Bookings & Quotations – Face Fit Testing – Quantitative & Qualitative

Booking & Quotation Form

Essential Information

Criteria

All candidates must be clean-shaven on the day of their Face Fit Testing to ensure that facial hair does not come between the seal of the mask and the skin
Photographic ID is required by all candidates
All candidates must refrain from smoking, eating, chewing gum or drinking anything other than still, plain water for at least one hour before their test
All candidates must be medically fit enough to conduct all face fit testing exercise required for their test
Best practice (INDG479) is to be re-tested every two years, or more frequently in some cases. Please specify if you require your certificates to expire earlier than this
All other head-worn PPE must be brought by the candidates to their test and worn during their test. Failure to comply with this could result in an invalid certificate
We require the make and model of the respirator that we have to test on so that we bring the correct equipment. If you do not know, or have not yet selected and purchased a respirator, you must let us know
Particulate filters (P3) are required for the test. If you use other filters such as combination filters, these must be available on the day of testing. If you do not have these available you must let us know in advance
RPE Training is recommended prior to Face Fit Testing. This is to show the correct donning and doffing procedures, RPE maintenance, correct storage, pre-wear checks and the correct fitting of the selected respirators. Without suitable knowledge, the candidate will risk improper fitting when they don their respirator and could ultimately put them at risk. Please let us know if you would like to arrange this before the Face Fit Testing day

Face Fit Testing or Training? *

Ready to Book or Quote Only? *

Our Rights

Company Details

Company Name *

Customer Name *

First

Last

Email *

Contact Phone Number *

Company Address *

Please include full postal address

Do you have a Purchase Order Number? *

Purchase Order Number

If you answered 'Yes' to the previous question, please provide your PO number here

Please Select Face Fit Testing Requirements *

Face Fit Testing - Half day - up to 8 Tests - £375
Face Fit Testing - Full day - up to 16 Tests - £650
I only require 1-3 tests. Please call me to discuss.
Mobile Face Fit Testing
I do not require Face Fit Testing

How Many Tests are Required?

Selected Value: 0

Please Select Training Requirements *

Qualitative Train the Tester - Max 6 delegates - £550
Quantitative Train the Tester - Max 4 delegates - £1900
Qualitative Face Fit Testing Kit
Quantitative Face Fit Testing Equipment
I do not require Training or Face Fit Testing Equipment

Additional Information

Please include full postal address

Additional Information (copy)

Please include full postal address

Please indicate any other services or requirements that you would like to access or discuss *

Additional Information (copy)

Please include full postal address

Make & Model of Respirators *

In order to ensure that we bring the correct equipment, we need to know the make and model of the respirators you have. If you are unsure or have not selected a respirator yet, please indicate this in the space provided

Location for Testing or Training *

Please provide the full postal address of where you would like your testing or training to take place. Where the address is the same as your company address or if you would like to access our premises, please indicate this in the space provided

Onsite Contact Name *

Onsite Contact Number *

Please indicate that the following will be available *

Onsite Parking
Available room with table, chairs, power points and ventilation
All candidates will be clean shave if being Face Fit Tested
All candidates will have photo ID with them
All candidates will have any head worn PPE with them if being Face Fit Tested

Multiple Choice *

I have read, understood and agree with all of the above. Where one or more is not available (e.g. onsite parking) I agree to give details in the box below:

Details (if applicable)

Preferred Date 1 *

Preferred Date 1 (copy) (copy) *

Preferred Date 1 (copy)

I'm Flexible

I'm Flexible

Preferred Arrival Time *

e.g. 10am

Payments and Accounts

Contact Name *

Contact Number *

Email Address for Invoices *

Invoice Address *

If the invoice address is the same as the company address, please indicate this in the space provided

Are we required to complete a new contractor/supplier form? *

Yes, we will send one to you
No

Additional Information

Agreements *

All invoices will be paid in full within 30 days of the services provided, unless prior arrangements have been agreed upon
We have read and agree to the GDPR and the Terms & Conditions
We have read and understood the Essential Information and the Criteria at the top of this form

Multiple Choice *

I have read, understood and agree with all of the above. Where one or more is not available (e.g. onsite parking) I agree to give details in the box below:

Details (if applicable)

Authorised by (Print Full Name) *

Date *

Position in Company *