Are you evaluating a person who is wearing an N95 mask during an emergency?

Number of straps in use (enter from 0 to 2)

Are the retaining straps properly placed to hold the mask securely?

Is the nose clip tightened?

Is there a gap between the edge of the mask and the skin?

Is there a tear or hole in the mask?

Is the mask continuously while the person is at risk of exposure?

Orientation of the mask


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