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Safety Equipment Institute
SEI Certification Program Manual Section 25: NFPA Protective Clothing and Equipment Program
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 1 of 17
25.0 NFPA Protective Clothing and Equipment Program Standards
NFPA 1971-13 Protective Ensemble for Structural Fire Fighting
NFPA 1975-14 Station/Work Uniforms for Fire Fighters
NFPA 1977-16 Protective Clothing & Equipment for Wildland Fire Fighting
NFPA 1999-13 Protective Clothing for Emergency Medical Operations
NFPA 1951-13 Technical Rescue & Recovery
NFPA 1952-15 Surface Water Operations
NFPA 1953-16 Contaminated Water Diving
25.1 Certification Submittal Package
A Certification Submittal Package shall include an SEI Certification Submittal form (see Section 25A: SEI
Certification Submittal Form), a Components & Materials Description Checklist form (see Section 25B:
General Components & Materials Description Checklist) and a User Guide and Label Checklist form (see
Section 25C: User Guide and Label Checklist) for each product model, variant or accessory being
submitted. Completion of the submittal package serves four primary purposes:
1. The submittal package provides SEI and the SEI Quality Assurance Auditor with a
description of new, modified or products to be selected for annual certification.
2. The information provided by the manufacturer in the submittal package confirms to SEI
the product design and components.
3. Receipt of the submittal package by the testing laboratory, from SEI, serves as the
laboratory’s authorization to begin testing the product(s) and allows laboratory
personnel to verify that the correct product samples have been received.
4. The return of a signed copy of the submittal form from the testing laboratory provides
SEI with a record of the date testing was completed on the product model.
Over the life of the product, subsequent submittal packages shall document that the product model
submitted for certification testing is identical to samples previously tested, except where Class I model
changes have been tested and documented through the submission of additional SEI submittal packages
or documented Class II changes have been made. It is therefore necessary that each submittal to SEI
include sufficient product description information, which is achieved by a complete components and
materials listing to uniquely and unambiguously identify the product model in question (see Section 14:
Product Changes).
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 2 of 17
SEI Certification Submittal Form
Each submittal must be identified on the submittal form as either (1) initial certification, (2) annual
recertification, (3) Class I change, or (4) Class II change. Finished product manufacturing facilities
(assembly) located at a different address (i.e. suppliers or company-owned factories) shall be identified
in Section 3 of the submittal form. The SEI Certification Submittal Form shall be signed by the authorized
manufacturer representative within the participating company having the authority to authorize
expenditures for testing.
Components & Materials Description List
The product description information may be (a) listed on the Component and Materials Description
Checklist form, (b) provided as a separate listing by the manufacturer (i.e. Bill of Materials), or (c)
appropriate engineering drawings/ specification sheets. Use of Section 25B: General Components and
Materials Description Checklist form is recommended. The following information is to be included on
each Components & Materials Description Checklist. Brief examples are provided for guidance.
A. Description of Major Components
All major components and materials shall be identified and described. Where possible, include
brand name and part number, supplier name and location.
B. Primary Materials
Materials used in the construction of major components shall be identified. Identification shall
include trade names, if applicable. All changes shall be reported to SEI for evaluation and
possible action.
C. Manufacturing Locations
All locations in which the product model is manufactured or assembled must be identified on the
SEI Certification Submittal Form. If major components are manufactured by another company
and purchased by the SEI participants, the name and address of the manufacturing facility and
contact name shall be identified on the Components & Materials Description Checklist.
D. Specification Sheets or Technical Bills of Materials
Product specification sheets or technical bills of materials (BOM) may be included with the SEI
Certification Submittal Form in addition to the Components & Materials description checklist to
fulfill some or all other requirements noted above. In the case of annual recertification, the
appropriate documents (i.e., submittal form and components and materials listing or BOM) shall
be prepared prior to the sample selection audit and available to the auditor during the audit for
reference and confirmation of product.
E. Confidentiality
All product information received by SEI staff, the SEI Quality Assurance Auditor, or the SEI
testing laboratory shall be considered confidential and shall not be released to any third party
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 3 of 17
without written authorization to do so (with the exceptions noted Section 3: Manufacturer’s
Agreement for response to a subpoena, court order or other compulsory process).
User Guide and Label Checklist
A User Guide and Label are required for protective ensemble and ensemble elements. The
standards specify the minimum information that must be presented, and each manufacturer may
provide as much information about the products as they deem necessary to use the products safely.
However, the standard does not specify or require a set format for presenting this information. As a
result, there are many ways a User Guide or Label can be arranged and presented, which is up to the
discretion of each manufacturer. Use of Section 25C: User Guide and Label Checklist form is
recommended to be completed so an accurate review and evaluation can be conducted.
25.2 NFPA Protective Clothing and Equipment Program Codes
SEI Reference Program
Code
Standard Description Product Type Standard
FF Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting
Structural Fire Fighting Helmets
NFPA 1971
FFG Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting
Structural Fire Fighting Gloves
NFPA 1971
SFB Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting
Structural Fire Fighting Boots
NFPA 1971
SFG Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting
Protective Ensemble for Structural Fire Fighting
NFPA 1971
SFH Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting
Structural Fire Fighting Hoods
NFPA 1971
SWU Standard on Emergency Services Work Clothing Elements
Station/Work Uniforms for Fire Fighters
NFPA 1975
WFC Standard on Protective Clothing and Equipment for Wildland Fire Fighting
Protective Clothing & Equipment for Wildland Fire Fighting
NFPA 1977
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 4 of 17
SEI Reference Program
Code
Standard Description Product Type Standard
WFF Standard on Protective Clothing and Equipment for Wildland Fire Fighting
Wildland Fire Fighting Boots
NFPA 1977
WFG Standard on Protective Clothing and Equipment for Wildland Fire Fighting
Wildland Fire Fighting Gloves
NFPA 1977
WFH Standard on Protective Clothing and Equipment for Wildland Fire Fighting
Wildland Fire Fighting Helmets
NFPA 1977
WFP Standard on Protective Clothing and Equipment for Wildland Fire Fighting
Wildland Fire Fighting Chainsaw Protectors
NFPA 1977
EMO Standard on Protective Clothing for Emergency Medical Operations
Protective Clothing for Emergency Medical Operations
NFPA 1999
UPF Standard on Protective Ensembles for Technical Rescue Incidents
USAR Footwear NFPA 1951
UPG Standard on Protective Ensembles for Technical Rescue Incidents
Technical Rescue and Recovery
NFPA 1951
UPH Standard on Protective Ensembles for Technical Rescue Incidents
USAR Helmets NFPA 1951
USG Standard on Protective Ensembles for Technical Rescue Incidents
USAR Gloves NFPA 1951
SWO Standard on Surface Water operations Protective Clothing and Equipment
Surface Water Operations NFPA 1952
CWD Standard on Protective Ensembles for Contaminated Water Diving
Contaminated Water Diving
NFPA 1953
SEI utilizes SEI Reference Numbers internally to identify each SEI participant and their unique models and variants. The first set of two or three letters/numbers indicates which standard program code the model/variant is being certified against. The second set of three letters indicates the SEI participant's unique identification. The third set of numbers is assigned by SEI to identify each model (see definition below) being certified.
eg: BBH ABC 03 eg: BBH ABC V03
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 5 of 17
Where BBH identifies the standard program code Where ABC identifies the unique participant identification Where 03 identifies the model submitted for certification Where V03 identifies the model as the third variant (V03) for this Participant Identification (ABC) 25.3 Definition of a “Model”
“Model” is the collective term used to identify a group of protective devices of the same basic design
and components from a single applicant produced by the same manufacturing and quality assurance
procedures that are covered by the same certification. Any characteristic that affects the device’s
performance under the limits of the current certification standards constitutes a different model. For
purposes of the SEI Certification Program, the above definition of the term “model” uses performance
characteristics as the basic criteria.
25.4 Application & Annual Certification Fees
Testing shall be performed annually. When an initial submittal package is submitted to SEI, the
Application Fees and Annual Participation Fees (See Section 7: Annual Participation Fees) are due. Upon
completion of initial testing, Annual Model Certification Fees are due. The following is a schedule of
application fees and annual model certification fees that apply to the recreational products program:
Model Type Submittal Type Application Fee Annual Model Certification Fees
Base Model
Initial $250 $435
Class I Change $50 N/A
Class II Change $50 N/A
Variant Model
Initial $60 $125
Class I Change $50 N/A
Class II Change $50 N/A
Accessory Model
Initial $60 $60
Class I Change $50 N/A
Class II Change $50 N/A
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 6 of 17
25.5 NFPA 1971 Protective Ensemble for Structural Fire Fighting
A. Definition of Model
Helmets:
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard:
1. Basic raw material of:
a. Shell
b. Energy absorbing system
c. Retention system
d. Ear and neck protectors, if applicable
e. Faceshield
2. Mechanism for attaching accessories to the shell
3. Manufacturing change for any critical component, e.g., basic mold change, injection
molding, sheet stock, fabrication
4. Basic design
5. Paint
6. Size
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard:
1. Same generic material from different source of supply
Footwear:
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard:
1. Upper material, composition, thickness or design
2. Sole material, composition, thickness or design
3. Footwear configuration
4. Thread type
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard:
1. Color
2. Accessory options (e.g., straps)
Gloves:
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard:
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 7 of 17
1. Glove outer material composition, thickness or design
2. Glove liner material composition, thickness or design
3. Glove moisture barrier composition, thickness or design
4. Glove wristlet composition, thickness or design
5. Glove seam construction technique or design
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard:
1. Basic design alternations not affecting glove circumference and length
2. Color changes that do not result in an effect on substrate performance
3. Additional sizes beyond what is required by NFPA
Clothing:
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard:
1. Outer shell material, composition, thickness or design
2. Collar liner material, composition, thickness or design
3. Thermal liner material, composition, thickness or design
4. Winter liner material, composition, thickness or design
5. Moisture barrier material, composition, thickness or design
6. Hood material, composition, thickness or design
7. Wristlet material, composition, thickness or design
8. Seam construction, techniques and design
9. Garment configuration
10. Thread material and composition
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard:
1. Color
2. Trim color
3. Clothing design options (e.g., pockets)
4. Size
B. Examples of Major Components
Not applicable for this product
C. Laboratory Testing Fees/ Attributes & Variables
SEI currently has approved one (1) laboratory that may conduct testing to this standard. The
schedule of rates for testing at these laboratories can be found on the SEI website and can be
used to estimate the total cost of testing for all the models that are to be certified.
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 8 of 17
25.6 NFPA 1975 Station/Work Uniforms for Fire Fighters
A. Definition of Model
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Textile fabric material composition, thickness or design
2. Interlining material composition, thickness or design
3. Thread composition, thickness or design
4. Other component composition, thickness or design used in the construction of the
uniform that must be tested to meet requirement 3-1.2 of the standard.
5. Textile fabric finishes
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Seam construction techniques and design
2. Basic design
3. Color (unless pigmenting affects material composition)
4. Size
B. Examples of Major Components
Not applicable for this product
C. Laboratory Testing Fees/ Attributes & Variables
SEI currently has approved one (1) laboratory that may conduct testing to this standard. The
schedule of rates for testing at these laboratories can be found on the SEI website and can be
used to estimate the total cost of testing for all the models that are to be certified.
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 9 of 17
25.7 NFPA 1977 Protective Clothing & Equipment for Wildland Fire Fighting
A. Definition of Model
Clothing
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Material, composition, thickness or design
2. Seam construction, techniques and design
3. Garment configuration
4. Thread material and composition
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation: Color
1. Trim
2. Clothing design options (e.g., pockets, if made from same base material)
3. Size
Helmets
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Basic raw material
2. Suspensions (materials or type)
3. Mechanisms for attaching accessories
4. Retention system
5. Basic design
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Color
2. Size
3. Same generic raw materials from different sources of supply
4. Suspension orientation
5. Retroreflective material color
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 10 of 17
Gloves
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Material, composition, thickness or design
2. Seam construction, techniques and design
3. Glove configuration (e.g., wristlets versus gauntlets)
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Color
2. Size (except as required in 6-1.2)
Footwear
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Upper material, composition, thickness or design
2. Sole/heel material composition, thickness or design
3. Stud hook and eyelet composition and installation method
4. Footwear construction methods and configuration
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Color
2. Height
3. Footwear design options (e.g., traps, if made from same base material)
4. Size
B. Examples of Major Components
Not applicable for this product
C. Laboratory Testing Fees/ Attributes & Variables
SEI currently has approved one (1) laboratory that may conduct testing to this standard. The
schedule of rates for testing at these laboratories can be found on the SEI website and can be
used to estimate the total cost of testing for all the models that are to be certified.
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 11 of 17
25.8 NFPA 1999 Protective clothing for Emergency Medical Operations
A. Definition of Model
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Garment, glove or facewear material composition, thickness or design including
accessory material or components required to meet the requirements of the standard
2. Seam construction techniques and design
3. Suit closure type, design and orientation
4. Addition of external components which affect the liquid-tight integrity of the protective
item
5. Basic design
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Color (unless pigmenting affects material composition)
2. Size (except gloves)
3. Internal components which do not affect the liquid-tight integrity of the protective item
B. Examples of Major Components
Not applicable for this product
C. Laboratory Testing Fees/ Attributes & Variables
SEI currently has approved one (1) laboratory that may conduct testing to this standard. The
schedule of rates for testing at these laboratories can be found on the SEI website and can be
used to estimate the total cost of testing for all the models that are to be certified.
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 12 of 17
25.9 NFPA 1951 Technical Rescue & Recovery
A. Definition of Model
Clothing
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Material, composition, thickness or design
2. Seam construction, techniques and design
3. Garment configuration
4. Thread material and composition
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation: Color
1. Trim
2. Clothing design options (e.g., pockets, if made from same base material)
3. Size
Helmets
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Basic raw material
2. Suspensions (materials or type)
3. Mechanisms for attaching accessories
4. Retention system
5. Basic design
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Color
2. Size
3. Same generic raw materials from different sources of supply
4. Suspension orientation
5. Retroreflective material color
Gloves
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 13 of 17
1. Material, composition, thickness or design
2. Seam construction, techniques and design
3. Glove configuration (e.g., wristlets versus gauntlets)
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Color
2. Size (except as required in 6-1.2)
Footwear
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Upper material, composition, thickness or design
2. Sole/heel material composition, thickness or design
3. Stud hook and eyelet composition and installation method
4. Footwear construction methods and configuration
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Color
2. Height
3. Footwear design options (e.g., traps, if made from same base material)
4. Size
B. Examples of Major Components
Not applicable for this product
C. Laboratory Testing Fees/ Attributes & Variables
SEI currently has approved one (1) laboratory that may conduct testing to this standard. The
schedule of rates for testing at these laboratories can be found on the SEI website and can be
used to estimate the total cost of testing for all the models that are to be certified.
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 14 of 16
25.10 NFPA 1952 Swift Water Operations and NFPA 1953 Contaminated Water Diving
A. Definition of Model
Clothing
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Material, composition, thickness or design
2. Seam construction, techniques and design
3. Garment configuration
4. Thread material and composition
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Trim
2. Color
3. Clothing design options (e.g., pockets, if made from same base material)
4. Size
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Color
2. Height
3. Footwear design options (e.g., traps, if made from same base material)
4. Size
Helmets
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Basic raw material
2. Suspensions (materials or type)
3. Mechanisms for attaching accessories
4. Retention system
5. Basic design
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Color
2. Size
3. Same generic raw materials from different sources of supply
4. Suspension orientation
5. Retroreflective material color
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 15 of 16
Gloves
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Material, composition, thickness or design
2. Seam construction, techniques and design
3. Glove configuration (e.g., wristlets versus gauntlets)
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Color
2. Size (except as required in 6-1.2)
Footwear
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Upper material, composition, thickness or design
2. Sole/heel material composition, thickness or design
3. Stud hook and eyelet composition and installation method
4. Footwear construction methods and configuration
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Color
2. Height
3. Footwear design options (e.g., traps, if made from same base material)
4. Size
Floatation Device
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Material, composition, thickness or design
2. Seam construction, techniques and design
3. Device configuration
4. Thread material and composition
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 09.01.16
Date of Issue: 01.12.12
Page 16 of 16
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. color
2. size
3. Examples of Major Components
Not applicable for this product
B. Examples of Major Components
Not applicable for this product
C. Laboratory Testing Fees/ Attributes & Variables
SEI currently has approved one (1) laboratory that may conduct testing to this standard. The
schedule of rates for testing at these laboratories can be found on the SEI website and can be
used to estimate the total cost of testing for all the models that are to be certified.
25A. SEI General Certification Submittal Form
1307 Dolley Madison Blvd, Suite 3A, McLean, VA 22101
Phone: (703) 442-5732 Fax: (703) 442-5756 Email: info@SEInet.org
Submittal Date: SEI Ref. No.:
Manufacturer:
Street Address:
City/State/Zip:
Tel: Fax: Email:
Web:
Initial:
Annual:
Standard
Rev/Annual:
Class I:
Class II:
Basic model:
Variant:
Accessory:
Type of Submittal: (select one)
Product has not previously been tested by SEI.*
Product is currently certified by SEI, is being submitted for annual recertification and no changes have
been made to product since last test date. *
Product is currently certified by SEI. Standard has been revised and this will also serve as an annual
recertification.*
Product is currently SEI certified and a change in materials, construction, manufacturing location, etc. has
been made to the product. *
Product is currently SEI certified and the proposed change is believed to not affect the product’s form, fit
or function.
Category of Product: (select one)
Protective device of the same basic design and components, produced by the same manufacturing
location. *
Variation of basic model distinguished by a single component (i.e., lens shades, suspension systems,
reverse headbands, closures, etc.)*
Product that is for use with a specific SEI certified model, designed in such a manner to be removable
from model without affecting the performance of that model in accordance with the applicable standard.
*
* Definitions are not all inclusive and do not apply to all SEI product certifications. Refer to the SEI Certification Program Manual for
additional detailed information and descriptions.
If model is manufactured at different location(s) than stated in Section (2), list all manufacturing locations:
Legal Status (Inc., LLC,
etc.)
25A Submittal Form
09.01.2016
25A. SEI General Certification Submittal Form
1307 Dolley Madison Blvd, Suite 3A, McLean, VA 22101
Phone: (703) 442-5732 Fax: (703) 442-5756 Email: info@SEInet.org
Standard Testing
To:
Type of Product:
Model Number(s):
Brand Name:
Authorized
Manufacturer
Representative:
Signature:
We request certification or continuation of certification of the above model to the referenced standard in accordance with the program established by the Safety
Equipment Institute. We certify that the unit(s) of the above model, as submitted for testing and certification, represents the product(s) that will be offered for sale.
Samples of this product are being sent to the laboratory. Please complete all nine (9) sections of the SEI certification submittal form and include any necessary
attachments. Incomplete submittal paperwork may lead to delays in the processing and performance testing.
Product Description. Briefly describe below. Attach applicable Components & Materials Description Checklist, and if applicable, test plan
matrix/configurations, Bill of Materials, product literature)
Test samples
shall be:
Returned to
manufacturerIf fail, return to
manufacturer
Destroyed by laboratory
25A Submittal Form
09.01.2016
25B. General Components Materials Description Checklist
1. SEI Reference Number:
2. Manufacturer (SEI
Participant):
3. Model Series/Brand
Name
(one model per checklist):
4. Standard:
For all initial and annual submittals, all sections shall be completed.
For changes, complete all sections; mark in BOLD that which has been changed.
7. List all Model Numbers
8. COMPONENT
Signed By: Name:
Company: Date:
The above information regarding the model is correct to the best of my knowledge. If this model is being submitted for annual
testing, I confirm that no known changes that could affect the models ability to meet the performance requirements of the
*Helmet Positioning Index - Specify either the nose gauge positioning or specify the measurement (mm) from the front rim of the
helmet, downward vertically, to the basic plane on the front meridian plane of the test headform. (ND001 Section 20)
Material Type, Trade Name, Part Number, Grade,
Weight, Dimensions, Density, Bead, Color, etc.
SOURCE(S) OF SUPPLY (provide complete
address, contact info for all source(s)
5. Certification Submittal
Type (Select one): Initial Annual
Change:
Class 1: Testing required
Class 2: No testing expected to be required
6. List all assembly locations, sub-assembly & final product (use separate sheet if needed):
Description (i.e. color, size, type)
Upon completion of this checklist, submit it along with the SEI Certification Submittal Form.
Please refer to the “Examples of Major Components” for suggested product components for which a description is required. Any
additional component found in the product shall also be described.
25B CM Form
09.01.2016
25B. Protective Clothing Components Materials Description Checklist
Initial Annual Class 1: Testing requiredClass 2: No testing
expected to be required
For all initial and annual submittals, all sections shall be completed
Front Closure Description
For changes, complete all sections and mark in BOLD that which has been changed.
Garment TypeCan closure be
reversible?
4. Model Series/Brand Name: (One model
per checklist)
5. NFPA Standard:
6. Certification
Submittal Type
(Select one):
Change
Finished Garment Identification Model Number(s)
or Name(s)
2. Manufacturer (SEI Participant):
For use with certification testing submittals to
3. Manufacturing Location:
NFPA 1971, NFPA 1975, NFPA 1977, NFPA 1999, NFPA 1951, NFPA 1952 and NFPA 2112. Upon completion of this checklist, submit it along with the SEI Certification Submittal Form.
Please refer to the “Examples of Major Components” for suggested product components for which a description is required. Any additional
component found in the product shall also be described. Where applicable, primary garment material suppliers which participate in the SEI
program for material component recognition shall be identified.
1. SEI Reference Number:
25B CM Form - Clothing
09.01.2016
25B. Protective Clothing Components Materials Description Checklist
Fabric Model / Style Fabric Weight Fabric Blend Fabric Weave
Fabric Model / Style Fabric Weight Fabric Blend Fabric Weave
Fabric Model / Style Seam Sealing Tape
Moisture Barrier
Material & Seam
Sealing Tape
Sealing Machine Speed Pressure Temperature Seam Type
Moisture Barrier Thermal Liner
Garment Composite Identification Outer Shell
Seam Sealing Parameters
Moisture Barrier Seam Construction
Supplier
Moisture Barrier Identification
Thermal Liner IdentificationSupplier
Supplier
Outer Shell Fabric Identification
25B CM Form - Clothing
09.01.2016
25B. Protective Clothing Components Materials Description Checklist
Model / Style Material Weight Material CompositionUse / Location in
Garment
Model / Style Hardware Type Composition Use in Garment
Model / Style Widths Used
Hook and Loop Identification Supplier Composition
Supplier
Hardware Identification
Supplier Model / Style Description
Reflective Trim Identification
Supplier Model / Style Blend / Composition
Thread Identification
Reinforcement Material Identification
Supplier
25B CM Form - Clothing
09.01.2016
25B. Protective Clothing Components Materials Description Checklist
Model / Style DescriptionAttachment Method
(heat sealed or sewn)?
Does the label have
hand markings? If yes,
what is marking type?
Model / Style Description Attachment Method Located on Coat Sleeve?
Model / Style Use in Garment
Other Materials IdentificationSupplier Composition
Drag Rescue Device (DRD) Webbing Identification
Supplier Model / Style Composition
Letters / Logos Identification
Supplier
Label Material Identification
Supplier
Attachment Method Water-Well Description
Wristlet / Water-Well Identification
Wristlet IdentificationSupplier Model / Style Composition
25B CM Form - Clothing
09.01.2016
25B. Protective Clothing Components Materials Description Checklist
Layer 1 (outermost
layer)Layer 2 Layer 3 Layer 4 Layer 5 Layer 6
Layer 1 (outermost
layer)Layer 2 Layer 3 Layer 4 Layer 5 Layer 6
Layer 1 (outermost
layer)Layer 2 Layer 3 Layer 4 Layer 5 Layer 6
Front Closure
Attachment Method
Sleeve End
Attachment Method
Pant Waist Attachment
Method
Leg Opening Attachment
Method
Liner Attachment Identification
Collar Attachment Method
Shoulder Composite Identification
Knee Composite Identification
Collar Composite Identification
25B CM Form - Clothing
09.01.2016
25B. Protective Clothing Components Materials Description Checklist
Signed By: Name:
Company: Date:
The above information regarding the model(s) is correct to the best of my knowledge. If this model is being submitted for annual
testing, I confirm that no known changes that could affect the models ability to meet the performance requirements of the
applicable standard have taken place since the last SEI annual test series, which have not been communicated to SEI.
Other Identification / Notes
Integrated Harness Identification
Harness Model Garment Models Used In
Is Harness
NFPA 1983-2012 certified?
Drag Rescue Device (DRD) Location Identification
Description of Installation and Routing Description of DRD Opening and Location
Interior Facings Identification
Front Interior (coat and pant) Facing Description Collar Interior Facing Description
Throat Tab Identification
Coat Attachment Method Throat Tab Description
25B CM Form - Clothing
09.01.2016
25B. Protective Gloves Components Materials Description Checklist
Initial AnnualClass 1: Testing
required
Class 2: No testing
expected to be
required
For all initial and annual submittals, all sections shall be completed
Material Type* Material WeightMaterial Composition Material Manufacturer
For changes, complete all sections and mark in BOLD that which has been changed.
Glove Model Identification
2. Manufacturer (SEI Participant):
3. Manufacturing Location:
4. Model Series/Brand Name: (One
model per checklist)
Glove Material Identification
Wristlet and/or GauntletModel / Style Number
For use with certification testing submittals to
NFPA 1971, NFPA 1975, NFPA 1977, NFPA 1999, NFPA 1951, NFPA 1952 and NFPA 2112.
Upon completion of this checklist, submit it along with the SEI Certification Submittal Form.
Please refer to the “Examples of Major Components” for suggested product components for which a description is required.
Any additional component found in the product shall also be described. Where applicable, primary garment material
suppliers which participate in the SEI program for material component recognition shall be identified.
1. SEI Reference Number:
5. NFPA Standard:
6. Certification
Submittal Type
(Select one):
Change
25B CM Form - Gloves
09.01.2016
25B. Protective Gloves Components Materials Description Checklist
Layer 1
(outer most
layer)
Model / Style
A-P
B-P
C-P
D-P
E-P
F-P
G-P
H-P
I-P
A-PS
B-PS
C-PS
D-PS
E-PS
F-PS
H-PS
I-PS
A-B
B-B
C-B
D-B
E-B
F-B
G-B
H-B
I-B
A-BS
B-BS
C-BS
D-BS
E-BS
F-BS
H-BS
I-BS
Glove Composite Identification
*Use Material Type to identify layers.
Layer 2 Layer 3 Layer 4 Layer 5
25B CM Form - Gloves
09.01.2016
25B. Protective Gloves Components Materials Description Checklist
Tape Identification
Supplier
Supplier Material / Type
Glue Identification
Where is it used in the glove?
Where is it used in the glove? Material / Type
Glove Construction Identification
How is the liner attached to the moisture barrier?
How is the moisture barrier attached to the glove outer material?
Who seam seals the moisture barrier?
Blend / Composition
Thread Identification
Supplier Model / Style
25B CM Form - Gloves
09.01.2016
25B. Protective Gloves Components Materials Description Checklist
Model / Style Description
Attachment
Method (heat
sealed or sewn)?
Does the label
have hand
markings? If yes,
what is marking
type?
Signed By: Name:
Company: Date:
The above information regarding the model(s) is correct to the best of my knowledge. If this model is being
submitted for annual testing, I confirm that no known changes that could affect the models ability to meet the
performance requirements of the applicable standard have taken place since the last SEI annual test series,
which have not been communicated to SEI.
Other Identification / Notes
Label Material Identification
Supplier
25B CM Form - Gloves
09.01.2016
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2013Edition
YES N/A NO YES N/A NO
5.1.1 Each element of both protective ensembles shall have at least one product label
permanently and conspicuously located inside each element when the element is 5.1.2 Multiple label pieces shall be permitted in order to carry all statements and
information required to be on the product label. However, all labels comprising the
5.1.3
5.1.4All worded portions of the required product label shall be printed at least in English.
5.1.5Symbols and other pictorial graphic representations shall be permitted to be used to
supplement worded statements on the product label(s).
5.1.6
The compliance statement specified in Section 5.2 for structural fire fighting
protective ensemble elements and in Section 5.3 for proximity fire fighting protective
ensemble elements shall be printed legibly on the product label.
5.1.7
5.1.7 (1) Manufacturer’s name, identification, or designation
5.1.7 (2) Manufacturer’s address
5.1.7 (3) Country of manufacture
5.1.7 (4) Manufacturer’s element identification number, lot number, or serial number
5.1.7 (5) Month and year of manufacture, not coded
5.1.7 (6) Model name, number, or design
5.1.7 (7) Size or size range
5.1.7 (8) Principle material(s) of construction
5.1.7 (9) Cleaning precautions
5.1.7.1
For garments only, where the principal material of construction is a component that
is listed, the component name under which it is listed shall be identified.
Measurement:
Measurement: Measurement:
Participant
Checklist
SEI Compliant
Checklist
Measurement:
Section Sections 5.1 - 5.3 Product Label Requirements
PARTICPANT NAME:
SEI REFERENCE NUMBER:
NAME/MODEL/DESCRIPTION:
The following information shall also be printed legibly on each product label with all
letters at least 1.5 mm (1/16 in.) in height:
The certification organization’s label, symbol, or identifying mark shall be
permanently attached to the product label or shall be part of the product label. All
letters shall be at least 2.5 mm (3/32 in.) high. The label, symbol, or identifying mark
shall be at least 6mm (1/4 in.) in height and shall be place in a conspicuous location.
25C LUT Form - NFPA 1971
09.01.2016
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2013Edition
YES N/A NO YES N/A NO
5.1.7.2
For garments only, where the thermal liner, moisture barrier, and outer shell are
separable, each separable layer shall also have a label containing the information
required in 5.1.7(4) through 5.1.7(8).
5.1.7.3
For footwear only, principal materials of construction shall include at least the outer
shell, moisture barrier, and thermal liner materials. Generic names of materials shall
be used. Additional materials that are used throughout the majority of the boot shall
also be listed on the label.
5.1.7.4For helmets only, principal materials of construction shall include generic terminology
for the shell material provided.
5.1.7.5
For gloves only, principal materials of construction shall include at least outer shell,
moisture barrier, thermal liner, and wristlet materials. Generic names of materials
shall be used. The type of leather shall be listed, such as cow leather, elk leather,
and so forth. Additional materials that are used throughout the majority of the glove
body shall also be listed on the label.
5.1.8
For garments only, where the thermal liner, moisture barrier, and outer shell are
separable, each separable layer shall also have a label containing the information
required in 5.1.7(4) through 5.1.7(9).
5.1.9
For principal materials of construction of boots, at least the outer shell, moisture
barrier, and thermal liner shall be listed. Generic names of materials shall be used.
Additional materials that are used throughout the majority of the boot shall also be
listed on the label.
5.1.10For principal materials of construction of helmets, generic terminology for the shell
material shall be provided.
5.1.11
For principal materials of construction of gloves, at least outer shell, moisture barrier,
thermal liner, and wristlet shall be listed. Generic names of materials shall be used.
The type of leather shall be listed, such as cow leather, elk leather, and so forth.
Additional materials that are used throughout the majority of the glove body shall
also be listed on the label.
The following compliance statement shall be printed legibly on the product label for
each structural fire fighting protective ensemble element, unless the requirements in
5.2.1.1 prevail. The appropriate term for the element type – garment, helmet, glove,
footwear, hood – shall be inserted in the compliance statement text where indicated.
All product label letters and figures shall be at least 2.5 mm (3/32 in.) in height.
5.2.1
“THIS STRUCTURAL FIRE FIGHTING PROTECTIVE (insert appropriate element
term here) MEETS THE (insert appropriate element term here)
REQUIREMENTS OF NFPA 1971, 2013 EDITION.
DO NOT REMOVE THIS LABEL.”
Where an entire ensemble is also certified as compliant with the optional
requirements for protection against CBRN terrorism agents, each element of the
entire ensemble shall have at least the additional following compliance statement on
the product label in place of the compliance statement specified in 5.2.1. The
appropriate term for the element type – garment, helmet, glove, footwear, hood –
shall be inserted in the compliance statement text where indicated. Other than the
words “CBRN PROTECTIVE ENSEMBLE,” all product label letters shall be at least
2.5 mm (3/32 in.) in height The letters of “CBRN PROTECTIVE ENSEMBLE” shall
be at least 10 mm (3/8 in.) in height.
5.2.1.1
“CBRN PROTECTIVE ENSEMBLE
THIS ELEMENT IS NOT INTENDED AS PART OF A HAZARDOUS MATERIALS
PROTECTIVE ENSEMBLE.
THIS STRUCTURAL FIRE FIGHTING PROTECTIVE (insert appropriate element
term here) MEETS THE (insert appropriate element term here)
REQUIREMENTS OF NFPA 1971, 2013 EDITION, AND THE OPTIONAL
REQUIREMENTS FOR CBRN PROTECTION WHEN WORN TOGETHER WITH
THE OTHER SPECIFIED ELEMENTS AND INTERFACE COMPONENTS OF THE
ENSEMBLE.
DO NOT REMOVE THIS LABEL.”
Measurement: Measurement:
Measurement: Measurement:
Section Sections 5.1 - 5.3 Product Label Requirements
Participant
Checklist
SEI Compliant
Checklist
25C LUT Form - NFPA 1971
09.01.2016
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2013Edition
5.2.1.2
The garment element of the ensemble meeting the optional requirements for
protection against CBRN terrorism agents shall list those items of the certified
ensemble by manufacturer name and model number on the product label
5.2.2
Where other protective item(s) or detachable components must be used with
structural fire fighting protective ensemble elements in order for an element to be
compliant with this standard, at least the following statement and information shall
also be printed legibly on the product label. All letters shall be at least 2.5 mm (3/32
in.) high. The appropriate term for the element type – garment, helmet, glove,
footwear, hood – shall be inserted in the statement text where indicated. Following
this statement, the additional protective items or detachable components shall be
listed by type, identification, and how properly assembled.
“FOR COMPLIANCE WITH THE STRUCTURAL FIRE FIGHTING (insert
appropriate element term here) REQUIREMENTS OF NFPA 1971, THE
FOLLOWING PROTECTIVE ITEMS MUST BE WORN WITH THIS (insert
appropriate element term here):
(List additional items or detachable components here.)
DO NOT REMOVE THIS LABEL.”
5.2.3
For helmets only, the helmet manufacturer shall place a unique manufacturer’s part
number, the symbol of the certification organization, and the words “NFPA 1971,
2013 ED” permanently on each replaceable performance critical part of the goggle
lens or faceshield.
5.2.4
For hoods only, where the hood is designed to interface with a specific SCBA
facepiece(s), the hood manufacturer shall add an item to the items specified in
5.1.7.
5.2.4.1The hood manufacturer shall designate the specific SCBA facepiece(s), model(s),
and size(s) in the new item of 5.1.7.
Where the hood is designed to be used with a specific SCBA facepiece(s), the hood
manufacturer shall add to the hood product label the following statement:
5.2.4.2
“FOR COMPLIANCE WITH THE STRUCTURAL FIRE FIGHTING
REQUIREMENTS OF NFPA 1971, THE HOOD CAN ONLY BE USED WITH THE
FOLLOWING NOTED SCBA FACEPIECE(S) [insert SCBA facepiece(s),
model(s), and size(s) here].
5.2.5
For garments only, the garment manufacturer shall place a manufacturer’s
identification number, lot number or serial number, the size or size range, the symbol
of the certification organization, and the words “NFPA 1971, 2013 ED.” On the drag
rescue device (DRD).
The following compliance statement shall be printed legibly on the product label for
each proximity fire fighting protective ensemble element. The appropriate term for
the element type – garment, helmet, glove, footwear – shall be inserted in the
compliance statement text where indicated. All product label letters and figures shall
be at least 2.5 mm (3/32 in.) in height.
5.3.1
“THIS PROXIMITY FIRE FIGHTING PROTECTIVE (insert appropriate element
term here) MEETS THE (insert appropriate element term here)
REQUIREMENTS OF NFPA 1971, 2013 EDITION.
DO NOT REMOVE THIS LABEL.”
Where an entire ensemble is also certified as compliant with the optional
requirements for protection against CBRN terrorism agents, each element of the
entire ensemble shall have at least the additional following compliance statement on
the product label in place of the compliance statement specified in 5.3.1. The
appropriate term for the element type – garment, helmet, glove, footwear, hood –
shall be inserted in the compliance statement text where indicated. With the
exception of the words “CBRN PROTECTIVE ENSEMBLE,” all product label letters
shall be at least 2.5 mm (3/32 in.) in height The letters of “CBRN PROTECTIVE
ENSEMBLE” shall be at least 10 mm (3/8 in.) in height.
5.3.1.1
“CBRN PROTECTIVE ENSEMBLE
THIS ELEMENT IS NOT INTENDED AS PART OF A HAZARDOUS MATERIALS
PROTECTIVE ENSEMBLE.
Measurement: Measurement:
Measurement: Measurement:
Measurement: Measurement:
25C LUT Form - NFPA 1971
09.01.2016
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2013Edition
THIS PROXIMITY FIRE FIGHTING PROTECTIVE (insert appropriate element
term here) MEETS THE (insert appropriate element term here)
REQUIREMENTS OF NFPA 1971, 2013 EDITION, AND THE OPTIONAL
REQUIREMENTS FOR CBRN PROTECTION WHEN WORN TOGETHER WITH
THE OTHER SPECIFIED ELEMENTS AND INTERFACE COMPONENTS OF THE
ENSEMBLE.
DO NOT REMOVE THIS LABEL.”
5.3.1.2
The garment element of the ensemble meeting the optional requirements for
protection against CBRN terrorism agents shall list those items of the certified
ensemble by manufacturer name and model number on the product label
5.3.2
Where other protective item(s) or detachable components must be used with
proximity fire fighting protective ensemble elements in order for an element to be
compliant with this standard, at least the following statement and information shall
also be printed legibly on the product label. All letters shall be at least 2.5 mm (3/32
in.) high. The appropriate term for the element type – garment, helmet, glove,
footwear – shall be inserted in the statement text where indicated. Following this
statement, the additional protective items or detachable components shall be listed
by item/component, identification or part number, and where applicable, how
properly assembled.
“FOR COMPLIANCE WITH THE PROXIMITY FIRE FIGHTING (insert appropriate
element term here) REQUIREMENTS OF NFPA 1971, THE FOLLOWING
PROTECTIVE ITEMS MUST BE WORN WITH THIS (insert appropriate element
term here):
(List additional items or detachable components here.)
DO NOT REMOVE THIS LABEL.”
5.3.2.1
For proximity fire fighting helmets, the list of additional items or detachable
components shall include, as a minimum, the shroud, cover (except where the
helmet cover is part of the shroud), and faceshield.
5.3.3
5.3.4
For the helmet shroud and cover (except where the helmet cover is part of the
shroud), the manufacturer shall place a label on the shroud and cover (except where
the helmet cover is part of the shroud) with a unique manufacturer’s part number or
identification and the following statement. The appropriate term for the item, shroud
or cover, shall be inserted in the statement text where indicated.
“FOR COMPLIANCE WITH THE PROXIMITY FIRE FIGHTING REQUIREMENTS
OF NFPA 1971-2013, THIS [insert appropriate item term here] CAN ONLY BE
USED WITH THE FOLLOWING NOTED HELMET(S) AND ADDITIONAL ITEM(S):
[insert helmet manufacturer’s name and specific helmet model ; and item
name (shroud or cover) and shroud or cover part number, or identification
where applicable].”
5.3.5
For garments only, the garment manufacturer shall place a manufacturer’s
identification number, lot number or serial number, the size or size range, the symbol
of the certification organization, and the words “NFPA 1971, 2013 ED.” on the DRD.
Measurement: Measurement:
Measurement: Measurement:
For helmets only, the helmet manufacturer shall place a unique manufacturer’s part
number, the symbol of the certification organization, and the words “NFPA 1971,
2013 ED” permanently on each replaceable performance critical part of the
faceshield.
25C LUT Form - NFPA 1971
09.01.2016
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2013Edition
Section Section 5.4 User Information Requirements
5.4.1The manufacturer shall provide at least the user information that is specified in 5.4.4
with each structural and proximity fire fighting element.
5.4.2The manufacturer shall attach the required user information, or packaging containing
the user information, to the element in such a manner that it is not possible to use
5.4.3
The required user information, or packaging containing the user information, shall be
attached to the element so that a deliberate action is necessary to remove it. The
manufacturer shall provide notice that the user information is to be removed only by
the end user.
5.4.4The manufacturer shall provide at least the following instructions and information
with each element:
5.4.4 (1a) Pre-use information – Safety Considerations
5.4.4 (1b) Pre-use information – Limitations of use
5.4.4 (1c) Pre-use information – Marking recommendations and restrictions
5.4.4 (1d)Pre-use information – A statement that most performance properties of the element
cannot be tested by the user in the field
5.4.4 (1e) Pre-use information – Warranty information
5.4.4 (2a) Preparation for use – Sizing / adjustment
5.4.4 (2b) Preparation for use – Recommended storage practices
5.4.4 (3) Inspection frequency and details
5.4.4 (4a) Don / Doff – Donning and doffing procedures
5.4.4 (4b) Don / Doff – Sizing and adjustment procedures
5.4.4 (4c) Don / Doff – interface issues
5.4.4 (5)
Proper use consistent with NFPA 1500, Standard on Fire Department Occupational
Safety and Health Program, and 29 CFR 1910.132, General Requirements of
Subpart I, Personal Protective Equipment
5.4.4 (6a)Maintenance and cleaning – Cleaning instructions and precautions with a statement
advising users not to use an element that is not thoroughly cleaned and dried
5.4.4 (6b) Maintenance and cleaning – Inspection details
5.4.4 (6c)Maintenance and cleaning – Maintenance criteria and methods of repair where
applicable
5.4.4 (6d)Maintenance and cleaning – Decontamination procedures for both chemical and
biological contamination
5.4.4 (7) Retirement and disposal criteria and considerations
5.4.5
For the DRD only, the manufacturer shall provide specific information on the use,
inspection, maintenance, cleaning, and retirement of the DRD. Additional
instructions shall be provided on the removal and reinstallation of the DRD into the
garment.
5.4.6
For footwear only, the manufacturer shall establish and provide, upon request, a size
conversion chart for each model or style footwear element based on toe length, arch
length, and foot width as measured on a Brannock Scientific Foot Measuring Device.
5.4.7
For protective ensembles certified to the optional CBRN requirements, the
manufacturer shall provide the following additional instruction and information with
the ensemble:
5.4.7 (1)
A statement that only the ensemble and the specific elements with which the
ensemble has been certified must be worn together to ensure that the optional
CBRN protection is worn.
5.4.7 (2)
A list of the specific elements and interface components that must be worn as part of
the CBRN ensemble, including each type of CBRN SCBA that the ensemble has
been certified with.
5.4.7 (3)
Specific limitations associated with the use of the ensemble for a response involving
CBRN hazards, including but not limited to a statement that protection against
radiological and nuclear hazards is limited to particulates only.
5.4.7 (4)
Specific care and maintenance provisions associated with properly maintaining the
unique performance properties of the ensemble, its elements, or interface
components.
5.4.7 (5)A statement that if the ensemble is used in an emergency involving CBRN hazards
that the ensemble be retired from use and not be furthered used.
5.4.7 (6)
When the optional requirements for CBRN protection necessitate a specific action to
engage interface areas, the manufacturer shall provide details explaining those
procedures.
Participant
ChecklistSEI Compliant
25C LUT Form - NFPA 1971
09.01.2016
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2013Edition
- - - - - - - - - - - - - - - - FOR SEI USE ONLY - - - - - - - - - - - - - - - - - -
INITIAL LABEL REVIEW
COMPLY / NOT COMPLY (do not sign if deemed “not comply”)
COMMENTS:
Measuring Device ID Number:
Prepared by & Date: Reviewed by & Date:
Prepared by & Date: Reviewed by & Date:
INITIAL USER INFORMATION REVIEW
COMPLY / NOT COMPLY (do not sign if deemed “not comply”)
COMMENTS:
Prepared by & Date: Reviewed by & Date:
SUBSEQUENT REVIEW (LABEL/ USER INFORMATION)
COMPLY / NOT COMPLY (do not sign if deemed “not comply”)
COMMENTS:
25C LUT Form - NFPA 1971
09.01.2016
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1999, 2013 Edition
SectionSections 5.1 Product Label Requirements for Emergency Medical
Protective Clothing Items
5.1.1 General Product and Package Label Requirements
5.1.1.1All worded portions of the required product and package labels shall be at least in
English.
5.1.1.3Symbols and other pictorial graphic representations shall be permitted to be used to
supplement worded statements on the product label(s).
5.1.1.4Configuration of the product label and attachment of the product label shall not
interfere with the legibility of any printed portion of the product label.
5.1.1.5
Where applicable, multiple label pieces shall be permitted in order to carry all
statements and information required to be on the product label; however, all label
pieces comprising the entire product label shall be located adjacent to each other.
5.1.1.6
Where package labels are required, the package product label shall be permanently
and conspicuously located on the outside of the package or printed the package and
shall not be removed, obscured, or otherwise mutilated by the opening of the
package, when the package is opened as intended.
5.1.2Single-Use Emergency Medical Garment & EnsembleProduct Label
Requirements
5.1.2.1
Each garment shall have a product label or labels permanently and conspicuously
located inside each garment when the garment is properly assembled with all layers
and components in place.
The product label shall have the certification organization’s label, symbol, or
identifying mark and at least the following statement legibly printed on the product
label.
“THIS [insert the term GARMENT or ENSEMBLE here] IS FOR SINGLE USE
ONLY!
THIS [insert the term GARMENT or ENSEMBLE here] MEETS THE SINGLE-USE
EMERGENCY MEDICAL [insert the term GARMENT or ENSEMBLE here]
REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND
ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2013 EDITION.
DO NOT REMOVE THIS LABEL!”
5.1.2.3 The following information shall also be printed legibly on the product label:
5.1.2.3 (1) Manufacturer’s name, identification, or designation
5.1.2.3 (2) Manufacturer’s address
5.1.2.3 (3) Country of manufacture
5.1.2.3 (4) Garment model and style
5.1.2.3 (5) Trace number
5.1.2.3 (6) Materials of construction
5.1.2.3 (7) Month and year of manufacture, not coded
5.1.2.3 (8) Size
Where the garment is certified as part of a single-use emergency medical protective
ensemble, the following additional language shall be provided:
"TO PROVIDE FULL BODY PROTECTION, THE FOLLOWING ADDITIONAL
ITEMS MUST BE WORN AS PART OF THIS ENSEMBLE.
[list items including manufacturer name and model or style number.]"
5.1.3Multiple-Use Emergency Medical Protective Garment and Ensemble Product
Label Requirements
5.1.3.1
Each garment shall have a product label or labels permanently and conspicuously
located inside each garment when the garment is properly assembled with all layers
and components in place.
5.1.2.4
5.1.2.2
5.1.1.2All letters and numbers on product labels and product package labels shall be at least
2mm (1/16 in) high.
Measurement:
PARTICPANT NAME:
SEI REFERENCE NUMBER:
NAME/MODEL/DESCRIPTION:
Participant
Review
SEI
Compliant
Checklist
Measurement:
25C LUT Form (Label) - NFPA 1999
09.01.2016
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1999, 2013 Edition
The product label shall have the certification organization’s label, symbol, or
identifying mark and at least the following statement legibly printed on the product
label:
“THIS [insert the term GARMENT or ENSEMBLE here] MEETS THE MULTIPLE-
USE EMERGENCY MEDICAL [insert the term GARMENT or ENSEMBLE here]
REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING and
ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2013 EDITION.
DO NOT REMOVE THIS LABEL!”
5.1.3.3 The following information shall also be printed legibly on the product label:
5.1.3.3 (1) Manufacturer’s name, identification, or designation
5.1.3.3 (2) Manufacturer’s address
5.1.3.3 (3) Country of manufacture
5.1.3.3 (4) Garment model and style
5.1.3.3 (5) Trace number
5.1.3.3 (6) Materials of construction
5.1.3.3 (7) Month and year of manufacture, not coded
5.1.3.3 (8) Size
5.1.3.4
Where visibility materials are used on garments and the garment meets the
requirements of ANS/ISEA 107, High-Visibility Safety Apparel and Headwear, the
product shall also meet the marking information required by ANSI/ISEA 107.
Where visibility materials are used on garments and are not intended to meet the
requirements in ANSI/ISEA 107, High-Visibility Safety Apparel and Headwear, the
product label shall include the following warning:
5.1.3.5
“WEARING OF THIS GARMENT ALONG ROADSIDES OR OTHER AREAS WITH
VEHICULAR TRAFFIC REQUIRES ADDITIONAL HIGH VISIBILITY SAFETY
APPAREL, COMPLIANT WITH AT LEAST THE CLASS 2 REQUIREMENTS OF
ANSI/ISEA 107.”
Where the garment is certified as part of a multiple-use emergency medical protective
ensemble, the following additional language shall be provided:
"TO PROVIDE FULL BODY PROTECTION, THE FOLLOWING ADDITIONAL
ITEMS MUST BE WORN AS PART OF THE ENSEMBLE.
[list items including manufacturer name and model or style number.]"
5.1.4Single-Use Emergency Medical Examination Gloves Product Label
Requirements
5.1.4.1The package containing the smallest number of glove items from which the user
withdraws the product for use shall have a package product label.
The product label shall have the certification organization’s label, symbol, or
identifying mark and at least the following statement legibly printed on the
product label.
5.1.4.2
“THIS GLOVE IS FOR SINGLE USE ONLY!
THIS GLOVE MEETS THE SINGLE-USE EMERGENCY MEDICAL EXAMINATION
GLOVE REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE
CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2013
EDITION.
DO NOT REMOVE THIS LABEL!”
5.1.4.3 The following information shall also be printed legibly on the product label:
5.1.4.3 (1) Manufacturer’s name, identification, or designation
5.1.4.3 (2) Manufacturer’s address
5.1.4.3 (3) Country of manufacture
5.1.4.3 (4) Glove model and style
5.1.4.3 (5) Trace number
5.1.4.3 (6) Materials of construction
5.1.4.3 (7) Month and year of manufacture, not coded
5.1.4.3 (8) Size
5.1.3.6
5.1.3.2
25C LUT Form (Label) - NFPA 1999
09.01.2016
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1999, 2013 Edition
5.1.4.4In addition to the required package product label, each glove shall be permitted to
have a product label on the outside of the glove
Where each glove has a product label, the certification organization’s label, symbol,
or identifying mark and at least the following statement shall be legibly printed as the
product label on each glove.
“MEETS NFPA 1999, 2013 ED.”
5.1.5Single-Use Emergency Medical Cleaning/Utility Glove Product Label
Requirements
5.1.5.1The package containing the smallest number of glove items from which the user
withdraws the product for use shall have a package product label.
The product label shall have the certification organization’s label, symbol, or
identifying mark and at least the following statement legibly printed on the product
label.
5.1.5.2
“THIS GLOVE IS FOR SINGLE USE ONLY!
THIS GLOVE MEETS THE SINGLE-USE EMERGENCY MEDICAL
CLEANING/UTILITY GLOVE REQUIREMENTS OF NFPA 1999, STANDARD ON
PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL
OPERATIONS, 2013 EDITION.
DO NOT REMOVE THIS LABEL!”
5.1.5.3 The following information shall also be printed legibly on the product label:
5.1.5.3 (1) Manufacturer’s name, identification, or designation
5.1.5.3 (2) Manufacturer’s address
5.1.5.3 (3) Country of manufacture
5.1.5.3 (4) Glove model and style
5.1.5.3 (5) Trace number
5.1.5.3 (6) Materials of construction
5.1.5.3 (7) Month and year of manufacture, not coded
5.1.5.3 (8) Size
5.1.5.4In addition to the required package product label, each glove shall be permitted to
have a product label on the outside of the glove
Where each cleaning/utility glove has a product label, the certification organization’s
label, symbol, or identifying mark and at least the following statement shall be legibly
printed as the product label on each glove.
“MEETS NFPA 1999, 2013 ED.”
5.1.6 Multiple-Use Emergency Medical Work Glove Product Label Requirements
5.1.6.1Each work glove shall have a product label(s) permanently and conspicuously
attached inside each glove.
The certification organization’s label, symbol, or identifying mark and at least the
following statement shall be legibly printed on the product label.
“THIS GLOVE MEETS THE MULTIPLE-USE EMERGENCY MEDICAL WORK
GLOVE REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE
CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2013
EDITION.
DO NOT REMOVE THIS LABEL!”
5.1.6.3 The following information shall also be printed legibly on the product label:
5.1.6.3 (1) Manufacturer’s name, identification, or designation
5.1.6.3 (2) Manufacturer’s address
5.1.6.3 (3) Country of manufacture
5.1.6.3 (4) Glove model and style
5.1.6.3 (5) Trace number
5.1.6.3 (6) Materials of construction
5.1.6.3 (7) Month and year of manufacture, not coded
5.1.6.3 (8) Size
5.1.7 Single-Use Emergency Medical Facemask Product Label Requirements
5.1.7.1The package containing the smallest number of facemask items from which the user
withdraws the product for use shall have a package product label.
5.1.5.5
5.1.4.5
5.1.6.2
25C LUT Form (Label) - NFPA 1999
09.01.2016
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1999, 2013 Edition
The certification organization’s label, symbol, or identifying mark and at least
the following statement shall be legibly printed on the product label.
“THIS FACEMASK IS FOR SINGLE USE ONLY!
THIS FACEMASK MEETS THE SINGLE-USE EMERGENCY MEDICAL
FACEMASK REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE
CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2013
EDITION.
DO NOT REMOVE THIS LABEL!”
5.1.7.3 The following information shall also be printed legibly on the product label:
5.1.7.3 (1) Manufacturer’s name, identification, or designation
5.1.7.3 (2) Manufacturer’s address
5.1.7.3 (3) Country of manufacture
5.1.7.3 (4) Facemask model and style
5.1.7.3 (5) Trace number
5.1.7.3 (6) Materials of construction
5.1.7.3 (7) Month and year of manufacture, not coded
5.1.7.3 (8) Size, where applicable
5.1.7.4In addition to the required package product label, each mask shall be permitted to
have a product label in an area of the facemask that does not affect its function.
Where each facemask has a product label, the certification organization’s label,
symbol, or identifying mark and at least the following statement shall be legibly printed
as the product label on each facemask.
“MEETS NFPA 1999, 2013 ED.”
Where the medical facemask is not certified by National Institute for Occupational
Safety and Health (NIOSH) as a respirator to 42 CFR 84, “Approval of Respiratory
Protective Devices,” the package product lable shall include the following additional
warning:
THIS FACEMASK IS NOT A RESPIRATOR AND WILL NOT PROVIDE
RESPIRATORY PROTECTION AGAINST AIRBORNE BIOLOGICAL HAZARDS.
5.1.8Single-Use Emergency Medical Eye and Face Protection Device Product Label
Requirements
5.1.8.1The package containing the smallest number of eye and face protection device items
from which the user withdraws the product for use shall have a package product label.
The certification organization’s label, symbol, or identifying mark and at least
the following statement shall be legibly printed on the product label.
“THIS {insert name of item} IS FOR SINGLE USE ONLY!
THIS {insert name of item} MEETS THE SINGLE-USE EMERGENCY MEDICAL
FACEMASK REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE
CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2013
EDITION.
DO NOT REMOVE THIS LABEL!”
5.1.8.3 The following information shall also be printed legibly on the product label:
5.1.8.3 (1) Manufacturer’s name, identification, or designation
5.1.8.3 (2) Manufacturer’s address
5.1.8.3 (3) Country of manufacture
5.1.8.3 (4) Eye and face protection device model and style
5.1.8.3 (5) Trace number
5.1.8.3 (6) Materials of construction
5.1.8.3 (7) Month and year of manufacture, not coded
5.1.8.2
5.1.7.6
5.1.7.2
5.1.7.5
25C LUT Form (Label) - NFPA 1999
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25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1999, 2013 Edition
5.1.8.3 (8) Size, where applicable
5.1.8.4
In addition to the required package product label, each eye and face protection device
shall be permitted to have a product label in a location of the eye and face protection
device that does not interfere with the wearer’s vision or device’s function.
Where each eye and face protection device has a product label, the certification
organization’s label, symbol, or identifying mark and at least the following statement
shall be legibly printed as the product label on each eye and face protection device.
“MEETS NFPA 1999, 2013 ED.”
5.1.9Multiple-Use Emergency Medical Eye and Face Protection Devices Product
Label Requirements
5.1.9.1The package containing the smallest number of eye and face protection device items
from which the user withdraws the product for use shall have a package product label.
The certification organization’s label, symbol, or identifying mark and at least the
following statement shall be legibly printed on the product label.
“THIS DEVICE MEETS THE MULTIPLE-USE EMERGENCY MEDICAL EYE AND
FACE PROTECTION REQUIREMENTS OF NFPA 1999, STANDARD ON
PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL
OPERATIONS, 2013 EDITION.
DO NOT REMOVE THIS LABEL!”
5.1.9.3 The following information shall also be printed legibly on the product label:
5.1.9.3 (1) Manufacturer’s name, identification, or designation
5.1.9.3 (2) Manufacturer’s address
5.1.9.3 (3) Country of manufacture
5.1.9.3 (4) Eye and face protection device model and style
5.1.9.3 (5) Trace number
5.1.9.3 (6) Materials of construction
5.1.9.3 (7) Month and year of manufacture, not coded
5.1.9.3 (8) Size, where applicable
5.1.9.4
Each face protection device shall have a product label in addition to the required
package product label, placed in a conspicuous location on the device that shall not
interfere with the wearer’s vision.
The certification organization’s label, symbol, or identifying mark and at least the
following statement shall be legibly printed on the product label of each multiple-use
face protection device.
“MEETS NFPA 1999, 2013 ED.”
5.1.10 Single-Use Emergency Medical Footwear Cover Product Label Requirements
5.1.10.1The package containing the smallest number of footwear cover items from which the
user withdraws the product for use shall have a package product label.
The certification organization’s label, symbol, or identifying mark and at least the
following statement shall be legibly printed on the product label.
“THIS FOOTWEAR COVER IS FOR SINGLE USE ONLY!
THIS FOOTWEAR COVER MEETS THE SINGLE-USE EMERGENCY MEDICAL
FACEMASK REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE
CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2013
EDITION.
DO NOT REMOVE THIS LABEL!”
5.1.10.3 The following information shall also be printed legibly on the product label:
5.1.10.3 (1) Manufacturer’s name, identification, or designation
5.1.10.3 (2) Manufacturer’s address
5.1.9.2
5.1.8.5
5.1.9.5
5.1.10.2
25C LUT Form (Label) - NFPA 1999
09.01.2016
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1999, 2013 Edition
5.1.10.3 (3) Country of manufacture
5.1.10.3 (4) Footwear cover model and style
5.1.10.3 (5) Trace number
5.1.10.3 (6) Materials of construction
5.1.10.3 (7) Month and year of manufacture, not coded
5.1.10.3 (8) Size, where applicable
5.1.10.4
In addition to the required package product label, each footwear cover shall be
permitted to have a product label in an area of the footwear cover that does not affect
the comfort of the wearer.
Where each footwear cover has a product label, the certification organization’s label,
symbol, or identifying mark and at least the following statement shall be legibly printed
as the product label on each footwear cover.
“MEETS NFPA 1999, 2013 ED.”
5.1.11 Multiple-Use Emergency Medical Footwear Product Label Requirements
5.1.11.1
Each footwear item shall have a product label or labels permanently and
conspicuously attached inside each footwear item when the footwear is properly
donned.
The certification organization’s label, symbol, or identifying mark and at least the
following statement shall be legibly printed on the product label.
“THIS FOOTWEAR MEETS THE MULTIPLE-USE EMERGENCY MEDICAL
FOOTWEAR REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE
CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2013
EDITION.
DO NOT REMOVE THIS LABEL!”
5.1.11.3 The following information shall also be printed legibly on the product label:
5.1.11.3 (1) Manufacturer’s name, identification, or designation
5.1.11.3 (2) Manufacturer’s address
5.1.11.3 (3) Country of manufacture
5.1.11.3 (4) Footwear model and style
5.1.11.3 (5) Trace number
5.1.11.3 (6) Materials of construction
5.1.11.3 (7) Cleaning precautions
5.1.11.3 (8) Month and year of manufacture, not coded
5.1.11.3 (9) Size
5.1.12Multiple-Use Emergency Medical Care Facility Footwear Product Label
Requirements
5.1.12.1
Each footwear item shall have a product label or labels permanently and
conspicuously attached inside each footwear item when the footwear is properly
donned.
The certification organization’s label, symbol, or identifying mark and at least the
following statement shall be legibly printed on the product label.
“THIS FOOTWEAR MEETS THE MULTIPLE-USE MEDICAL CARE FACILITY
FOOTWEAR REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE
CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2013
EDITION.
DO NOT REMOVE THIS LABEL!”
5.1.12.3 The following information shall also be printed legibly on the product label:
5.1.12.3 (1) Manufacturer’s name, identification, or designation
5.1.12.3 (2) Manufacturer’s address
5.1.12.3 (3) Country of manufacture
5.1.12.3 (4) Footwear model and style
5.1.12.3 (5) Trace number
5.1.12.2
5.1.10.5
5.1.11.2
25C LUT Form (Label) - NFPA 1999
09.01.2016
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1999, 2013 Edition
5.1.12.3 (6) Materials of construction
5.1.12.3 (7) Cleaning precautions
5.1.12.3 (8) Month and year of manufacture, not coded
5.1.12.3 (9) Size
5.1.13 Multiple-Use Emergency Medical Helmet Product Label Requirements
5.1.13.1
Each helmet item shall have a product label or labels permanently and conspicuously
attached. At least one product label shall be conspicuously located on or inside each
helmet when the helmet is properly assembled with all components in place.
The certification organization’s label, symbol, or identifying mark and at least the
following statement shall be legibly printed on the product label.
“THIS HELMET MEETS THE MULTIPLE-USE EMERGENCY MEDICAL HELMET
REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND
ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2013 EDITION.
DO NOT REMOVE THIS LABEL!”
5.1.13.3 The following information shall also be printed legibly on the product label:
5.1.13.3 (1) Manufacturer’s name, identification, or designation
5.1.13.3 (2) Manufacturer’s address
5.1.13.3 (3) Country of manufacture
5.1.13.3 (4) Helmet model and style
5.1.13.3 (5) Trace number
5.1.13.3 (6) Helmet size or size range
5.1.13.3 (7) Nominal weight of helmet
5.1.13.3 (8) Month and year of manufacture, not coded
5.1.13.3 (9) Cleaning precautions
5.1.13.4
Where visibility materials are used on helmets and the helmet meets the requirements
of ANSI/ISEA 107, High-Visibility Safety Apparel and Headwear, the product label
shall also meet the marking information in ANSI/ISEA 107.
5.1.14Multiple-Use Emergency Medical [C]BRN Protective Ensembles Product
Labeling Requirements
5.1.14.1
Where an entire ensemble is certified as compliant to the requirements for an
Emergency Medical [C]BRN Protective Ensemble for protection against [C]BRN
terrorism agents, each element of the entire ensemble shall have at least the
additional compliance statement as specified in 5.1.14.3 on the product label in place
of the appropriate compliance statement specified for the item in this section.
5.1.14.2
The appropriate term for the element type – garment, glove, footwear, or interface
component – shall be inserted in the compliance statement text where indicated in this
section.
Other than the term “[C]BRN Protective Ensemble” all product label letters and figures
shall be at least 2.5 mm (3/32 in) in height. The term “[C]BRN Protective Ensemble”
letters shall be at least 10 mm (3/8 in) in height.
“[C]BRN PROTECTIVE ENSEMBLE
THIS ELEMENT IS NOT PART OF A HAZARDOUS MATERIALS PROTECTIVE
ENSEMBLE!
THIS EMERGENCY MEDICAL PROTECTIVE (insert appropriate element term
her) ELEMENT MEETS THE REQUIREMENTS OF NFPA 199, STANDARD ON
PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL
OPERATIONS, 2013 EDITION, FOR [C]BRN PROTECTION WHEN WORN
TOGETHER WITH THE OTHER SPECIFIED ELEMENTS AND INTERFACE
COMPONENETS OF THE ENSEMBLE.
DO NOT REMOVE THIS LABEL!”
5.1.14.4
The garment element portion of the ensemble meeting the requirements for protection
against [C]BRN terrorism agents shall list those items of the certified ensemble by
manufacturer name and model number on the product label.
Measurement: Measurement:
5.1.13.2
5.1.14.3
25C LUT Form (Label) - NFPA 1999
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25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1999, 2013 Edition
Prepared by & Date:
Prepared by & Date:
- - - - - - - - - - - - - - - - FOR SEI USE ONLY - - - - - - - - - - - - - - - - - -
Prepared by & Date:
COMMENTS:
Reviewed by & Date:
SUBSEQUENT REVIEW (LABEL/ USER INFORMATION)
COMPLY / NOT COMPLY (do not sign if deemed “not comply”)
COMMENTS:
Reviewed by & Date:
INITIAL LABEL REVIEW
COMPLY / NOT COMPLY (do not sign if deemed “not comply”)
COMMENTS:
Reviewed by & Date:
Measuring Device ID Number:
INITIAL USER INFORMATION REVIEW
COMPLY / NOT COMPLY (do not sign if deemed “not comply”)
25C LUT Form (Label) - NFPA 1999
09.01.2016
Section
5.2.1The manufacturer shall provide the following instructions and
information with each product, as applicable.
5.2.1 (1a) Pre-use information – Safety Considerations
5.2.1 (1b) Pre-use information – Limitations of use
5.2.1 (1c) Pre-use information – Marking recommendations and restrictions
5.2.1 (1d)Pre-use information – A statement that most performance
properties of the element cannot be tested by the user in the field
5.2.1 (1e) Pre-use information – Warranty information
5.2.1 (2a) Preparation for use – Sizing / adjustment
5.2.1 (2b) Preparation for use – Recommended storage practices
5.2.1 (3) Inspection, including inspection frequency and details
5.2.1 (4a) Don / Doff – Donning and doffing procedures
5.2.1 (4b) Don / Doff – Sizing and adjustment procedures
5.2.1 (4c) Don / Doff – interface issues
5.2.1 (5)
Proper use consistent with NFPA 1500, Standard on Fire
Department Occupational Safety and Health Program; NFPA
1581, Standard on Fire Department Infection Control Program; 29
CFR 1910.132, “General Requirements of Sub-part I, Personal
Protective Equipment,” and 29 CFR 1910.1030, “Protective Health
Care Workers from Occupational Exposure to Blood-Borne
Pathogens.
5.2.1 (6) Maintenance and cleaning for multiple use products
5.2.1 (6a)
Cleaning instructions and precautions with a statement advising
users not to use garments that are not thoroughly cleaned and
dried
5.2.1 (6b) Maintenance and cleaning – Inspection details
5.2.1 (6c)Maintenance and cleaning – Maintenance criteria and methods of
repair where applicable
5.2.1 (6d)Maintenance and cleaning – Decontamination procedures for both
chemical and biological contamination
5.2.1 (7) Decontamination procedures
5.2.1 (8) Disposal criteria and considerations
5.2.2
For protective ensembles certified to [C]BRN requirements, the
manufacturer shall provide the following additional instruction and
information with the ensemble:
5.2.2 (1)
A statement that only the ensemble and the specific elements with
which the ensemble has been certified must be worn together to
ensure that the CBRN protection is provided.
5.2.2 (2)
A list of the specific items and interface components that shall be
worn as part of the ensemble, including each type of NIOSH,
APR, PAPR, SCBA, or approved breathing system(s) that the
ensemble has been certified with.
5.2.2 (3)
Specific limitations associated with the use of the ensemble for a
response involving biological threats or [C]BRN hazards,
including, but not limited to, a statement that protection against
radiological and nuclear hazards is limited to particulates only.
5.2.2 (4)
Specific care and maintenance provisions associated with
properly maintaining the unique performance properties of the
ensemble, its items, or interface components.
SEI
Compliant
Participant
Review / Page #
/ Paragraph
Section 5.2 User Information Requirements
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5.2.2 (5)
A statement that if the ensemble is used in an emergency
involving biological or [C]BRN hazards, the ensemble shall be
retired from use and not be further used.
5.2.3
For single-use or multiple-use protective ensembles, the
following additional instructions and information shall be
provided:
5.2.3 (1)The specific sequence and requirements for donning each item of
the ensemble
5.2.3 (2)
The specific type of tape and detailed instructions for its
application if specified for single-use protective ensembles
only
5.2.3 (3)Specific recommended methods for cleaning each element
where elements are combined or attached
5.2.3 (4) Specific considerations for decontamination to be
employed during the doffing of ensemble elements
5.2.3 (5)
The specific sequence, precautions, and requirements for
doffing each item of the ensemble, when contaminated
with body fluids, for the avoidance of cross-contamination
of the individual wearer, other ensemble items, and the
outside environment.
5.2.4
The manufacturer shall state the storage life for all single-
use and multiple-use protective elements that part of an
ensemble, and shall include the storage life and the basis
for recommended storage life as part of the user
information.have been certified as
25C LUT Form (User Information) - NFPA 1999
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