Safety Equipment Institute SEI Certification Program … 25 NFPA Protective Clothing... · SFH...

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Safety Equipment Institute SEI Certification Program Manual Section 25: NFPA Protective Clothing and Equipment Program

Transcript of Safety Equipment Institute SEI Certification Program … 25 NFPA Protective Clothing... · SFH...

Page 1: Safety Equipment Institute SEI Certification Program … 25 NFPA Protective Clothing... · SFH Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting

Safety Equipment Institute

SEI Certification Program Manual Section 25: NFPA Protective Clothing and Equipment Program

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SEI Certification Program Manual

Section 25: NFPA Protective Clothing and Equipment Program

Revision Date: 10.13.17

Date of Issue: 01.12.12

Page 1 of 17

25.0 NFPA Protective Clothing and Equipment Program Standards

NFPA 1971-18 Protective Ensemble for Structural Fire Fighting

NFPA 1975-14 Station/Work Uniforms for Fire Fighters

NFPA 1977-16 Protective Clothing & Equipment for Wildland Fire Fighting

NFPA 1999-18 Protective Clothing for Emergency Medical Operations

NFPA 1951-13 Technical Rescue & Recovery

NFPA 1952-15 Surface Water Operations

NFPA 1953-16 Contaminated Water Diving

25.1 Certification Submittal Package

A Certification Submittal Package shall include an SEI Certification Submittal form (see Section 25A: SEI

Certification Submittal Form), a Components & Materials Description Checklist form (see Section 25B:

General, Clothing, Gloves Components & Materials Description Checklist) and a User Guide and Label

Checklist form (see Section 25C: User Guide and Label Checklist) for each product model, variant or

accessory being submitted. Completion of the submittal package serves four primary purposes:

1. The submittal package provides SEI and the SEI Quality Assurance Auditor with a

description of new, modified or products to be selected for annual certification.

2. The information provided by the manufacturer in the submittal package confirms to SEI

the product design and components.

3. Receipt of the submittal package by the testing laboratory, from SEI, serves as the

laboratory’s authorization to begin testing the product(s) and allows laboratory

personnel to verify that the correct product samples have been received.

4. The return of a signed copy of the submittal form from the testing laboratory provides

SEI with a record of the date testing was completed on the product model.

Over the life of the product, subsequent submittal packages shall document that the product model

submitted for certification testing is identical to samples previously tested, except where Class I model

changes have been tested and documented through the submission of additional SEI submittal packages

or documented Class II changes have been made. It is therefore necessary that each submittal to SEI

include sufficient product description information, which is achieved by a complete components and

materials listing to uniquely and unambiguously identify the product model in question (see Section 14:

Product Changes).

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Section 25: NFPA Protective Clothing and Equipment Program

Revision Date: 10.13.17

Date of Issue: 01.12.12

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SEI Certification Submittal Form

Each submittal must be identified on the submittal form as either (1) initial certification, (2) annual

recertification, (3) Class I change, or (4) Class II change. Finished product manufacturing facilities

(assembly) located at a different address (i.e. suppliers or company-owned factories) shall be identified

in Section 3 of the submittal form. The SEI Certification Submittal Form shall be signed by the authorized

manufacturer representative within the participating company having the authority to authorize

expenditures for testing.

Components & Materials Description List

The product description information may be (a) listed on the Component and Materials Description

Checklist form, (b) provided as a separate listing by the manufacturer (i.e. Bill of Materials), or (c)

appropriate engineering drawings/ specification sheets. Use of Section 25B: General, Clothing, Gloves

Components and Materials Description Checklist form is recommended. The following information is to

be included on each Components & Materials Description Checklist. Brief examples are provided for

guidance.

A. Description of Major Components

All major components and materials shall be identified and described. Where possible, include

brand name and part number, supplier name and location.

B. Primary Materials

Materials used in the construction of major components shall be identified. Identification shall

include trade names, if applicable. All changes shall be reported to SEI for evaluation and

possible action.

C. Manufacturing Locations

All locations in which the product model is manufactured or assembled must be identified on the

SEI Certification Submittal Form. If major components are manufactured by another company

and purchased by the SEI participants, the name and address of the manufacturing facility and

contact name shall be identified on the Components & Materials Description Checklist.

D. Specification Sheets or Technical Bills of Materials

Product specification sheets or technical bills of materials (BOM) may be included with the SEI

Certification Submittal Form in addition to the Components & Materials description checklist to

fulfill some or all other requirements noted above. In the case of annual recertification, the

appropriate documents (i.e., submittal form and components and materials listing or BOM) shall

be prepared prior to the sample selection audit and available to the auditor during the audit for

reference and confirmation of product.

E. Confidentiality

All product information received by SEI staff, the SEI Quality Assurance Auditor, or the SEI

testing laboratory shall be considered confidential and shall not be released to any third party

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Section 25: NFPA Protective Clothing and Equipment Program

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Date of Issue: 01.12.12

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without written authorization to do so (with the exceptions noted Section 3: Manufacturer’s

Agreement for response to a subpoena, court order or other compulsory process).

User Guide and Label Checklist

A User Guide and Label are required for protective ensemble and ensemble elements. The

standards specify the minimum information that must be presented, and each manufacturer may

provide as much information about the products as they deem necessary to use the products safely.

However, the standard does not specify or require a set format for presenting this information. As a

result, there are many ways a User Guide or Label can be arranged and presented, which is up to the

discretion of each manufacturer. Use of Section 25C: User Guide and Label Checklist form is

recommended to be completed so an accurate review and evaluation can be conducted.

25.2 NFPA Protective Clothing and Equipment Program Codes

SEI Reference Program

Code

Standard Description Product Type Standard

FF Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting

Structural Fire Fighting Helmets

NFPA 1971

FFG Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting

Structural Fire Fighting Gloves

NFPA 1971

SFB Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting

Structural Fire Fighting Boots

NFPA 1971

SFG Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting

Protective Ensemble for Structural Fire Fighting

NFPA 1971

SFH Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting

Structural Fire Fighting Hoods

NFPA 1971

SWU Standard on Emergency Services Work Clothing Elements

Station/Work Uniforms for Fire Fighters

NFPA 1975

WFC Standard on Protective Clothing and Equipment for Wildland Fire Fighting

Protective Clothing & Equipment for Wildland Fire Fighting

NFPA 1977

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Section 25: NFPA Protective Clothing and Equipment Program

Revision Date: 10.13.17

Date of Issue: 01.12.12

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SEI Reference Program

Code

Standard Description Product Type Standard

WFF Standard on Protective Clothing and Equipment for Wildland Fire Fighting

Wildland Fire Fighting Boots

NFPA 1977

WFG Standard on Protective Clothing and Equipment for Wildland Fire Fighting

Wildland Fire Fighting Gloves

NFPA 1977

WFH Standard on Protective Clothing and Equipment for Wildland Fire Fighting

Wildland Fire Fighting Helmets

NFPA 1977

WFP Standard on Protective Clothing and Equipment for Wildland Fire Fighting

Wildland Fire Fighting Chainsaw Protectors

NFPA 1977

ESG Standard on Protective Clothing for Emergency Medical Operations

Protective Clothing for Emergency Medical Operations Single Use Garment

NFPA 1999

EMG Standard on Protective Clothing for Emergency Medical Operations

Protective Clothing for Emergency Medical Operations Multiple Use Garment

NFPA 1999

ESE Standard on Protective Clothing for Emergency Medical Operations

Protective Clothing for Emergency Medical Operations Single Use Ensemble

NFPA 1999

EME Standard on Protective Clothing for Emergency Medical Operations

Protective Clothing for Emergency Medical Operations Multiple Use Ensemble

NFPA 1999

EMS Standard on Protective Clothing for Emergency Medical Operations

Protective Clothing for Emergency Medical Operations Single Use Exam Glove

NFPA 1999

EMU Standard on Protective Clothing for Emergency Medical Operations

Protective Clothing for Emergency Medical Operations Multiple Use Work Glove

NFPA 1999

EMB Standard on Protective Clothing for Emergency Medical Operations

Protective Clothing for Emergency Medical Operations Footwear

NFPA 1999

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Section 25: NFPA Protective Clothing and Equipment Program

Revision Date: 10.13.17

Date of Issue: 01.12.12

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SEI Reference Program

Code

Standard Description Product Type Standard

EMH Standard on Protective Clothing for Emergency Medical Operations

Protective Clothing for Emergency Medical Operations Hood

NFPA 1999

UPF Standard on Protective Ensembles for Technical Rescue Incidents

USAR Footwear NFPA 1951

UPG Standard on Protective Ensembles for Technical Rescue Incidents

Technical Rescue and Recovery

NFPA 1951

UPH Standard on Protective Ensembles for Technical Rescue Incidents

USAR Helmets NFPA 1951

USG Standard on Protective Ensembles for Technical Rescue Incidents

USAR Gloves NFPA 1951

SWO Standard on Surface Water operations Protective Clothing and Equipment

Surface Water Operations NFPA 1952

CWD Standard on Protective Ensembles for Contaminated Water Diving

Contaminated Water Diving

NFPA 1953

SEI utilizes SEI Reference Numbers internally to identify each SEI participant and their unique models and variants. The first set of two or three letters/numbers indicates which standard program code the model/variant is being certified against. The second set of three letters indicates the SEI participant's unique identification. The third set of numbers is assigned by SEI to identify each model (see definition below) being certified.

eg: BBH ABC 03 eg: BBH ABC V03

Where BBH identifies the standard program code Where ABC identifies the unique participant identification Where 03 identifies the model submitted for certification Where V03 identifies the model as the third variant (V03) for this Participant Identification (ABC)

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Section 25: NFPA Protective Clothing and Equipment Program

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Date of Issue: 01.12.12

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25.3 Definition of a “Model”

“Model” is the collective term used to identify a group of protective devices of the same basic design

and components from a single applicant produced by the same manufacturing and quality assurance

procedures that are covered by the same certification. Any characteristic that affects the device’s

performance under the limits of the current certification standards constitutes a different model. For

purposes of the SEI Certification Program, the above definition of the term “model” uses performance

characteristics as the basic criteria.

25.4 Application & Annual Certification Fees

Testing shall be performed annually. When an initial submittal package is submitted to SEI, the

Application Fees and Annual Participation Fees (See Section 7: Annual Participation Fees) are due. Upon

completion of initial testing, Annual Model Certification Fees are due. The following is a schedule of

application fees and annual model certification fees that apply to the recreational products program:

Model Type Submittal Type Application Fee Annual Model Certification Fees

Base Model

Initial $250 $435

Class I Change $50 N/A

Class II Change $50 N/A

Variant Model

Initial $60 $125

Class I Change $50 N/A

Class II Change $50 N/A

Accessory Model

Initial $60 $60

Class I Change $50 N/A

Class II Change $50 N/A

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Section 25: NFPA Protective Clothing and Equipment Program

Revision Date: 10.13.17

Date of Issue: 01.12.12

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25.5 NFPA 1971 Protective Ensemble for Structural Fire Fighting

A. Definition of Model

Helmets:

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard:

1. Basic raw material of:

a. Shell

b. Energy absorbing system

c. Retention system

d. Ear and neck protectors, if applicable

e. Faceshield

2. Mechanism for attaching accessories to the shell

3. Manufacturing change for any critical component, e.g., basic mold change, injection

molding, sheet stock, fabrication

4. Basic design

5. Paint

6. Size

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard:

1. Same generic material from different source of supply

Footwear:

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard:

1. Upper material, composition, thickness or design

2. Sole material, composition, thickness or design

3. Footwear configuration

4. Thread type

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard:

1. Color

2. Accessory options (e.g., straps)

Gloves:

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard:

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Revision Date: 10.13.17

Date of Issue: 01.12.12

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1. Glove outer material composition, thickness or design

2. Glove liner material composition, thickness or design

3. Glove moisture barrier composition, thickness or design

4. Glove wristlet composition, thickness or design

5. Glove seam construction technique or design

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard:

1. Basic design alternations not affecting glove circumference and length

2. Color changes that do not result in an effect on substrate performance

3. Additional sizes beyond what is required by NFPA

Clothing:

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard:

1. Outer shell material, composition, thickness or design

2. Collar liner material, composition, thickness or design

3. Thermal liner material, composition, thickness or design

4. Winter liner material, composition, thickness or design

5. Moisture barrier material, composition, thickness or design

6. Hood material, composition, thickness or design

7. Wristlet material, composition, thickness or design

8. Seam construction, techniques and design

9. Garment configuration

10. Thread material and composition

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard:

1. Color

2. Trim color

3. Clothing design options (e.g., pockets)

4. Size

B. Examples of Major Components

Not applicable for this product

C. Laboratory Testing Fees/ Attributes & Variables

SEI currently has approved one (1) laboratory that may conduct testing to this standard. The

schedule of rates for testing at these laboratories can be found on the SEI website and can be

used to estimate the total cost of testing for all the models that are to be certified.

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Section 25: NFPA Protective Clothing and Equipment Program

Revision Date: 10.13.17

Date of Issue: 01.12.12

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25.6 NFPA 1975 Station/Work Uniforms for Fire Fighters

A. Definition of Model

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard and therefore require a new model designation:

1. Textile fabric material composition, thickness or design

2. Interlining material composition, thickness or design

3. Thread composition, thickness or design

4. Other component composition, thickness or design used in the construction of the

uniform that must be tested to meet requirement 3-1.2 of the standard.

5. Textile fabric finishes

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation:

1. Seam construction techniques and design

2. Basic design

3. Color (unless pigmenting affects material composition)

4. Size

B. Examples of Major Components

Not applicable for this product

C. Laboratory Testing Fees/ Attributes & Variables

SEI currently has approved one (1) laboratory that may conduct testing to this standard. The

schedule of rates for testing at these laboratories can be found on the SEI website and can be

used to estimate the total cost of testing for all the models that are to be certified.

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Section 25: NFPA Protective Clothing and Equipment Program

Revision Date: 10.13.17

Date of Issue: 01.12.12

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25.7 NFPA 1977 Protective Clothing & Equipment for Wildland Fire Fighting

A. Definition of Model

Clothing

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard and therefore require a new model designation:

1. Material, composition, thickness or design

2. Seam construction, techniques and design

3. Garment configuration

4. Thread material and composition

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation: Color

1. Trim

2. Clothing design options (e.g., pockets, if made from same base material)

3. Size

Helmets

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard and therefore require a new model designation:

1. Basic raw material

2. Suspensions (materials or type)

3. Mechanisms for attaching accessories

4. Retention system

5. Basic design

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation:

1. Color

2. Size

3. Same generic raw materials from different sources of supply

4. Suspension orientation

5. Retroreflective material color

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Gloves

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard and therefore require a new model designation:

1. Material, composition, thickness or design

2. Seam construction, techniques and design

3. Glove configuration (e.g., wristlets versus gauntlets)

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation:

1. Color

2. Size (except as required in 6-1.2)

Footwear

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard and therefore require a new model designation:

1. Upper material, composition, thickness or design

2. Sole/heel material composition, thickness or design

3. Stud hook and eyelet composition and installation method

4. Footwear construction methods and configuration

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation:

1. Color

2. Height

3. Footwear design options (e.g., traps, if made from same base material)

4. Size

B. Examples of Major Components

Not applicable for this product

C. Laboratory Testing Fees/ Attributes & Variables

SEI currently has approved one (1) laboratory that may conduct testing to this standard. The

schedule of rates for testing at these laboratories can be found on the SEI website and can be

used to estimate the total cost of testing for all the models that are to be certified.

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Section 25: NFPA Protective Clothing and Equipment Program

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Date of Issue: 01.12.12

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25.8 NFPA 1999 Protective clothing for Emergency Medical Operations

A. Definition of Model

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard and therefore require a new model designation:

1. Garment, glove or facewear material composition, thickness or design including

accessory material or components required to meet the requirements of the standard

2. Seam construction techniques and design

3. Suit closure type, design and orientation

4. Addition of external components which affect the liquid-tight integrity of the protective

item

5. Basic design

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation:

1. Color (unless pigmenting affects material composition)

2. Size (except gloves)

3. Internal components which do not affect the liquid-tight integrity of the protective item

B. Examples of Major Components

Not applicable for this product

C. Laboratory Testing Fees/ Attributes & Variables

SEI currently has approved one (1) laboratory that may conduct testing to this standard. The

schedule of rates for testing at these laboratories can be found on the SEI website and can be

used to estimate the total cost of testing for all the models that are to be certified.

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Section 25: NFPA Protective Clothing and Equipment Program

Revision Date: 10.13.17

Date of Issue: 01.12.12

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25.9 NFPA 1951 Technical Rescue & Recovery

A. Definition of Model

Clothing

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard and therefore require a new model designation:

1. Material, composition, thickness or design

2. Seam construction, techniques and design

3. Garment configuration

4. Thread material and composition

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation: Color

1. Trim

2. Clothing design options (e.g., pockets, if made from same base material)

3. Size

Helmets

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard and therefore require a new model designation:

1. Basic raw material

2. Suspensions (materials or type)

3. Mechanisms for attaching accessories

4. Retention system

5. Basic design

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation:

1. Color

2. Size

3. Same generic raw materials from different sources of supply

4. Suspension orientation

5. Retroreflective material color

Gloves

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard and therefore require a new model designation:

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1. Material, composition, thickness or design

2. Seam construction, techniques and design

3. Glove configuration (e.g., wristlets versus gauntlets)

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation:

1. Color

2. Size (except as required in 6-1.2)

Footwear

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard and therefore require a new model designation:

1. Upper material, composition, thickness or design

2. Sole/heel material composition, thickness or design

3. Stud hook and eyelet composition and installation method

4. Footwear construction methods and configuration

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation:

1. Color

2. Height

3. Footwear design options (e.g., traps, if made from same base material)

4. Size

B. Examples of Major Components

Not applicable for this product

C. Laboratory Testing Fees/ Attributes & Variables

SEI currently has approved one (1) laboratory that may conduct testing to this standard. The

schedule of rates for testing at these laboratories can be found on the SEI website and can be

used to estimate the total cost of testing for all the models that are to be certified.

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Section 25: NFPA Protective Clothing and Equipment Program

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25.10 NFPA 1952 Swift Water Operations and NFPA 1953 Contaminated Water Diving

A. Definition of Model

Clothing

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard and therefore require a new model designation:

1. Material, composition, thickness or design

2. Seam construction, techniques and design

3. Garment configuration

4. Thread material and composition

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation:

1. Trim

2. Color

3. Clothing design options (e.g., pockets, if made from same base material)

4. Size

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation:

1. Color

2. Height

3. Footwear design options (e.g., traps, if made from same base material)

4. Size

Helmets

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard and therefore require a new model designation:

1. Basic raw material

2. Suspensions (materials or type)

3. Mechanisms for attaching accessories

4. Retention system

5. Basic design

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation:

1. Color

2. Size

3. Same generic raw materials from different sources of supply

4. Suspension orientation

5. Retroreflective material color

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Gloves

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard and therefore require a new model designation:

1. Material, composition, thickness or design

2. Seam construction, techniques and design

3. Glove configuration (e.g., wristlets versus gauntlets)

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation:

1. Color

2. Size (except as required in 6-1.2)

Footwear

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard and therefore require a new model designation:

1. Upper material, composition, thickness or design

2. Sole/heel material composition, thickness or design

3. Stud hook and eyelet composition and installation method

4. Footwear construction methods and configuration

Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation:

1. Color

2. Height

3. Footwear design options (e.g., traps, if made from same base material)

4. Size

Floatation Device

Characteristics that should affect the model’s ability to meet the performance requirements of

the certification standard and therefore require a new model designation:

1. Material, composition, thickness or design

2. Seam construction, techniques and design

3. Device configuration

4. Thread material and composition

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Characteristics that should not affect the model’s ability to meet the performance requirements

of the certification standard and therefore would not require a new model designation:

1. color

2. size

3. Examples of Major Components

Not applicable for this product

B. Examples of Major Components

Not applicable for this product

C. Laboratory Testing Fees/ Attributes & Variables

SEI currently has approved one (1) laboratory that may conduct testing to this standard. The

schedule of rates for testing at these laboratories can be found on the SEI website and can be

used to estimate the total cost of testing for all the models that are to be certified.

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25A. SEI General Certification Submittal Form

1307 Dolley Madison Blvd, Suite 3A, McLean, VA 22101

Phone: (703) 442-5732 Fax: (703) 442-5756 Email: [email protected]

Submittal Date: SEI Ref. No.:

Manufacturer:

Street Address:

City/State/Zip:

Tel: Fax: Email:

Web:

Initial:

Annual:

Standard

Rev/Annual:

Class I:

Class II:

Basic model:

Variant:

Accessory:

Type of Submittal: (select one)

Product has not previously been tested by SEI.*

Product is currently certified by SEI, is being submitted for annual recertification and no changes have

been made to product since last test date. *

Product is currently certified by SEI. Standard has been revised and this will also serve as an annual

recertification.*

Product is currently SEI certified and a change in materials, construction, manufacturing location, etc. has

been made to the product. *

Product is currently SEI certified and the proposed change is believed to not affect the product’s form, fit

or function.

Category of Product: (select one)

Protective device of the same basic design and components, produced by the same manufacturing

location. *

Variation of basic model distinguished by a single component (i.e., lens shades, suspension systems,

reverse headbands, closures, etc.)*

Product that is for use with a specific SEI certified model, designed in such a manner to be removable

from model without affecting the performance of that model in accordance with the applicable standard.

*

* Definitions are not all inclusive and do not apply to all SEI product certifications. Refer to the SEI Certification Program Manual for

additional detailed information and descriptions.

If model is manufactured at different location(s) than stated in Section (2), list all manufacturing locations:

Legal Status (Inc., LLC,

etc.)

25A Submittal Form

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25A. SEI General Certification Submittal Form

1307 Dolley Madison Blvd, Suite 3A, McLean, VA 22101

Phone: (703) 442-5732 Fax: (703) 442-5756 Email: [email protected]

Standard Testing

To:

Type of Product:

Model Number(s):

Brand Name:

Authorized

Manufacturer

Representative:

Signature:

We request certification or continuation of certification of the above model to the referenced standard in accordance with the program established by the Safety

Equipment Institute. We certify that the unit(s) of the above model, as submitted for testing and certification, represents the product(s) that will be offered for sale.

Samples of this product are being sent to the laboratory. Please complete all nine (9) sections of the SEI certification submittal form and include any necessary

attachments. Incomplete submittal paperwork may lead to delays in the processing and performance testing.

Product Description. Briefly describe below. Attach applicable Components & Materials Description Checklist, and if applicable, test plan

matrix/configurations, Bill of Materials, product literature)

Test samples

shall be:

Returned to

manufacturerIf fail, return to

manufacturer

Destroyed by laboratory

25A Submittal Form

09.01.2016

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25B. General Components Materials Description Checklist

1. SEI Reference Number:

2. Manufacturer (SEI

Participant):

3. Model Series/Brand

Name

(one model per checklist):

4. Standard:

For all initial and annual submittals, all sections shall be completed.

For changes, complete all sections; mark in BOLD that which has been changed.

7. List all Model Numbers

8. COMPONENT

Signed By: Name:

Company: Date:

The above information regarding the model is correct to the best of my knowledge. If this model is being submitted for annual

testing, I confirm that no known changes that could affect the models ability to meet the performance requirements of the

*Helmet Positioning Index - Specify either the nose gauge positioning or specify the measurement (mm) from the front rim of the

helmet, downward vertically, to the basic plane on the front meridian plane of the test headform. (ND001 Section 20)

Material Type, Trade Name, Part Number, Grade,

Weight, Dimensions, Density, Bead, Color, etc.

SOURCE(S) OF SUPPLY (provide complete

address, contact info for all source(s)

5. Certification Submittal

Type (Select one): Initial Annual

Change:

Class 1: Testing required

Class 2: No testing expected to be required

6. List all assembly locations, sub-assembly & final product (use separate sheet if needed):

Description (i.e. color, size, type)

Upon completion of this checklist, submit it along with the SEI Certification Submittal Form.

Please refer to the “Examples of Major Components” for suggested product components for which a description is required. Any

additional component found in the product shall also be described.

25B CM Form

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25B. Protective Clothing Components Materials Description Checklist

Initial Annual Class 1: Testing requiredClass 2: No testing

expected to be required

For all initial and annual submittals, all sections shall be completed

Front Closure Description

For changes, complete all sections and mark in BOLD that which has been changed.

Garment TypeCan closure be

reversible?

4. Model Series/Brand Name: (One model

per checklist)

5. NFPA Standard:

6. Certification

Submittal Type

(Select one):

Change

Finished Garment Identification Model Number(s)

or Name(s)

2. Manufacturer (SEI Participant):

For use with certification testing submittals to

3. Manufacturing Location:

NFPA 1971, NFPA 1975, NFPA 1977, NFPA 1999, NFPA 1951, NFPA 1952 and NFPA 2112. Upon completion of this checklist, submit it along with the SEI Certification Submittal Form.

Please refer to the “Examples of Major Components” for suggested product components for which a description is required. Any additional

component found in the product shall also be described. Where applicable, primary garment material suppliers which participate in the SEI

program for material component recognition shall be identified.

1. SEI Reference Number:

25B CM Form - Clothing

09.01.2016

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25B. Protective Clothing Components Materials Description Checklist

Fabric Model / Style Fabric Weight Fabric Blend Fabric Weave

Fabric Model / Style Fabric Weight Fabric Blend Fabric Weave

Fabric Model / Style Seam Sealing Tape

Moisture Barrier

Material & Seam

Sealing Tape

Sealing Machine Speed Pressure Temperature Seam Type

Moisture Barrier Thermal Liner

Garment Composite Identification Outer Shell

Seam Sealing Parameters

Moisture Barrier Seam Construction

Supplier

Moisture Barrier Identification

Thermal Liner IdentificationSupplier

Supplier

Outer Shell Fabric Identification

25B CM Form - Clothing

09.01.2016

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25B. Protective Clothing Components Materials Description Checklist

Model / Style Material Weight Material CompositionUse / Location in

Garment

Model / Style Hardware Type Composition Use in Garment

Model / Style Widths Used

Hook and Loop Identification Supplier Composition

Supplier

Hardware Identification

Supplier Model / Style Description

Reflective Trim Identification

Supplier Model / Style Blend / Composition

Thread Identification

Reinforcement Material Identification

Supplier

25B CM Form - Clothing

09.01.2016

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25B. Protective Clothing Components Materials Description Checklist

Model / Style DescriptionAttachment Method

(heat sealed or sewn)?

Does the label have

hand markings? If yes,

what is marking type?

Model / Style Description Attachment Method Located on Coat Sleeve?

Model / Style Use in Garment

Other Materials IdentificationSupplier Composition

Drag Rescue Device (DRD) Webbing Identification

Supplier Model / Style Composition

Letters / Logos Identification

Supplier

Label Material Identification

Supplier

Attachment Method Water-Well Description

Wristlet / Water-Well Identification

Wristlet IdentificationSupplier Model / Style Composition

25B CM Form - Clothing

09.01.2016

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25B. Protective Clothing Components Materials Description Checklist

Layer 1 (outermost

layer)Layer 2 Layer 3 Layer 4 Layer 5 Layer 6

Layer 1 (outermost

layer)Layer 2 Layer 3 Layer 4 Layer 5 Layer 6

Layer 1 (outermost

layer)Layer 2 Layer 3 Layer 4 Layer 5 Layer 6

Front Closure

Attachment Method

Sleeve End

Attachment Method

Pant Waist Attachment

Method

Leg Opening Attachment

Method

Liner Attachment Identification

Collar Attachment Method

Shoulder Composite Identification

Knee Composite Identification

Collar Composite Identification

25B CM Form - Clothing

09.01.2016

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25B. Protective Clothing Components Materials Description Checklist

Signed By: Name:

Company: Date:

The above information regarding the model(s) is correct to the best of my knowledge. If this model is being submitted for annual

testing, I confirm that no known changes that could affect the models ability to meet the performance requirements of the

applicable standard have taken place since the last SEI annual test series, which have not been communicated to SEI.

Other Identification / Notes

Integrated Harness Identification

Harness Model Garment Models Used In

Is Harness

NFPA 1983-2012 certified?

Drag Rescue Device (DRD) Location Identification

Description of Installation and Routing Description of DRD Opening and Location

Interior Facings Identification

Front Interior (coat and pant) Facing Description Collar Interior Facing Description

Throat Tab Identification

Coat Attachment Method Throat Tab Description

25B CM Form - Clothing

09.01.2016

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25B. Protective Gloves Components Materials Description Checklist

Initial AnnualClass 1: Testing

required

Class 2: No testing

expected to be

required

For all initial and annual submittals, all sections shall be completed

Material Type* Material WeightMaterial Composition Material Manufacturer

For changes, complete all sections and mark in BOLD that which has been changed.

Glove Model Identification

2. Manufacturer (SEI Participant):

3. Manufacturing Location:

4. Model Series/Brand Name: (One

model per checklist)

Glove Material Identification

Wristlet and/or GauntletModel / Style Number

For use with certification testing submittals to

NFPA 1971, NFPA 1975, NFPA 1977, NFPA 1999, NFPA 1951, NFPA 1952 and NFPA 2112.

Upon completion of this checklist, submit it along with the SEI Certification Submittal Form.

Please refer to the “Examples of Major Components” for suggested product components for which a description is required.

Any additional component found in the product shall also be described. Where applicable, primary garment material

suppliers which participate in the SEI program for material component recognition shall be identified.

1. SEI Reference Number:

5. NFPA Standard:

6. Certification

Submittal Type

(Select one):

Change

25B CM Form - Gloves

09.01.2016

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25B. Protective Gloves Components Materials Description Checklist

Layer 1

(outer most

layer)

Model / Style

A-P

B-P

C-P

D-P

E-P

F-P

G-P

H-P

I-P

A-PS

B-PS

C-PS

D-PS

E-PS

F-PS

H-PS

I-PS

A-B

B-B

C-B

D-B

E-B

F-B

G-B

H-B

I-B

A-BS

B-BS

C-BS

D-BS

E-BS

F-BS

H-BS

I-BS

Glove Composite Identification

*Use Material Type to identify layers.

Layer 2 Layer 3 Layer 4 Layer 5

25B CM Form - Gloves

09.01.2016

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25B. Protective Gloves Components Materials Description Checklist

Tape Identification

Supplier

Supplier Material / Type

Glue Identification

Where is it used in the glove?

Where is it used in the glove? Material / Type

Glove Construction Identification

How is the liner attached to the moisture barrier?

How is the moisture barrier attached to the glove outer material?

Who seam seals the moisture barrier?

Blend / Composition

Thread Identification

Supplier Model / Style

25B CM Form - Gloves

09.01.2016

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25B. Protective Gloves Components Materials Description Checklist

Model / Style Description

Attachment

Method (heat

sealed or sewn)?

Does the label

have hand

markings? If yes,

what is marking

type?

Signed By: Name:

Company: Date:

The above information regarding the model(s) is correct to the best of my knowledge. If this model is being

submitted for annual testing, I confirm that no known changes that could affect the models ability to meet the

performance requirements of the applicable standard have taken place since the last SEI annual test series,

which have not been communicated to SEI.

Other Identification / Notes

Label Material Identification

Supplier

25B CM Form - Gloves

09.01.2016

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25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017

PARTICPANT NAME:

SEI REFERENCE NUMBER:

NAME/MODEL/DESCRIPTION:

Section Sections 5.1 - 5.3 Product Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.1

Each element of both protective ensembles shall have at least one product label permanently and conspicuously located inside each element when the element is properly assembles with all layers and components in place.

YES NO

YES NO

5.1.2

Multiple label pieces shall be permitted in order to carry all statements and information required to be on the product label. However, all labels comprising the product label shall be located adjacent to each other.

YES NO

YES NO

5.1.3

The certification organization’s label, symbol, or identifying mark shall be permanently attached to the product label or shall be part of the product label. All letters shall be at least 2.5 mm (3/32 in.) high. The label, symbol, or identifying mark shall be at least 6mm (1/4 in.) in height and shall be place in a conspicuous location.

Measurement:

__________

YES NO

Measurement:

__________

YES NO

5.1.4 All worded portions of the required product label shall be printed at least in English.

YES NO

YES NO

5.1.5

Symbols and other pictorial graphic representations shall be permitted to be used to supplement worded statements on the product label(s).

YES N/A NO

YES N/A NO

5.1.6

The compliance statement specified in Section 5.2 for structural fire fighting protective ensemble elements and in Section 5.3 for proximity fire fighting protective ensemble elements shall be printed legibly on the product label.

YES NO

YES NO

5.1.7

The following information shall also be printed legibly on each product label with all letters at least 1.5 mm (1/16 in.) in height:

Measurement:

__________

YES NO

Measurement:

__________

YES NO 5.1.7 (1) Manufacturer’s name, identification, or designation

YES NO

YES NO

5.1.7 (2) Manufacturer’s address

YES NO

YES NO

5.1.7 (3) Country of manufacture

YES NO

YES NO

5.1.7 (4) Manufacturer’s element identification number, lot number, or serial number

YES NO

YES NO

5.1.7 (5) Month and year of manufacture, not coded

YES NO

YES NO

5.1.7 (6) Model name, number, or design

YES NO

YES NO

5.1.7 (7) Size or size range

YES NO

YES NO

5.1.7 (8) Principle material(s) of construction

YES NO

YES NO

5.1.7 (9) Cleaning precautions

YES NO

YES NO

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25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017

5.1.7.1 For garments only, where the principal material of construction is a component that is

listed, the component name under which it is listed shall be identified.

YES N/A NO

YES N/A NO

Section Sections 5.1 - 5.3 Product Label Requirements Participant

Checklist

SEI

Compliant

Checklist

5.1.7.2 For garments only, where the thermal liner, moisture barrier, and outer shell are separable, each separable layer shall also have a label containing the information required in 5.1.7(4) through 5.1.7(8).

YES N/A NO YES N/A NO

5.1.7.3

For principal materials of construction of footwear, at least the outer shell, moisture barrier, and thermal liner shall be listed. Generic names of materials shall be permitted to be used. Additional materials that are used throughout the majority of the footwear shall also be listed on the label.

YES N/A NO YES N/A NO

5.1.7.4 For principal materials of construction of helmets, the shell material shall be listed YES N/A NO YES N/A NO

5.1.7.5

For principal materials of construction of gloves, at least the outer shell, moisture barrier, thermal liner, and glove interface component (wristlet) shall be listed. Generic names of materials shall be permitted to be used. If used, the type of leather shall be listed. Any additional materials that are used throughout the significant portion of the glove’s construction shall also be listed on the label.

YES N/A NO YES N/A NO

5.2.1

The following compliance statement shall be printed legibly on the product label for each structural fire fighting protective ensemble element, unless the requirements in 5.2.1.1 prevail. The appropriate term for the element type – garment, helmet, glove, footwear, hood – shall be inserted in the compliance statement text where indicated. All product label letters and figures shall be at least 2.5 mm (3/32 in.) in height.

“THIS STRUCTURAL FIRE FIGHTING PROTECTIVE (insert appropriate element term here) MEETS THE (insert appropriate element term here) REQUIREMENTS

OF NFPA 1971, 2018 EDITION.

DO NOT REMOVE THIS LABEL.”

Measurement:

__________

YES NO

Measurement:

__________

YES NO

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25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017

Section Sections 5.1 - 5.3 Product Label Requirements Participant

Checklist

SEI

Compliant

Checklist

5.2.1.1

Where an entire ensemble is also certified as compliant with the optional requirements for protection against CBRN terrorism agents, each element of the entire ensemble shall have at least the additional following compliance statement on the product label in place of the compliance statement specified in 5.2.1. The appropriate term for the element type – garment, helmet, glove, footwear, hood – shall be inserted in the compliance statement text where indicated. Other than the words “CBRN PROTECTIVE ENSEMBLE,” all product label letters shall be at least 2.5 mm (3/32 in.) in height. The letters of “CBRN PROTECTIVE ENSEMBLE” shall be at least 10 mm (3/8 in.) in height.

“CBRN PROTECTIVE ENSEMBLE

THIS ELEMENT IS NOT INTENDED AS PART OF A HAZARDOUS MATERIALS PROTECTIVE ENSEMBLE.

THIS STRUCTURAL FIRE FIGHTING PROTECTIVE (insert appropriate element

term here) MEETS THE (insert appropriate element term here) REQUIREMENTS OF NFPA 1971, 2018 EDITION, AND THE OPTIONAL REQUIREMENTS FOR

CBRN PROTECTION WHEN WORN TOGETHER WITH THE OTHER SPECIFIED ELEMENTS AND INTERFACE COMPONENTS OF THE ENSEMBLE.

DO NOT REMOVE THIS LABEL.”

Measurement:

__________

YES N/A NO

Measurement:

__________

YES N/A NO

5.2.1.2

The garment element of the ensemble meeting the optional requirements for protection against CBRN terrorism agents shall list those items of the certified ensemble by manufacturer name and model number on the product label

YES N/A NO

YES N/A NO

5.2.2

Where other protective item(s) or detachable components must be used with structural fire fighting protective ensemble elements in order for an element to be compliant with this standard, at least the following statement and information shall also be printed legibly on the product label. All letters shall be at least 2.5 mm (3/32 in.) high. The appropriate term for the element type – garment, helmet, glove, footwear, hood – shall be inserted in the statement text where indicated. Following this statement, the additional protective items or detachable components shall be listed by type, identification, and how properly assembled.

“FOR COMPLIANCE WITH THE STRUCTURAL FIRE FIGHTING (insert appropriate element term here) REQUIREMENTS OF NFPA 1971, THE FOLLOWING PROTECTIVE ITEMS MUST BE WORN WITH THIS (insert

appropriate element term here):

(List additional items or detachable components here.)

DO NOT REMOVE THIS LABEL.”

Measurement:

__________

YES N/A NO

Measurement:

__________

YES N/A NO

5.2.3

For helmets only, the helmet manufacturer shall place a unique manufacturer’s part number, the symbol of the certification organization, and the words “NFPA 1971, 2018 ED” permanently on each replaceable performance critical part of the goggle lens or faceshield.

YES N/A NO

YES N/A NO

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25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017

Section Sections 5.1 - 5.3 Product Label Requirements Participant

Checklist

SEI

Compliant

Checklist

5.2.4

For hoods only, where the hood is designed to interface with a specific SCBA facepiece(s), the hood manufacturer shall add an item to the items specified in 5.1.7.

YES N/A NO

YES N/A NO

5.2.4.1

The hood manufacturer shall designate the specific SCBA facepiece(s), model(s), and size(s) in the new item of 5.1.7.

YES N/A NO

YES N/A NO

5.2.4.2

Where the hood is designed to be used with a specific SCBA facepiece(s), the hood manufacturer shall add to the hood product label the following statement:

“FOR COMPLIANCE WITH THE STRUCTURAL FIRE FIGHTING REQUIREMENTS

OF NFPA 1971, THE HOOD CAN ONLY BE USED WITH THE FOLLOWING NOTED SCBA FACEPIECE(S) [insert SCBA facepiece(s), model(s), and size(s)

here].

YES N/A NO

YES N/A NO

5.2.5

For garments only, the garment manufacturer shall place a manufacturer’s identification number, lot number or serial number, the size or size range, the symbol of the certification organization, and the words “NFPA 1971, 2018 ED.” On the drag rescue device (DRD).

YES N/A NO

YES N/A NO

5.2.6

For particulate blocking hoods only, the following additional language shall be provided on the product label: “THIS HOOD PROVIDES LIMITED PARTICULATE BLOCKING PROTECTION.”

YES N/A NO

YES N/A NO

5.3.1

The following compliance statement shall be printed legibly on the product label for each proximity fire fighting protective ensemble element. The appropriate term for the element type – garment, helmet, glove, footwear – shall be inserted in the compliance statement text where indicated. All product label letters and figures shall be at least 2.5 mm (3/32 in.) in height.

“THIS PROXIMITY FIRE FIGHTING PROTECTIVE (insert appropriate element

term here) MEETS THE (insert appropriate element term here) REQUIREMENTS OF NFPA 1971, 2018 EDITION.

DO NOT REMOVE THIS LABEL.”

Measurement:

__________

YES N/A NO

Measurement:

__________

YES N/A NO

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25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017

Section Sections 5.1 - 5.3 Product Label Requirements Participant

Checklist

SEI

Compliant

Checklist

5.3.1.1

Where an entire ensemble is also certified as compliant with the optional requirements for protection against liquid and particulate contaminant, each element of the entire ensemble shall have at least the additional following compliance statement on the product label in place of the compliance statement specified in 5.3.1. The appropriate term for the element type – garment, helmet, glove, footwear, hood – shall be inserted in the compliance statement text where indicated. With the exception of the words “CBRN PROTECTIVE ENSEMBLE,” all product label letters shall be at least 2.5 mm (3/32 in.) in height.

“LIQUID AND PARTICULATE CONTAMINANT PROTECTIVE ENSEMBLE

THIS ELEMENT IS NOT INTENDED AS PART OF A HAZARDOUS MATERIALS PROTECTIVE ENSEMBLE.

THIS PROXIMITY FIRE FIGHTING PROTECTIVE (insert appropriate element term

here) MEETS THE (insert appropriate element term here) REQUIREMENTS OF NFPA 1971, 2018 EDITION, AND THE OPTIONAL REQUIREMENTS FOR LIQUID AND PARTICULATE CONTAMINANT PROTECTION WHEN WORN TOGETHER

WITH THE OTHER SPECIFIED ELEMENTS AND INTERFACE COMPONENTS OF THE ENSEMBLE.

DO NOT REMOVE THIS LABEL.”

Measurement:

__________

YES N/A NO

Measurement:

__________

YES N/A NO

5.3.1.2

The garment element of the ensemble meeting the optional requirements for protection against CBRN terrorism agents shall list those items of the certified ensemble by manufacturer name and model number on the product label

YES N/A NO

YES N/A NO

5.3.2

Where other protective item(s) or detachable components must be used with proximity fire fighting protective ensemble elements in order for an element to be compliant with this standard, at least the following statement and information shall also be printed legibly on the product label. All letters shall be at least 2.5 mm (3/32 in.) high. The appropriate term for the element type – garment, helmet, glove, footwear – shall be inserted in the statement text where indicated. Following this statement, the additional protective items or detachable components shall be listed by item/component, identification or part number, and where applicable, how properly assembled. “FOR COMPLIANCE WITH THE PROXIMITY FIRE FIGHTING (insert appropriate

element term here) REQUIREMENTS OF NFPA 1971, THE FOLLOWING PROTECTIVE ITEMS MUST BE WORN WITH THIS (insert appropriate element

term here):

(List additional items or detachable components here.)

DO NOT REMOVE THIS LABEL.”

Measurement:

__________

YES N/A NO

Measurement:

__________

YES N/A NO

5.3.2.1

For proximity fire fighting helmets, the list of additional items or detachable components shall include, as a minimum, the shroud, cover (except where the helmet cover is part of the shroud), and faceshield.

YES N/A NO

YES N/A NO

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25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017

Section Sections 5.1 - 5.3 Product Label Requirements Participant

Checklist

SEI

Compliant

Checklist

5.3.3

For helmets only, the helmet manufacturer shall place a unique manufacturer’s part number, the symbol of the certification organization, and the words “NFPA 1971, 2018 ED” permanently on each replaceable performance critical part of the faceshield.

YES N/A NO

YES N/A NO

5.3.4

For the helmet shroud and cover (except where the helmet cover is part of the shroud), the manufacturer shall place a label on the shroud and cover (except where the helmet cover is part of the shroud) with a unique manufacturer’s part number or identification and the following statement. The appropriate term for the item, shroud or cover, shall be inserted in the statement text where indicated. “FOR COMPLIANCE WITH THE PROXIMITY FIRE FIGHTING REQUIREMENTS OF NFPA 1971-2018, THIS [insert appropriate item term here] CAN ONLY BE USED WITH THE FOLLOWING NOTED HELMET(S) AND ADDITIONAL ITEM(S): [insert

helmet manufacturer’s name and specific helmet model; and item name (shroud or cover) and shroud or cover part number, or identification where applicable].”

YES N/A NO

YES N/A NO

5.3.5

For garments only, the garment manufacturer shall place a manufacturer’s identification number, lot number or serial number, the size or size range, the symbol of the certification organization, and the words “NFPA 1971, 2018 ED.” on the DRD.

YES N/A NO

YES N/A NO

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25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017

Section Section 5.4 User Information Requirements Participant Checklist

SEI

Compliant

Checklist

5.4.1

The manufacturer shall provide at least the user information that is specified in 5.4.4 with each structural and proximity fire fighting element.

YES NO

YES NO

5.4.2

The manufacturer shall attach the required user information, or packaging containing the user information, to the element in such a manner that it is not possible to use the element without being aware of the availability of the information.

YES NO

YES NO

5.4.3

The required user information, or packaging containing the user information, shall be attached to the element so that a deliberate action is necessary to remove it. The manufacturer shall provide notice that the user information is to be removed only by the end user.

YES NO

YES NO

5.4.4

The manufacturer shall provide at least the following instructions and information with each element:

5.4.4 (1a) Pre-use information – Safety Considerations

YES NO

YES NO

5.4.4 (1b) Pre-use information – Limitations of use

YES NO

YES NO

5.4.4 (1c) Pre-use information – Marking recommendations and restrictions

YES NO

YES NO

5.4.4 (1d)

Pre-use information – A statement that most performance properties of the element cannot be tested by the user in the field

YES NO

YES NO

5.4.4 (1e) Pre-use information – Warranty information

YES NO

YES NO

5.4.4 (2a) Preparation for use – Sizing / adjustment

YES NO

YES NO

5.4.4 (2b) Preparation for use – Recommended storage practices

YES NO

YES NO

5.4.4 (3) Inspection frequency and details

YES NO

YES NO

5.4.4 (4a) Don / Doff – Donning and doffing procedures

YES NO

YES NO

5.4.4 (4b) Don / Doff – Sizing and adjustment procedures

YES NO

YES NO

5.4.4 (4c) Don / Doff – interface issues

YES NO

YES NO

5.4.4 (5) Proper use consistent with NFPA 1500, and 29 CFR 1910.132, General Requirements of Subpart I, Personal Protective Equipment

YES NO

YES NO

5.4.4 (6a)

Maintenance and cleaning – Cleaning instructions and precautions with a statement advising users not to use an element that is not thoroughly cleaned and dried

YES NO

YES NO

5.4.4 (6b) Maintenance and cleaning – Inspection details

YES NO

YES NO

5.4.4 (6c) Maintenance and cleaning – Maintenance criteria and methods of repair where applicable

YES NO

YES NO

5.4.4 (6d) Maintenance and cleaning – Decontamination procedures for both chemical and biological contamination

YES NO

YES NO

5.4.4 (7) Retirement and disposal criteria and considerations

YES NO

YES NO

5.4.4 (8)

A statement that the moisture barrier has not been evaluated for all chemicals that can be encountered during fire fighting operations and information that the effects of chemical exposure on the moisture barrier are to be evaluated per the inspection procedures in NFPA 1851

YES NO

YES NO

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25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017

Section Section 5.4 User Information Requirements Participant Checklist

SEI

Compliant

Checklist

5.4.5

For the DRD only, the manufacturer shall provide specific information on the use, inspection, maintenance, cleaning, and retirement of the DRD. Additional instructions shall be provided on the removal and reinstallation of the DRD into the garment.

YES N/A NO

YES N/A NO

5.4.6

For footwear only, the manufacturer shall establish and provide, upon request, a size conversion chart for each model or style footwear element based on toe length, arch length, and foot width as measured on a Brannock Scientific Foot Measuring Device.

YES N/A NO

YES N/A NO

5.4.7 For helmets only, the manufacturer shall be provided a list of items that are installed on, attached to, or packaged with the compliant helmet that meet the requirements of 6.4.8.

YES N/A NO

YES N/A NO

5.4.8 For protective ensembles certified to the optional liquid and particulate contaminant requirements, the manufacturer shall provide the following additional instruction and information with the ensemble:

5.4.8 (1) A statement that only the ensemble and the specific elements with which the ensemble has been certified must be worn together to ensure that the optional liquid and particulate contaminant protection is worn.

YES N/A NO

YES N/A NO

5.4.8 (2) A list of the specific elements and interface components that must be worn as part of the liquid and particulate ensemble, including each type of CBRN SCBA that the ensemble has been certified with.

YES N/A NO

YES N/A NO

5.4.8 (3)

Specific limitations associated with the use of the ensemble for a response involving liquid and particulate contaminant hazards, including but not limited to a statement that the ensemble is not a hazardous materials protective ensemble and that protection will not be provided from vapors or all liquids and particulates.

YES N/A NO

YES N/A NO

5.4.8 (4) Specific care and maintenance provisions associated with properly maintaining the unique performance properties of the ensemble, its elements, or interface components.

YES N/A NO

YES N/A NO

5.4.9 When the optional requirements for liquid and particulate contaminant protection necessitate a specific action to engage interface areas, the manufacturer shall provide details explaining those procedures.

YES N/A NO

YES N/A NO

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25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017

- - - - - - - - - - - - - - - - FOR SEI USE ONLY - - - - - - - - - - - - - - - - - -

INITIAL LABEL REVIEW

COMPLY / NOT COMPLY (do not sign if deemed “not comply”)

COMMENTS:

Prepared by & Date: ____________________________________

Reviewed by & Date: ____________________________________

Measuring Device ID Number:

INITIAL USER INFORMATION REVIEW

COMPLY / NOT COMPLY (do not sign if deemed “not comply”)

COMMENTS:

Prepared by & Date: ____________________________________

Reviewed by & Date: ____________________________________

SUBSEQUENT REVIEW (LABEL / USER INFORMATION)

COMPLY / NOT COMPLY (do not sign if deemed “not comply”)

COMMENTS:

Prepared by & Date: ____________________________________

Reviewed by & Date: ____________________________________

Measuring Device ID Number:

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25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

PARTICPANT NAME:

SEI REFERENCE NUMBER:

NAME/MODEL/DESCRIPTION:

Section Sections 5.1 Product Label Requirements for Emergency Medical

Protective Clothing Items Participant Checklist

SEI

Compliant

Checklist

5.1.1.1

All worded portions of the required product and package labels shall be at least in English.

YES NO

5.1.1.2 All letters and numbers on product labels and product package labels shall meet the following requirement:

YES NO

5.1.1.2(1)

The compliance statement in 5.1.2.2 , 5.1.3.2 , 5.1.4.2 , 5.1.4.5 , 5.1.5.2 , 5.1.5.5 , 5.1.6.2 , 5.1.7.2 , 5.1.7.5 , 5.1.8.2 , 5.1.8.5 , 5.1.9.2 , 5.1.9.5 , 5.1.10.2 , 5.1.10.5 , 5.1.11.2 , 5.1.12.2 , 5.1.13.2 , 5.1.14.2 , 5.1.14.5 , 5.1.15.2 , and 5.1.16.2 shall be at least 2.5 mm ( 3 ⁄32 in.) high.

Measurement:

__________

YES NO

5.1.1.2(2) The certification organization's symbol shall be at least 6 mm (1 ⁄4 in.) high.

Measurement:

__________

YES NO

5.1.1.2(3) The certification organization's name shall be at least 2.5 mm (3 ⁄32 in.) high.

Measurement:

__________

YES NO

5.1.1.2(4) All other required labeling information shall be at least 1.6 mm (1 ⁄16 in.) high

Measurement:

__________

YES NO

5.1.1.3

Symbols and other pictorial graphic representations shall be permitted to be used to supplement worded statements on the product label(s).

YES N/A NO

5.1.1.4

Configuration of the product label and attachment of the product label shall not interfere with the legibility of any printed portion of the product label.

YES NO

5.1.1.5 Where applicable, multiple label pieces shall be permitted in order to carry all

statements and information required to be on the product label; however, all label pieces comprising t he entire product label shall be located adjacent to each other.

YES NO

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25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

5.1.1.6

Where package labels are required, the package product label shall be permanently and conspicuously located on the outside of the package or printed on the package and shall not be removed, obscured, or otherwise mutilated by the opening of the package when the package is opened as intended.

YES N/A NO

Section Sections 5.1.2 Single-Use Emergency Medical Protective Garment

Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.2.1 Each garment shall have a product label or labels permanently and conspicuously located inside each garment when the garment is properly assembled with all layers and components in place.

YES NO

5.1.2.2

The product label shall have the certification organization's label, symbol, or identifying mark and at least the following statement legibly printed on the product label:

“THIS GARMENT IS FOR SINGLE USE ONLY! THIS GARMENT MEETS THE SINGLE-USE EMERGENCY MEDICAL GARMENT REQUIREMENTS OF NFPA

1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2018 EDITION.

DO NOT REMOVE THIS LABEL!”

YES NO

5.1.2.3 The following information shall also be printed legibly on the product label: YES NO

5.1.2.3(1) Manufacturer's name, identification, or designation

YES NO

5.1.2.3(2) Manufacturer’s address

YES NO

5.1.2.3(3) Country of manufacture

YES NO

5.1.2.3(4) Garment model and style YES NO

5.1.2.3(5) Trace number YES NO

5.1.2.3(6) Materials of construction YES NO

5.1.2.3(7) Month and year of manufacture, not coded YES NO

5.1.2.3(8) Size YES NO

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25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

Section Sections 5.1.3 Multiple-Use Emergency Medical Protective Garment

Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.3.1 Each garment shall have a product label or labels permanently and conspicuously located inside each garment when the garment is properly assembled with all layers and components in place

YES NO

5.1.3.2

The product label shall have the certification organization's label, symbol, or identifying mark and at least the following statement legibly printed on the product

label: “THIS GARMENT MEETS THE MULTIPLE-USE EMERGENCY MEDICAL

GARMENT REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS,

2018 EDITION. DO NOT REMOVE THIS LABEL!”

YES NO

5.1.3.3 The following information shall also be printed legibly on the product label, and lettering shall be at least 1.6 mm (0.06 in.) high :

Measurement:

__________

YES NO

5.1.3.3(1) Manufacturer's name, identification, or designation YES NO

5.1.3.3(2) Manufacturer's address YES NO

5.1.3.3(3) Country of manufacture YES NO

5.1.3.3(4) Garment model or style YES NO

5.1.3.3(5) Trace number YES NO

5.1.3.3(6) Materials of construction YES NO

5.1.3.3(7) Cleaning precautions YES NO

5.1.3.3(8) Month and year of manufacture, not coded YES NO

5.1.3.3(9) Size YES NO

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25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

Section Sections 5.1.4 Single-Use Emergency Medical Examination Gloves

Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.4.1 The package containing the smallest number of glove items from which the user withdraws the product for use shall have a package product label

YES NO

5.1.4.2

The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the package product label:

“THIS GLOVE IS FOR SINGLE USE ONLY! THIS GLOVE MEETS THE SINGLE-

USE EMERGENCY MEDICAL EXAMINATION GLOVE REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR

EMERGENCY MEDICAL OPERATIONS, 2018 EDITION. DO NOT REMOVE THIS LABEL!”

YES NO

5.1.4.3 The following information shall also be printed legibly on the package product label: YES NO

5.1.4.3(1) Manufacturer's name, identification, or designation YES NO

5.1.4.3(2) Manufacturer's address YES NO

5.1.4.3(3) Country of manufacture YES NO

5.1.4.3(4) Glove model and style YES NO

5.1.4.3(5) Trace number YES NO

5.1.4.3(6) Materials of construction YES NO

5.1.4.3(7) Month and year of manufacture, not coded YES NO

5.1.4.3(8) Size YES NO

5.1.4.4 In addition to the required package product label, each glove shall be permitted to have a product label on the outside of the glove

YES NO

5.1.4.5

Where each glove has a product label, the certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed as the product label on each glove: “MEETS NFPA 1999, 2018 ED.”

YES NO

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25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

Section Sections 5.1.5 Single-Use Emergency Medical Cleaning/Utility

Glove Product Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.5.1 The package containing the smallest number of glove items from which the user withdraws the product for use shall be permitted to have a package product label in place of the package label.

YES NO

5.1.5.2

The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the package product label:

“THIS GLOVE IS FOR SINGLE USE ONLY! THIS GLOVE MEETS THE SINGLE-USE EMERGENCY MEDICAL CLEANING/ UTILITY GLOVE REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES

FOR EMERGENCY MEDICAL OPERATIONS, 2018 EDITION.

DO NOT REMOVE THIS LABEL!”

YES NO

5.1.5.3 The following information shall also be printed legibly on the package product label: YES NO

5.1.5.3(1) Manufacturer's name, identification, or designation YES NO

5.1.5.3(2) Manufacturer's address YES NO

5.1.5.3(3) Country of manufacture YES NO

5.1.5.3(4) Glove model and style YES NO

5.1.5.3(5) Trace number YES NO

5.1.5.3(6) Materials of construction YES NO

5.1.5.3(7) Month and year of manufacture, not coded YES NO

5.1.5.3(8) Size YES NO

5.1.5.4 In addition to the required package product label, each cleaning/utility glove shall be permitted to have a product label on the outside of the glove

YES NO

5.1.5.5 Where each cleaning/utility gloves has a product label, the certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed as the product label on each glove:

YES NO

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25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

Section Sections 5.1.6 Multiple-Use Emergency Medical Work Glove

Product Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.6.1 Each work glove shall have a product label(s) permanently and conspicuously attached inside each glove

YES NO

5.1.6.2

The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the product label:

“THIS GLOVE MEETS THE MULTIPLE-USE EMERGENCY MEDICAL WORK

GLOVE REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS,

2018 EDITION.

DO NOT REMOVE THIS LABEL!”

YES NO

5.1.6.3 The following information shall also be printed legibly on the package product label: YES NO

5.1.6.3(1) Manufacturer's name, identification, or designation YES NO

5.1.6.3(2) Manufacturer's address YES NO

5.1.6.3(3) Country of manufacture YES NO

5.1.6.3(4) Glove model and style YES NO

5.1.6.3(5) Trace number YES NO

5.1.6.3(6) Materials of construction YES NO

5.1.6.3(7) Cleaning instructions YES NO

5.1.6.3(8) Month and year of manufacture, not coded YES NO

5.1.6.3(9) Size YES NO

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25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

Section Sections 5.1.7 Single-Use Emergency Medical Facemask Product

Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.7.1 The package containing the smallest number of facemask items from which the user withdraws the product for use shall have a package product label.

YES NO

5.1.7.2

The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the package product label:

“THIS FACEMASK IS FOR SINGLE USE ONLY! THIS MASK MEETS THE

SINGLE-USE EMERGENCY MEDICAL FACEMASK REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR

EMERGENCY MEDICAL OPERATIONS, 2018 EDITION.

DO NOT REMOVE THIS LABEL!”

YES NO

5.1.7.3 The following information shall also be printed legibly on the package product label: YES NO

5.1.7.3(1) Manufacturer's name, identification, or designation YES NO

5.1.7.3(2) Manufacturer's address YES NO

5.1.7.3(3) Country of manufacture YES NO

5.1.7.3(4) Facemask model and style YES NO

5.1.7.3(5) Trace number YES NO

5.1.7.3(6) Materials of construction YES NO

5.1.7.3(7) Month and year of manufacture, not coded YES NO

5.1.7.3(8) Size, where applicable YES NO

5.1.7.4 In addition to the required package product label, each mask shall be permitted to have a product label in an area of the facemask that does not affect its function.

YES NO

5.1.7.5 Where each facemask has a product label, the certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed as the product label on each facemask: “MEETS NFPA 1999, 2018 ED.”

YES NO

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25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

5.1.7.6

Where the medical facemask is not certified by National Institute for Occupational Safety and Health (NIOSH) as a respirator to 42 CFR 84, “Approval of Respiratory Protective Devices,” the package product label shall include the following additional warning: THIS FACEMASK IS NOT A RESPIRATOR AND WILL NOT PROVIDE RESPIRATORY PROTECTION AGAINST AIRBORNE BIOLOGICAL HAZARDS

YES NO

Section Sections 5.1.8 Single-Use Emergency Medical Eye and Face

Protection Device Product Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.8.1 The package containing the smallest number of eye and face protection device items from which the user withdraws the product for use shall have a package product label.

YES NO

5.1.8.2

The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the package product label:

“THIS {insert name of item} IS FOR SINGLE USE ONLY! THIS {insert name of item} MEETS THE SINGLE-USE EMERGENCY EYE AND FACE PROTECTION

DEVICE REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS,

2018 EDITION.

DO NOT REMOVE THIS LABEL!”

YES NO

5.1.8.3 The following information shall also be printed legibly on the package product label: YES NO

5.1.8.3(1) Manufacturer's name, identification, or designation YES NO

5.1.8.3(2) Manufacturer's address YES NO

5.1.8.3(3) Country of manufacture YES NO

5.1.8.3(4) Eye and face protection device model or style YES NO

5.1.8.3(5) Trace number YES NO

5.1.8.3(6) Materials of construction YES NO

5.1.8.3(7) Month and year of manufacture, not coded YES NO

5.1.8.3(8) Size, where applicable YES NO

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25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

5.1.8.4

In addition to the required package product label, each eye and face protection device shall be permitted to have a product label in a location of the eye and face protection device that does not interfere with the wearer’s vision or device’s function.

YES NO

5.1.8.5

Where each eye and face protection device has a product label, the certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed as the product label on each eye and face protection device: “MEETS NFPA 1999, 2018 ED.”

YES NO

Section Sections 5.1.9 Multiple-Use Emergency Medical Eye and Face

Protection Device Product Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.9.1 The package containing the smallest number of eye and face protection device items from which the user withdraws the product for use shall have a package product label

YES NO

5.1.9.2

The certification organization's label, symbol, or identifying mark and at least the following statement shall be printed on the package product label:

“THIS DEVICE MEETS THE MULTIPLE-USE EMERGENCY MEDICAL EYE AND

FACE PROTECTION REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL

OPERATIONS, 2018 EDITION.

DO NOT REMOVE THIS LABEL!”

YES NO

5.1.9.3 The following information shall also be printed legibly on the package product label: YES NO

5.1.9.3(1) Manufacturer's name, identification, or designation YES NO

5.1.9.3(2) Manufacturer's address YES NO

5.1.9.3(3) Country of manufacture YES NO

5.1.9.3(4) Eye and face protection device model or style YES NO

5.1.9.3(5) Trace number YES NO

5.1.9.3(6) Materials of construction YES NO

5.1.9.3(7) Cleaning precautions YES NO

5.1.9.3(8) Month and year of manufacture, not coded YES NO

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25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

5.1.9.3(9) Size YES NO

5.1.9.4 Each face protection device shall have a product label, in addition to the required package product label, placed in a conspicuous location on the device that shall not interfere with the wearer's vision

YES NO

5.1.9.5 The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the product label of each multiple-use face protection device: “MEETS NFPA 1999, 2018 ED.”

YES NO

Section Sections 5.1.10 Single-Use Emergency Medical Footwear Cover

Product Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.10.1 The package containing the smallest number of footwear cover items from which the user withdraws the product for use shall have a package product label.

YES NO

5.1.10.2

The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the package product label:

“THIS FOOTWEAR COVER IS FOR SINGLE USE ONLY! THIS FOOTWEAR

COVER MEETS THE SINGLE-USE EMERGENCY MEDICAL FOOTWEAR COVER REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE

CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2018 EDITION.

DO NOT REMOVE THIS LABEL!”

YES NO

5.1.10.3 The following information shall also be printed legibly on the package product label:

YES NO

5.1.10.3(1) Manufacturer's name, identification, or designation YES NO

5.1.10.3(2) Manufacturer's address YES NO

5.1.10.3(3) Country of manufacture YES NO

5.1.10.3(4) Footwear cover model or style YES NO

5.1.10.3(5) Trace number YES NO

5.1.10.3(6) Materials of construction YES NO

5.1.10.3(7) Month and year of manufacture, not coded YES NO

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25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

5.1.10.3(8) Size, where applicable YES NO

5.1.10.4 In addition to the required package product label, each footwear cover shall be permitted to have a product label in area of the footwear cover that does not affect the comfort of the wearer

YES NO

5.1.10.5

Where each footwear cover has a product label, the certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed as the product label on each footwear cover: “MEETS NFPA 1999, 2018 ED.”

YES NO

Section Sections 5.1.11 Multiple-Use Emergency Medical Footwear Product

Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.11.1 Each footwear item shall have a product label or labels permanently and conspicuously attached inside each footwear item when the footwear is properly donned.

YES NO

5.1.11.2

The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the product label:

“THIS FOOTWEAR MEETS THE MULTIPLE-USE EMERGENCY MEDICAL

FOOTWEAR REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS,

2018 EDITION.

DO NOT REMOVE THIS LABEL!”

YES NO

5.1.11.3 The following information shall also be printed legibly on the product label: YES NO

5.1.11.3(1) Manufacturer's name, identification, or designation YES NO

5.1.11.3(2) Manufacturer's address YES NO

5.1.11.3(3) Country of manufacture YES NO

5.1.11.3(4) Footwear model or style YES NO

5.1.11.3(5) Trace number YES NO

5.1.11.3(6) Materials of construction YES NO

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25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

5.1.11.3(7) Cleaning precautions YES NO

5.1.11.3(8) Month and year of manufacture, not coded YES NO

5.1.11.3(9) Size, where applicable YES NO

Section Sections 5.1.12 Multiple-Use Medical Care Facility Footwear

Product Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.12.1 Each footwear item shall have a product label or labels permanently and conspicuously attached inside each footwear item when the footwear is properly donned.

YES NO

5.1.12.2

The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the product label:

“THIS FOOTWEAR MEETS THE MULTIPLE-USE MEDICAL CARE

FACILITY FOOTWEAR REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2018 EDITION. THIS FOOTWEAR HAS NOT BEEN REQUIRED TO PROVIDE RESISTANCE TO TOE IMPACT AND

COMPRESSION OR SOLE PUNCTURE!

DO NOT REMOVE THIS LABEL!”

YES NO

5.1.12.3 The following information shall also be printed legibly on the product label: YES NO

5.1.12.3(1) Manufacturer's name, identification, or designation YES NO

5.1.12.3(2) Manufacturer's address YES NO

5.1.12.3(3) Country of manufacture YES NO

5.1.12.3(4) Footwear model or style YES NO

5.1.12.3(5) Trace number YES NO

5.1.12.3(6) Materials of construction YES NO

5.1.12.3(7) Cleaning precautions YES NO

5.1.12.3(8) Month and year of manufacture, not coded YES NO

5.1.12.3(9) Size, where applicable YES NO

Page 53: Safety Equipment Institute SEI Certification Program … 25 NFPA Protective Clothing... · SFH Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting

25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

Section Sections 5.1.13 Multiple-Use Emergency Medical Helmet Product

Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.13.1 Each helmet shall have a product label or labels permanently and conspicuously attached. At least one product label shall be conspicuously located on or inside each helmet when the helmet is properly assembled with all components in place

YES NO

5.1.13.2

The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the product label:

“THIS HELMET MEETS THE EMERGENCY MEDICAL HELMET

REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2018

EDITION.

DO NOT REMOVE THIS LABEL!”

YES NO

5.1.13.3 The following information shall also be printed legibly on the product label: YES NO

5.1.13.3(1) Manufacturer's name, identification, or designation YES NO

5.1.13.3(2) Manufacturer's address YES NO

5.1.13.3(3) Country of manufacture YES NO

5.1.13.3(4) Helmet model or style YES NO

5.1.13.3(5) Trace number YES NO

5.1.13.3(6) Helmet size and size range YES NO

5.1.13.3(7) Nominal weight of helmet YES NO

5.1.13.3(8) Month and year of manufacture, not coded YES NO

5.1.13.3(9) Cleaning precautions YES NO

Page 54: Safety Equipment Institute SEI Certification Program … 25 NFPA Protective Clothing... · SFH Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting

25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

Section Sections 5.1.14 Emergency Medical Powered Air-Purifying

Respirator Product Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.14.1 The package containing the smallest number of powered air-purifying respirator items from which the user withdraws the product for use shall have a package product label.

YES NO

5.1.14.2

The certification organization’s label, symbol, or identifying mark and at least the following statement shall be printed on the package product label:

“THIS RESPIRATOR MEETS THE MULTIPLE-USE EMERGENCY MEDICAL

EYE AND FACE PROTECTION REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL

OPERATIONS, 2018 EDITION.

DO NOT REMOVE THIS LABEL!”

YES NO

5.1.14.3 The following information shall also be printed legibly on the product label: YES NO

5.1.14.3(1) Manufacturer's name, identification, or designation YES NO

5.1.14.3(2) Manufacturer's address YES NO

5.1.14.3(3) Country of manufacture YES NO

5.1.14.3(4) Respirator model or style YES NO

5.1.14.3(5) Trace number YES NO

5.1.14.3(6) Materials of construction YES NO

5.1.14.3(7) Cleaning precautions YES NO

5.1.14.3(8) Month and year of manufacture, not coded YES NO

5.1.14.3(9) Size YES NO

5.1.14.4 Each respirator shall have a product label, in addition to the required package product label, placed in a conspicuous location on the respirator that shall not interfere with the wearer’s vision

YES NO

5.1.14.5 The certification organization’s label, symbol, or identifying mark and at least the following statement shall be legibly printed on the product label of each respirator: “MEETS NFPA 1999, 2018 ED.”

YES NO

Page 55: Safety Equipment Institute SEI Certification Program … 25 NFPA Protective Clothing... · SFH Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting

25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

Section Sections 5.1.15 Single-Use Emergency Medical Ensemble Product

Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.15.1 The garment portion of the ensemble shall have a product label or labels permanently and conspicuously located inside the garment when the ensemble is properly assembled with all layers and components in place.

YES NO

5.1.15.2

The product label shall have the certification organization’s label, symbol, or identifying mark and at least the following statement legibly printed on the product

label:

“THIS ENSEMBLE IS FOR SINGLE USE ONLY! THIS ENSEMBLE MEETS THE SINGLE-USE EMERGENCY MEDICAL ENSEMBLE REQUIREMENTS OF NFPA

1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2018 EDITION.

DO NOT REMOVE THIS LABEL!”

YES NO

5.1.15.3 The following information shall also be printed legibly on the product label: YES NO

5.1.15.3(1) Manufacturer's name, identification, or designation YES NO

5.1.15.3(2) Manufacturer's address YES NO

5.1.15.3(3) Country of manufacture YES NO

5.1.15.3(4) Ensemble model and style YES NO

5.1.15.3(5) Trace number YES NO

5.1.15.3(6) Materials of construction YES NO

5.1.15.3(7) Month and year of manufacture, not coded YES NO

5.1.15.3(8) Size YES NO

5.1.15.4

The following additional language shall be provided on the product label:

“TO PROVIDE FULL BODY PROTECTION, THE FOLLOWING ADDITIONAL ITEMS MUST BE WORN AS PART OF THIS ENSEMBLE.”

[list items including manufacturer name and model or style number.]

YES NO

Page 56: Safety Equipment Institute SEI Certification Program … 25 NFPA Protective Clothing... · SFH Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting

25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

Section Sections 5.1.16 Multiple-Use Emergency Medical Protective

Ensemble Product Label Requirements Participant Checklist

SEI

Compliant

Checklist

5.1.16.1 The garment portion of the ensemble shall have a product label or labels permanently and conspicuously located inside the garment when the garment is properly assembled with all layers and components in place

YES NO

5.1.16.2

The product label shall have the certification organization’s label, symbol, or identifying mark and at least the following statement legibly printed on the product

label: “THIS ENSEMBLE MEETS THE MULTIPLE-USE EMERGENCY MEDICAL

ENSEMBLE REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS,

2018 EDITION

DO NOT REMOVE THIS LABEL!”

YES NO

5.1.16.3 The following information shall also be printed legibly on the product label: YES NO

5.1.16.3(1) Manufacturer's name, identification, or designation YES NO

5.1.16.3(2) Manufacturer's address YES NO

5.1.16.3(3) Country of manufacture YES NO

5.1.16.3(4) Ensemble model or style YES NO

5.1.16.3(5) Trace number YES NO

5.1.16.3(6) Materials of construction YES NO

5.1.16.3(7) Cleaning precautions YES NO

5.1.16.3(8) Month and year of manufacture, not coded YES NO

5.1.16.3(9) Size YES NO

5.1.16.4

The following additional language shall be provided on the product label:

“TO PROVIDE FULL BODY PROTECTION, THE FOLLOWING ADDITIONAL ITEMS MUST BE WORN AS PART OF THIS ENSEMBLE.”

[list items including manufacturer name and model or style number.]

YES NO

5.1.16.5

Where visibility materials are used on garments and the garment meets the requirements of ANSI/ISEA 107, High-Visibility Safety Apparel and Accessories, the product label shall also meet the marking information required by ANSI/ISEA 107.

YES NO

5.1.16.6

Where visibility materials are used on garments and are not intended to meet the requirements in ANSI/ISEA 107, High-Visibility Safety Apparel and Headwear Accessories, the product label shall include the following warning: “

WEARING OF THIS ENSEMBLE ALONG ROADSIDES OR OTHER AREAS WITH VEHICULAR TRAFFIC REQUIRES ADDITIONAL HIGH VISIBILITY

SAFETY APPAREL, COMPLIANT WITH AT LEAST THE CLASS 2 REQUIREMENTS OF ANSI/ISEA 107.”

YES NO

Page 57: Safety Equipment Institute SEI Certification Program … 25 NFPA Protective Clothing... · SFH Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting

25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition

Date: 10.13.2017

- - - - - - - - - - - - - - - - FOR SEI USE ONLY - - - - - - - - - - - - - - - - - -

INITIAL LABEL REVIEW

COMPLY / NOT COMPLY

COMMENTS:

Prepared by & Date: ____________________________________

Reviewed by & Date: ____________________________________

Measuring Device ID Number:

INITIAL USER INFORMATION REVIEW

COMPLY / NOT COMPLY

COMMENTS:

Prepared by & Date: ____________________________________

Reviewed by & Date: ____________________________________

SUBSEQUENT REVIEW (LABEL / USER INFORMATION)

COMPLY / NOT COMPLY (do not sign if deemed “not comply”)

COMMENTS:

Prepared by & Date: ____________________________________

Reviewed by & Date: ____________________________________

Measuring Device ID Number: