safety Industry Federation (BSIF); this
can be found at www.fit2fit.org.
Where respiratory protective equipment (RPE) is used as a control measure under health and safety legislation, it is
vital that the selected RPE is both adequate
and suitable. General advice on selection of RPE is covered in the HSE guidance document Respiratory protective
equipment at work: A practical guide (HSG53).¹
To ensure that the selected RPE has the potential to provide adequate protection for individual wearers, the
Approved Codes of Practice (ACOPs) supporting the Control of Substances Hazardous to Health Regulations
(COSHH),² the Control of Lead at Work Regulations,³ the Control of Asbestos Regulations,4 the Confined Spaces
Regulations5 and the Ionising Radiations Regulations6 stipulate that tight-fitting RPE should be fit tested as part of
the selection process.
The performance of tight-fitting facepieces depends on achieving a good contact between the wearer’s skin and the
face seal of the facepiece. People’s faces vary significantly in shape and size so it is unlikely that one particular
model or size of RPE facepiece will fit everyone. Inadequate fit will significantly reduce the protection provided to the
wearer. Any reduction in protection may lead to immediate or long term ill health or can even put the RPE wearer’s
life in danger.
Fit testing is therefore a method for checking that a specific model and size of tight-fitting facepiece matches the wearer’s
facial features and seals adequately to the wearer’s face. It will also help to identify unsuitable facepieces which
should not be used.
Health and Safety
Executive
A pre-use wearer-seal check should be carried out each time a fit-tested facepiece is worn and before entering
the hazardous environment. This check is to determine whether the wearer has correctly donned a facepiece
before entering a contaminated work area. The RPE manufacturer will provide instructions on how to carry it out.
Note, however, that a pre-use wearer-seal check is not a substitute for fit testing.
It is important to know that some pre-existing medical conditions (for example, breathing disorders such as
asthma; skin allergies; or even heart problems) may restrict or prevent some workers wearing any RPE, or
certain types of RPE.
You will need to ensure that workers are fit to wear the selected and required RPE. If you are unsure, you (the
employer) should arrange for appropriate medical assessment.
Powered or constant-flow airline BA RPE with loose-fitting hoods or helmets do not require fit testing.
A fit test should be carried out as part of the initial selection of the RPE.
A fit test should be repeated whenever there is a change to the RPE type, size, model or material or whenever
there is a change to the circumstances of the wearer that could alter the fit of the RPE; for example:
As part of your RPE programme, it is good practice to have a system in place to review when a repeat fit
test may be required. For example, face shape will change through ageing alone.
There are two basic types of RPE fit testing – qualitative and quantitative.
The fit factor, which is calculated by the fit test equipment, uses the following formulas:
For the ambient particle counting method, the quantitative fit factor (QNFF) is calculated as the ratio of the
two aerosol concentrations measurements as shown in formula (1):
(1)
QNFF = Co
Where Ci
Co is the challenge aerosol concentration outside the facepiece;
IFR is the inspiratory flow rate associated with CNP challenge pressure;
LFR is the mean leakage flow rate measured with the head held in a motionless
position at the end of each test exercise.
For half masks, the CNP challenge pressure should be 15 mm (0.58 inches) H2O and the inspiratory flow
rate should be 53.8 litres/min. For full-face masks, the CNP challenge pressure should be 25 mm (1 inch)
H2O and the inspiratory flow rate should be 55.8 litres/min.
The type of fit test method used depends on the type of RPE to be fit tested. Table 1 shows which fit test
methods are applicable.
If it is not possible for the wearer to obtain an adequate fit with the first choice of facepiece you
should attempt fit testing using an alternative make, model or size of tight-fitting facepiece. Where
you cannot achieve an adequate fit you should select another type of RPE that does not rely on a
tight-fitting face seal, such as a loose-fitting respirator hood or helmet.
You should record the fit test by means of a report or certificate which should clearly state whether
the result of the fit test was a pass or fail. Annex 1 shows the content that you should provide in a fit
test report.
The fit test report should be available to the employee and accessible to others such as enforcement
authorities. Collective reports should be available to safety representatives. You should record RPE
examinations and tests – and, where appropriate, any repairs made – and retain them for at least five
years.
General
As a fit tester you have duties under health and safety at work legislation because if you do not carry
out a fit test properly the wearer could be exposed to substances hazardous to health due to
facepiece leakage.
RPE fit testing should be carried out by a competent person. A fit tester should have adequate
knowledge, and have received adequate instruction and training in the following areas:
Where facepieces are issued on an individual basis it is recommended that the wearer is fit tested using
their issued facepiece.
Where this is not practicable use a test facepiece that exactly matches the wearer’s facepiece.
Fit test half and full-face masks as negative-pressure facepiece respirators by attaching a P3 filter, or a
combined filter that incorporates a P3 filter, directly to the facepiece. Where practicable, the filter (or
facepiece adapter) should be identical to, or similar to, the type of filter normally used with the respirator,
ie of similar breathing resistance and weight. You will need to temporarily convert facepieces used with
compressed-air-supplied BA and power-assisted respirators to negative-pressure respirators.
Alternatively you may use an identical negative-pressure respirator facepiece with the same sealing
surface (ie same mould of face blank and material) if available.
Facepieces are available in several different sizes and shapes. The wearer may obtain a better fit (ie
pass a fit test) by trying a respirator of a different size, model or make.
The practice of multiple repeat fit tests with the aim of achieving a pass with a given facepiece, ie force
fitting, should not be carried out. If after two fit tests the result is still a fail, an alternative facepiece
should be tried.
Visually examine the facepiece to be used for fit testing before carrying out a fit test. The examination
should include the condition of the facepiece, especially around the face seal and facepiece connectors,
the exhalation valve(s) and the head harness. You should properly inspect test facepieces and maintain
them in accordance with the manufacturer’s instructions.
The fit tester should ensure that test facepieces are cleaned and disinfected before being used by different
individuals. Test facepieces that cannot be adequately disinfected (eg disposable half masks) should not
be used by more than one individual.
The fit tester should ensure that the fit testing equipment is in good working order, properly set up and
checked or tested before conducting the fit test. Maintain and calibrate the fit test equipment in
accordance with the manufacturer’s instructions.
Variation from the procedures and fit test equipment specified in this guidance may invalidate the fit test
results unless the procedures and equipment used have previously been validated. The criteria for
evaluating fit test methods given in BS ISO 16975-3 Annex C7 are recommended.
■ BS ISO 16975-3:2017, Respiratory protective devices – Selection, use andmaintenance. Part 3: Fit-
testing procedures
■ European Standards covering inward leakage testing: BS EN 136,8 BS EN 1409 and BS EN 149.10
The minimum fit factor in a quantitative face-fit test, that should be achieved to pass a fit test, will depend on
the type and class of facepiece being tested. Table 2 shows the HSE-required minimum fit factors that should
be achieved in each of the fit test exercises used with a particular type of fit testing device.
a When using a PortaCount, APF 4 (FFP1) and APF 10 (FFP2) disposable half masks can only be fit tested if N95 technology is employed.
Preparing for a quantitative fit test using the ambient particle counting method
The fit test exercises for the ambient particle counting method are given in Table 3.
Fit the facepiece with a sample probe positioned so that the air sample withdrawn from the facepiece is
representative of the air breathed by the wearer. Position the open end of the sampling tube in the wearer’s
breathing zone, close to the face and approximately mid-way between the nose and mouth. Do not isolate the
sample probe from the nose and mouth region by a physical partition; for example, by the inner mask of a full-
face mask. For half masks and full-face masks, use a suitable fit test adapter and position the open end of the
sampling tube as described above.
When fitting the sample probes to half and full-face masks, use suitable sampling adapters to avoid puncturing
the facepiece. RPE manufacturers and fit test equipment suppliers can provide suitable fit test adapters to fit
most facepiece types. These adapters should enable fit testing on wearer-issued facepieces. When fitting the
sampling adapter to the facepiece, take care not to block off or restrict the flow of air through the sampling
tube.
The positioning and the combined weight of the fit test adapter, sample probe and sample tubes should not
interfere with the fit of the facepiece. This is particularly important when fit testing disposable or lightweight half
masks. Sample probes should be lightweight and the sample tubes must be supported to avoid any drag on
the fit of the facepiece.
The wearer’s exhaled breath can contain particles that can be detected by the particle counting device. These
wearer-generated particles can result in a falsely low fit test result. Having an ambient challenge concentration
of at least 3000 particles/ cc for fit testing disposable and reusable half masks, and 10,000 particles/cc for fit
testing full-face masks, will reduce the likelihood of false fails.
An ambient particle count that varies significantly over the duration of the test
can also give rise to errors in the fit factor. Avoid excessively dusty and smoky environments. Seek further
advice from the fit test equipment supplier if necessary.
Very high fit factors, ie figures over 100,000, could indicate a problem with the application of the fit test; if this
happens check the validity of the result.
Preparing for a quantitative fit test using the controlled negative pressure method
The fit test exercises for the CNP method are given in Annex 2, Table 4.
During the CNP measurement the wearer should keep their mouth closed. They should be given time to practise the
breath-hold procedure.
The CNP method requires the use of the appropriate fit test adapters for the type of filter connection present on the
facepiece to be fit tested.
Preparing for a qualitative fit test based on taste
The fit test exercises for the qualitative method are given in Annex 2, Table 3.
To achieve a pass in a qualitative fit test the wearer must not taste the test agent at any time during any of the
test exercises.
The test solution concentrations and the fit test equipment including hood size are specified in BS ISO
16975-3.
Maintain and use all QLFT equipment in accordance with the manufacturer’s recommendations.
Before carrying out a qualitative fit test using a distinctive taste, establish the taste threshold of the wearer. This
screening test is carried out to check that the wearer can detect the taste of the test aerosol. This is often
referred to as a sensitivity test. If the wearer cannot detect the taste during the screening test, the fit test
method cannot be used and you should choose a different method.
Conduct the fit test as a continuous test, allowing sufficient time between the sensitivity test and the fit test for the
wearer to clear their palate. Should a fit tester not wish to continue directly from the sensitivity test to the fit test
for practical reasons, they should complete the fit test on the same day. The wearer should refrain from smoking,
eating or drinking (except for water) during the intervening period.
The nebulisers used to generate the aerosol for the screening test may clog during use and stop delivering the
test substance. Therefore the fit tester should make periodic checks of the nebulisers during the test to ensure
that it is not clogged. If clogging is found at the end of the test session, the test is invalid. Regular cleaning of the
nebulisers should help to prevent clogging.
Conducting the fit test – all methods
Observe the wearer throughout the fit test to ensure that the correct test exercises are conducted. Also watch
for facial and head movements that may cause face seal leakage. If the wearer sneezes or coughs during the
fit test this can affect the fit test result and you may have to repeat the fit test.
You should also ensure the safety of the wearer – this is especially important if the
wearer is walking on a treadmill or stepping during the fit test.
Inform the wearer of the fit test result; ie a pass or fail. Take care when providing
information on the numerical fit factor results; informing a wearer that a high fit
factor has been achieved may give them false confidence in the RPE and it may
cause them to be less careful when donning and using the RPE in the workplace.
Stress to the users that practical experience in the workplace has shown that the
protection obtained is often less than that achieved in the fit test.
Annex 1
Annex 2
Table 3 Fit test exercises for qualitative methods and quantitative ambient particle
counting methods
Exercise Description
(i) Normal The wearer should breathe normally with no head movements
breathing or talking.
(ii) Deep The wearer should breathe slowly and deeply, taking care not
breathing to hyperventilate.
(iii) Turning The wearer should slowly turn their head from side to side
head side between the extreme positions on each side (approximately
to side 15–20 times per minute). The head shall be held at each
extreme momentarily so the wearer can inhale at each side.
(iv) Moving The wearer should slowly move their head up and down
head up (approximately 15–20 times per minute). The wearer should be
and down instructed to inhale in the up position (ie when looking toward
the ceiling).
(v) Talking The wearer should talk slowly and loudly enough to be
heard clearly by the fit tester. The wearer should read from a
standard reading passage or count down from 100.
(vi) Bending From a normal standing position, the wearer should bend at
over the waist as if to touch their toes and then return to an upright
position. Repeat approximately 10–15 times throughout the
duration of the exercise.
(vii) Normal Same as exercise (i).
breathing
During QLFT the fit test exercises should be performed with the wearer standing.
During QNFT the fit test exercises (except for the bending exercise) should be
performed while the wearer is doing one of the following:
Note: Take care when asking people to exercise and be aware of the risks of slips
and trips.
When you are conducting a fit test using the CNP method you cannot measure the
fit during the exercises. Therefore you should measure the static fit factors at the
end of each exercise. Follow the procedure shown in Table 4.
Table 4 Fit test exercises applicable for the controlled negative pressure method
Exercise Description
(i) Normal breathing In a normal standing position, without talking, the
wearer should breathe normally for one minute. After
the normal breathing exercise, the wearer should face
forward and hold their breath for approximately 10
seconds during the test measurement.
(ii) Deep breathing In a normal standing position, the wearer should
breathe deeply for one minute. After the deep breathing
exercise, the wearer should hold their head straight
ahead and hold their breath for approximately 10
seconds during the test measurement.
(iii) Turning head side In a normal standing position, the wearer should slowly
to side turn their head from side to side between the extreme
positions on each side for one minute. After the turning
head side to side exercise, the wearer should face
to the left and hold their breath for approximately 10
seconds during the test measurement. Next, the wearer
should hold their head fully right and hold their breath
for 10 seconds during the test measurement.
(iv) Moving head up In a normal standing position, the wearer should
and down slowly move their head up and down (approximately
15–20 times) for one minute. After the moving head
up and down exercise, the wearer should hold their
head fully up and hold their breath for approximately
10 seconds during the test measurement. Next, the
wearer should hold their head fully down and hold their
breath for approximately 10 seconds during the test
measurement.
(v) Talking The wearer should talk slowly and loudly enough
to be heard clearly by the fit tester. The wearer
should read from a standard reading passage or
count down from 100. After the talking exercise, the
wearer should hold their head straight and hold their
breath for approximately 10 seconds during the test
measurement.
(vi) Bending over From a normal standing position, the wearer should
bend at the waist as if to touch their toes and then
return to an upright position. Repeat approximately
10–15 times throughout the duration of the exercise.
After the bending exercise, the wearer should hold their
head straight and hold their breath for approximately 10
seconds during the test measurement.
(vii) Normal breathing Same as exercise (i).
REFERENCES
1. The selection, use and maintenance of respiratory protective equipment – A
practical guide HSG53 HSE 2013 www.hse.gov.uk/pUbns/priced/hsg53.pdf
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