Faculty & Staff

Before filling out the information below, ensure that you have contacted EHS for approval. Once you have approval, please follow the instructions below. These instructions are for Dartmouth College faculty and staff only.

Completely fill out the medical questionnaire and cover sheet - Appendix A found below. Email the form to respirator@dartmouth.edu Do not send this to EHS or your supervisor as the documents will contain personal health information. EHS will email your form to Occupational Medicine at DHMC. Occ Med will send the cover sheet back to EHS, which lets us know if the user is medically able to wear a respirator. EHS will email the user after receiving their clearance to set up training and/or fit testing.

Before the fit test for an N95, watch the training video online: Link. We will review and complete a training checklist at the fit test.

Fit tests generally take place at 37 Dewey Field Rd., Rm 115 and take 15-20 minutes. Call 603-646-1762 with access issues. You must be clean shaven to get fit tested and to wear a respirator. Bring the respirator you will be using. We must fit test on the exact make, model, and size you'll be using. If you do not yet have a respirator and do not know where to find one please let us know. Once you pass the fit test, the certification lasts a year, so if you plan to continue using a respirator, we'll have to complete this process again the following year.

Appendix A: Medical Questionnaire and Cover Sheet
Appendix B: Filter Face Piece Training Checklist
Appendix C: Tight Fitting Respirator Training Checklist
Appendix D: Respirator Issuance Form
Appendix E: Voluntary Signature Page