In-person Respirator Training and Fit test
Need directions to EHS? https://www.case.edu/ehs/about.html
What is your first name *
Your answer
What is your last name? *
Your answer
What is your email address? *
CWRU email preferred
Your answer
Who is the Principal Investigator (PI) that you will be working under? *
Use N/A if this is for a Medical Student Away Rotation.
Your answer
What department do you require this training for?
Your answer
Have you completed the OSHA Respirator Medical Evaluation Questionnaire *
If "No" then you will need to complete the form before you receive a fit test. Here is the link: https://www.case.edu/ehs/ChemSafety/respques.pdf
Have you submitted the OSHA Respirator Medical Evaluation Questionnaire to University Health Service? *
If "No" then you will need to submit the form before you receive a fit test.
Do you need more information about University Health Service?
Has your OSHA Respirator Medical Evaluation Questionnaire been approved by University Health Services? *
If "No" then you will need to have confirmation of approval before you receive a fit test.
When would you like to attend? *
A date will CLOSE once 15 slots are registered.
Do you plan to complete your fit test on the day of your training? *
If so you must come clean shaven for you respirator to test accurately.
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