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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: 10.13.17
Date of Issue: 01.12.12
Page 1 of 17
25.0 NFPA Protective Clothing and Equipment Program Standards
NFPA 1971-18 Protective Ensemble for Structural Fire Fighting
NFPA 1975-14 Station/Work Uniforms for Fire Fighters
NFPA 1977-16 Protective Clothing & Equipment for Wildland Fire Fighting
NFPA 1999-18 Protective Clothing for Emergency Medical Operations
NFPA 1951-13 Technical Rescue & Recovery
NFPA 1952-15 Surface Water Operations
NFPA 1953-16 Contaminated Water Diving
25.1 Certification Submittal Package
A Certification Submittal Package shall include an SEI Certification Submittal form (see Section 25A: SEI
Certification Submittal Form), a Components & Materials Description Checklist form (see Section 25B:
General, Clothing, Gloves Components & Materials Description Checklist) and a User Guide and Label
Checklist form (see Section 25C: User Guide and Label Checklist) for each product model, variant or
accessory being submitted. Completion of the submittal package serves four primary purposes:
1. The submittal package provides SEI and the SEI Quality Assurance Auditor with a
description of new, modified or products to be selected for annual certification.
2. The information provided by the manufacturer in the submittal package confirms to SEI
the product design and components.
3. Receipt of the submittal package by the testing laboratory, from SEI, serves as the
laboratory’s authorization to begin testing the product(s) and allows laboratory
personnel to verify that the correct product samples have been received.
4. The return of a signed copy of the submittal form from the testing laboratory provides
SEI with a record of the date testing was completed on the product model.
Over the life of the product, subsequent submittal packages shall document that the product model
submitted for certification testing is identical to samples previously tested, except where Class I model
changes have been tested and documented through the submission of additional SEI submittal packages
or documented Class II changes have been made. It is therefore necessary that each submittal to SEI
include sufficient product description information, which is achieved by a complete components and
materials listing to uniquely and unambiguously identify the product model in question (see Section 14:
Product Changes).
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 10.13.17
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, Clothing, Gloves
Components and Materials Description Checklist form is recommended. The following information is to
be included on each Components & Materials Description Checklist. Brief examples are provided for
guidance.
A. Description of Major Components
All major components and materials shall be identified and described. Where possible, include
brand name and part number, supplier name and location.
B. Primary Materials
Materials used in the construction of major components shall be identified. Identification shall
include trade names, if applicable. All changes shall be reported to SEI for evaluation and
possible action.
C. Manufacturing Locations
All locations in which the product model is manufactured or assembled must be identified on the
SEI Certification Submittal Form. If major components are manufactured by another company
and purchased by the SEI participants, the name and address of the manufacturing facility and
contact name shall be identified on the Components & Materials Description Checklist.
D. Specification Sheets or Technical Bills of Materials
Product specification sheets or technical bills of materials (BOM) may be included with the SEI
Certification Submittal Form in addition to the Components & Materials description checklist to
fulfill some or all other requirements noted above. In the case of annual recertification, the
appropriate documents (i.e., submittal form and components and materials listing or BOM) shall
be prepared prior to the sample selection audit and available to the auditor during the audit for
reference and confirmation of product.
E. Confidentiality
All product information received by SEI staff, the SEI Quality Assurance Auditor, or the SEI
testing laboratory shall be considered confidential and shall not be released to any third party
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 10.13.17
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: 10.13.17
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
ESG Standard on Protective Clothing for Emergency Medical Operations
Protective Clothing for Emergency Medical Operations Single Use Garment
NFPA 1999
EMG Standard on Protective Clothing for Emergency Medical Operations
Protective Clothing for Emergency Medical Operations Multiple Use Garment
NFPA 1999
ESE Standard on Protective Clothing for Emergency Medical Operations
Protective Clothing for Emergency Medical Operations Single Use Ensemble
NFPA 1999
EME Standard on Protective Clothing for Emergency Medical Operations
Protective Clothing for Emergency Medical Operations Multiple Use Ensemble
NFPA 1999
EMS Standard on Protective Clothing for Emergency Medical Operations
Protective Clothing for Emergency Medical Operations Single Use Exam Glove
NFPA 1999
EMU Standard on Protective Clothing for Emergency Medical Operations
Protective Clothing for Emergency Medical Operations Multiple Use Work Glove
NFPA 1999
EMB Standard on Protective Clothing for Emergency Medical Operations
Protective Clothing for Emergency Medical Operations Footwear
NFPA 1999
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 10.13.17
Date of Issue: 01.12.12
Page 5 of 17
SEI Reference Program
Code
Standard Description Product Type Standard
EMH Standard on Protective Clothing for Emergency Medical Operations
Protective Clothing for Emergency Medical Operations Hood
NFPA 1999
UPF Standard on Protective Ensembles for Technical Rescue Incidents
USAR Footwear NFPA 1951
UPG Standard on Protective Ensembles for Technical Rescue Incidents
Technical Rescue and Recovery
NFPA 1951
UPH Standard on Protective Ensembles for Technical Rescue Incidents
USAR Helmets NFPA 1951
USG Standard on Protective Ensembles for Technical Rescue Incidents
USAR Gloves NFPA 1951
SWO Standard on Surface Water operations Protective Clothing and Equipment
Surface Water Operations NFPA 1952
CWD Standard on Protective Ensembles for Contaminated Water Diving
Contaminated Water Diving
NFPA 1953
SEI utilizes SEI Reference Numbers internally to identify each SEI participant and their unique models and variants. The first set of two or three letters/numbers indicates which standard program code the model/variant is being certified against. The second set of three letters indicates the SEI participant's unique identification. The third set of numbers is assigned by SEI to identify each model (see definition below) being certified.
eg: BBH ABC 03 eg: BBH ABC V03
Where BBH identifies the standard program code Where ABC identifies the unique participant identification Where 03 identifies the model submitted for certification Where V03 identifies the model as the third variant (V03) for this Participant Identification (ABC)
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 10.13.17
Date of Issue: 01.12.12
Page 6 of 17
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: 10.13.17
Date of Issue: 01.12.12
Page 7 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: 10.13.17
Date of Issue: 01.12.12
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1. Glove outer material composition, thickness or design
2. Glove liner material composition, thickness or design
3. Glove moisture barrier composition, thickness or design
4. Glove wristlet composition, thickness or design
5. Glove seam construction technique or design
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard:
1. Basic design alternations not affecting glove circumference and length
2. Color changes that do not result in an effect on substrate performance
3. Additional sizes beyond what is required by NFPA
Clothing:
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard:
1. Outer shell material, composition, thickness or design
2. Collar liner material, composition, thickness or design
3. Thermal liner material, composition, thickness or design
4. Winter liner material, composition, thickness or design
5. Moisture barrier material, composition, thickness or design
6. Hood material, composition, thickness or design
7. Wristlet material, composition, thickness or design
8. Seam construction, techniques and design
9. Garment configuration
10. Thread material and composition
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard:
1. Color
2. Trim color
3. Clothing design options (e.g., pockets)
4. Size
B. Examples of Major Components
Not applicable for this product
C. Laboratory Testing Fees/ Attributes & Variables
SEI currently has approved one (1) laboratory that may conduct testing to this standard. The
schedule of rates for testing at these laboratories can be found on the SEI website and can be
used to estimate the total cost of testing for all the models that are to be certified.
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 10.13.17
Date of Issue: 01.12.12
Page 9 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: 10.13.17
Date of Issue: 01.12.12
Page 10 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: 10.13.17
Date of Issue: 01.12.12
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Gloves
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Material, composition, thickness or design
2. Seam construction, techniques and design
3. Glove configuration (e.g., wristlets versus gauntlets)
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Color
2. Size (except as required in 6-1.2)
Footwear
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Upper material, composition, thickness or design
2. Sole/heel material composition, thickness or design
3. Stud hook and eyelet composition and installation method
4. Footwear construction methods and configuration
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Color
2. Height
3. Footwear design options (e.g., traps, if made from same base material)
4. Size
B. Examples of Major Components
Not applicable for this product
C. Laboratory Testing Fees/ Attributes & Variables
SEI currently has approved one (1) laboratory that may conduct testing to this standard. The
schedule of rates for testing at these laboratories can be found on the SEI website and can be
used to estimate the total cost of testing for all the models that are to be certified.
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 10.13.17
Date of Issue: 01.12.12
Page 12 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: 10.13.17
Date of Issue: 01.12.12
Page 13 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: 10.13.17
Date of Issue: 01.12.12
Page 14 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: 10.13.17
Date of Issue: 01.12.12
Page 15 of 17
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: 10.13.17
Date of Issue: 01.12.12
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Gloves
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Material, composition, thickness or design
2. Seam construction, techniques and design
3. Glove configuration (e.g., wristlets versus gauntlets)
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Color
2. Size (except as required in 6-1.2)
Footwear
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Upper material, composition, thickness or design
2. Sole/heel material composition, thickness or design
3. Stud hook and eyelet composition and installation method
4. Footwear construction methods and configuration
Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. Color
2. Height
3. Footwear design options (e.g., traps, if made from same base material)
4. Size
Floatation Device
Characteristics that should affect the model’s ability to meet the performance requirements of
the certification standard and therefore require a new model designation:
1. Material, composition, thickness or design
2. Seam construction, techniques and design
3. Device configuration
4. Thread material and composition
SEI Certification Program Manual
Section 25: NFPA Protective Clothing and Equipment Program
Revision Date: 10.13.17
Date of Issue: 01.12.12
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Characteristics that should not affect the model’s ability to meet the performance requirements
of the certification standard and therefore would not require a new model designation:
1. color
2. size
3. Examples of Major Components
Not applicable for this product
B. Examples of Major Components
Not applicable for this product
C. Laboratory Testing Fees/ Attributes & Variables
SEI currently has approved one (1) laboratory that may conduct testing to this standard. The
schedule of rates for testing at these laboratories can be found on the SEI website and can be
used to estimate the total cost of testing for all the models that are to be certified.
25A. SEI General Certification Submittal Form
1307 Dolley Madison Blvd, Suite 3A, McLean, VA 22101
Phone: (703) 442-5732 Fax: (703) 442-5756 Email: [email protected]
Submittal Date: SEI Ref. No.:
Manufacturer:
Street Address:
City/State/Zip:
Tel: Fax: Email:
Web:
Initial:
Annual:
Standard
Rev/Annual:
Class I:
Class II:
Basic model:
Variant:
Accessory:
Type of Submittal: (select one)
Product has not previously been tested by SEI.*
Product is currently certified by SEI, is being submitted for annual recertification and no changes have
been made to product since last test date. *
Product is currently certified by SEI. Standard has been revised and this will also serve as an annual
recertification.*
Product is currently SEI certified and a change in materials, construction, manufacturing location, etc. has
been made to the product. *
Product is currently SEI certified and the proposed change is believed to not affect the product’s form, fit
or function.
Category of Product: (select one)
Protective device of the same basic design and components, produced by the same manufacturing
location. *
Variation of basic model distinguished by a single component (i.e., lens shades, suspension systems,
reverse headbands, closures, etc.)*
Product that is for use with a specific SEI certified model, designed in such a manner to be removable
from model without affecting the performance of that model in accordance with the applicable standard.
*
* Definitions are not all inclusive and do not apply to all SEI product certifications. Refer to the SEI Certification Program Manual for
additional detailed information and descriptions.
If model is manufactured at different location(s) than stated in Section (2), list all manufacturing locations:
Legal Status (Inc., LLC,
etc.)
25A Submittal Form
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: [email protected]
Standard Testing
To:
Type of Product:
Model Number(s):
Brand Name:
Authorized
Manufacturer
Representative:
Signature:
We request certification or continuation of certification of the above model to the referenced standard in accordance with the program established by the Safety
Equipment Institute. We certify that the unit(s) of the above model, as submitted for testing and certification, represents the product(s) that will be offered for sale.
Samples of this product are being sent to the laboratory. Please complete all nine (9) sections of the SEI certification submittal form and include any necessary
attachments. Incomplete submittal paperwork may lead to delays in the processing and performance testing.
Product Description. Briefly describe below. Attach applicable Components & Materials Description Checklist, and if applicable, test plan
matrix/configurations, Bill of Materials, product literature)
Test samples
shall be:
Returned to
manufacturerIf fail, return to
manufacturer
Destroyed by laboratory
25A Submittal Form
09.01.2016
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, 2018 Edition Date: 10.13.2017
PARTICPANT NAME:
SEI REFERENCE NUMBER:
NAME/MODEL/DESCRIPTION:
Section Sections 5.1 - 5.3 Product Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.1
Each element of both protective ensembles shall have at least one product label permanently and conspicuously located inside each element when the element is properly assembles with all layers and components in place.
YES NO
YES NO
5.1.2
Multiple label pieces shall be permitted in order to carry all statements and information required to be on the product label. However, all labels comprising the product label shall be located adjacent to each other.
YES NO
YES NO
5.1.3
The certification organization’s label, symbol, or identifying mark shall be permanently attached to the product label or shall be part of the product label. All letters shall be at least 2.5 mm (3/32 in.) high. The label, symbol, or identifying mark shall be at least 6mm (1/4 in.) in height and shall be place in a conspicuous location.
Measurement:
__________
YES NO
Measurement:
__________
YES NO
5.1.4 All worded portions of the required product label shall be printed at least in English.
YES NO
YES NO
5.1.5
Symbols and other pictorial graphic representations shall be permitted to be used to supplement worded statements on the product label(s).
YES N/A NO
YES N/A NO
5.1.6
The compliance statement specified in Section 5.2 for structural fire fighting protective ensemble elements and in Section 5.3 for proximity fire fighting protective ensemble elements shall be printed legibly on the product label.
YES NO
YES NO
5.1.7
The following information shall also be printed legibly on each product label with all letters at least 1.5 mm (1/16 in.) in height:
Measurement:
__________
YES NO
Measurement:
__________
YES NO 5.1.7 (1) Manufacturer’s name, identification, or designation
YES NO
YES NO
5.1.7 (2) Manufacturer’s address
YES NO
YES NO
5.1.7 (3) Country of manufacture
YES NO
YES NO
5.1.7 (4) Manufacturer’s element identification number, lot number, or serial number
YES NO
YES NO
5.1.7 (5) Month and year of manufacture, not coded
YES NO
YES NO
5.1.7 (6) Model name, number, or design
YES NO
YES NO
5.1.7 (7) Size or size range
YES NO
YES NO
5.1.7 (8) Principle material(s) of construction
YES NO
YES NO
5.1.7 (9) Cleaning precautions
YES NO
YES NO
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017
5.1.7.1 For garments only, where the principal material of construction is a component that is
listed, the component name under which it is listed shall be identified.
YES N/A NO
YES N/A NO
Section Sections 5.1 - 5.3 Product Label Requirements Participant
Checklist
SEI
Compliant
Checklist
5.1.7.2 For garments only, where the thermal liner, moisture barrier, and outer shell are separable, each separable layer shall also have a label containing the information required in 5.1.7(4) through 5.1.7(8).
YES N/A NO YES N/A NO
5.1.7.3
For principal materials of construction of footwear, at least the outer shell, moisture barrier, and thermal liner shall be listed. Generic names of materials shall be permitted to be used. Additional materials that are used throughout the majority of the footwear shall also be listed on the label.
YES N/A NO YES N/A NO
5.1.7.4 For principal materials of construction of helmets, the shell material shall be listed YES N/A NO YES N/A NO
5.1.7.5
For principal materials of construction of gloves, at least the outer shell, moisture barrier, thermal liner, and glove interface component (wristlet) shall be listed. Generic names of materials shall be permitted to be used. If used, the type of leather shall be listed. Any additional materials that are used throughout the significant portion of the glove’s construction shall also be listed on the label.
YES N/A NO YES N/A NO
5.2.1
The following compliance statement shall be printed legibly on the product label for each structural fire fighting protective ensemble element, unless the requirements in 5.2.1.1 prevail. The appropriate term for the element type – garment, helmet, glove, footwear, hood – shall be inserted in the compliance statement text where indicated. All product label letters and figures shall be at least 2.5 mm (3/32 in.) in height.
“THIS STRUCTURAL FIRE FIGHTING PROTECTIVE (insert appropriate element term here) MEETS THE (insert appropriate element term here) REQUIREMENTS
OF NFPA 1971, 2018 EDITION.
DO NOT REMOVE THIS LABEL.”
Measurement:
__________
YES NO
Measurement:
__________
YES NO
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017
Section Sections 5.1 - 5.3 Product Label Requirements Participant
Checklist
SEI
Compliant
Checklist
5.2.1.1
Where an entire ensemble is also certified as compliant with the optional requirements for protection against CBRN terrorism agents, each element of the entire ensemble shall have at least the additional following compliance statement on the product label in place of the compliance statement specified in 5.2.1. The appropriate term for the element type – garment, helmet, glove, footwear, hood – shall be inserted in the compliance statement text where indicated. Other than the words “CBRN PROTECTIVE ENSEMBLE,” all product label letters shall be at least 2.5 mm (3/32 in.) in height. The letters of “CBRN PROTECTIVE ENSEMBLE” shall be at least 10 mm (3/8 in.) in height.
“CBRN PROTECTIVE ENSEMBLE
THIS ELEMENT IS NOT INTENDED AS PART OF A HAZARDOUS MATERIALS PROTECTIVE ENSEMBLE.
THIS STRUCTURAL FIRE FIGHTING PROTECTIVE (insert appropriate element
term here) MEETS THE (insert appropriate element term here) REQUIREMENTS OF NFPA 1971, 2018 EDITION, AND THE OPTIONAL REQUIREMENTS FOR
CBRN PROTECTION WHEN WORN TOGETHER WITH THE OTHER SPECIFIED ELEMENTS AND INTERFACE COMPONENTS OF THE ENSEMBLE.
DO NOT REMOVE THIS LABEL.”
Measurement:
__________
YES N/A NO
Measurement:
__________
YES N/A NO
5.2.1.2
The garment element of the ensemble meeting the optional requirements for protection against CBRN terrorism agents shall list those items of the certified ensemble by manufacturer name and model number on the product label
YES N/A NO
YES N/A NO
5.2.2
Where other protective item(s) or detachable components must be used with structural fire fighting protective ensemble elements in order for an element to be compliant with this standard, at least the following statement and information shall also be printed legibly on the product label. All letters shall be at least 2.5 mm (3/32 in.) high. The appropriate term for the element type – garment, helmet, glove, footwear, hood – shall be inserted in the statement text where indicated. Following this statement, the additional protective items or detachable components shall be listed by type, identification, and how properly assembled.
“FOR COMPLIANCE WITH THE STRUCTURAL FIRE FIGHTING (insert appropriate element term here) REQUIREMENTS OF NFPA 1971, THE FOLLOWING PROTECTIVE ITEMS MUST BE WORN WITH THIS (insert
appropriate element term here):
(List additional items or detachable components here.)
DO NOT REMOVE THIS LABEL.”
Measurement:
__________
YES N/A NO
Measurement:
__________
YES N/A NO
5.2.3
For helmets only, the helmet manufacturer shall place a unique manufacturer’s part number, the symbol of the certification organization, and the words “NFPA 1971, 2018 ED” permanently on each replaceable performance critical part of the goggle lens or faceshield.
YES N/A NO
YES N/A NO
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017
Section Sections 5.1 - 5.3 Product Label Requirements Participant
Checklist
SEI
Compliant
Checklist
5.2.4
For hoods only, where the hood is designed to interface with a specific SCBA facepiece(s), the hood manufacturer shall add an item to the items specified in 5.1.7.
YES N/A NO
YES N/A NO
5.2.4.1
The hood manufacturer shall designate the specific SCBA facepiece(s), model(s), and size(s) in the new item of 5.1.7.
YES N/A NO
YES N/A NO
5.2.4.2
Where the hood is designed to be used with a specific SCBA facepiece(s), the hood manufacturer shall add to the hood product label the following statement:
“FOR COMPLIANCE WITH THE STRUCTURAL FIRE FIGHTING REQUIREMENTS
OF NFPA 1971, THE HOOD CAN ONLY BE USED WITH THE FOLLOWING NOTED SCBA FACEPIECE(S) [insert SCBA facepiece(s), model(s), and size(s)
here].
YES N/A NO
YES N/A NO
5.2.5
For garments only, the garment manufacturer shall place a manufacturer’s identification number, lot number or serial number, the size or size range, the symbol of the certification organization, and the words “NFPA 1971, 2018 ED.” On the drag rescue device (DRD).
YES N/A NO
YES N/A NO
5.2.6
For particulate blocking hoods only, the following additional language shall be provided on the product label: “THIS HOOD PROVIDES LIMITED PARTICULATE BLOCKING PROTECTION.”
YES N/A NO
YES N/A NO
5.3.1
The following compliance statement shall be printed legibly on the product label for each proximity fire fighting protective ensemble element. The appropriate term for the element type – garment, helmet, glove, footwear – shall be inserted in the compliance statement text where indicated. All product label letters and figures shall be at least 2.5 mm (3/32 in.) in height.
“THIS PROXIMITY FIRE FIGHTING PROTECTIVE (insert appropriate element
term here) MEETS THE (insert appropriate element term here) REQUIREMENTS OF NFPA 1971, 2018 EDITION.
DO NOT REMOVE THIS LABEL.”
Measurement:
__________
YES N/A NO
Measurement:
__________
YES N/A NO
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017
Section Sections 5.1 - 5.3 Product Label Requirements Participant
Checklist
SEI
Compliant
Checklist
5.3.1.1
Where an entire ensemble is also certified as compliant with the optional requirements for protection against liquid and particulate contaminant, each element of the entire ensemble shall have at least the additional following compliance statement on the product label in place of the compliance statement specified in 5.3.1. The appropriate term for the element type – garment, helmet, glove, footwear, hood – shall be inserted in the compliance statement text where indicated. With the exception of the words “CBRN PROTECTIVE ENSEMBLE,” all product label letters shall be at least 2.5 mm (3/32 in.) in height.
“LIQUID AND PARTICULATE CONTAMINANT PROTECTIVE ENSEMBLE
THIS ELEMENT IS NOT INTENDED AS PART OF A HAZARDOUS MATERIALS PROTECTIVE ENSEMBLE.
THIS PROXIMITY FIRE FIGHTING PROTECTIVE (insert appropriate element term
here) MEETS THE (insert appropriate element term here) REQUIREMENTS OF NFPA 1971, 2018 EDITION, AND THE OPTIONAL REQUIREMENTS FOR LIQUID AND PARTICULATE CONTAMINANT PROTECTION WHEN WORN TOGETHER
WITH THE OTHER SPECIFIED ELEMENTS AND INTERFACE COMPONENTS OF THE ENSEMBLE.
DO NOT REMOVE THIS LABEL.”
Measurement:
__________
YES N/A NO
Measurement:
__________
YES N/A NO
5.3.1.2
The garment element of the ensemble meeting the optional requirements for protection against CBRN terrorism agents shall list those items of the certified ensemble by manufacturer name and model number on the product label
YES N/A NO
YES N/A NO
5.3.2
Where other protective item(s) or detachable components must be used with proximity fire fighting protective ensemble elements in order for an element to be compliant with this standard, at least the following statement and information shall also be printed legibly on the product label. All letters shall be at least 2.5 mm (3/32 in.) high. The appropriate term for the element type – garment, helmet, glove, footwear – shall be inserted in the statement text where indicated. Following this statement, the additional protective items or detachable components shall be listed by item/component, identification or part number, and where applicable, how properly assembled. “FOR COMPLIANCE WITH THE PROXIMITY FIRE FIGHTING (insert appropriate
element term here) REQUIREMENTS OF NFPA 1971, THE FOLLOWING PROTECTIVE ITEMS MUST BE WORN WITH THIS (insert appropriate element
term here):
(List additional items or detachable components here.)
DO NOT REMOVE THIS LABEL.”
Measurement:
__________
YES N/A NO
Measurement:
__________
YES N/A NO
5.3.2.1
For proximity fire fighting helmets, the list of additional items or detachable components shall include, as a minimum, the shroud, cover (except where the helmet cover is part of the shroud), and faceshield.
YES N/A NO
YES N/A NO
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017
Section Sections 5.1 - 5.3 Product Label Requirements Participant
Checklist
SEI
Compliant
Checklist
5.3.3
For helmets only, the helmet manufacturer shall place a unique manufacturer’s part number, the symbol of the certification organization, and the words “NFPA 1971, 2018 ED” permanently on each replaceable performance critical part of the faceshield.
YES N/A NO
YES N/A NO
5.3.4
For the helmet shroud and cover (except where the helmet cover is part of the shroud), the manufacturer shall place a label on the shroud and cover (except where the helmet cover is part of the shroud) with a unique manufacturer’s part number or identification and the following statement. The appropriate term for the item, shroud or cover, shall be inserted in the statement text where indicated. “FOR COMPLIANCE WITH THE PROXIMITY FIRE FIGHTING REQUIREMENTS OF NFPA 1971-2018, THIS [insert appropriate item term here] CAN ONLY BE USED WITH THE FOLLOWING NOTED HELMET(S) AND ADDITIONAL ITEM(S): [insert
helmet manufacturer’s name and specific helmet model; and item name (shroud or cover) and shroud or cover part number, or identification where applicable].”
YES N/A NO
YES N/A NO
5.3.5
For garments only, the garment manufacturer shall place a manufacturer’s identification number, lot number or serial number, the size or size range, the symbol of the certification organization, and the words “NFPA 1971, 2018 ED.” on the DRD.
YES N/A NO
YES N/A NO
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017
Section Section 5.4 User Information Requirements Participant Checklist
SEI
Compliant
Checklist
5.4.1
The manufacturer shall provide at least the user information that is specified in 5.4.4 with each structural and proximity fire fighting element.
YES NO
YES NO
5.4.2
The manufacturer shall attach the required user information, or packaging containing the user information, to the element in such a manner that it is not possible to use the element without being aware of the availability of the information.
YES NO
YES NO
5.4.3
The required user information, or packaging containing the user information, shall be attached to the element so that a deliberate action is necessary to remove it. The manufacturer shall provide notice that the user information is to be removed only by the end user.
YES NO
YES NO
5.4.4
The manufacturer shall provide at least the following instructions and information with each element:
5.4.4 (1a) Pre-use information – Safety Considerations
YES NO
YES NO
5.4.4 (1b) Pre-use information – Limitations of use
YES NO
YES NO
5.4.4 (1c) Pre-use information – Marking recommendations and restrictions
YES NO
YES NO
5.4.4 (1d)
Pre-use information – A statement that most performance properties of the element cannot be tested by the user in the field
YES NO
YES NO
5.4.4 (1e) Pre-use information – Warranty information
YES NO
YES NO
5.4.4 (2a) Preparation for use – Sizing / adjustment
YES NO
YES NO
5.4.4 (2b) Preparation for use – Recommended storage practices
YES NO
YES NO
5.4.4 (3) Inspection frequency and details
YES NO
YES NO
5.4.4 (4a) Don / Doff – Donning and doffing procedures
YES NO
YES NO
5.4.4 (4b) Don / Doff – Sizing and adjustment procedures
YES NO
YES NO
5.4.4 (4c) Don / Doff – interface issues
YES NO
YES NO
5.4.4 (5) Proper use consistent with NFPA 1500, and 29 CFR 1910.132, General Requirements of Subpart I, Personal Protective Equipment
YES NO
YES NO
5.4.4 (6a)
Maintenance and cleaning – Cleaning instructions and precautions with a statement advising users not to use an element that is not thoroughly cleaned and dried
YES NO
YES NO
5.4.4 (6b) Maintenance and cleaning – Inspection details
YES NO
YES NO
5.4.4 (6c) Maintenance and cleaning – Maintenance criteria and methods of repair where applicable
YES NO
YES NO
5.4.4 (6d) Maintenance and cleaning – Decontamination procedures for both chemical and biological contamination
YES NO
YES NO
5.4.4 (7) Retirement and disposal criteria and considerations
YES NO
YES NO
5.4.4 (8)
A statement that the moisture barrier has not been evaluated for all chemicals that can be encountered during fire fighting operations and information that the effects of chemical exposure on the moisture barrier are to be evaluated per the inspection procedures in NFPA 1851
YES NO
YES NO
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017
Section Section 5.4 User Information Requirements Participant Checklist
SEI
Compliant
Checklist
5.4.5
For the DRD only, the manufacturer shall provide specific information on the use, inspection, maintenance, cleaning, and retirement of the DRD. Additional instructions shall be provided on the removal and reinstallation of the DRD into the garment.
YES N/A NO
YES N/A NO
5.4.6
For footwear only, the manufacturer shall establish and provide, upon request, a size conversion chart for each model or style footwear element based on toe length, arch length, and foot width as measured on a Brannock Scientific Foot Measuring Device.
YES N/A NO
YES N/A NO
5.4.7 For helmets only, the manufacturer shall be provided a list of items that are installed on, attached to, or packaged with the compliant helmet that meet the requirements of 6.4.8.
YES N/A NO
YES N/A NO
5.4.8 For protective ensembles certified to the optional liquid and particulate contaminant requirements, the manufacturer shall provide the following additional instruction and information with the ensemble:
5.4.8 (1) A statement that only the ensemble and the specific elements with which the ensemble has been certified must be worn together to ensure that the optional liquid and particulate contaminant protection is worn.
YES N/A NO
YES N/A NO
5.4.8 (2) A list of the specific elements and interface components that must be worn as part of the liquid and particulate ensemble, including each type of CBRN SCBA that the ensemble has been certified with.
YES N/A NO
YES N/A NO
5.4.8 (3)
Specific limitations associated with the use of the ensemble for a response involving liquid and particulate contaminant hazards, including but not limited to a statement that the ensemble is not a hazardous materials protective ensemble and that protection will not be provided from vapors or all liquids and particulates.
YES N/A NO
YES N/A NO
5.4.8 (4) Specific care and maintenance provisions associated with properly maintaining the unique performance properties of the ensemble, its elements, or interface components.
YES N/A NO
YES N/A NO
5.4.9 When the optional requirements for liquid and particulate contaminant protection necessitate a specific action to engage interface areas, the manufacturer shall provide details explaining those procedures.
YES N/A NO
YES N/A NO
25C. LABEL AND USER INFORMATION CHECKLIST – NFPA 1971, 2018 Edition Date: 10.13.2017
- - - - - - - - - - - - - - - - FOR SEI USE ONLY - - - - - - - - - - - - - - - - - -
INITIAL LABEL REVIEW
COMPLY / NOT COMPLY (do not sign if deemed “not comply”)
COMMENTS:
Prepared by & Date: ____________________________________
Reviewed by & Date: ____________________________________
Measuring Device ID Number:
INITIAL USER INFORMATION REVIEW
COMPLY / NOT COMPLY (do not sign if deemed “not comply”)
COMMENTS:
Prepared by & Date: ____________________________________
Reviewed by & Date: ____________________________________
SUBSEQUENT REVIEW (LABEL / USER INFORMATION)
COMPLY / NOT COMPLY (do not sign if deemed “not comply”)
COMMENTS:
Prepared by & Date: ____________________________________
Reviewed by & Date: ____________________________________
Measuring Device ID Number:
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
PARTICPANT NAME:
SEI REFERENCE NUMBER:
NAME/MODEL/DESCRIPTION:
Section Sections 5.1 Product Label Requirements for Emergency Medical
Protective Clothing Items Participant Checklist
SEI
Compliant
Checklist
5.1.1.1
All worded portions of the required product and package labels shall be at least in English.
YES NO
5.1.1.2 All letters and numbers on product labels and product package labels shall meet the following requirement:
YES NO
5.1.1.2(1)
The compliance statement in 5.1.2.2 , 5.1.3.2 , 5.1.4.2 , 5.1.4.5 , 5.1.5.2 , 5.1.5.5 , 5.1.6.2 , 5.1.7.2 , 5.1.7.5 , 5.1.8.2 , 5.1.8.5 , 5.1.9.2 , 5.1.9.5 , 5.1.10.2 , 5.1.10.5 , 5.1.11.2 , 5.1.12.2 , 5.1.13.2 , 5.1.14.2 , 5.1.14.5 , 5.1.15.2 , and 5.1.16.2 shall be at least 2.5 mm ( 3 ⁄32 in.) high.
Measurement:
__________
YES NO
5.1.1.2(2) The certification organization's symbol shall be at least 6 mm (1 ⁄4 in.) high.
Measurement:
__________
YES NO
5.1.1.2(3) The certification organization's name shall be at least 2.5 mm (3 ⁄32 in.) high.
Measurement:
__________
YES NO
5.1.1.2(4) All other required labeling information shall be at least 1.6 mm (1 ⁄16 in.) high
Measurement:
__________
YES NO
5.1.1.3
Symbols and other pictorial graphic representations shall be permitted to be used to supplement worded statements on the product label(s).
YES N/A NO
5.1.1.4
Configuration of the product label and attachment of the product label shall not interfere with the legibility of any printed portion of the product label.
YES NO
5.1.1.5 Where applicable, multiple label pieces shall be permitted in order to carry all
statements and information required to be on the product label; however, all label pieces comprising t he entire product label shall be located adjacent to each other.
YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
5.1.1.6
Where package labels are required, the package product label shall be permanently and conspicuously located on the outside of the package or printed on the package and shall not be removed, obscured, or otherwise mutilated by the opening of the package when the package is opened as intended.
YES N/A NO
Section Sections 5.1.2 Single-Use Emergency Medical Protective Garment
Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.2.1 Each garment shall have a product label or labels permanently and conspicuously located inside each garment when the garment is properly assembled with all layers and components in place.
YES NO
5.1.2.2
The product label shall have the certification organization's label, symbol, or identifying mark and at least the following statement legibly printed on the product label:
“THIS GARMENT IS FOR SINGLE USE ONLY! THIS GARMENT MEETS THE SINGLE-USE EMERGENCY MEDICAL GARMENT REQUIREMENTS OF NFPA
1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2018 EDITION.
DO NOT REMOVE THIS LABEL!”
YES NO
5.1.2.3 The following information shall also be printed legibly on the product label: YES NO
5.1.2.3(1) Manufacturer's name, identification, or designation
YES NO
5.1.2.3(2) Manufacturer’s address
YES NO
5.1.2.3(3) Country of manufacture
YES NO
5.1.2.3(4) Garment model and style YES NO
5.1.2.3(5) Trace number YES NO
5.1.2.3(6) Materials of construction YES NO
5.1.2.3(7) Month and year of manufacture, not coded YES NO
5.1.2.3(8) Size YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
Section Sections 5.1.3 Multiple-Use Emergency Medical Protective Garment
Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.3.1 Each garment shall have a product label or labels permanently and conspicuously located inside each garment when the garment is properly assembled with all layers and components in place
YES NO
5.1.3.2
The product label shall have the certification organization's label, symbol, or identifying mark and at least the following statement legibly printed on the product
label: “THIS GARMENT MEETS THE MULTIPLE-USE EMERGENCY MEDICAL
GARMENT REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS,
2018 EDITION. DO NOT REMOVE THIS LABEL!”
YES NO
5.1.3.3 The following information shall also be printed legibly on the product label, and lettering shall be at least 1.6 mm (0.06 in.) high :
Measurement:
__________
YES NO
5.1.3.3(1) Manufacturer's name, identification, or designation YES NO
5.1.3.3(2) Manufacturer's address YES NO
5.1.3.3(3) Country of manufacture YES NO
5.1.3.3(4) Garment model or style YES NO
5.1.3.3(5) Trace number YES NO
5.1.3.3(6) Materials of construction YES NO
5.1.3.3(7) Cleaning precautions YES NO
5.1.3.3(8) Month and year of manufacture, not coded YES NO
5.1.3.3(9) Size YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
Section Sections 5.1.4 Single-Use Emergency Medical Examination Gloves
Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.4.1 The package containing the smallest number of glove items from which the user withdraws the product for use shall have a package product label
YES NO
5.1.4.2
The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the package product label:
“THIS GLOVE IS FOR SINGLE USE ONLY! THIS GLOVE MEETS THE SINGLE-
USE EMERGENCY MEDICAL EXAMINATION GLOVE REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR
EMERGENCY MEDICAL OPERATIONS, 2018 EDITION. DO NOT REMOVE THIS LABEL!”
YES NO
5.1.4.3 The following information shall also be printed legibly on the package product label: YES NO
5.1.4.3(1) Manufacturer's name, identification, or designation YES NO
5.1.4.3(2) Manufacturer's address YES NO
5.1.4.3(3) Country of manufacture YES NO
5.1.4.3(4) Glove model and style YES NO
5.1.4.3(5) Trace number YES NO
5.1.4.3(6) Materials of construction YES NO
5.1.4.3(7) Month and year of manufacture, not coded YES NO
5.1.4.3(8) Size YES NO
5.1.4.4 In addition to the required package product label, each glove shall be permitted to have a product label on the outside of the glove
YES NO
5.1.4.5
Where each glove has a product label, the certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed as the product label on each glove: “MEETS NFPA 1999, 2018 ED.”
YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
Section Sections 5.1.5 Single-Use Emergency Medical Cleaning/Utility
Glove Product Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.5.1 The package containing the smallest number of glove items from which the user withdraws the product for use shall be permitted to have a package product label in place of the package label.
YES NO
5.1.5.2
The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the package product label:
“THIS GLOVE IS FOR SINGLE USE ONLY! THIS GLOVE MEETS THE SINGLE-USE EMERGENCY MEDICAL CLEANING/ UTILITY GLOVE REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES
FOR EMERGENCY MEDICAL OPERATIONS, 2018 EDITION.
DO NOT REMOVE THIS LABEL!”
YES NO
5.1.5.3 The following information shall also be printed legibly on the package product label: YES NO
5.1.5.3(1) Manufacturer's name, identification, or designation YES NO
5.1.5.3(2) Manufacturer's address YES NO
5.1.5.3(3) Country of manufacture YES NO
5.1.5.3(4) Glove model and style YES NO
5.1.5.3(5) Trace number YES NO
5.1.5.3(6) Materials of construction YES NO
5.1.5.3(7) Month and year of manufacture, not coded YES NO
5.1.5.3(8) Size YES NO
5.1.5.4 In addition to the required package product label, each cleaning/utility glove shall be permitted to have a product label on the outside of the glove
YES NO
5.1.5.5 Where each cleaning/utility gloves has a product label, the certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed as the product label on each glove:
YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
Section Sections 5.1.6 Multiple-Use Emergency Medical Work Glove
Product Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.6.1 Each work glove shall have a product label(s) permanently and conspicuously attached inside each glove
YES NO
5.1.6.2
The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the product label:
“THIS GLOVE MEETS THE MULTIPLE-USE EMERGENCY MEDICAL WORK
GLOVE REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS,
2018 EDITION.
DO NOT REMOVE THIS LABEL!”
YES NO
5.1.6.3 The following information shall also be printed legibly on the package product label: YES NO
5.1.6.3(1) Manufacturer's name, identification, or designation YES NO
5.1.6.3(2) Manufacturer's address YES NO
5.1.6.3(3) Country of manufacture YES NO
5.1.6.3(4) Glove model and style YES NO
5.1.6.3(5) Trace number YES NO
5.1.6.3(6) Materials of construction YES NO
5.1.6.3(7) Cleaning instructions YES NO
5.1.6.3(8) Month and year of manufacture, not coded YES NO
5.1.6.3(9) Size YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
Section Sections 5.1.7 Single-Use Emergency Medical Facemask Product
Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.7.1 The package containing the smallest number of facemask items from which the user withdraws the product for use shall have a package product label.
YES NO
5.1.7.2
The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the package product label:
“THIS FACEMASK IS FOR SINGLE USE ONLY! THIS MASK MEETS THE
SINGLE-USE EMERGENCY MEDICAL FACEMASK REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR
EMERGENCY MEDICAL OPERATIONS, 2018 EDITION.
DO NOT REMOVE THIS LABEL!”
YES NO
5.1.7.3 The following information shall also be printed legibly on the package product label: YES NO
5.1.7.3(1) Manufacturer's name, identification, or designation YES NO
5.1.7.3(2) Manufacturer's address YES NO
5.1.7.3(3) Country of manufacture YES NO
5.1.7.3(4) Facemask model and style YES NO
5.1.7.3(5) Trace number YES NO
5.1.7.3(6) Materials of construction YES NO
5.1.7.3(7) Month and year of manufacture, not coded YES NO
5.1.7.3(8) Size, where applicable YES NO
5.1.7.4 In addition to the required package product label, each mask shall be permitted to have a product label in an area of the facemask that does not affect its function.
YES NO
5.1.7.5 Where each facemask has a product label, the certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed as the product label on each facemask: “MEETS NFPA 1999, 2018 ED.”
YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
5.1.7.6
Where the medical facemask is not certified by National Institute for Occupational Safety and Health (NIOSH) as a respirator to 42 CFR 84, “Approval of Respiratory Protective Devices,” the package product label shall include the following additional warning: THIS FACEMASK IS NOT A RESPIRATOR AND WILL NOT PROVIDE RESPIRATORY PROTECTION AGAINST AIRBORNE BIOLOGICAL HAZARDS
YES NO
Section Sections 5.1.8 Single-Use Emergency Medical Eye and Face
Protection Device Product Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.8.1 The package containing the smallest number of eye and face protection device items from which the user withdraws the product for use shall have a package product label.
YES NO
5.1.8.2
The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the package product label:
“THIS {insert name of item} IS FOR SINGLE USE ONLY! THIS {insert name of item} MEETS THE SINGLE-USE EMERGENCY EYE AND FACE PROTECTION
DEVICE REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS,
2018 EDITION.
DO NOT REMOVE THIS LABEL!”
YES NO
5.1.8.3 The following information shall also be printed legibly on the package product label: YES NO
5.1.8.3(1) Manufacturer's name, identification, or designation YES NO
5.1.8.3(2) Manufacturer's address YES NO
5.1.8.3(3) Country of manufacture YES NO
5.1.8.3(4) Eye and face protection device model or style YES NO
5.1.8.3(5) Trace number YES NO
5.1.8.3(6) Materials of construction YES NO
5.1.8.3(7) Month and year of manufacture, not coded YES NO
5.1.8.3(8) Size, where applicable YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
5.1.8.4
In addition to the required package product label, each eye and face protection device shall be permitted to have a product label in a location of the eye and face protection device that does not interfere with the wearer’s vision or device’s function.
YES NO
5.1.8.5
Where each eye and face protection device has a product label, the certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed as the product label on each eye and face protection device: “MEETS NFPA 1999, 2018 ED.”
YES NO
Section Sections 5.1.9 Multiple-Use Emergency Medical Eye and Face
Protection Device Product Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.9.1 The package containing the smallest number of eye and face protection device items from which the user withdraws the product for use shall have a package product label
YES NO
5.1.9.2
The certification organization's label, symbol, or identifying mark and at least the following statement shall be printed on the package product label:
“THIS DEVICE MEETS THE MULTIPLE-USE EMERGENCY MEDICAL EYE AND
FACE PROTECTION REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL
OPERATIONS, 2018 EDITION.
DO NOT REMOVE THIS LABEL!”
YES NO
5.1.9.3 The following information shall also be printed legibly on the package product label: YES NO
5.1.9.3(1) Manufacturer's name, identification, or designation YES NO
5.1.9.3(2) Manufacturer's address YES NO
5.1.9.3(3) Country of manufacture YES NO
5.1.9.3(4) Eye and face protection device model or style YES NO
5.1.9.3(5) Trace number YES NO
5.1.9.3(6) Materials of construction YES NO
5.1.9.3(7) Cleaning precautions YES NO
5.1.9.3(8) Month and year of manufacture, not coded YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
5.1.9.3(9) Size YES NO
5.1.9.4 Each face protection device shall have a product label, in addition to the required package product label, placed in a conspicuous location on the device that shall not interfere with the wearer's vision
YES NO
5.1.9.5 The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the product label of each multiple-use face protection device: “MEETS NFPA 1999, 2018 ED.”
YES NO
Section Sections 5.1.10 Single-Use Emergency Medical Footwear Cover
Product Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.10.1 The package containing the smallest number of footwear cover items from which the user withdraws the product for use shall have a package product label.
YES NO
5.1.10.2
The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the package product label:
“THIS FOOTWEAR COVER IS FOR SINGLE USE ONLY! THIS FOOTWEAR
COVER MEETS THE SINGLE-USE EMERGENCY MEDICAL FOOTWEAR COVER REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE
CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2018 EDITION.
DO NOT REMOVE THIS LABEL!”
YES NO
5.1.10.3 The following information shall also be printed legibly on the package product label:
YES NO
5.1.10.3(1) Manufacturer's name, identification, or designation YES NO
5.1.10.3(2) Manufacturer's address YES NO
5.1.10.3(3) Country of manufacture YES NO
5.1.10.3(4) Footwear cover model or style YES NO
5.1.10.3(5) Trace number YES NO
5.1.10.3(6) Materials of construction YES NO
5.1.10.3(7) Month and year of manufacture, not coded YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
5.1.10.3(8) Size, where applicable YES NO
5.1.10.4 In addition to the required package product label, each footwear cover shall be permitted to have a product label in area of the footwear cover that does not affect the comfort of the wearer
YES NO
5.1.10.5
Where each footwear cover has a product label, the certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed as the product label on each footwear cover: “MEETS NFPA 1999, 2018 ED.”
YES NO
Section Sections 5.1.11 Multiple-Use Emergency Medical Footwear Product
Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.11.1 Each footwear item shall have a product label or labels permanently and conspicuously attached inside each footwear item when the footwear is properly donned.
YES NO
5.1.11.2
The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the product label:
“THIS FOOTWEAR MEETS THE MULTIPLE-USE EMERGENCY MEDICAL
FOOTWEAR REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS,
2018 EDITION.
DO NOT REMOVE THIS LABEL!”
YES NO
5.1.11.3 The following information shall also be printed legibly on the product label: YES NO
5.1.11.3(1) Manufacturer's name, identification, or designation YES NO
5.1.11.3(2) Manufacturer's address YES NO
5.1.11.3(3) Country of manufacture YES NO
5.1.11.3(4) Footwear model or style YES NO
5.1.11.3(5) Trace number YES NO
5.1.11.3(6) Materials of construction YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
5.1.11.3(7) Cleaning precautions YES NO
5.1.11.3(8) Month and year of manufacture, not coded YES NO
5.1.11.3(9) Size, where applicable YES NO
Section Sections 5.1.12 Multiple-Use Medical Care Facility Footwear
Product Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.12.1 Each footwear item shall have a product label or labels permanently and conspicuously attached inside each footwear item when the footwear is properly donned.
YES NO
5.1.12.2
The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the product label:
“THIS FOOTWEAR MEETS THE MULTIPLE-USE MEDICAL CARE
FACILITY FOOTWEAR REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2018 EDITION. THIS FOOTWEAR HAS NOT BEEN REQUIRED TO PROVIDE RESISTANCE TO TOE IMPACT AND
COMPRESSION OR SOLE PUNCTURE!
DO NOT REMOVE THIS LABEL!”
YES NO
5.1.12.3 The following information shall also be printed legibly on the product label: YES NO
5.1.12.3(1) Manufacturer's name, identification, or designation YES NO
5.1.12.3(2) Manufacturer's address YES NO
5.1.12.3(3) Country of manufacture YES NO
5.1.12.3(4) Footwear model or style YES NO
5.1.12.3(5) Trace number YES NO
5.1.12.3(6) Materials of construction YES NO
5.1.12.3(7) Cleaning precautions YES NO
5.1.12.3(8) Month and year of manufacture, not coded YES NO
5.1.12.3(9) Size, where applicable YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
Section Sections 5.1.13 Multiple-Use Emergency Medical Helmet Product
Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.13.1 Each helmet shall have a product label or labels permanently and conspicuously attached. At least one product label shall be conspicuously located on or inside each helmet when the helmet is properly assembled with all components in place
YES NO
5.1.13.2
The certification organization's label, symbol, or identifying mark and at least the following statement shall be legibly printed on the product label:
“THIS HELMET MEETS THE EMERGENCY MEDICAL HELMET
REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2018
EDITION.
DO NOT REMOVE THIS LABEL!”
YES NO
5.1.13.3 The following information shall also be printed legibly on the product label: YES NO
5.1.13.3(1) Manufacturer's name, identification, or designation YES NO
5.1.13.3(2) Manufacturer's address YES NO
5.1.13.3(3) Country of manufacture YES NO
5.1.13.3(4) Helmet model or style YES NO
5.1.13.3(5) Trace number YES NO
5.1.13.3(6) Helmet size and size range YES NO
5.1.13.3(7) Nominal weight of helmet YES NO
5.1.13.3(8) Month and year of manufacture, not coded YES NO
5.1.13.3(9) Cleaning precautions YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
Section Sections 5.1.14 Emergency Medical Powered Air-Purifying
Respirator Product Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.14.1 The package containing the smallest number of powered air-purifying respirator items from which the user withdraws the product for use shall have a package product label.
YES NO
5.1.14.2
The certification organization’s label, symbol, or identifying mark and at least the following statement shall be printed on the package product label:
“THIS RESPIRATOR MEETS THE MULTIPLE-USE EMERGENCY MEDICAL
EYE AND FACE PROTECTION REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL
OPERATIONS, 2018 EDITION.
DO NOT REMOVE THIS LABEL!”
YES NO
5.1.14.3 The following information shall also be printed legibly on the product label: YES NO
5.1.14.3(1) Manufacturer's name, identification, or designation YES NO
5.1.14.3(2) Manufacturer's address YES NO
5.1.14.3(3) Country of manufacture YES NO
5.1.14.3(4) Respirator model or style YES NO
5.1.14.3(5) Trace number YES NO
5.1.14.3(6) Materials of construction YES NO
5.1.14.3(7) Cleaning precautions YES NO
5.1.14.3(8) Month and year of manufacture, not coded YES NO
5.1.14.3(9) Size YES NO
5.1.14.4 Each respirator shall have a product label, in addition to the required package product label, placed in a conspicuous location on the respirator that shall not interfere with the wearer’s vision
YES NO
5.1.14.5 The certification organization’s label, symbol, or identifying mark and at least the following statement shall be legibly printed on the product label of each respirator: “MEETS NFPA 1999, 2018 ED.”
YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
Section Sections 5.1.15 Single-Use Emergency Medical Ensemble Product
Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.15.1 The garment portion of the ensemble shall have a product label or labels permanently and conspicuously located inside the garment when the ensemble is properly assembled with all layers and components in place.
YES NO
5.1.15.2
The product label shall have the certification organization’s label, symbol, or identifying mark and at least the following statement legibly printed on the product
label:
“THIS ENSEMBLE IS FOR SINGLE USE ONLY! THIS ENSEMBLE MEETS THE SINGLE-USE EMERGENCY MEDICAL ENSEMBLE REQUIREMENTS OF NFPA
1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2018 EDITION.
DO NOT REMOVE THIS LABEL!”
YES NO
5.1.15.3 The following information shall also be printed legibly on the product label: YES NO
5.1.15.3(1) Manufacturer's name, identification, or designation YES NO
5.1.15.3(2) Manufacturer's address YES NO
5.1.15.3(3) Country of manufacture YES NO
5.1.15.3(4) Ensemble model and style YES NO
5.1.15.3(5) Trace number YES NO
5.1.15.3(6) Materials of construction YES NO
5.1.15.3(7) Month and year of manufacture, not coded YES NO
5.1.15.3(8) Size YES NO
5.1.15.4
The following additional language shall be provided on the product label:
“TO PROVIDE FULL BODY PROTECTION, THE FOLLOWING ADDITIONAL ITEMS MUST BE WORN AS PART OF THIS ENSEMBLE.”
[list items including manufacturer name and model or style number.]
YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
Section Sections 5.1.16 Multiple-Use Emergency Medical Protective
Ensemble Product Label Requirements Participant Checklist
SEI
Compliant
Checklist
5.1.16.1 The garment portion of the ensemble shall have a product label or labels permanently and conspicuously located inside the garment when the garment is properly assembled with all layers and components in place
YES NO
5.1.16.2
The product label shall have the certification organization’s label, symbol, or identifying mark and at least the following statement legibly printed on the product
label: “THIS ENSEMBLE MEETS THE MULTIPLE-USE EMERGENCY MEDICAL
ENSEMBLE REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS,
2018 EDITION
DO NOT REMOVE THIS LABEL!”
YES NO
5.1.16.3 The following information shall also be printed legibly on the product label: YES NO
5.1.16.3(1) Manufacturer's name, identification, or designation YES NO
5.1.16.3(2) Manufacturer's address YES NO
5.1.16.3(3) Country of manufacture YES NO
5.1.16.3(4) Ensemble model or style YES NO
5.1.16.3(5) Trace number YES NO
5.1.16.3(6) Materials of construction YES NO
5.1.16.3(7) Cleaning precautions YES NO
5.1.16.3(8) Month and year of manufacture, not coded YES NO
5.1.16.3(9) Size YES NO
5.1.16.4
The following additional language shall be provided on the product label:
“TO PROVIDE FULL BODY PROTECTION, THE FOLLOWING ADDITIONAL ITEMS MUST BE WORN AS PART OF THIS ENSEMBLE.”
[list items including manufacturer name and model or style number.]
YES NO
5.1.16.5
Where visibility materials are used on garments and the garment meets the requirements of ANSI/ISEA 107, High-Visibility Safety Apparel and Accessories, the product label shall also meet the marking information required by ANSI/ISEA 107.
YES NO
5.1.16.6
Where visibility materials are used on garments and are not intended to meet the requirements in ANSI/ISEA 107, High-Visibility Safety Apparel and Headwear Accessories, the product label shall include the following warning: “
WEARING OF THIS ENSEMBLE ALONG ROADSIDES OR OTHER AREAS WITH VEHICULAR TRAFFIC REQUIRES ADDITIONAL HIGH VISIBILITY
SAFETY APPAREL, COMPLIANT WITH AT LEAST THE CLASS 2 REQUIREMENTS OF ANSI/ISEA 107.”
YES NO
25C. LABEL AND USER INFORMATION CHECKLIST (Emergency Medical Protective Clothing Items) – NFPA 1999, 2018 Edition
Date: 10.13.2017
- - - - - - - - - - - - - - - - FOR SEI USE ONLY - - - - - - - - - - - - - - - - - -
INITIAL LABEL REVIEW
COMPLY / NOT COMPLY
COMMENTS:
Prepared by & Date: ____________________________________
Reviewed by & Date: ____________________________________
Measuring Device ID Number:
INITIAL USER INFORMATION REVIEW
COMPLY / NOT COMPLY
COMMENTS:
Prepared by & Date: ____________________________________
Reviewed by & Date: ____________________________________
SUBSEQUENT REVIEW (LABEL / USER INFORMATION)
COMPLY / NOT COMPLY (do not sign if deemed “not comply”)
COMMENTS:
Prepared by & Date: ____________________________________
Reviewed by & Date: ____________________________________
Measuring Device ID Number: