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Back to Work Interim Toolkit

UPDATED APPROVED FIT TEST VENDORS
Ver 1.3
August 6 , 2020
Area Elk County Erie County Lawrence County Schuylkill County Somerset County
Company
Location ( s ) Available
Website
Email
Penn Highlands Healthcare - Ridgway
104 Metoxet St , First Floor , Ridgway , PA 15853
Allegheny Health Network Saint Vincent Hospital - The Occupational Health Center
1910 Sassafras St Ste 200 Erie , PA 16509 www . phhealthcare . org / service / occupat https :// erie . ahn . org / services / occupational-health ional-health
djsimons @ phhealthcare . org maria . meeker @ ahn . org Jessica . sanchez @ ahn . org
Contact Person Dave Simons Maria Meeker or Jessica Sanchez
UPMC Jameson Work Health
Westgate Plaza 2008 W State St New Castle , PA 16101 www . upmc . com / locations / hospitals / j ameson / services / occupationalmedicine
WorkPlace Health Pottsville
870 Gordon Nagle Trail Ste 101 Pottsville , PA 17901
www . wphealth . org / pottsville /
Chionchiolj @ upmc . edu WPHpottsville @ wphealth . org N / A
Laura Chionchio , RN - certified in fit testing and pulmonary function testing .
Call the phone number provided and any staff member will be able to assist you .
UPMC Somerset Occupational Medicine
Wheeler Building 126 East Church St Ste 2200 Somerset , PA 15501
Phone ( 814 ) 788-5647 ( 814 ) 452-7879 ( 724 ) 654-8719 ( 570 ) 399-5554 ( 814 ) 443-5249
To Make an Appointment
Appointments are required and can be made via telephone or email .
Appointments are required . Call the main number ( 814 ) 452-7879 , select Option 1 and schedule .
Appointments are required . Large groups : contact Laura at ( 724 ) 654-8719 to set up an account if your office will be paying for each participant . UPMC Jameson will bill your group . Self-pay : contact Laura at ( 724 ) 654-8719 to schedule . Submit payment before your appointment . UPMC Jameson accepts credit card , check or cash .
Appointments are required . Call ( 570 ) 399-5554 to schedule .
Will vendor fit KN95 mask ? Yes Yes Yes Yes Yes
www . somersethospital . com / hospitalservices / occupational-medicine /
Stephanie Faidley , RN Director or Nancy Engle , RN
Appointments are required . Call ( 814 ) 443-5249 to schedule .
Process for Testing
1 . OSHA medical evaluation completed . 2 . Completed evaluation is reviewed by the medical team and approved for testing to occur . 3 . Fit test is performed . 4 . Final paperwork is reviewed and signed the returned .
1 . Complete and return OSHA medical evaluation . 2 . Completed evaluation is reviewed reviewed by the medical team , which will approve whether or not testing needs to occur . You would then be notified of that and schedule an appointment for fit testing to be performed . * Please write legibly on the evaluation form so the process will move forward smoothly . Note that the provider may feel that a physical needs to be performed prior to fit testing . 3 . Fit test is performed .
1 . Complete and return OSHA medical questionnaire . 2 . Questionnaire is reviewed and approved by medical staff . 3 . Qualitative fit test is performed , using bitrex and saccharin .
1 . Complete and return OSHA medical evaluation . 2 . Completed evaluation is reviewed by the medical team and approved . 3 . Qualitative fit test is performed .
1 . Complete medical questionnaire . 2 . Medical team approves for fit test to occur . 3 . Fit test completed and provider signs off documentation of approval .
Cost
Medical Clearance : $ 10 Respirator Fit ( per mask , Pass or Fail ): $ 26 Total = $ 36
Medical Evaluation form : $ 10 Physical , if required : $ 60 Fit testing : $ 45
OSHA medical questionnaire : $ 26 Qualitative fit test : $ 40 Total = $ 66 On-site testing available within clinic ' s proximity : $ 200
Qualitative fit test : $ 35 OSHA medical evaluation : $ 12 Total = $ 47
OSHA questionnaire and fit test : $ 26
Additional Notes
Capacity for testing : three hoods total ; one is on-site . Offer on-site testing for an additional fee .
Hours of operation : Mon-Fri 7am-5pm . Capacity for testing : one hood . Participants are required to bring their own mask .
Capacity for testing : one hood . Capacity for testing : one hood .
Do not have masks available for Participants are required to bring purchase . Participant must bring their own mask . his / her own mask .
Capacity for testing : two hoods . Participants are required to bring their own mask .
Important : before you leave your fit test , please be sure to request the OSHA documentation to verify that you completed the fit test .
PPE
16 Approved Fit Test Vendors