Complete one form per rating

*This information will appear on the test report as it appears below.

Billing and Contact Information (the report will be sent to this address)
Name
Company
Address
City, State/Province Zip ,
Country
Phone
E-mail

Report Contact information as you want it to appear on the final report (if
different than above)
Name
Company
Address
City, State/Province Zip ,
Country
Phone
E-mail

Test to be conducted:
Fabric Testing

Other Testing

F1959 Textiles (per F1506)

F887 (Fall Protection Harness)

F1959 Rainwear or laminated materials (per F1891)

F2621 (Garment Evaluation)

IEC 61482-1-1 Method A

IEC 61482-1-1 Method B(Garment Evaluation)

(Material must already be washed)

Scouting (requires 3 panels per shot )

# of Shots
Rating trying to achieve

F2178 (Hoods, Goggles and Face shields)

FXXXX Glove Test
Scouting (Mannequin tests include 2 shirts per shot)

# of Shots
Rating trying to achieve

Proceed to Part A - Fabric

Proceed to Part B Other Testing

Part A Fabric Testing only

ArcWear to launder?
3 wash / 1 dry (AATCC Method 135)
Other

ArcWear to cut panels? Yes

Special Instructions:

Yes

No
Laundry Method Used

No

Fabric Description:
Layer 1: (Top Layer)
Manufacturer:
Style No.
2
Nominal Weight: oz/yd or
Fabric Type:
Knit
g/m2
Woven
Fabric Description (i.e. jersey, plain weave, twill):
Fiber Content and Percentage of Each Fiber:
Color:

Woven

Non-

Part
B Other Testing
If multi-layered
system, please complete next page.

Additional
fees
for ratings >25 cal/cm and laminated fabrics requiring
Special Instructions:
ASTM
DescribeF1891
each itemtesting.
to be tested, including type of item, style or identification number, fiber content, color
and any information to be included in the report.
1.

Target Rating
2.
Target Rating
3.
Target Rating
4.
Part ATarget
Fabric
Testing
Rating
only (for additional layers)
Fabric
Description:
5.
Layer 2:
(Second
Layer)
Target
Rating

Manufacturer:

Style No.
6.
2
Nominal
Weight:

oz/yd
or

Fabric Type:
Knit
Woven
Target Rating
2
g/m
Woven
If more than six items, add more sections
by copy and paste.
Fabric Description (i.e. jersey, plain weave):
Fiber Content and Percentage of Each Fiber:
Color:
Fabric Description:
Layer 3: (Third Layer)
Manufacturer:
Style No.
Nominal Weight: oz/yd2 or
Fabric Type:
Knit
2
g/m
Woven
Fabric Description (i.e. jersey, plain weave):
Fiber Content and Percentage of Each Fiber:
Color:

Woven

If more than three layers, add more sections by copy and paste.

Non-

Non-

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have a paper copy sent to you at an additional fee:
Number of Copies:
Notarized

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ArcWear Company Seal