61
SEI Certification Program Manual Section 28: Chemical Protective Clothing Program Revision Date: 01.09.13 Date of Issue: 01.12.12 101 of 87 28.7 ANSI/ISEA 103-2010 American National Standard for Classification and Performance Requirements for Chemical Protective Clothing Laboratory Testing Fees/ Attributes & Variables SEI currently has approved one (1) laboratory that may conduct testing to this standard. The following information should be used as guide when selecting a lab to test your models. The schedule of rates for testing at these laboratories can be used to estimate the total cost of testing for all the models that are to be certified. Intertek ANSI/ISEA 103-2010 ANSI/ISEA 103- 2010, Classification and Performance Requirements for Chemical Protective Clothing - Garment Section Requirement 1 2 3 4 5 6 Cost Note 6.3 Leakage Tightness x $350.00 Gas-tight 6.4 Inward Leakage x $1,500.00 6.5 Liquid Penetration Resistance-Jet Test xa x $1,400.00 6.6 Liquid Penetration Resistance-Spray Test x x $1,200.00 6.7 Particulate Penetration Test x TBD IOM- Subcontractor, NaCl particulate 6.8 Liquid Penetration Resistance (modified spray test) x $1,200.00 6.9 Practical Performance x x x x x x $500.00 After fit and function 6.10 Integral Respirator Facepiece x x $75.00 Design plus section 6.6 on non-permanently attached facepieces 6.11 Pass-through for use with SCBA x $125.00 Priced per fitting type 6.12 Air supply system x x $75.00 verifying NIOSH 42 cfr part 84 compliance 6.13 Exhaust Assembly x x $225.00 design and fitting pull-out 6.14 Internal Suit Pressure x xb $350.00 10 Labeling x x x x x x SEI/$200.00 11 Instructions x x x x x x SEI/$250.00 12 Technical Instructions x x x x x x SEI/$350.00 a= When non-integrated facepiece is used

SEI Certification Program Manual - Safety Equipment … 28C.pdf · SEI Certification Program Manual ... information should be used as guide when selecting a lab to test your models

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Page 1: SEI Certification Program Manual - Safety Equipment … 28C.pdf · SEI Certification Program Manual ... information should be used as guide when selecting a lab to test your models

SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

101 of 87

28.7 ANSI/ISEA 103-2010 American National Standard for Classification and Performance Requirements for Chemical Protective Clothing

Laboratory Testing Fees/ Attributes & Variables SEI currently has approved one (1) laboratory that may conduct testing to this standard. The following information should be used as guide when selecting a lab to test your models. The schedule of rates for testing at these laboratories can be used to estimate the total cost of testing for all the models that are to be certified.

Intertek

ANSI/ISEA 103-2010 ANSI/ISEA 103- 2010, Classification and Performance Requirements for Chemical Protective Clothing - Garment Section Requirement 1 2 3 4 5 6 Cost Note

6.3 Leakage Tightness x $350.00 Gas-tight 6.4 Inward Leakage x $1,500.00 6.5 Liquid Penetration Resistance-Jet Test xa x $1,400.00 6.6 Liquid Penetration Resistance-Spray Test x x $1,200.00 6.7 Particulate Penetration Test x TBD IOM- Subcontractor, NaCl particulate 6.8 Liquid Penetration Resistance (modified spray test) x $1,200.00 6.9 Practical Performance x x x x x x $500.00 After fit and function

6.10 Integral Respirator Facepiece x x $75.00 Design plus section 6.6 on non-permanently attached facepieces

6.11 Pass-through for use with SCBA x $125.00 Priced per fitting type 6.12 Air supply system x x $75.00 verifying NIOSH 42 cfr part 84 compliance 6.13 Exhaust Assembly x x $225.00 design and fitting pull-out 6.14 Internal Suit Pressure x xb $350.00

10 Labeling x x x x x x SEI/$200.00 11 Instructions x x x x x x SEI/$250.00 12 Technical Instructions x x x x x x SEI/$350.00

a= When non-integrated facepiece is used

Page 2: SEI Certification Program Manual - Safety Equipment … 28C.pdf · SEI Certification Program Manual ... information should be used as guide when selecting a lab to test your models

SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

102 of 87

b= Optional for Cat 2 suits

Intertek ANSI/ISEA 103-2010

ANSI 103- 2010, Classification and Performance Requirements for Chemical Protective Clothing – Flat Materials Section Requirement 1 2 3 4 5 6 Cost Note

7.2 Preconditioning xe xe xe xe xe xe TBD Per mfrs Instructions- 5x

7.5 Permeation Resistance x x x xc xd TBD

>480, >120,>30 min allowed ASTM F1001 Chem list at minimum cat 1=all chemicals, cat 2 and 3= liquid only

7.6 Liquid Penetration under Pressure xc xd TBD $739+$75ea ASTM F1001 liquid only with pressure and surfactant

7.7 Liquid Penetration Resistance xd $2,400 Plus $400/addtl chemical 7.8 Liquid Repellency xd $2,400 Plus $400/addtl chemical 7.9 Burst (Ball) Resistance x x x x x x $325.00 ASTM D751-06 ch18-21

7.10 Tear (Trap) Resistance x x x x x x $325.00 ASTM D5587-08 7.11 Puncture Propagation Tear x x x x x x $300.00 ASTM D2582-09 7.12 Abrasion Resistance (Martindale) x x x x x x $350.00 addtl $200 for Cat 4,5, 6

7.13 Flex Cracking Resistance x x x x x x TBD Currently need to subcontract- Vartest/Build machine- DuPont providing info

7.14 Resistance to Ignition x x x x x x $250.00 16 CFR 1610 7.15 Flame Resistance b b b b b b $325.00 ASTM F1358- 08 ed

c= Permeation or Penetration Allowed d= Test requirements in 5.7.2 and 5.7.3 e= Based on mfr instructions

Page 3: SEI Certification Program Manual - Safety Equipment … 28C.pdf · SEI Certification Program Manual ... information should be used as guide when selecting a lab to test your models

SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

103 of 87

Intertek

ANSI/ISEA 103-2010 ANSI/ISEA 103- 2010, Classification and Performance Requirements for Chemical Protective Clothing – Components and Assemblies Section Requirement 1 2 3 4 5 6 Cost Note

8.2 Preconditioning xe xe xe xe xe xe TBD Per mfrs Instructions- 5x 8.5.2 Seam Strength x x x x x x $325.00 ASTM D751-06 ch 71-76 8.5.3 Seam Permeation Resistance x x x TBD Same as 7.5 above 8.6.2 Visor Permeation Resistance x x x TBD Same as 7.5 above 8.6.3 Distortion of Field of View x x x x x x $75.00 part of section 6.9 8.6.4 Impact Resistance x x x x x x $375.00 impact resistance of Z87.1

8.7 Integral Gloves- Permeation only x x x x x x TBD Same as 7.5 above, not Clear if all chem pen and perm needs to be done

8.8.1 Chemical Resistance x x x x x x TBD Need interpretation-Not clear if all chem pen and perm needs to be done

8.8.2 Impact and Compression x x x x x x $400.00 ASTM D2413-05 Impact and Compression 9.1 Pass-through Strength $350.00 Per pass-through 9.2 Exhaust Valve Leakage $300.00 Per valve type 9.3 Overall Suit Airflow $600.00

e= Based on mfr instructions

Page 4: SEI Certification Program Manual - Safety Equipment … 28C.pdf · SEI Certification Program Manual ... information should be used as guide when selecting a lab to test your models

SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

104 of 120

28.8 ISO 16602:2007 Protective Clothing for Protection Against Chemicals- Classification, Labeling, and Performance Requirements

A. Laboratory Testing Fees/ Attributes & Variables SEI currently has approved one (1) laboratory that may conduct testing to this standard. The following information should be used as guide. The schedule of rates can be used to estimate the total cost of testing for all the models that are to be certified.

Intertek ISO 16602-07

Type 1a: Gas Tight Chemical Protective Suit Requirements (SCBA Inside)

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C

Leak Tightness - Suit 5.4; shall not have a pressure drop of more than 20 % after the pressure/inflation period

None ISO 17491-1:2012, Method 2

TBD 2 suits Critical

Practical Performance - Suit

5.10; shall not restrict the test subject from performing any task from Procedures A & B from Annex A and shall meet requirements listed in 5.10

None

Sub-clause 5.10 with Procedures A & B from Annex A; Checklist

TBD 1 suit Major B

Practical Performance - Suit

5.10; shall not restrict the test subject from performing any task from Procedures A & B from Annex A and shall meet requirements listed in 5.10

Sub-clause 5.2; Temperature Conditioning

Sub-clause 5.10 with Procedures A & B from Annex A; Checklist

TBD 1 suit Major B

Face Piece 5.11; face piece shall meet the Class 2 or Class 3 requirements of EN 136:1998

None Checklist (inspection)

TBD 1 each face piece Critical

Airline Pass-Through – Practical Performance (optional - if fitted)

5.12; the pass-through and connections to the suit and body shall be evaluated as part of the practical performance test (see 5.10) and shall not impede the test subject from completing any tasks ensemble construction

None Checklist (inspection)

TBD N/A - included in 5.10 above

Major B

Airline Pass-Through – 5.12; shall not separate from the suit material under an applied force of

None Annex B; TBD 2 pass-through Major A

Page 5: SEI Certification Program Manual - Safety Equipment … 28C.pdf · SEI Certification Program Manual ... information should be used as guide when selecting a lab to test your models

SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

105 of 120

Intertek ISO 16602-07

Type 1a: Gas Tight Chemical Protective Suit Requirements (SCBA Inside)

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C Installation Strength (optional - if fitted)

1000 N Assemblage Strength Test

specimens

Exhaust Assemblage 5.16; pressure change shall not exceed 0.1 kPa in 1 min

None Annex D; Exhalation Valve Leakage Test

TBD 2 exhaust valves Major A

Pressure in Chemical Protective Suit

5.17; maximum internal suit pressure shall not exceed 100 mm water column height (1.0 kPa) and the chemical protective suit shall not have a pressure drop of more than 20% during the 4 min test period during the post-air flow test leak tightness test

Sub-clause 5.2; Temperature Conditioning

Annex C; Overall Suit Airflow Test

TBD 2 suits Major A

Permeation Resistance – Suit Material

6.5.1; chemical protective clothing material average time to reach a cumulative permeation of 150 μg/cm2 shall be classified according to the levels of performance provided in Table 4 for each chemical tested and shall achieve at least Class 3 performance against at least one of the chemicals

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 6529:2001; Method A (liquids) Method B (gases)

TBD TBD Critical

Permeation Resistance (optional requirement) – Suit Material

6.5.2; chemical protective clothing material average normalized breakthrough times shall be classified according to the levels of performance provided in Table 5, using a permeation rate of 0.1 μg/cm2min, or the normalized breakthrough time using a permeation rate of 1.0 μg/cm2min, or both normalized breakthrough times

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 6529:2001; Method A (liquids) Method B (gases)

TBD TBD Critical

Page 6: SEI Certification Program Manual - Safety Equipment … 28C.pdf · SEI Certification Program Manual ... information should be used as guide when selecting a lab to test your models

SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

106 of 120

Intertek ISO 16602-07

Type 1a: Gas Tight Chemical Protective Suit Requirements (SCBA Inside)

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C

Tensile Strength – Suit Material

6.10: shall be classified according to the levels of performance provided in Table 10 based on the lowest performing material direction and the average result shall achieve at least Class 3 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 13934-1 $350 1 square yard garment material

Major A

Tear Resistance – Suit Material

6.11; shall be classified according to the levels of performance provided in Table 11 for each material direction and the average result shall achieve at least Class 3 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 9073-4 $325 1.4 square yards garment material

Major A

Puncture resistance – Suit Material

6.12; shall be classified according to the levels of performance provided in Table 12 and the average result shall achieve at least Class 2 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 13996 $300 0.12 square yard garment material

Major A

Burst Strength – Suit Material

6.13; shall be classified according to the levels of performance given in Table 13 and with a test ring of 50 cm2, the average result shall achieve at least Class 1 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 13938-1 $325 0.5 square yard garment material

Major A

Abrasion Resistance – Suit Material

6.14; shall be classified using the number of abrasion cycles which cause damage to the material according to the levels of performance provided in Table 14 (and material specimen leakage test in Annex G), and the lowest result shall achieve at least Class 3 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 12947-2; w/abrasive paper specified in Annex F using an applied pressure of 9 kPa

$350 0.25 square yard garment material

Major A

Page 7: SEI Certification Program Manual - Safety Equipment … 28C.pdf · SEI Certification Program Manual ... information should be used as guide when selecting a lab to test your models

SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

107 of 120

Intertek ISO 16602-07

Type 1a: Gas Tight Chemical Protective Suit Requirements (SCBA Inside)

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C

Flex Cracking – Suit Material

6.15; shall be classified using the number of flexing cycles which cause damage to the material according to the levels of performance provided in Table 15 (and material specimen leakage test in Annex G), and the lowest result shall achieve at least Class 4 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 7854:1995; Method B

$350

0.035 square yard garment material (3 - longitudinal and 3 - transversal direction samples to be tested)

Major A

Flex Cracking (optional low temperature performance)

6.15; shall be classified using the number of flexing cycles which cause damage to the material according to the levels of performance provided in Table 16 (and material specimen leakage test in Annex G), and the lowest result shall achieve at least Class 2 performance

6.2; Laundering (as specified) 6.3; Stored 24hr.@ 23 ± 3°C, 60 ± 10% RH 6.4; Tested @ -30°C

ISO 7854:1995; Method B

$350

0.035 square yard garment material (3 - longitudinal and 3 - transversal direction samples to be tested)

Major A

Seam Strength

7.5.2; performance shall be classified according to the levels of performance given in Table 17 using the lowest measured seam strength for all types of seams tested

7.2; Laundering (as specified) 7.3; Stored 24hr.@ 23 ± 6°C, 60 ± 10% RH 7.4; Tested @ 23 ± 3°C, 60 ± 20% RH

ISO 13935-2 $325 4 linear feet seam sample w/material

Major A

Seam Permeation Resistance

7.5.3; average seam cumulative permeation of 150 μg/cm2 shall be classified according to the levels of performance provided in Table 4 for each chemical tested and shall achieve at least Class 3 performance against at least one of the chemicals

7.2; Laundering (as specified) 7.3; Stored 24hr.@ 23 ± 6°C, 60 ± 10% RH 7.4; Tested @ 23 ± 3°C, 60 ± 20% RH

ISO 6529:2001; Method A (liquids) Method B (gases)

TBD TBD Critical

Page 8: SEI Certification Program Manual - Safety Equipment … 28C.pdf · SEI Certification Program Manual ... information should be used as guide when selecting a lab to test your models

SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

108 of 120

Intertek ISO 16602-07

Type 1a: Gas Tight Chemical Protective Suit Requirements (SCBA Inside)

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C

Visor Permeation Resistance

7.6.2; visor material average time to reach a cumulative permeation of 150 μg/cm2 shall be classified according to the levels of performance provided in Table 4 for each chemical tested and shall achieve at least Class 3 performance against the same chemicals as the garment material

7.2; Laundering (as specified) 7.3; Stored 24hr.@ 23 ± 6°C, 60 ± 10% RH 7.4; Tested @ 23 ± 3°C, 60 ± 20% RH

ISO 6529:2001; Annex A

TBD TBD Critical

Visor Distortion & Field of View 7.6.3; shall not distort the test subject's vision

7.2; Laundering (as specified) 7.3; Stored 24hr.@ 23 ± 6°C, 60 ± 10% RH 7.4; Tested @ 23 ± 3°C, 60 ± 20% RH

Sub-clause 5.10 with Procedures A & B from Annex A; Checklist

Included with garment per Section 5.10 above

Major A

Visor Impact Resistance 7.6.4; shall not be damaged

7.2; Laundering (as specified) 7.3; Stored 24hr.@ 23 ± 6°C, 60 ± 10% RH 7.4; Tested @ 23 ± 3°C, 60 ± 20% RH

EN 14594:2005; 7.16

TBD TBD Major A

Glove Permeation Resistance

7.7; glove material average time to reach a cumulative permeation of 150 μg/cm2 shall be classified according to the levels of performance provided in Table 4 for each chemical tested and shall achieve at least Class 3 performance against the same chemicals as the garment material

7.2; Laundering (as specified) 7.3; Stored 24hr.@ 23 ± 6°C, 60 ± 10% RH 7.4; Tested @ 23 ± 3°C, 60 ± 20% RH

ISO 6529:2001; Annex A

TBD TBD Critical

Page 9: SEI Certification Program Manual - Safety Equipment … 28C.pdf · SEI Certification Program Manual ... information should be used as guide when selecting a lab to test your models

SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

109 of 120

Intertek ISO 16602-07

Type 1a: Gas Tight Chemical Protective Suit Requirements (SCBA Inside)

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C

Footwear Permeation Resistance

7.8; footwear material average time to reach a cumulative permeation of 150 μg/cm2 shall be classified according to the levels of performance provided in Table 4 for each chemical tested and shall achieve at least Class 3 performance against the same chemicals as the garment material

7.2; Laundering (as specified) 7.3; Stored 24hr.@ 23 ± 6°C, 60 ± 10% RH 7.4; Tested @ 23 ± 3°C, 60 ± 20% RH

ISO 6529:2001; Annex A

TBD TBD Critical

Glove & Footwear Assemblage Strength (where applicable)

7.9; strength of joints and assemblies between the chemical protective suit or clothing and detachable parts, such as between gloves and sleeves, and footwear and trouser ends, shall provide passing performance

7.2; Laundering (as specified) 7.3; Stored 24hr.@ 23 ± 6°C, 60 ± 10% RH 7.4; Tested @ 23 ± 3°C, 60 ± 20% RH

Annex B TBD TBD Major A

Labeling

8; suit shall include a label that shall be permanently attached in a conspicuous location and shall include at least the information specified in sections a-h in letters at least 1,5 mm high:

None Checklist (inspection)

$200 1 copy each label Minor

Instructions for Use

9; instructions shall contain the information given on the label and at least the information specified in sections a-f, as applicable

None Checklist (inspection)

$250 1 copy Major B

Product Technical Information

10.1 through 10.4; shall make available all test results and classifications required by this International Standard

None Checklist (inspection)

$350 1 copy Minor

Page 10: SEI Certification Program Manual - Safety Equipment … 28C.pdf · SEI Certification Program Manual ... information should be used as guide when selecting a lab to test your models

SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

110 of 120

Intertek ISO 16602-07

Type 1b: Gas Tight Chemical Protective Suit Requirements (SCBA Outside)

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C Reserved: Pending Updated Information

TBD TBD

Intertek ISO 16602-07

Type 1c: Gas Tight Chemical Protective Suit Requirements (External Source Breathable Air)

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C Reserved: Pending Updated Information

TBD TBD

Intertek ISO 16602-07

Type 2: Non-Gas Tight Chemical Protective Suit Requirements

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C Reserved: Pending Updated Information

TBD TBD

Page 11: SEI Certification Program Manual - Safety Equipment … 28C.pdf · SEI Certification Program Manual ... information should be used as guide when selecting a lab to test your models

SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

111 of 120

Intertek ISO 16602-07

Type 3: Liquid-Tight Chemical Protective Clothing Requirements

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C Reserved: Pending Updated Information

TBD TBD

Intertek ISO 16602-07

Type 4: Spray-Tight Chemical Protective Clothing Requirements

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C

Liquid Penetration Resistance – Spray Test - Suit

5.7; shall show no penetration greater than three times the total calibrated stain area

Annex A; Procedure C

ISO 17494-1:2008, Method D

$1200 2 garments – separate test subjects

Critical

Practical Performance - Suit

5.10; shall not restrict the test subject from performing any task from Procedures A & B from Annex A and shall meet requirements listed in 5.10

Annex A; Procedure C

Checklist (inspection) – Part of Preconditioning Steps

TBD 1 garment Major B

Permeation Resistance – Suit Material OR Penetration Resistance by Liquid Under Pressure (Section 6.6 below)

6.5.1; chemical protective clothing material average time to reach a cumulative permeation of 150 μg/cm2 shall be classified according to the levels of performance provided in Table 4 for each chemical tested

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 6529:2001; Method A (liquids) Method B (gases)

TBD TBD Critical

Page 12: SEI Certification Program Manual - Safety Equipment … 28C.pdf · SEI Certification Program Manual ... information should be used as guide when selecting a lab to test your models

SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

112 of 120

Intertek ISO 16602-07

Type 4: Spray-Tight Chemical Protective Clothing Requirements

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C

Permeation Resistance (optional requirement) – Suit Material

6.5.2; chemical protective clothing material average normalized breakthrough times shall be classified according to the levels of performance provided in Table 5, using a permeation rate of 0.1 μg/cm2min, or the normalized breakthrough time using a permeation rate of 1.0 μg/cm2min, or both normalized breakthrough times

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 6529:2001; Method A (liquids) Method B (gases)

TBD TBD Critical

Penetration Resistance by Liquid Under Pressure – Suit Material OR Permeation Resistance (Section 6.5.1 above)

6.6; chemical protective clothing material average penetration pressure shall be classified according to the levels of performance provided in Table 6 and the average result shall achieve at least Class 3 performance against a minimum of 3 listed chemicals

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 13004:2005; Method D

TBD TBD Critical

Tensile Strength – Suit Material

6.10: shall be classified according to the levels of performance provided in Table 10 based on the lowest performing material direction and the average result shall achieve at least Class 1 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 13934-1 $350 1 square yard garment material

Major A

Tear Resistance – Suit Material

6.11; shall be classified according to the levels of performance provided in Table 11 for each material direction and the average result shall achieve at least Class 1 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 9073-4 $325 1.4 square yards garment material

Major A

Page 13: SEI Certification Program Manual - Safety Equipment … 28C.pdf · SEI Certification Program Manual ... information should be used as guide when selecting a lab to test your models

SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

113 of 120

Intertek ISO 16602-07

Type 4: Spray-Tight Chemical Protective Clothing Requirements

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C

Puncture resistance – Suit Material

6.12; shall be classified according to the levels of performance provided in Table 12 and the average result shall achieve at least Class 1 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 13996 $300 0.12 square yard garment material

Major A

Burst Strength – Suit Material

6.13; shall be classified according to the levels of performance given in Table 13 and with a test ring of 50 cm2, the average result shall achieve at least Class 1 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 13938-1 $325 0.5 square yard garment material

Major A

Abrasion Resistance – Suit Material

6.14; shall be classified using the number of abrasion cycles which cause damage to the material according to the levels of performance provided in Table 14 and the lowest result shall achieve at least Class 1 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 12947-2; w/abrasive paper specified in Annex F using an applied pressure of 9 kPa

$350 0.25 square yard garment material

Major A

Flex Cracking – Suit Material

6.15; shall be classified using the number of flexing cycles which cause damage to the material according to the levels of performance provided in Table 15 and the lowest result shall achieve at least Class 1 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 7854:1995; Method B

$350

0.035 square yard garment material (3 - longitudinal and 3 - transversal direction samples to be tested)

Major A

Flex Cracking (optional low temperature performance)

6.15; shall be classified using the number of flexing cycles which cause damage to the material according to the levels of performance provided in Table 16 (and material specimen leakage test in Annex G), and the lowest result shall achieve at least Class 1 performance

6.2; Laundering (as specified) 6.3; Stored 24hr.@ 23 ± 3°C, 60 ± 10% RH 6.4; Tested @ -30°C

ISO 7854:1995; Method B

$350

0.035 square yard garment material (3 - longitudinal and 3 - transversal direction samples to be tested)

Major A

Page 14: SEI Certification Program Manual - Safety Equipment … 28C.pdf · SEI Certification Program Manual ... information should be used as guide when selecting a lab to test your models

SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

114 of 120

Intertek ISO 16602-07

Type 4: Spray-Tight Chemical Protective Clothing Requirements

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C

Seam Strength

7.5.2; performance shall be classified according to the levels of performance given in Table 17 using the lowest measured seam strength for all types of seams tested

7.2; Laundering (as specified) 7.3; Stored 24hr.@ 23 ± 6°C, 60 ± 10% RH 7.4; Tested @ 23 ± 3°C, 60 ± 20% RH

ISO 13935-2 $325 4 linear feet seam sample w/material

Major A

Seam Permeation Resistance OR Penetration Resistance by Liquid Under Pressure (Section 7.5.4 below)

7.5.3; average seam cumulative permeation of 150 μg/cm2 shall be classified according to the levels of performance provided in Table 4 for each chemical tested and shall achieve at least Class 1 performance against the specified chemicals, unless tested according to Section 6.6

7.2; Laundering (as specified) 7.3; Stored 24hr.@ 23 ± 6°C, 60 ± 10% RH 7.4; Tested @ 23 ± 3°C, 60 ± 20% RH

ISO 6529:2001; Method A (liquids) Method B (gases)

$1400 5 linear feet seam sample w/material

Critical

Seam Penetration Resistance OR Permeation Resistance (Section 7.5.3 above)

7.5.4; average seam penetration pressure shall be classified according to the levels of performance provided in Table 6 and the average result shall achieve at least Class 3 performance against a minimum of 3 listed chemicals, unless tested according to Section 6.5

7.2; Laundering (as specified) 7.3; Stored 24hr.@ 23 ± 6°C, 60 ± 10% RH 7.4; Tested @ 23 ± 3°C, 60 ± 20% RH

ISO 6529:2001; Method A (liquids) Method B (gases)

$1400 5 linear feet seam sample w/material

Critical

Labeling

8; clothing shall include a label that shall be permanently attached in a conspicuous location and shall include at least the information specified in sections a-h in letters at least 1,5 mm high:

None Checklist (inspection)

$200 1 copy each label Minor

Instructions for Use

9; instructions shall contain the information given on the label and at least the information specified in sections a-f, as applicable

None Checklist (inspection)

$250 1 copy Major B

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SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

115 of 120

Intertek ISO 16602-07

Type 4: Spray-Tight Chemical Protective Clothing Requirements

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C

Product Technical Information

10.1 through 10.4; shall make available all test results and classifications required by this International Standard

None Checklist (inspection)

$350 1 copy Minor

Intertek ISO 16602-07

Type 5: Chemical Protective Clothing Providing Protection Against Airborne Solid Chemicals Requirements

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C Particle Aerosol Inward Leakage Test - Suit

5.8; shall meet the requirements of ISO 13982-1

None ISO 13982-2 $2520 10 garments Critical

Labeling

8; clothing shall include a label that shall be permanently attached in a conspicuous location and shall include at least the information specified in sections a-h in letters at least 1,5 mm high:

None Checklist (inspection)

$200 1 copy each label Minor

Instructions for Use

9; instructions shall contain the information given on the label and at least the information specified in sections a-f, as applicable

None Checklist (inspection)

$250 1 copy Major B

Product Technical Information

10.1 through 10.4; shall make available all test results and classifications required by this International Standard

None Checklist (inspection)

$350 1 copy Minor

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SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

116 of 120

Intertek ISO 16602-07

Type 6: Chemical Protective Clothing with Limited Protective Performance Against Liquid Chemicals Requirements

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C

Limited Liquid Spray Test - Suit 5.9; shall show no penetration greater than three times the total calibrated stain area

Annex A; Procedure C

ISO 17494-4:2008, Method A

$1200 2 garments – separate test subjects

Critical

Practical Performance - Suit

5.10; shall not restrict the test subject from performing any task from Procedures A & B from Annex A and shall meet requirements listed in 5.10

Annex A; Procedure C

Checklist (inspection) – Part of Preconditioning Steps

TBD 1 garment Major B

Liquid Penetration Resistance – Suit Material

6.8; chemical protective clothing material average penetration index shall be classified according to the levels of performance provided in Table 8 for each chemical tested in Table 7. Performance of at least Class 3 for at least one of the chemicals listed in Table 7 shall be required

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 6530 $800 5 square yards garment material

Critical

Liquid Repellency Test – Suit Material

6.9; chemical protective clothing material average repellency index shall be classified according to the levels of performance provided in Table 9 for each chemical tested in Table 7. Performance of at least Class 3 for at least one of the chemicals listed in Table 7 shall be required

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 6530 $0 Conducted with Sub-clause 6.8 above

Critical

Tensile Strength – Suit Material

6.10: shall be classified according to the levels of performance provided in Table 10 based on the lowest performing material direction and the average result shall achieve at least Class 1 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 13934-1 $350 1 square yard garment material

Major A

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SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

117 of 120

Intertek ISO 16602-07

Type 5: Chemical Protective Clothing Providing Protection Against Airborne Solid Chemicals Requirements

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C

Tear Resistance – Suit Material

6.11; shall be classified according to the levels of performance provided in Table 11 for each material direction and the average result shall achieve at least Class 1 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 9073-4 $325 1.4 square yards garment material

Major A

Puncture resistance – Suit Material

6.12; shall be classified according to the levels of performance provided in Table 12 and the average result shall achieve at least Class 1 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 13996 $300 0.12 square yard garment material

Major A

Burst Strength – Suit Material

6.13; shall be classified according to the levels of performance given in Table 13 and with a test ring of 50 cm2, the average result shall achieve at least Class 1 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 13938-1 $325 0.5 square yard garment material

Major A

Abrasion Resistance – Suit Material

6.14; shall be classified using the number of abrasion cycles which cause damage to the material according to the levels of performance provided in Table 14 and the lowest result shall achieve at least Class 1 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 12947-2; w/abrasive paper specified in Annex F using an applied pressure of 9 kPa

$350 0.25 square yard garment material

Major A

Flex Cracking – Suit Material

6.15; shall be classified using the number of flexing cycles which cause damage to the material according to the levels of performance provided in Table 15 and the lowest result shall achieve at least Class 1 performance

6.2; Laundering (as specified) 6.3-6.4; Stored 24hr. & Tested @ 23 ± 3°C, 60 ± 10% RH

ISO 7854:1995; Method B

$350

0.035 square yard garment material (3 - longitudinal and 3 - transversal direction samples to be tested)

Major A

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SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

118 of 120

Intertek ISO 16602-07

Type 5: Chemical Protective Clothing Providing Protection Against Airborne Solid Chemicals Requirements

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C

Flex Cracking (optional low temperature performance)

6.15; shall be classified using the number of flexing cycles which cause damage to the material according to the levels of performance provided in Table 16 (and material specimen leakage test in Annex G), and the lowest result shall achieve at least Class 1 performance

6.2; Laundering (as specified) 6.3; Stored 24hr.@ 23 ± 3°C, 60 ± 10% RH 6.4; Tested @ -30°C

ISO 7854:1995; Method B

$350

0.035 square yard garment material (3 - longitudinal and 3 - transversal direction samples to be tested)

Major A

Seam Strength

7.5.2; performance shall be classified according to the levels of performance given in Table 17 using the lowest measured seam strength for all types of seams tested

7.2; Laundering (as specified) 7.3; Stored 24hr.@ 23 ± 6°C, 60 ± 10% RH 7.4; Tested @ 23 ± 3°C, 60 ± 20% RH

ISO 13935-2 $325 4 linear feet seam sample w/material

Major A

Seam Permeation Resistance OR Penetration Resistance by Liquid Under Pressure (Section 7.5.4 below)

7.5.3; average seam cumulative permeation of 150 μg/cm2 shall be classified according to the levels of performance provided in Table 4 for each chemical tested and shall achieve at least Class 1 performance against the specified chemicals, unless tested according to Section 6.6

7.2; Laundering (as specified) 7.3; Stored 24hr.@ 23 ± 6°C, 60 ± 10% RH 7.4; Tested @ 23 ± 3°C, 60 ± 20% RH

ISO 6529:2001; Method A (liquids) Method B (gases)

$1400 5 linear feet seam sample w/material

Critical

Seam Penetration Resistance OR Permeation Resistance (Section 7.5.3 above)

7.5.4; average seam penetration pressure shall be classified according to the levels of performance provided in Table 6 and the average result shall achieve at least Class 3 performance against a minimum of 3 listed chemicals, unless tested according to Section 6.5

7.2; Laundering (as specified) 7.3; Stored 24hr.@ 23 ± 6°C, 60 ± 10% RH 7.4; Tested @ 23 ± 3°C, 60 ± 20% RH

ISO 6529:2001; Method A (liquids) Method B (gases)

$1400 5 linear feet seam sample w/material

Critical

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SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

119 of 120

Intertek ISO 16602-07

Type 5: Chemical Protective Clothing Providing Protection Against Airborne Solid Chemicals Requirements

Test Description Sub-clause Preconditioning Procedure Fee Sample Needs Categories

of N/C

Labeling

8; clothing shall include a label that shall be permanently attached in a conspicuous location and shall include at least the information specified in sections a-h in letters at least 1,5 mm high:

None Checklist (inspection)

$200 1 copy each label Minor

Instructions for Use

9; instructions shall contain the information given on the label and at least the information specified in sections a-f, as applicable

None Checklist (inspection)

$250 1 copy Major B

Product Technical Information

10.1 through 10.4; shall make available all test results and classifications required by this International Standard

None Checklist (inspection)

$350 1 copy Minor

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SEI Certification Program Manual

Section 28: Chemical Protective Clothing Program

Revision Date: 01.09.13

Date of Issue: 01.12.12

120 of 120

28.9 NIJ 0116.00 CBRN Protective Ensemble Standard for Law Enforcement

A. Laboratory Testing Fees/ Attributes & Variables SEI currently has approved one (1) laboratory that may conduct testing to this standard. The following information should be used as guide. The schedule of rates for testing can be used to estimate the total cost of testing for all the models that are to be certified.

NIJ 0116 Program is Currently Under Development This page reserved for NIJ 0116 Schedule of Initial Test Fees

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28A. 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] Issue 1

1 of 1

(1) Submittal Date: SEI Ref. No.:

(2) Manufacturer: Legal Status (Inc., LLC, etc.) Street Address: City/State/Zip: Tel: Fax: Email: Web:

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

(4) Type of Submittal: (select one)

Initial: Product has not previously been tested by SEI.* Annual: Product is currently certified by SEI, is being submitted for annual recertification and no changes

have been made to product since last test date. * Standard Rev/Annual:

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

Class I: Product is currently SEI certified and a change in materials, construction, manufacturing location, etc. has been made to the product. *

Class II: Product is currently SEI certified and the proposed change is believed to not affect the product’s form, fit or function.

(5) Category of Product: (select one)

Basic model: Protective device of the same basic design and components, produced by the same manufacturing location. *

Variant: Variation of basic model distinguished by a single component (i.e., lens shades, suspension systems, reverse headbands, closures, etc.)*

Accessory: 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.

(6) Standard Testing To: Type of Product: Model Number(s): Brand Name:

(7) Product Description. Briefly describe below. Attach applicable Components & Materials Description Checklist, and if

applicable, test plan matrix/configurations, Bill of Materials, product literature)

(8) Test samples shall be: Returned to manufacturer Destroyed by laboratory If fail, return to manufacturer

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.

(9) Authorized Manufacturer Representative:

Signature:

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28B. Protective Clothing Components & Materials Description Checklist Issue 1

1 of 3

For use with certification testing submittals to NFPA 1951, NFPA 1971, NFPA 1975, NFPA 1977, NFPA 1991, NFPA 1992, NFPA 1994, NFPA 1999 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: 2. Manufacturer (SEI Participant): 3. Model Series/Brand Name (one model per checklist):

4. Standard:

5. Certification Submittal Type (Select one): Initial Annual

Change: Class 1: Testing required Class 2: No testing expected to be required

For all initial and annual submittals, all sections shall be completed. For changes, complete all sections; mark in BOLD that which has been changed.

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

7. List all Model Numbers Description (i.e. color, size, type)

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28B. Protective Clothing Components & Materials Description Checklist Issue 1

2 of 3

8.

COMPONENT Description

Fiber/Material Identification: i.e. Trade Name & Part Number

Fiber/Material Identification: generic name (principle layers)

Additional Details: weight, dimensions, density, bead, color, etc.

SOURCE(S) OF SUPPLY (provide complete address & contact info)

Example 1: Moisture Barrier/ Thermal Barrier

Example: ABC Brand Name

Example: Nylon/ PTFE

Example: ABC Company, 123 Smith Rd., Anywhere, VA Phone:

Example 2 Thermal Barrier

Example: Modacrylic Fleece Lining

Example: Modacrylic

Example: DEF Company, 456 Jones Rd., Somewhere, VA Phone:

Example 3 Outer Shell

Example: Cow Split Leather

Example: Leather

Example: GHI Tanning Company, 789 Nice Drive, Nearby, VA. Phone:

Outer Shell

Moisture Barrier

Thermal Liner

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28B. Protective Clothing Components & Materials Description Checklist Issue 1

3 of 3

9. Protective Clothing Fabric Lay-up Information (include all layers in order as well as all lay-ups used): (Applies to gloves, garments, hoods, boots, ear covers, shrouds, fabric components)

Location: Lay-up #1 ______________ Lay-up #2 _______________ Lay-up #3 ________________

Outside Layer

Inside Layer

Location: Lay-up #4 ______________ Lay-up #5 _______________ Lay-up #6________________

Outside Layer

Inside Layer

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

Signed By: Name:

Company: Date:

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28C. User Guide and Technical Data Package Checklist - NFPA 1991, 2005 edition

1 of 11

PARTICPANT NAME:

SEI REFERENCE NUMBER:

NAME/MODEL/DESCRIPTION:

Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.1.1

Each vapor protective ensemble shall have a product label permanently and conspicuously attached to the innermost surface of the ensemble when the ensemble is properly assembled with all layers, components, and parts in place.

YES NO

5.1.1.2 Each glove and footwear element shall have a product label attached to the element, or printed upon or inserted in the smallest unit of packaging of that element.

YES NO

5.1.1.3 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 the entire product label shall be located adjacent to each other.

YES NO

5.1.1.4 All worded portions of the required product label shall at least be in English. YES NO

5.1.1.5

Symbols and other pictorial graphic representations shall be permitted to be used to supplement worded statements on the product label(s) where such symbols and other pictorial graphic representations are clearly explained in the user information.

YES NO

5.1.1.6

The certification organization’s label, symbol, or identifying mark shall be legibly printed on the product label. All letters shall be at least 2.5 mm (3 ⁄32 in.) high.

Measurement: __________

YES NO

5.1.1.7

The compliance statements and information specified in 5.1.2 and 5.1.3, as applicable for the specific ensemble or ensemble element, shall be legibly printed on the product label. All letters shall be at least 3 mm (1 ⁄8 in.) high.

Measurement: __________

YES NO

5.1.1.8

In addition to the compliance statements and information specified in 5.1.1.6, at least the following information shall also be printed legibly on the product label(s). All letters shall be at least 2 mm (1⁄16 in.) high.

Measurement: __________

YES NO

5.1.1.8

Manufacturer’s name, identification, or designation YES NO

5.1.1.8

Manufacturer’s address YES NO

5.1.1.8

Country of manufacture YES NO

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28C. User Guide and Technical Data Package Checklist - NFPA 1991, 2005 edition

2 of 11

Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.1.8

Suit model, style, or serial number YES NO

5.1.1.8

(5) Date of compliance testing to ASTM F 1052, Standard Test Method for Pressure Testing of Vapor-Protective Ensemble

YES NO

5.1.1.8

Size YES NO

5.1.1.8

Suit, glove, footwear material(s), as applicable YES NO

5.1.1.8

Visor material(s) for suits YES NO

5.1.1.8

Glove component for ensemble YES NO

5.1.1.8 (10) Footwear component for ensemble YES NO

5.1.1.9

Where detachable components of a vapor-protective ensemble element, including, but not limited to, such components as outer garments, outer gloves, or outer boots, must be worn with a vapor-protective ensemble element in order for the ensemble element to be compliant with this standard, at least the following statement and information shall also be printed legibly on the product label of the ensemble and the product label for each glove and footwear element. All letters shall be at least 2.5 mm (3⁄32 in.) high. The appropriate term “ensemble” or “element” shall be inserted where indicated in the label text. The detachable component(s) shall be listed following this statement by type, identification, and how properly worn.

“FOR COMPLIANCE WITH NFPA 1991, THE FOLLOWING COMPONENTS MUST BE WORN IN CONJUNCTION WITH THIS VAPOR-PROTECTIVE (insert the term ‘ENSEMBLE’ or ‘ENSEMBLE ELEMENT’ here): (List detachable components here.)”

Measurement:

__________

YES NO

5.1.1.10

Detachable components specified in 5.1.1.9 shall meet the label requirements specified in ASTM F 1301, Standard Practice for Labeling Chemical Protective Clothing. The label shall also meet the requirements of 5.1.1 through 5.1.1.5.

YES N/A NO

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28C. User Guide and Technical Data Package Checklist - NFPA 1991, 2005 edition

3 of 11

Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.2.1 Each vapor-protective ensemble shall have at least the following compliance statement and information on the product label.

“THIS VAPOR-PROTECTIVE ENSEMBLE MEETS THE REQUIREMENTS OF NFPA 1991, STANDARD ON VAPOR-PROTECTIVE ENSEMBLES FOR

HAZARDOUS MATERIALS EMERGENCIES, 2005 EDITION, AND ANYADDITIONAL REQUIREMENTS NOTED BELOW.

THE TECHNICAL DATA PACKAGE CONTAINS INFORMATION ON CHEMICALS AND SPECIFIC CHEMICAL MIXTURES FOR WHICH THIS ENSEMBLE IS

CERTIFIED. CONSULT TECHNICAL DATA PACKAGE AND MANUFACTURER’S INSTRUCTIONS BEFORE USE.

DO NOT REMOVE THIS LABEL.”

ADDITIONAL REQUIREMENTS YES NO

LIMITED CHEMICAL FLASH FIREPROTECTION FOR ESCAPEONLY IN THE EVENT OF ACHEMICAL FLASH FIRE

LIQUEFIED GAS PROTECTION

YES NO

5.1.2.2 Where the ensemble provides the optional additional protection, the YES box shall be marked for the additional requirement.

YES N/A NO

5.1.2.3 Where the ensemble does not provide the optional additional protection, the NO box shall be marked.

YES N/A NO

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28C. User Guide and Technical Data Package Checklist - NFPA 1991, 2005 edition

4 of 11

Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.3.1 Each ensemble element shall have at least the following compliance statement and information on the product label. The appropriate term “glove” or “footwear” shall be inserted where indicated in the label text.

“THIS (insert the element name ‘GLOVE’ or ‘FOOTWEAR’ here) ELEMENT MEETS THE REQUIREMENTS OF NFPA 1991, STANDARD ON VAPOR-

PROTECTIVEENSEMBLES FOR HAZARDOUS MATERIALS EMERGENCIES, 2005 EDITION, AND ANY ADDITIONAL REQUIREMENTS AS NOTED BELOW.

THE TECHNICAL DATA PACKAGE CONTAINS INFORMATION ON CHEMICALS AND SPECIFIC CHEMICAL MIXTURES FOR WHICH THIS (insert the element

name ‘GLOVE’ or ‘FOOTWEAR’ here) IS CERTIFIED. CONSULT THE TECHNICAL DATA PACKAGE AND MANUFACTURER’S INSTRUCTIONS

BEFORE USE.

DO NOT REMOVE THIS LABEL.”

ADDITIONAL REQUIREMENTS YES NO

LIMITED CHEMICAL FLASH FIREPROTECTION FOR ESCAPEONLY IN THE EVENT OF ACHEMICAL FLASH FIRE

LIQUEFIED GAS PROTECTION

YES NO

5.1.3.2

Where the ensemble element provides one or both optional additional protection, the YES or NO box shall be marked as appropriate for the additional requirement.

YES N/A NO

5.1.3.3

Where the ensemble element does not provide any optional additional protection above the basic requirements of this standard, the NO boxes shall be marked for both additional requirements.

YES N/A NO

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28C. User Guide and Technical Data Package Checklist - NFPA 1991, 2005 edition

5 of 11

Section Section 5.2 User Information Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.2.1 The manufacturer shall provide user information including, but not limited to, warnings, information, and instructions with each vapor-protective ensemble and each element.

YES NO

5.2.2

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

YES NO

5.2.3

The required user information, or packaging containing the user information, shall be attached to the vapor-protective ensemble or 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

5.2.4

The manufacturer shall provide at least the following instructions and information with each vapor-protective ensemble and each element:

5.2.4 (1)a Pre-use information: Safety considerations

YES NO

5.2.4 (1)b Pre-use information: Limitations of use

YES NO

5.2.4 (1)c Pre-use information: Marking recommendations and restrictions

YES NO

5.2.4 (1)d Pre-use information: A statement that most performance properties of the vapor-protective ensemble or ensemble element cannot be tested by the user in the field

YES NO

5.2.4 (1)e Pre-use information: Closure lubricants, if applicable

YES NO

5.2.4 (1)f Pre-use information: Visor antifog agents or procedures, if applicable

YES NO

5.2.4 (1)g Pre-use information: Recommended undergarments

YES NO

5.2.4(1)h Pre-use information: Shelf life

YES NO

5.2.4 (1)i Pre-use information: Warranty information

YES NO

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28C. User Guide and Technical Data Package Checklist - NFPA 1991, 2005 edition

6 of 11

Section Section 5.2 User Information Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.2.4 (2)a Preparation for use: Sizing/adjustment

YES NO

5.2.4 (2)b Preparation for use: Recommended storage practices

YES NO

5.2.4 (3) Inspection frequency and details

YES NO

5.2.4 (4)a Don/doff, as follows: Donning and doffing procedures

YES NO

5.2.4 (4)b Don/doff, as follows:

YES NO

5.2.4 (4)c Don/doff, as follows:

YES NO

5.2.4 (5)

Proper use in accordance with the following: NFPA 1500, Standard on Fire Department Occupational Safety and Health Program and 29 CFR 1910.132

YES NO

5.2.4 (6)a Maintenance and cleaning, as follows: Cleaning instructions and precautions with a statement advising users not to use clothing or ensembles that are not thoroughly cleaned and dried

YES NO

5.2.4 (6)b Maintenance and cleaning, as follows: Inspection details

YES NO

5.2.4 (6)c Maintenance and cleaning, as follows: Maintenance criteria and repair methods, where applicable

YES NO

5.2.4 (6)d Maintenance and cleaning, as follows: Decontamination procedures

for both chemical/biological contamination

YES NO

5.2.4 (7) Retirement and disposal criteria and consideration

YES NO

5.2.5 Vapor-protective ensemble and ensemble element manufacturers shall furnish a log book with each ensemble and element along with instructions on the log book’s proper completion and

YES NO

5.2.6 The manufacturer shall state the storage life for each vapor-protective ensemble and each element.

YES NO

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Section Section 5.3 Technical Data Package Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.3.1.1 The manufacturer shall furnish a technical data package (TDP) with each vapor-protective ensemble and element.

YES NO

5.3.1.2 The TDP shall contain all documentation required by this standard and the data showing compliance with this standard. YES NO

5.3.1.3

In the TDP, the manufacturer shall describe the vapor-protective ensemble or element in terms of manufacturer trade name and model number, manufacturer replaceable components, and component parts, and available options such as accessories, testing devices and sizes.

YES NO

5.3.1.4

Manufacturer shall describe the available sizes of the vapor-protective ensemble. Description of sizes shall include range in height and weight for persons fitting each particular size and shall provide information to the wearer whether sizes apply to persons wearing SCBA, hardhats, com. devices, fire fighting protective clothing, and other similar gear.

YES NO

5.3.2 Garment Material and Component Descriptions:

5.3.2.1

Where specific clothing items, equipment, or component parts are required for certifying the vapor-protective ensemble or element as compliant with this standard, the manufacturer shall list these clothing items or equipment.

YES NO

5.3.2.2 The manufacturer shall provide the list and descriptions of the following ensemble or individual element materials and

5.3.2.2(1) Garment material YES N/A NO

5.3.2.2(2) Visor material YES N/A NO

5.3.2.2(3) Glove material and type of attachment YES N/A NO

5.3.2.2(4) Footwear material and type of attachment YES N/A NO

5.3.2.2(5) Zipper/closure type and materials YES N/A NO

5.3.2.2(6) Material seam types and composition YES N/A NO

5.3.2.2(7) Exhaust valve types and material(s) YES N/A NO

5.3.2.2(8) External fitting types and material(s) YES N/A NO

5.3.2.2(9) External gasket types and material(s)

YES N/A NO

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Section Section 5.3 Technical Data Package Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.3.2.2(10) Outer garment, glove, or boot material(s)

YES N/A NO

5.3.2.2(11) Type or style of head protection accommodated within the suit YES N/A NO

5.3.2.3 Descriptions of material composition shall specify either the generic material names or trade names if the composition of the material is proprietar

YES NO

5.3.2.4 Where applicable, descriptions of respective vapor-protective ensemble materials, element materials and component parts shall i l d th f ll i i f ti

5.3.2.4(1)

Vi t i l

The availability of permanent detachable covers and films

YES N/A NO

5.3.2.4(2)a

Gl

Type of linings or surface treatments

YES N/A NO

5.3.2.4(2)b

Gl

Available glove sizes

YES N/A NO

5.3.2.4(3)a Footwear

Type of linings or surface treatments

YES N/A NO

5.3.2.4(3)b Footwear

Type of soles or special toe reinforcements

YES N/A NO

5.3.2.4(3)c Footwear

Available footwear sizes

YES N/A NO

5.3.2.4(4)a Garment closure

Material(s) of construction for closure, including chain, slide, pull, and tape for zippers

YES N/A NO

5.3.2.4(4)b Garment closure

Location and length of the completed closure assembly

YES N/A NO

5.3.2.4(4)c Garment closure

Description of any protective covers for flaps

YES N/A NO

5.3.2.4(5)a Exhaust valves or

ports

Type, such as flapper, pressure demand

YES N/A NO

5.3.2.4(5)b Exhaust valves or

ports

Number and method of attachment to suit

YES N/A NO

5.3.2.4(5)c Exhaust valves or

ports

Description of any protective covers or pockets

YES N/A NO

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Section Section 5.3 Technical Data Package Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.3.2.4(6) Other clothing items (e.g., outer garments): Type and how used with protective suit

YES N/A NO

5.3.2.5(1) Type of

seams or methods of attachment

Suit material–suit material

YES N/A NO

5.3.2.5(2) Type of

seams or methods of attachment

Suit material–visor

YES N/A NO

5.3.2.5(3) Type of

seams or methods of attachment

Suit material–glove

YES N/A NO

5.3.2.5(4) Type of

seams or methods of attachment

Suit material–footwear

YES N/A NO

5.3.2.5(5) Type of

seams or methods of attachment

Suit material–suit closure

YES N/A NO

5.3.2.5(6) Type of

seams or methods of attachment

Outer cover–outer cover

YES N/A NO

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- - - - - - - - - - - - - - - - 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:

____________________________________

INITIAL TECHNICAL DATA PACKAGE REVIEW

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

COMMENTS:

Prepared by & Date:

____________________________________

Reviewed by & Date:

____________________________________

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SUBSEQUENT REVIEW (LABEL / USER INFORMATION / TECHNICAL DATA PACKAGE)

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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PARTICPANT NAME:

SEI REFERENCE NUMBER:

NAME/MODEL/DESCRIPTION:

Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.1.1

Each liquid splash-protective garment element and item shall have a product label permanently and conspicuously attached to or printed on each garment when the garment is properly assembled with all layers, components, and component parts in place.

YES NO

5.1.1.2

Each liquid splash-protective glove element and item shall have a product label permanently and conspicuously attached to or printed on the top outside of the gauntlet of each glove piece when the glove is properly assembled with all layers, components, and component parts in place. In addition, each package containing one or more pairs of liquid splash-protective gloves shall have a product label attached to, printed on, or inserted in the glove package.

YES NO

5.1.1.3

All liquid splash-protective footwear elements and items shall have a product label permanently and conspicuously attached to or printed on the inside of each footwear piece when the footwear is properly assembled with all layers, components, and component parts in place. In addition, each package containing one or more pairs of liquid splash-protective footwear shall have a product label attached to, printed on, or inserted in the footwear package.

YES NO

5.1.1.4

Each liquid splash-protective ensemble shall have a product label permanently and conspicuously attached to or printed on the inside of each ensemble when the ensemble is properly assembled with all layers, components, and component parts in place.

YES NO

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Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.1.5

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 the entire product label shall be located adjacent to each other.

YES NO

5.1.1.6 All worded portions of the required product label shall at least be in English. YES NO

5.1.1.7

Symbols and other pictorial graphic representations shall be permitted to be used to supplement worded statements on the product label(s) where such symbols and other pictorial graphic representations are clearly explained in the user information.

Measurement: __________ YES NO

5.1.1.8

The certification organization’s label, symbol, or identifying mark shall be legibly printed on the product label. All letters shall be at least 2.5 mm (3 ⁄32 in.) high.

Measurement: __________ YES NO

5.1.1.9

The compliance statements and information specified in 5.1.2 and 5.1.3, as applicable for the specific protective ensemble, element, or protective clothing item, shall be legibly printed on the product label. All letters shall be at least 3 mm (1⁄8 in ) high

Measurement: __________

YES NO

5.1.1.10

In addition to the compliance statements specified in 5.1.1.9, at least the following information shall also be printed legibly on the product label(s). All letters shall be at least 2 mm (1⁄16 in.) high.

Measurement: __________

YES NO

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

5.1.1.10 (2) Manufacturer’s address YES NO

5.1.1.10 (3) Country of manufacture YES NO

5.1.1.10 (4) Model, style, or serial number YES NO

5.1.1.10 (5) Size YES NO

5.1.1.10 (6) Garment, glove, footwear, ensemble material(s), as applicable YES NO

5.1.1.10 (7) Visor material(s) if provided YES NO

5.1.1.10 (8) Glove component for ensemble YES NO

5.1.1.10 (9) Footwear component for ensemble YES NO

5.1.1.10 (10) Total heat loss (THL) as required by 6.1.5 YES NO

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Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.1.11 Where detachable components, including, but not limited to, outer garments, outer gloves, or outer boots, must be worn with a liquid splash-protective ensemble or protective clothing item in order for the ensemble or clothing item 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 of “garment,” “glove,” “footwear,” or “ensemble” shall be inserted where indicated in the label text. The detachable component(s) shall be listed following this statement by type, identification, and how properly worn.

“FOR COMPLIANCE WITH NFPA 1992, THE FOLLOWING ADDITIONAL COMPONENTS MUST BE WORN IN CONJUNCTION WITH THIS

LIQUIDSPLASH-PROTECTIVE (insert the term “GARMENT,” “GLOVE,” “FOOTWEAR,” or “ENSEMBLE” here): (List detachable components here.)”

Measurement:

__________

YES NO

5.1.1.12

Detachable components specified in 5.1.1.11 shall meet the label requirements specified in ASTM F 1301, Standard Practice for Labeling Chemical Protective Clothing. The label shall also meet the requirements of 5.1.1.1 through 5.1.1.8.

YES N/A NO

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Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.2.1

Each liquid splash-protective garment shall have at least the following compliance statements and information on the product label:

“THIS LIQUID SPLASH-PROTECTIVE GARMENT MEETS THE BASIC REQUIREMENTS OF NFPA 1992, STANDARD ON LIQUID SPLASH-

PROTECTIVE ENSEMBLES AND CLOTHING FOR HAZARDOUS MATERIALS EMERGENCIES, 2012 EDITION,AND FOR THE ADDITIONAL REQUIREMENT IF

INDICATED BELOW.

ADDITIONAL REQUIREMENT YES NO

LIMITED CHEMICAL FLASH FIREPROTECTION FOR ESCAPEONLY IN THE EVENT OF ACHEMICAL FLASH FIRE

THE TECHNICAL DATA PACKAGE CONTAINS INFORMATION ON CHEMICALS AND SPECIFIC CHEMICAL MIXTURES FOR WHICH THIS GARMENT IS

CERTIFIED. CONSULT THE TECHNICAL DATA PACKAGE AND MANUFACTURER’S INSTRUCTIONS BEFORE USE.

YES NO

5.1.2.2

Where the garment does provide the optional limited chemical flash fire protection above the basic requirements of this standard, the YES box shall be marked. Where the garment does not provide the optional limited chemical flash fire protection above the basic requirements of this standard, the NO box shall be marked.

YES N/A NO

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Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.3.1

Each liquid splash-protective glove shall have at least the following compliance statements and information on the product label:

“THIS LIQUID SPLASH-PROTECTIVE GLOVE MEETS THE BASIC REQUIREMENTS OF NFPA 1992, STANDARD ON LIQUID SPLASH-

PROTECTIVE ENSEMBLES AND CLOTHING FOR HAZARDOUS MATERIALS EMERGENCIES, 2012 EDITION, AND FOR THE ADDITIONAL REQUIREMENT IF

INDICATED BELOW.

ADDITIONAL REQUIREMENT YES NO

LIMITED CHEMICAL FLASH FIREPROTECTION FOR ESCAPEONLY IN THE EVENT OF ACHEMICAL FLASH FIRE

THE TECHNICAL DATA PACKAGE CONTAINS INFORMATION ON CHEMICALS AND SPECIFIC CHEMICAL MIXTURES FOR WHICH THIS GLOVE IS CERTIFIED.

CONSULT THE TECHNICAL DATA PACKAGE AND MANUFACTURER’S INSTRUCTIONS BEFORE USE.

YES NO

5.1.3.2

Where the glove does provide the optional limited chemical flash fire protection above the basic requirements of this standard, the YES box shall be marked. Where the glove does not provide the optional limited chemical flash fire protection above the basic requirements of this standard, the NO box shall be marked.

YES N/A NO

5.1.3.3

Each liquid splash-protective glove shall be permitted to have the labeling information specified in 5.1.3.1 and 5.1.3.2 placed on the package label, and the statement in either 5.1.3.3.1 or 5.1.3.3.2, as applicable, shall be directly printed, embossed, or attached to each glove in lettering at least 2.5 mm (3⁄32 in.) high.

Measurement: __________

YES NO

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Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.3.3.1

Where the glove is not compliant with the optional limited chemical flash fire protection above the basic requirements of this standard, the following statement shall be used:

“MEETS NFPA 1992 (2012 ed.)”

YES N/A NO

5.1.3.3.2

Where the glove is compliant with the optional limited chemical flash fire protection above the basic requirements of this standard, the following statement shall be used:

“MEETS NFPA 1992 (2012 ed ) FLASH FIRE ESCAPE PROTECTION”

YES N/A NO

5.1.4.1

Each liquid splash-protective footwear piece shall have at least the following compliance statements and information on the product label:

“THIS LIQUID SPLASH-PROTECTIVE FOOTWEAR MEETS THE BASIC REQUIREMENTS OF NFPA 1992, STANDARD ON LIQUID SPLASH-

PROTECTIVE ENSEMBLES AND CLOTHING FOR HAZARDOUS MATERIALS EMERGENCIES, 2012 EDITION, AND FOR THE ADDITIONAL REQUIREMENT IF

INDICATED BELOW.

ADDITIONAL REQUIREMENT YES NO

LIMITED CHEMICAL FLASH FIREPROTECTION FOR ESCAPEONLY IN THE EVENT OF ACHEMICAL FLASH FIRE

THE TECHNICAL DATA PACKAGE CONTAINS INFORMATION ON CHEMICALS AND SPECIFIC CHEMICAL MIXTURES FOR WHICH THIS FOOTWEAR IS

CERTIFIED. CONSULT THE TECHNICAL DATA PACKAGE AND MANUFACTURER’S INSTRUCTIONS BEFORE USE.

YES NO

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Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.4.2

Where the footwear does provide the optional limited chemical flash fire protection above the basic requirements of this standard, the YES box shall be marked. Where the footwear does not provide the optional limited chemical flash fire protection above the basic requirements of this standard, the NO box shall be marked.

YES N/A NO

5.1.5.1

Each nonencapsulating liquid splash-protective ensemble shall have at least the following compliance statements and information on the product label:

“THIS NONENCAPSULATING LIQUID SPLASH-PROTECTIVE ENSEMBLE MEETS THE BASIC REQUIREMENTS OF NFPA 1992, STANDARD ON LIQUID SPLASH-

PROTECTIVE ENSEMBLES AND CLOTHING FOR HAZARDOUS MATERIALS EMERGENCIES, 2012 EDITION, AND FOR THE ADDITIONAL REQUIREMENT IF

INDICATED BELOW.

ADDITIONAL REQUIREMENT YES NO

LIMITED CHEMICAL FLASH FIREPROTECTION FOR ESCAPEONLY IN THE EVENT OF ACHEMICAL FLASH FIRE

THE TECHNICAL DATA PACKAGE CONTAINS INFORMATION ON CHEMICALS AND SPECIFIC CHEMICAL MIXTURES FOR WHICH THIS

NONENCAPSULATING ENSEMBLE IS CERTIFIED. CONSULT THE TECHNICAL DATA PACKAGE AND MANUFACTURER’S INSTRUCTIONS BEFORE USE.

YES NO

5.1.5.2

Where the nonencapsulating ensemble does provide the optional limited chemical flash fire protection above the basic requirements of this standard, the YES box shall be marked. Where the nonencapsulating ensemble does not provide the optional limited chemical flash fire protection above the basic requirements of this standard, the NO box shall be marked.

YES N/A NO

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Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.6.1

Each encapsulating liquid splash-protective ensemble shall have at least the following compliance statements and information on the product label:

“THIS ENCAPSULATING LIQUID SPLASH-PROTECTIVE ENSEMBLE MEETS THE BASIC REQUIREMENTS OF NFPA 1992, STANDARD ON LIQUID SPLASH-

PROTECTIVE ENSEMBLES AND CLOTHING FOR HAZARDOUS MATERIALS EMERGENCIES, 2012 EDITION, AND FOR THE ADDITIONAL REQUIREMENT IF

INDICATED BELOW.

ADDITIONAL REQUIREMENT YES NO

LIMITED CHEMICAL FLASH FIREPROTECTION FOR ESCAPEONLY IN THE EVENT OF ACHEMICAL FLASH FIRE

THE TECHNICAL DATA PACKAGE CONTAINS INFORMATION ON CHEMICALS AND SPECIFIC CHEMICAL MIXTURES FOR WHICH THIS ENCAPSULATING

ENSEMBLE IS CERTIFIED. CONSULT THE TECHNICAL DATA PACKAGE AND MANUFACTURER’S INSTRUCTIONS BEFORE USE.

DO NOT REMOVE THIS LABEL.”

YES NO

5.1.6.2

Where the encapsulating ensemble does provide the optional limited chemical flash fire protection above the basic requirements of this standard, the YES box shall be marked. Where the encapsulating ensemble does not provide the optional limited chemical flash fire protection above the basic requirements of this standard, the NO box shall be marked.

YES N/A NO

Section Section 5.2 User Information Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.2.1 The manufacturer shall provide user information including, but not limited to, warnings, information, and instructions with each individual

YES NO

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Section Section 5.2 User Information Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

protective clothing item or each ensemble.

5.2.2

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

YES NO

5.2.3

The manufacturer shall provide at least the following instructions and information with each liquid splash-protective clothing item or ensemble:

5.2.3 (1)a Pre-use information: Safety considerations

YES NO

5.2.3 (1)b Pre-use information: Limitations of use

YES NO

5.2.3 (1)c Pre-use information: Clothing or element marking recommendations and restrictions

YES NO

5.2.3 (1)d Pre-use information: A statement that most performance properties of the liquid-splash protective clothing item or ensemble cannot be tested by the user in the field

YES NO

5.2.3 (1)e Pre-use information: Closure lubricants, if applicable

YES NO

5.2.3 (1)f Pre-use information: Visor antifog agents or procedures, if applicable

YES NO

5.2.3 (1)g Pre-use information: Recommended undergarments

YES NO

5.2.3 (1)h Pre-use information: Shelf life

YES NO

5.2.3 (1)i Pre-use information: Warranty information

YES NO

5.2.3 (2)a Preparation for use: Sizing/adjustment

YES NO

5.2.3 (2)b Preparation for use: Recommended storage practices

YES NO

5.2.3 (3) Inspection frequency and details YES NO

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Section Section 5.2 User Information Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.2.3 (4)a Don/doff, as follows: Donning and doffing procedures

YES NO

5.2.3 (4)b Don/doff, as follows:Sizing and adjustment procedures

YES NO

5.2.3 (4)c Don/doff, as follows:Interface issues YES NO

5.2.3 (5)

Proper use in accordance with the following: NFPA 1500, Standard on Fire Department Occupational Safety and Health Program and 29 CFR 1910.132

YES NO

5.2.3 (6)a Maintenance and cleaning, as follows:Cleaning instructions and precautions with a statement advising users not to use ensembles, elements or clothing items that are not thoroughly cleaned and

YES NO

5.2.3 (6)b Maintenance and cleaning, as follows:Inspection details

YES NO

5.2.3 (6)c Maintenance and cleaning, as follows:Maintenance criteria and methods of repair where applicable

YES NO

5.2.3 (6)d Maintenance and cleaning, as follows:Decontamination procedures

for both chemical and biological contamination

YES NO

5.2.3 (7) Retirement and disposal criteria and consideration YES NO

5.2.4 The manufacturer shall state the storage life for each liquid splash-protective ensemble, element, or clothing item.

YES NO

Section Section 5.3 Technical Data Package Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.3.1 The manufacturer shall furnish a technical data package for the protective ensemble, element, or clothing item upon the request of the purchaser.

YES NO

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Section Section 5.3 Technical Data Package Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.3.2 The technical data package shall contain all documentation required by this standard and the data showing compliance with this standard.

YES NO

5.3.3

In the technical data package, the manufacturer shall describe the clothing item, element, or ensemble in terms of manufacturer trade name and model number, manufacturer replaceable components, and available options.

YES NO

5.3.4

Descriptions of sizes shall include the range in height and weight for persons fitting each particular size, for garments, or sizes specific in Chapter 6, Design Requirements, for gloves and footwear, and shall provide information to the wearer as to whether these sizes apply to persons wearing SCBA, hardhats, communications devices, fire fighting protective clothing, and other similar gear.

YES NO

5.3.5 Garment Material and Component Descriptions:

5.3.5.1

When specific clothing items or equipment are required for certifying the ensemble, element, or clothing item to this standard, the manufacturer shall list these clothing items or equipment in the technical data package.

YES NO

5.3.5.2

The manufacturer shall provide, in the technical data package, the list and descriptions of the following ensemble materials and components, if applicable:

5.3.5.2(1) Garment material YES N/A NO

5.3.5.2(2) Visor material YES N/A NO

5.3.5.2(3) Glove material and type of attachment YES N/A NO

5.3.5.2(4) Footwear material and type of attachment YES N/A NO

5.3.5.2(5) Zipper/closure type and materials YES N/A NO

5.3.5.2(6) Material seam types and composition YES N/A NO

5.3.5.2(7) Exhaust valve types and material(s) YES N/A NO

5.3.5.2(8) External fitting types and material(s) YES N/A NO

5.3.5.2(9) External gasket types and material(s) YES N/A NO

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Section Section 5.3 Technical Data Package Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.3.5.2(10) Outer garment, glove, or boot material(s) YES N/A NO

5.3.5.2(11) Type or style of head protection accommodated within the suit YES N/A NO

5.3.5.3 All descriptions of material composition shall specify either the generic material names or trade names if the composition of the

t i l i i t

YES NO

5.3.5.4 Descriptions of respective suit materials and components shall include the following information, if applicable:

5.3.5.4(1)

Vi t i l

The availability of permanent detachable covers and films

YES N/A NO

5.3.5.4(2)a

Gl

Type of linings or surface treatments

YES N/A NO

5.3.5.4(2)b

Gl

Available glove sizes

YES N/A NO

5.3.5.4(3)a Footwear

Type of linings or surface treatments

YES N/A NO

5.3.5.4(3)b Footwear

Type of soles or special toe reinforcements

YES N/A NO

5.3.5.4(3)c Footwear

Available footwear sizes

YES N/A NO

5.3.5.4(4)a Garment zipper or

closure

Material(s) of construction for closure (including chain, slide, pull, and tape for zippers)

YES N/A NO

5.3.5.4(4)b Garment zipper or

closure

Location and length of the completed closure assembly

YES N/A NO

5.3.5.4(4)c Garment zipper or

closure

Description of any protective covers for flaps

YES N/A NO

5.3.5.4(5) Other clothing items (e.g., outer garments): Type and how used with protective suit

YES N/A NO

5.3.5.5 The manufacturer shall describe, in the technical data package, the type of seams or methods of attachment for the following garment material and component combinations:

5.3.5.5(1) Garment material–garment material YES N/A NO

5.3.5.5(2) Garment material–visor YES N/A NO

5.3.5.5(3) Garment material–glove YES N/A NO

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Section Section 5.3 Technical Data Package Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.3.5.5(4) Garment material–footwear YES N/A NO

5.3.5.5(5) Garment material–garment closure YES N/A NO

5.3.5.5(6) Outer cover–outer cover YES N/A NO

- - - - - - - - - - - - - - - - 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:

____________________________________

INITIAL TECHNICAL DATA PACKAGE REVIEW

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

COMMENTS:

Prepared by & Date:

____________________________________

Reviewed by & Date:

____________________________________

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SUBSEQUENT REVIEW (LABEL / USER INFORMATION / TECHNICAL DATA PACKAGE)

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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PARTICPANT NAME:

SEI REFERENCE NUMBER:

NAME/MODEL/DESCRIPTION:

Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.1.1

Each protective ensemble shall have a product label permanently and conspicuously attached to, embossed on, or printed on each separable garment element of the ensemble when the ensemble is properly assembled with all layers, components, and component parts in place.

YES NO

5.1.1.2

Each glove element shall have a product label permanently and conspicuously attached to, embossed on, or printed on the top outside of the gauntlet of each glove piece when the glove is properly assembled with all layers, components,and component parts in place. In place of the product label being affixed to the glove, the product label shall be permitted to be attached to, printed on, or inserted into each package containing one or more pairs of gloves.

YES NO

5.1.1.3

Each footwear element shall have a product label permanently and conspicuously attached to, embossed on, or printed on the inside of each footwear piece when the footwear is properly assembled with all layers, components, and component parts in place. In place of the product label being affixed to the footwear, the product label shall be permitted to be attached to, printed on, or inserted into each package containing one or more pairs of footwear.

YES NO

5.1.1.4

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 the entire product label shall be located adjacent to each other.

YES NO

5.1.1.5 All worded portions of the required product label shall at least be in English. YES NO

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Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.1.6

Symbols and other pictorial graphic representations shall be permitted to be used to supplement worded statements on the product label(s) where such symbols and other pictorial graphic representations are clearly explained in the user information.

YES NO

5.1.1.7

The certification organization’s label, symbol, or identifying mark shall be legibly printed on the product label. All letters shall be at least 2.5 mm (3 ⁄32 in.) high.

Measurement: __________

YES NO

5.1.1.8

The compliance statements and information specified in 5.1.2 or 5.1.3, as applicable for the specific ensemble, ensemble element, shall be legibly printed on the product label. All letters shall be at least 2 mm (1⁄16 in.) high.

Measurement: __________

YES NO

5.1.1.9

In addition to the compliance and information statements specified in 5.1.1.8, at least the following information shall also be printed legibly on the product label(s). All letters shall be at least 2 mm (1 ⁄16 in.) high.

Measurement: __________

YES NO

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

5.1.1.9 (2) Manufacturer’s address YES NO

5.1.1.9 (3) Country of manufacture YES NO

5.1.1.9 (4) Model, style, or serial number YES NO

5.1.1.9 (5) Size YES NO

5.1.1.9 (6) Garment, glove, footwear, ensemble material(s), as applicable YES NO

5.1.1.9 (7) Visor material(s) if provided YES NO

5.1.1.9 (8) Glove element for the ensemble YES NO

5.1.1.9 (9) Footwear element for the ensemble YES NO

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Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.1.10 Where detachable components, including, but not limited to, outer garments, outer gloves, or outer boots, must be worn with an ensemble or ensemble element in order for the ensemble or ensemble element to be compliant with this standard, at least the following statement and information shall also be printed legibly on the product label of the ensemble or ensemble element that requires an additional component. All letters shall be at least 2.5 mm (3⁄32 in.) high. The appropriate term of ensemble,” or ensemble element shall be inserted where indicated in the label text. The statement shall be followed by the detachable component(s) type and identification and instructions for proper wear.

“TO BE COMPLIANT WITH NFPA 1994, THE FOLLOWING ADDITIONAL COMPONENTS MUST BE WORN IN CONJUNCTION WITH THIS

CBRNINCIDENT (insert the term ENSEMBLE or ENSEMBLE ELEMENT here):”[The detachable component(s) information shall appear here.]

Measurement:

__________

YES NO

5.1.1.11 Detachable components specified in 5.1.1.10 shall be identified by the type of item, the manufacturer, and the style or model number.

YES N/A NO

5.1.1.12

The manufacturer shall be permitted to list the detachable components in the technical data package. Where the manufacturer chooses to list detachable components in the technical data package, the manufacturer shall provide an additional statement in the label statement required by 5.1.1.10 as follows:

“SEE TECHNICAL DATA PACKAGE FOR A LIST OF DETACHABLE COMPONENTS.”

YES N/A NO

5.1.1.13

Detachable components specified in 5.1.1.10 shall meet the label requirements specified in ASTM F 1301, Standard Practice for Labeling Chemical Protective Clothing.

YES N/A NO

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Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.2.1

Each protective ensemble shall have at least the following compliance statement on the product label. All letters shall be at least 2.5 mm (3⁄32 in.) high. The appropriate numeral for the class of the ensemble, 2, 3, or 4, and the appropriate term for the type of ensemble, encapsulating or non-encapsulating, shall be inserted where indicated in the label text.

“THIS CLASS (insert 2, 3, or 4 here) (insert ENCAPSULATING or NON-ENCAPSULATING here) CBRN PROTECTIVE ENSEMBLE MEETS

THEREQUIREMENTS OF NFPA 1994, STANDARD ON PROTECTIVE ENSEMBLES FOR FIRST RESPONDERS TO CBRN TERRORISM INCIDENTS,

2012 EDITION, FOR THE ABOVE-NOTED CLASS.

DO NOT REMOVE THIS LABEL.”

Measurement:

__________

YES NO

5.1.2.2

Following the text in 5.1.2.1, the following statement shall be made on the product label. All letters shall be at least 1.5 mm (1⁄16 in.) high.

“The technical data package contains information on CBRN agents for which this garment is certified. Consult the technical data package and

manufacturer’s instructions before use.”

Measurement:

__________

YES NO

5.1.3.1 Each glove element and footwear element shall have at least the following compliance statement on the product label. All letters shall be at least 2.5 mm (3⁄32 in.) high. The appropriate number for the class of the ensemble, 2, 3, or 4; and the appropriate term for the type of element, glove or footwear, shall be inserted where indicated in the label text.

“THIS CLASS (insert 2, 3, or 4 here) CBRN PROTECTIVE (insert GLOVE or FOOTWEAR here) ELEMENT MEETS THE REQUIREMENTS OF NFPA 1994,

STANDARD ON PROTECTIVE ENSEMBLES FOR FIRST RESPONDERS TO CBRN TERRORISM INCIDENTS, 2012 EDITION, FOR THE ABOVE-NOTED CLASS.

DO NOT REMOVE THIS LABEL”

Measurement:

__________

YES NO

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28C. User Guide and Technical Data Package Checklist - NFPA 1994, 2012 edition

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Section Section 5.1 Product Label Requirements Participant

Review

SEI Compliant

Checklist

5.1.3.2

Following the text in 5.1.3.1, the following statement shall be made on the product label. All letters shall be at least 1.5 mm (1⁄16 in.) high.

“The technical data package contains information on CBRN agents for which this (insert glove or footwear here) element is certified. Consult the technical data package and manufacturer’s instructions before use.”

Measurement:

__________

YES NO

5.1.3.3

Where Class 3 and Class 4 footwear is designed and configured according to 6.4.10, the bootie, the outerboot, and the integrity cover shall have at least the following compliance statement on each component, and all letters shall be at least 2.5 mm (3⁄32 in.) high:“THE [insert component] WHEN WORN WITH [insert other two components] MEETS THE CBRN FOOTWEAR REQUIREMENTS OF CLASS [insert 3 or 4] OF NFPA 1994, STANDARD ON PROTECTIVE ENSEMBLES FOR FIRST RESPONDERS TO CBRN TERRORISM INCIDENTS, 2012 EDITION, FOR THE ABOVE-NOTED CLASS, IN ACCORDANCE WITH 6.4.10.”

Measurement: __________

YES NO

Section Section 5.2 User Information Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.2.1 The manufacturer shall provide user information including, but not limited to, warnings, information, and instructions with each individual CBRN protective ensemble and ensemble element.

YES NO

5.2.2

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

YES NO

5.2.3

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

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Section Section 5.2 User Information Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.2.3 (1)a Pre-use information: Safety considerations

YES NO

5.2.3 (1)b Pre-use information: Limitations of use

YES NO

5.2.3 (1)c Pre-use information: Ensemble element marking recommendations and restrictions

YES NO

5.2.3 (1)d Pre-use information: Statement that most performance properties of the ensemble and ensemble element cannot be tested by the user in the field

YES NO

5.2.3 (1)e Pre-use information: Closure lubricants, if applicable

YES NO

5.2.3 (1)f Pre-use information: Visor antifog agents or procedures, if applicable

YES NO

5.2.3 (1)g Pre-use information: Recommended undergarments

YES NO

5.2.3 (1)h Pre-use information: Respirator consideration for ensembles

YES NO

5.2.3 (1)i Pre-use information: Warranty information

YES NO

5.2.3 (2) Recommended storage practices

YES NO

5.2.3 (3) Inspection frequency and details

YES NO

5.2.3 (4)a Don/doff, as follows: Donning and doffing procedures

YES NO

5.2.3 (4)b Don/doff, as follows: Sizing and adjustment procedures

YES NO

5.2.3 (4)c Don/doff, as follows: Ensemble Interface issues

YES NO

5.2.3 (4)d Don/doff, as follows: Respirator interface with ensemble

YES NO

5.2.3 (5)a Proper use in accordance with the following: NFPA 1500, Standard on Fire Department Occupational Safety and Health Program and 29 CFR 1910.132

YES NO

5.2.3 (5)b Proper use in accordance with the following: For users in the United States, 29 CFR 1910.132, “Personal Protective Equipment”

YES NO

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Section Section 5.2 User Information Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.2.3 (5)c

Proper use in accordance with the following: For users in other countries, a statement to advise users to consult national or other applicable personal protective equipment regulations

YES NO

5.2.3 (6)a

Maintenance and cleaning, as follows: Cleaning instructions and precautions with a statement advising users not to use ensembles, elements or clothing items that are not thoroughly cleaned and dried

YES NO

5.2.3 (6)b Maintenance and cleaning, as follows: Inspection details

YES NO

5.2.3 (6)c Maintenance and cleaning, as follows: Maintenance criteria and methods of repair where applicable

YES NO

5.2.3 (6)d Maintenance and cleaning, as follows: Decontamination procedures

for both chemical and biological contamination

YES NO

5.2.3 (7) Retirement and disposal criteria and consideration YES NO

5.2.4 The manufacturer shall state the storage life for all CBRN protective ensembles and ensemble elements.

YES NO

Section Section 5.3 Technical Data Package Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.3.1 The manufacturer shall furnish a technical data package for the CBRN protective ensemble and ensemble elements upon the

t f th h

YES NO

5.3.2

The technical data package shall contain all documentation required by this standard and the values obtained from the initial certification showing compliance with the requirements of Chapter 7 in the current edition of this standard. The physiological protective dosage factor (PPDF) value shall be included as part of the technical data package.

YES NO

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Section Section 5.3 Technical Data Package Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.3.3

In the technical data package, the manufacturer shall describe the CBRN protective ensemble and ensemble elements in terms of manufacturer trade name and model number, manufacturer replaceable components, available options, accessories, testing devices, and sizes.

YES NO

5.3.4 In the technical data package, the manufacturer shall describe the available sizes of the CBRN protective ensemble and ensemble elements.

YES NO

5.3.4.1 Descriptions of size shall include the range in height and weight for persons fitting each particular size for garments, or sizes specific in Chapter 6 for glove and footwear elements.

YES NO

5.3.4.2

Descriptions also shall provide information to the wearer as to whether these sizes apply to persons wearing self-contained breathing apparatus (SCBA) or other respirators, hard hats, communications devices, and other similar equipment.

YES NO

5.3.5 Garment Material and Component Descriptions:

5.3.5.1

Where specific clothing items and equipment are required for certifying CBRN protective ensembles and ensemble elements to this standard, the manufacturer shall list these clothing items and

i t i th t h i l d t k

YES NO

5.3.5.2

The manufacturer shall provide, in the technical data package, the list and descriptions of the following CBRN protective ensemble materials and ensemble elements, if applicable:

5.3.5.2(1) Garment material YES N/A NO

5.3.5.2(2) Visor material YES N/A NO

5.3.5.2(3) Glove material and type of attachment YES N/A NO

5.3.5.2(4) Footwear material and type of attachment YES N/A NO

5.3.5.2(5) Zipper/closure type and materials YES N/A NO

5.3.5.2(6) Material seam types and composition YES N/A NO

5.3.5.2(7) Exhaust valve types and material(s) YES N/A NO

5.3.5.2(8) External fitting types and material(s) YES N/A NO

5.3.5.2(9) External gasket types and material(s) YES N/A NO

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Section Section 5.3 Technical Data Package Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.3.5.2(10) Outer garment, glove, or boot material(s)

YES N/A NO

5.3.5.2(11) Manufacturer and specific model of respirator(s) tested with the ensemble

YES N/A NO

5.3.5.2(12) Type or style of head protection accommodated within the suit

YES N/A NO

5.3.5.3

All descriptions of material composition shall specify either the generic material names or trade names if the composition of the material is proprietary. For separate items or detachable components, the description shall also include the manufacturer and style or model number.

YES NO

5.3.5.4 Descriptions of respective suit materials and components shall include the following information, if applicable:

5.3.5.4(1)

Vi t i l

The availability of permanent detachable covers and films

YES N/A NO

5.3.5.4(2)a

Gl

Type of linings or surface treatments

YES N/A NO

5.3.5.4(2)b

Gl

Available glove sizes and dimensional data for size determination

YES N/A NO

5.3.5.4(3)a Footwear

Type of linings or surface treatments

YES N/A NO

5.3.5.4(3)b Footwear

Type of soles or special toe reinforcements

YES N/A NO

5.3.5.4(3)c Footwear

Available footwear sizes

YES N/A NO

5.3.5.4(4)a Garment closure

Material(s) of construction for closure (including chain, slide, pull, and tape for zippers)

YES N/A NO

5.3.5.4(4)b Garment closure

Location and length of the completed closure assembly

YES N/A NO

5.3.5.4(4)c Garment closure

Description of any protective covers for flaps

YES N/A NO

5.3.5.4(4)d

Garment closure

Other clothing items (e.g., outer garments), type and how used with ensemble

YES N/A NO

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Section Section 5.3 Technical Data Package Requirements

Participant Review / Page # / Paragraph

SEI Compliant

Checklist

5.3.5.5 The manufacturer shall describe, in the technical data package, the type of seams or methods of attachment for the following garment material and component combinations:

5.3.5.5(1) Garment material–garment material YES N/A NO

5.3.5.5(2) Garment material–visor YES N/A NO

5.3.5.5(3) Garment material–glove YES N/A NO

5.3.5.5(4) Garment material–footwear YES N/A NO

5.3.5.5(5) Garment material–garment closure YES N/A NO

5.3.5.5(6) Outer cover–outer cover YES N/A NO

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- - - - - - - - - - - - - - - - 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:

____________________________________

INITIAL TECHNICAL DATA PACKAGE REVIEW

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

COMMENTS:

Prepared by & Date:

____________________________________

Reviewed by & Date:

____________________________________

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SUBSEQUENT REVIEW (LABEL / USER INFORMATION / TECHNICAL DATA PACKAGE)

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

COMMENTS:

Prepared by & Date:

____________________________________

Reviewed by & Date:

____________________________________

Measuring Device ID Number: