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OSHA fit test compliance
Medical Clearance Required Before Fit Testing

OSHA Fit Test Requirements

Get the required medical clearance before your fit test. Online evaluation takes 15 minutes. Only $22.

Learn About Fit Testing

What is an OSHA Fit Test?

An OSHA fit test is a required procedure that verifies a tight-fitting respirator properly seals to your face. Under OSHA regulation 29 CFR 1910.134, employers must ensure that employees using respirators pass a fit test before using the respirator in the workplace.

The fit test confirms that the specific make, model, and size of respirator creates an adequate seal to protect you from airborne hazards. A poor fit allows contaminated air to leak into the respirator, defeating its protective purpose.

OSHA requires fit testing:

  • Before initial use of a respirator
  • Annually (every 12 months)
  • When changing respirator type, size, or model
  • When physical changes may affect fit
Medical Clearance Required First

You cannot be fit tested without first completing a medical evaluation. OSHA 1910.134(e) requires that employees receive medical clearance from a PLHCP before participating in fit testing.

The medical evaluation ensures you can safely wear a respirator without health risks. Once cleared, you can proceed to fit testing.


Get Your Medical Clearance Now
  • 15-minute online questionnaire
  • Licensed physician review
  • Instant clearance certificate
  • Just $22 (vs $150 at clinics)
Get Medical Clearance - $22

Types of OSHA Fit Tests

OSHA accepts two types of fit testing methods. Both require prior medical clearance.

Qualitative Fit Test (QLFT)

Pass/Fail

A subjective test that relies on your ability to detect a test agent that enters through leaks in the respirator seal.

Test Agents Used:
  • • Saccharin (sweet taste)
  • • Bitrex (bitter taste)
  • • Banana oil (isoamyl acetate)
  • • Irritant smoke (stannic chloride)

Best for: Half-mask respirators, N95s
Cost: $25-75 per test
Duration: 15-20 minutes

Quantitative Fit Test (QNFT)

Numerical Fit Factor

An objective test using instruments to measure actual leakage and calculate a numerical fit factor.

Methods Used:
  • • Ambient aerosol (PortaCount)
  • • Generated aerosol
  • • Controlled negative pressure (CNP)

Required for: Full-facepiece respirators
Cost: $50-150 per test
Duration: 20-30 minutes

The Complete Fit Test Process

1
Medical Evaluation

Complete the OSHA medical questionnaire and receive PLHCP clearance.

Online - $22
2
Respirator Selection

Choose the appropriate respirator type, make, model, and size for your job.

Employer Provides
3
Fit Testing

Perform QLFT or QNFT to verify proper seal. Exercises test the fit under movement.

In-Person Required
4
Documentation

Record fit test results including respirator details, test method, and pass/fail outcome.

Keep on File
Step 1: Get Your Medical Clearance Online

Complete the required medical evaluation before scheduling your fit test.

Fit Test Exercises

During fit testing, you will perform these exercises to test the respirator seal under various movements.

ExerciseDurationPurpose
Normal Breathing1 minuteBaseline seal check
Deep Breathing1 minuteTest seal under respiratory stress
Head Side to Side1 minuteTest seal during lateral movement
Head Up and Down1 minuteTest seal during vertical movement
Talking/Reading1 minuteTest seal during jaw movement
Grimace (QLFT only)15 secondsIntentionally break seal, then reseal
Bending Over1 minuteTest seal in work positions
Normal Breathing (Final)1 minuteConfirm seal maintained
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OSHA Fit Test FAQs

An OSHA fit test is a procedure used to verify that a specific respirator fits an employee properly and provides an adequate seal. OSHA requires fit testing for all employees who wear tight-fitting respirators under 29 CFR 1910.134. The fit test must be performed before initial use, when changing respirator type or size, and annually thereafter.

Yes. OSHA requires that employees receive a medical evaluation and be cleared by a PLHCP before fit testing. The medical evaluation determines if you are physically able to wear a respirator. You cannot be fit tested without first being medically cleared. RespiratorTest.com provides the required medical evaluation online for $22.

Qualitative fit testing (QLFT) is a pass/fail test that relies on the wearer detecting a test agent (sweet, bitter, smoke, or banana oil) that enters a leaking respirator. Quantitative fit testing (QNFT) uses instruments to measure actual leakage and provides a numerical fit factor. QNFT is required for full-facepiece respirators and provides more precise results.

OSHA requires fit testing annually (every 12 months) for employees who use tight-fitting respirators. Additional fit testing is required when employees change to a different respirator type, size, or model, or when physical changes (such as significant weight change, dental work, or facial scarring) could affect the respirator fit.

No, the actual fit test must be done in person because it requires physically testing the seal between your face and the respirator. However, the required medical evaluation that must happen BEFORE fit testing can be done online. RespiratorTest.com provides the online medical evaluation. Once you have your clearance certificate, you can proceed to in-person fit testing.

All tight-fitting respirators require fit testing, including: N95 filtering facepiece respirators (when required by employer), half-mask elastomeric respirators, full-facepiece respirators, and self-contained breathing apparatus (SCBA). Loose-fitting respirators like PAPRs with loose-fitting hoods do not require fit testing.

The cost of OSHA fit testing varies by provider and method. Qualitative fit testing typically costs $25-75 per test. Quantitative fit testing costs $50-150 per test. Additionally, you need the required medical evaluation before fit testing, which costs $22 at RespiratorTest.com versus $75-150 at traditional clinics.

If you fail a fit test, you cannot use that particular respirator model and size. Your employer should try a different size or model of the same respirator type, or try a different respirator type altogether. You may also need to address factors affecting the seal, such as facial hair or weight changes. Another fit test is required with the new respirator.

Get Your Medical Clearance Before Your Fit Test

Required by OSHA before fit testing can begin. Complete online in 15 minutes.

15 minutes

$22

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Related Resources

Respirator Medical Evaluation

Complete the required medical evaluation online before your fit test.

Get Evaluated →
Fit Test Cost

Learn about fit test pricing and how to save on medical clearance.

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PLHCP Clearance

Learn about PLHCP requirements and physician qualifications.

Learn More →