Attachment_B-NFPA_1999,_Edition_2013.pdf

NFPA® 1999

Standard on Protective Clothing and Ensembles for

Emergency Medical Operations 2013 Edition

(Incorporating TIA 13‐1; issued 4/7/15)

This edition of NFPA 1999 includes Tentative Interim Amendment (TIA) No. 13‐1. Text changes introduced by this TIA are indicated by boxed notices and shaded text within the document. Vertical lines indicate text changes that were made during the 2013 revision cycle.

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Important Notice: This document has been provided for National Association of State EMS Officers (NASEMSO) internal use only. This document is the copyright property of the National Fire Protection Association (NFPA), Copyright © 2013 NFPA, and may not be used for any other purpose or distributed to any other persons or parties outside NASEMSO.

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12/11

Important Notice: This document has been provided for National Association of State EMS Officers (NASEMSO) internal use only. This document is the copyright property of the National Fire Protection Association (NFPA), Copyright © 2013 NFPA, and may not be used for any other purpose or distributed to any other persons or parties outside NASEMSO.

O t a C a t i p i t s b f A O p l b s t e t m p r e m p p i

1999–1

NFPA and National Fire Pr

Important Notice: This document has been provided for National Association of State EMS Officers (NASEMSO) internal use only. This document is the copyright property of the National Fire Protection Association (NFPA), Copyright © 2013 NFPA, and may not be used for any other purpose or distributed to any other persons or parties outside NASEMSO.

Copyright © 2013 National Fire Protection Association®. All Rights Reserved.

NFPA® 1999

Standard on

Protective Clothing and Ensembles for Emergency Medical Operations

The title of NFPA 1999 was revised by a tentative interim amendment (TIA). See para-graph 2, below.

2013 Edition

This edition of NFPA 1999, Standard on Protective Clothing and Ensembles for Emergency Medical perations, was prepared by the Technical Committee on Emergency Medical Services Protec-ive Clothing and Equipment and released by the Technical Correlating Committee on Fire nd Emergency Services Protective Clothing and Equipment. It was issued by the Standards ouncil on November 27, 2012, with an effective date of December 17, 2012, and supersedes ll previous editions.

An extensive Tentative Interim Amendment (TIA), indicated by boxed notices and shaded ext at the appropriate areas within the document, was issued on April 7, 2015. This TIA ntroduces changes throughout the document related to the personal protective equipment PPE) requirements of first responders and medical first receivers against Ebola Viral Disease EVD) and other highly infectious liquid-borne pathogens. The TIA focuses on providing erformance requirements for PPE ensembles that offer full body protection, and a liquid ntegrity evaluation to demonstrate an established protective level of performance.

For further information on tentative interim amendments, see Section 5 of the Regula-ions Governing the Development of NFPA Standards, available at http://www.nfpa.org/regs.

This edition of NFPA 1999 was approved as an American National Standard on December

7, 2012.

Origin and Development of NFPA 1999 This standard was developed to address protective garments, gloves, and facewear de-igned that protect persons providing emergency medical care against exposure to liquid-orne pathogens during emergency medical operations. NFPA 1999 defines minimum per-ormance for protective clothing as required by the Occupational Safety and Health dministration (OSHA) Final Rule (29 CFR 1910.1030) Protecting Health Care Workers from ccupational Exposure to Bloodborne Pathogens. The Final Rule states:

“When there is occupational exposure, the employer shall provide at no cost to the em-loyee, appropriate personal protective equipment, such as, but not limited to, gloves, gowns, aboratory coats, face shields or masks, and eye protection, and mouthpieces, resuscitation ags, pocket masks, or other ventilation devices. Personal protective equipment will be con-idered ‘appropriate’ only if it does not permit blood or other potential infectious materials o pass through to or reach the employee’s work clothes, street clothes, undergarments, skin, yes, mouth, or other mucous membranes under normal conditions of use and for the dura-ion of time which the protective equipment will be used.”

NFPA 1999 offers specific performance criteria that involve exposing protective clothing aterials to surrogate virus challenge utilizing a specific time and pressure protocol. This rocedure has been documented to discriminate between current protective clothing mate-ials and to correlate with visual penetration results that are obtained with a human factors valuation. Each type of clothing must resist penetration to blood-borne pathogens as deter-ined by this test.

Additional garment requirements cover overall liquidtight integrity, material strength, hysical hazard resistance, seam strength, and closure strength.

Additional requirements for gloves cover minimum performance for tensile and elongation roperties in an “as received” condition as well as following heat aging and isopropyl alcohol mmersion, minimum sizing, and liquidtight integrity for intended areas of penetration.

otection Association are registered trademarks of the National Fire Protection Association, Quincy, Massachusetts 02169.

1999–2 PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS

Important Notice: This document has been provided for National Association of State EMS Officers (NASEMSO) internal use only. This document is the copyright property of the National Fire Protection Association (NFPA), Copyright © 2013 NFPA, and may not be used for any other purpose or distributed to any other persons or parties outside NASEMSO.

Additional requirements for facewear or face protection devices cover adequate visibility and integrity, in addition to resisting penetration of blood-borne pathogens.

The selection of test methods and performance requirements was based on surveys of emergency medical services (EMS) personnel and a technical study supported by the U.S. Fire Administration.

The Subcommittee on Hazardous Chemicals Protective Clothing began its work on the first edition of this docu-ment in 1990 and passed on its work to the Technical Committee on Fire Service Protective Clothing and Equipment in January 1991. The first edition was presented to the Association at the 1992 Annual Meeting in New Orleans, LA.

Since the first edition in 1992, the entire project for fire service protective clothing and equipment was reorganized in January 1995 by the Standards Council. The new project has a Technical Correlating Committee on Fire and Emergency Services Protective Clothing and Equipment and eight technical committees operating within it. The Technical Committee on Emergency Medical Services Protective Clothing and Equipment is now responsible for

NFPA 1999.

In 1997, the second edition incorporated single-use and reusable items of EMS protective clothing. Prior to that edition, there was no differentiation between single-use and reusable items. Items that were reused might not have continued to provide biopenetration barrier protection. Reusable items could be advantageous and cost-effective for certain items of EMS clothing such as garments. Durability conditioning was added to the test methods of items that would be identified as not for single use only. EMS gloves remain single-use items only. This was consistent with NFPA 1581, Standard on Fire Department Infection Control Program. EMS gloves were also newly required to be an FDA registered medical device.

The first edition allowed partial body garments, such as sleeve covers or apron-type gowns, and also allowed the biopenetration barrier protection to be less in area than the area covered by the garment (such as only the front of a smock or jacket having the biopenetration barrier protection). The second edition continued to permit partial body garments, but did not allow partial biopenetration barrier protection in a garment. Biopenetration barrier protection was required for the full area covered by the garment.

Test methods were completely reformatted to present consistency in test methods and to assure that all key ele-ments of a test were given within the method.

The third edition of NFPA 1999 was reformatted into the new style for all NFPA codes and standards and, therefore, the chapter titles and numbering, as well as paragraph numbering, changed. In that edition, the Committee added new requirements for emergency medical work gloves, emergency medical footwear, and cleaning/utility gloves.

Emergency medical work gloves will provide the barrier protection from blood and liquid-borne pathogens that all EMS PPE provides, and a higher level of physical protection for incidents where rough or sharp surfaces could be contacted, such as during extrication operations. The emergency medical footwear can be configured either as a single-use, disposable bootie to pull over work shoes or as normal footwear designed for multiple uses. Both would provide the same barrier protection from blood and liquid-borne pathogens as other items of EMS PPE. The cleaning/ utility gloves are single-use items to protect wearers during cleaning and decontamination of EMS equipment.

The third (2003) edition of NFPA 1999 was acted on by the NFPA membership at the November Association Technical Meeting in Atlanta, Georgia, on November 20, 2002, and became effective on February 6, 2003.

The 2008 (fourth) edition of NFPA 1999 included a number of changes that were implemented to address emerg-ing needs for EMS providers as well as to address the special protection needs of first receivers at hospitals or other health care facilities. Specific attention was paid to types of emergency medical protective clothing items where certification activity and consequent use of certified products has been limited. Much of the work was supported by a research contract effort funded by the National Institute for Occupational Safety and Health (NIOSH) National Personal Protective Technology Laboratory (NPPTL). The NIOSH NPPTL research program involved a detailed investigation of emergency medical responder needs, identification of evaluation techniques to address these needs, testing of representative products, outreach to end-user groups to assist with discerning acceptable levels of protection, and the proposal of specific criteria. The results of this supporting work are available in the project final report, Improved Criteria for Emergency Medical Protective Clothing, Contract No. 214-2006-M-15870 Final Report.

The principal changes incorporated in the fourth edition of NFPA 1999 include the following:

(1) Differentiation between multiple- and single-use protective garments based on specific physical property criteria.

(2) Application of a flammability test for certain items of protective clothing to prevent the use of dangerous products in the event of accidental flame contact.

(3) New design, performance, testing, documentation, and certification requirements for [C]BRN protective en-sembles to provide protection for emergency services responders and medical receivers against biological agents and radiological particulates. The use of the [C] in the “[C]BRN” format is to indicate that chemical protection is not offered by this ensemble, while retaining the widely used “CBRN” term. This level of protection would be needed for medical receivers and medical treatment personnel where CBRN incident victims self-present at a medical facility, or the victims have not been decontaminated or only partially decontaminated prior to transport to a medical facility.

This [C]BRN protection is not addressed by the single-use garments covered in NFPA 1994, Standard on Protective Ensembles for First Responders to CBRN Terrorism Incidents. The new requirements focus on full ensembles that are subject to multiple uses prior to use during a CBRN incident.

013 Edition o r

R d o

1999–3ORIGIN AND DEVELOPMENT

Important Notice: This document has been provided for National Association of State EMS Officers (NASEMSO) internal use only. This document is the copyright property of the National Fire Protection Association (NFPA), Copyright © 2013 NFPA, and may not be used for any other purpose or distributed to any other persons or parties outside NASEMSO.

4) New criteria for head protection to establish protection requirements for impact hazards at emergency sites, and some guidance in the annex provided to also address prevention of trauma to emergency medical personnel traveling inside vehicles.

5) New category of footwear to address the physical environments for first receivers at hospitals or other health care facilities.

6) Revised criteria for footwear covers to address performance properties consistent with expected use, such as abrasion resistance of sole materials.

7) New classification and performance requirements for eye and face protection devices. The new system segregates the different types of eye/face protection into “single-use” and “reusable” devices, and a separate category of medical face masks that are frequently used by emergency services responders during emergency medical care.

8) Revision of requirements for cleaning glove performance to eliminate conflicting criteria.

9) New optional high-visibility markings criteria for emergency responder protective garments; these optional crite-ria are consistent with ANSI 107, Standard on High-Visibility Safety Apparel.

In addition to the principal changes, a number of clarifications and improvements were made to ensure consistency f requirements throughout the standard.

The fourth (2008) edition was issued by the NFPA Standards Council with an effective date of December 31, 2007.

This fifth (2013) edition of NFPA1999 is a complete revision of the document that includes editorial changes, updates to eferenced publications, and new or revised definitions for gusset, tongue, interface component, and manufacturer.

The 2013 edition has removed the puncture resistance test two and the impact and compression resistance test.

evisions to the abrasion test, slip resistance test, footwear upper materials testing, cut resistance test, washing and rying procedures, and chemical permeation resistance test are also included. This edition also features a new section n work glove test areas.

1999–4 PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS

Important Notice: This document has been provided for National Association of State EMS Officers (NASEMSO) internal use only. This document is the copyright property of the National Fire Protection Association (NFPA), Copyright © 2013 NFPA, and may not be used for any other purpose or distributed to any other persons or parties outside NASEMSO.

Technical Correlating Committee on Fire and Emergency Services Protective Clothing and Equipment

William E. Haskell, III, Chair National Institute for Occupational Safety & Health, MA [E]

Eric J. Beck, Secretary

Mine Safety Appliances Company, PA [M] Jason L. Allen, Intertek Testing Services, NY [RT] Roger L. Barker, North Carolina State University, NC

[SE]

Brian D. Berchtold, U.S. Department of the Navy, DE

[RT]

Steven D. Corrado, UL LLC, NC [RT] Nicholas J. Curtis, Lion Apparel, Inc., OH [M] Richard M. Duffy, International Association of Fire Fighters, DC [L] Cristine Z. Fargo, International Safety Equipment Association, VA [M] Robert A. Freese, Globe Manufacturing Company, NH [M] Patricia A. Gleason, Safety Equipment Institute (SEI), VA

[RT]

David V. Haston, U.S. Department of Agriculture, Forest

Service, CA [E]

Alternates

Nonvoting

T c

N a

C m e g s g

013 Edition Kimberly M. Henry, PBI Performance Products, Inc., NC [M] James S. Johnson, Lawrence Livermore National Laboratory, CA [RT] David G. Matthews, Fire & Industrial (P.P.E) Ltd., United Kingdom [SE]

Rep. International Standards Organization Michael F. McKenna, Michael McKenna & Associates, LLC, CA [SE]

Gary L. Neilson, Sparks, NV [U]

Rep. NFPA Fire Service Section Anthony D. Putorti, Jr., National Institute of Standards & Technology, MD [RT] Jeffrey O. Stull, International Personnel Protection, Inc., TX [M]

William A. Van Lent, Veridian Ltd., Inc., IA [M]

Rep. Fire & Emergency Manufacturers & Services

Association Leslie Anderson, U.S.D.A. Forest Service, MT [E] (Alt. to D.V. Haston)

Chris Bain, Oklahoma State Firefighters Association, OK [C]

(Voting Alt. to OSFA Rep.)

Louis Carpentier, Innotex Inc., Canada [M]

(Alt. to W. A. Van Lent) Brandi L. Chestang, U.S. Department of the Navy, FL

[RT]

(Alt. to B. D. Berchtold) Patricia A. Freeman, Globe Manufacturing Company, LLC, NH [M]

(Alt. to R. A. Freese) Pamela A. Kavalesky, Intertek Testing Services, NY [RT]

(Alt. to J. L. Allen) Karen E. Lehtonen, Lion Apparel, Inc., OH [M]

(Alt. to N. J. Curtis) Robin B. Royster, UL LLC, NC [RT] (Alt. to S. D. Corrado)

Michael T. Rupert, Mine Safety Appliances Company, PA [M]

(Alt. to E. J. Beck) Stephen R. Sanders, Safety Equipment Institute (SEI), VA

[RT]

(Alt. to P. A. Gleason) Grace G. Stull, International Personnel Protection, Inc., TX [M]

(Alt. to J. O. Stull) Donald B. Thompson, North Carolina State University, NC [SE]

(Alt. to R. L. Barker) Richard H. Young, DuPont Protection Technologies, VA [M]

(Alt. to K. M. Henry) Christina M. Baxter, U.S. Department of Defense, VA [E] Rep. TC on Hazardous Materials PC & E

Dean W. Cox, Fairfax County Fire & Rescue Department, VA [U]

Rep. TC on Special Operations PC & E Stephen J. King, Babylon, NY [SE]

Rep. TC on Structural and Proximity Fire Fighting PC & E Daniel N. Rossos, Portland Fire & Rescue, OR [U] Rep. TC on Respiratory Protection Equipment

Rick L. Swan, IAFF Local 2881/CDF Fire Fighters, CA [L]

Rep. TC on Wildland Fire Fighting PC & E Bruce H. Varner, Goodyear, AZ [E]

Rep. TC on Electronic Safety Equipment David G. Trebisacci, NFPA Staff Liaison his list represents the membership at the time the Committee was balloted on the final text of this edition. Since that time, hanges in the membership may have occurred. A key to classifications is found at the back of the document.

OTE: Membership on a committee shall not in and of itself constitute an endorsement of the Association or ny document developed by the committee on which the member serves.

ommittee Scope: This Committee shall have primary responsibility for documents on the design, perfor-ance, testing, and certification of protective clothing and protective equipment manufactured for fire and mergency services organizations and personnel, to protect against exposures encountered during emer-ency incident operations. This Committee shall also have the primary responsibility for documents on the election, care, and maintenance of such protective clothing and protective equipment by fire and emer-ency services organizations and personnel.

J M

S J T M

N

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D

1999–5COMMITTEE PERSONNEL

Important Notice: This document has been provided for National Association of State EMS Officers (NASEMSO) internal use only. This document is the copyright property of the National Fire Protection Association (NFPA), Copyright © 2013 NFPA, and may not be used for any other purpose or distributed to any other persons or parties outside NASEMSO.

Technical Committee on Emergency Medical Services Protective Clothing and Equipment

William E. Haskell, III, Chair National Institute for Occupational Safety & Health, MA [E]

Karen E. Lehtonen, Secretary

Lion Apparel, OH [M] ason L. Allen, Intertek Testing Services, NY [RT] ichael L. Aries, Town of Natick Fire Department, MA

L] Rep. International Association of Fire Fighters teven D. Corrado, Underwriters Laboratories Inc., NC

RT]

ames E. Davis, Columbus Firefighters Local 67, OH [L] odd P. Davis, Town of Longmeadow Fire Department, A [C] Alternates

T c

N a

C a f g p o

A m s

William A. Fithian, Safety Equipment Institute (SEI), VA

[RT]

Daniel J. Gohlke, W. L. Gore and Associates, MD [M] Donald F. Groce, Best Glove Inc., GA [M] David R. Harris, U.S. Air Force, NJ [L] Eugene M. Novak, Jr., Commonwealth of Massachusetts, MA [E]

Richard W. Patrick, U.S. Department of Homeland Security, MD [E] icholas J. Curtis, Lion Apparel, Inc., OH [M] (Alt. to K. E. Lehtonen) ricia L. Hock, Safety Equipment Institute (SEI), VA

RT]

(Alt. to W. A. Fithian) amela A. Kavalesky, Intertek Testing Services, NY [RT]

(Alt. to J. L. Allen) Angie M. Shepherd, National Institute for Occupational Safety & Health, PA [E]

(Alt. to W. E. Haskell, III) Gregg A. Skelly, Underwriters Laboratories Inc., NC [RT]

(Alt. to S. D. Corrado) avid G. Trebisacci, NFPA Staff Liaison his list represents the membership at the time the Committee was balloted on the final text of this edition. Since that time, hanges in the membership may have occurred. A key to classifications is found at the back of the document.

OTE: Membership on a committee shall not in and of itself constitute an endorsement of the Association or ny document developed by the committee on which the member serves.

ommittee Scope: This Committee shall have primary responsibility for documents on protective clothing nd protective equipment, except respiratory protective equipment, that provides hand, torso, limb, and ace protection for fire fighters or other emergency services responders during incidents that involve emer-ency medical operations. These operations include first aid, cardiopulmonary resuscitation, basis life sup-ort, advanced life support, and other medical procedures provided to patients prior to arrival at a hospital r other health care facility.

dditionally, this committee shall have primary responsibility for documents on the selection, care, and aintenance of emergency medical protective clothing and protective equipment by fire and emergency ervices organizations and personnel.

1999–6 PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS

Important Notice: This document has been provided for National Association of State EMS Officers (NASEMSO) internal use only. This document is the copyright property of the National Fire Protection Association (NFPA), Copyright © 2013 NFPA, and may not be used for any other purpose or distributed to any other persons or parties outside NASEMSO.

Contents Chapter 1 Administration .............................. 1999– 8

1.1 Scope ............................................. 1999– 8

1.2 Purpose .......................................... 1999– 8

1.3 Application ...................................... 1999– 9

1.4 Units .............................................. 1999– 9

Chapter 2 Referenced Publications ................. 1999– 9

2.1 General .......................................... 1999– 9

2.2 NFPA Publications ............................. 1999– 9

2.3 Other Publications ............................ 1999– 9

2.4 References for Extracts in Mandatory

Sections. (Reserved) .......................... 1999–11

Chapter 3 Definitions .................................. 1999–11

3.1 General .......................................... 1999–11

3.2 NFPA Official Definitions .................... 1999–11

3.3 General Definitions ........................... 1999–11

Chapter 4 Certification ................................ 1999–14

4.1 General .......................................... 1999–14

4.2 Certification Program ........................ 1999–14

4.3 Inspection and Testing ....................... 1999–15

4.4 Annual Verification of Product

Compliance ..................................... 1999–16

4.5 Manufacturer’s Quality Assurance

Program ......................................... 1999–20

4.6 Hazards Involving Compliant Product ... 1999–20

4.7 Manufacturers’ Investigation of

Complaints and Returns ..................... 1999–21

4.8 Manufacturers’ Safety Alert and Product

Recall Systems .................................. 1999–21

Chapter 5 Product Labeling and Information................................................. 1999–21

5.1 Product Label Requirements for

Emergency Medical Protective Clothing Items ................................. 1999–21

5.2 User Information .............................. 1999–25

Chapter 6 Design Requirements ..................... 1999–26

6.1 Emergency Medical Protective Garment

Design Requirements ......................... 1999–26

6.2 Emergency Medical Glove Design

Requirements .................................. 1999–27

6.3 Emergency Medical Eye and Face

Protection Device Design Requirements .................................. 1999–28

6.4 Emergency Medical Footwear Design

Requirements .................................. 1999–31

6.5 Multiple-Use Emergency Medical

Helmet Design Requirements .............. 1999–32

6.6 Multiple-Use Emergency Medical

[C]BRN Protective Ensemble Design Requirements ......................... 1999–32 2013 Edition Chapter 7 Performance Requirements................................................. 1999–33

7.1 Emergency Medical Garment

Performance Requirements ................. 1999–33

7.2 Emergency Medical Glove Performance

Requirements .................................. 1999–34

7.3 Emergency Medical Eye and Face

Protection Device Performance Requirements .................................. 1999–35

7.4 Emergency Medical Footwear

Performance Requirements ................. 1999–36

7.5 Multiple-Use Emergency Medical

Helmet Performance Requirements ...... 1999–37

7.6 Multiple-Use Emergency Medical

[C]BRN Protective Ensembles Performance Requirements ................. 1999–37

Chapter 8 Test Methods ............................... 1999–38

8.1 Sample Preparation Procedures ........... 1999–38

8.2 Liquidtight Integrity Test One ............. 1999–40

8.3 Biopenetration Test One .................... 1999–40

8.4 Tensile Strength Test ......................... 1999–41

8.5 Burst Strength Test ............................ 1999–42

8.6 Puncture Propagation Tear Resistance

Test ............................................... 1999–42

8.7 Tear Resistance Test One .................... 1999–42

8.8 Seam Breaking Strength Test ............... 1999–42

8.9 Liquidtight Integrity Test Two .............. 1999–43

8.10 Biopenetration Test Two ..................... 1999–43

8.11 Ultimate Tensile Strength Test ............. 1999–44

8.12 Ultimate Elongation Test .................... 1999–44

8.13 Puncture Resistance Test One .............. 1999–44

8.14 Dexterity Test One ............................ 1999–45

8.15 Protein Content Test .......................... 1999–45

8.16 Visual Acuity/Fogging Resistance Test .... 1999–46

8.17 Liquidtight Integrity Test Three ........... 1999–46

8.18 Cut Resistance Test ............................ 1999–47

8.19 Abrasion Resistance Test One .............. 1999–48

8.20 Slip Resistance Test ........................... 1999–48

8.21 Eyelet and Stud Post Attachment Test .... 1999–48

8.22 Corrosion Resistance Test ................... 1999–49

8.23 Overall Liquid Integrity Test Four ......... 1999–49

8.24 Chemical Permeation Resistance Test .... 1999–50

8.25 Abrasion Resistance Test Two ............... 1999–50

8.26 Dexterity Test Two ............................. 1999–51

8.27 Grip Test ......................................... 1999–51

8.28 Moisture Vapor Transmission Rate Test .... 1999–52

8.29 Overall Liquid Integrity Test Three ....... 1999–52

8.30 Tactility Test .................................... 1999–52

8.31 Water Absorption Resistance Test .......... 1999–53

8.32 Total Heat Loss Test .......................... 1999–54

8.33 Label Durability and Legibility Test ....... 1999–54

8.34 Particle Inward Leakage Test ............... 1999–54

1999–7CONTENTS

Important Notice: This document has been provided for National Association of State EMS Officers (NASEMSO) internal use only. This document is the copyright property of the National Fire Protection Association (NFPA), Copyright © 2013 NFPA, and may not be used for any other purpose or distributed to any other persons or parties outside NASEMSO.

8.35 Overall Ensemble Liquid Penetration

Test ............................................... 1999–56

8.36 Biopenetration Resistance Test Three .... 1999–56

8.37 Retroreflectivity and Fluorescence Test

Following Laundering ........................ 1999–58

8.38 Tear Resistance Test Two .................... 1999–59

8.39 Flammability Test .............................. 1999–59

8.40 Suspension System Retention Test ........ 1999–60

8.41 Retention System Test ........................ 1999–61

8.42 Goggle and Headlamp Clip Attachment

Test ............................................... 1999–62

Annex A Explanatory Material ....................... 1999–64

Annex B Informational References ................. 1999–76 Index ......................................................... 1999–77

1999–8 PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS

Important Notice: This document has been provided for National Association of State EMS Officers (NASEMSO) internal use only. This document is the copyright property of the National Fire Protection Association (NFPA), Copyright © 2013 NFPA, and may not be used for any other purpose or distributed to any other persons or parties outside NASEMSO.

NFPA 1999

Standard on

Protective Clothing and Ensembles for Emergency Medical Operations

The title of NFPA 1999 was revised by a tentative interim amendment (TIA). See page 1.

2013 Edition

IMPORTANT NOTE: This NFPA document is made available for use subject to important notices and legal disclaimers. These notices and disclaimers appear in all publications containing this document and may be found under the heading “Important Notices and Dis-claimers Concerning NFPA Documents.” They can also be obtained on request from NFPA or viewed at www.nfpa.org/disclaimers.

NOTICE: An asterisk (*) following the number or letter designating a paragraph indicates that explanatory material on the paragraph can be found in Annex A.

Changes other than editorial are indicated by a vertical rule beside the paragraph, table, or figure in which the change occurred. These rules are included as an aid to the user in identifying changes from the previous edition. Where one or more complete paragraphs have been deleted, the de-letion is indicated by a bullet (•) between the paragraphs that remain.

Information on referenced publications can be found in Chapter 2 and Annex B.

Chapter 1 Administration

Subsections 1.1.2 and 1.2.2 were added by a tentative interim amendment (TIA). See page 1.

1.1 Scope.

1.1.1* This standard shall specify the minimum design, perfor-mance, testing, documentation, and certification require-ments for new single-use and new multiple-use emergency medical operations protective clothing, including garments, helmets, gloves, footwear, and face protection devices, used by emergency medical responders prior to arrival at medical care facilities, and used by medical first receivers at medical care facilities during emergency medical operations.

1.1.2 This standard shall also specify additional minimum

design, performance, testing, documentation, and certifica-tion as requirements for single-use and multiple-use emer-gency medical protective ensembles comprising the protective clothing items described in 1.1.1 for protection from airborne and liquid-borne pathogens.

1.1.3* This standard shall also specify additional minimum design, performance, testing, documentation, and certifica-tion as requirements for multiple exposure use emergency medical protective ensembles that provide limited protection from specified [C]BRN terrorism agents.

2013 Edition 1.1.4* This standard shall not be interpreted as specifying re-quirements for protection from all CBRN terrorism agents, from all radiological agents, from hazardous chemicals, from flam-mable or explosive atmospheres, or from thermal hazards.

1.1.5* Other than for emergency medical protective en-sembles that are certified as compliant with the [C]BRN re-quirements of this standard, this standard shall not be inter-preted as specifying requirements for respiratory protection, and protection from airborne pathogens.

1.1.6 Certification of all emergency medical ensemble ele-

ments and protective clothing items, and medical care facility ensemble elements and protective clothing items as compliant with the requirements of this standard shall not preclude cer-tification to additional appropriate standards where the en-semble elements or protective clothing items meet all appli-cable requirements of each standard.

1.1.7* This standard shall not be construed as addressing all of the safety concerns associated with the use of compliant emer-gency medical operations protective clothing for the protec-tion of their personnel. It shall be the responsibility of the persons and organizations that use this standard to conduct testing of protective clothing to establish safety and health practices and determine the applicability of regulatory limita-tions prior to using this standard for any designing, manufac-turing, and testing.

1.1.8 This standard shall not be construed as addressing all of the safety concerns, if any, associated with the use of this stan-dard by testing facilities. It shall be the responsibility of the persons and organizations that use this standard to conduct testing of protective clothing and ensembles to establish safety and health practices and determine the applicability of regu-latory limitations prior to using this standard for any design-ing, manufacturing, and testing.

1.1.9* This standard shall not specify requirements for any accessories that could be attached to the certified product but are not necessary for the certified product to meet the require-ments of this standard.

1.1.10 Nothing herein shall restrict any jurisdiction or manu-facturer from exceeding these minimum requirements.

1.2 Purpose.

1.2.1* The purpose of this standard shall be to establish a minimum level of protection from contact with blood and body fluid-borne pathogens for personnel performing patient care during emergency medical operations.

1.2.2 The purpose of this standard shall also be to establish a minimum level of whole body protection for emergency ser-vices personnel and medical first receivers from airborne and liquid-borne pathogens.

1.2.3 The purpose of this standard shall also be to establish a minimum level of protection for emergency services personnel from specified [C]BRN terrorism agents in liquid splash and par-ticulate environments during [C]BRN terrorism incidents.

1.2.4 To achieve these purposes, this standard shall establish for emergency medical responders and medical first receivers the minimum requirements for upper and lower torso, head, hands, foot, and face protection devices to minimize skin and mucous membrane contact with body fluid-borne pathogens, and from the selected [C]BRN agents where the optional [C]BRN protection is specified.

1.2.5 Controlled laboratory tests used to determine compli-

ance with the performance requirements of this standard shall

1999–9REFERENCED PUBLICATIONS

Important Notice: This document has been provided for National Association of State EMS Officers (NASEMSO) internal use only. This document is the copyright property of the National Fire Protection Association (NFPA), Copyright © 2013 NFPA, and may not be used for any other purpose or distributed to any other persons or parties outside NASEMSO.

not be deemed as establishing performance levels for all situ-ations to which personnel can be exposed.

1.2.6* This standard shall not be interpreted or used as a de-tailed manufacturing or purchase specification but shall be permitted to be referenced in purchase specifications as mini-mum requirements.

1.3 Application.

1.3.1* This standard shall apply to the design, performance, testing, and certification of new emergency medical garments;

emergency medical examination gloves; emergency medical helmets; emergency medical cleaning/utility gloves; emer-gency medical work gloves; emergency medical facemasks;

emergency medical face protection devices; emergency medi-cal footwear and footwear covers; medical care facility foot-wear; and single-use and multiple-use emergency protective ensembles, and shall apply to ensembles and ensemble ele-ments for the additional [C]BRN protection from specified biological and radiological terrorism agents.

1.3.2 This edition of NFPA 1999 shall not apply to any emer-

gency medical operations protective clothing manufactured to previous editions of this standard.

1.3.3 This standard shall not apply to any emergency medical

operations protective clothing manufactured to the require-ments of any other standard.

1.3.4* Other than the certification of emergency medical pro-tective ensembles to the single-use and multiple-use, and [C]BRN ensemble requirements of this standard, this stan-dard shall not apply to respiratory protection in emergency medical operations as such requirements are specified by NIOSH in 42 CFR 84, and by OSHA in 29 CFR 1910.134 and

29 CFR 1910.1030.

1.3.5 This standard shall not apply to protection from ioniz-ing radiation, protection from all biological terrorism agents, or protection from all weapons of mass destruction.

1.3.6* This standard shall not apply to protective clothing for chemical terrorism incidents as such requirements are speci-fied in NFPA 1994, Standard on Protective Ensembles for First Re-sponders to CBRN Terrorism Incidents.

1.3.7 This standard shall not apply to the use of or conditions of use for emergency medical protective clothing and en-sembles by emergency medical responders and medical first receivers.

1.3.8 This standard shall not apply to any accessories that

could be attached to the certified product, before or after pur-chase, but are not necessary for the certified product to meet the requirements of this standard.

1.4 Units.

1.4.1 In this standard, values for measurement are followed

by an equivalent in parentheses, but only the first stated value shall be regarded as the requirement.

1.4.2 Equivalent values in parentheses shall not be consid-

ered as the requirement as these values are approximate.

Chapter 2 Referenced Publications

2.1 General. The documents or portions thereof listed in this chapter are referenced within this standard and shall be con-sidered part of the requirements of this document.

2.2 NFPA Publications. National Fire Protection Association, 1 Batterymarch Park, Quincy, MA 02169-7471.

NFPA 1500, Standard on Fire Department Occupational Safety and Health Program, 2013 edition.

NFPA 1581, Standard on Fire Department Infection Control Pro-gram, 2010 edition.

NFPA 1951, Standard on Protective Ensembles for Technical Res-cue Incidents, 20123 edition.

NFPA 1971, Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting, 2013 edition.

NFPA 1991, Standard on Vapor-Protective Ensembles for Hazard-ous Materials Emergencies, 2005 edition.

NFPA 1992, Standard on Liquid Splash-Protective Ensembles and Clothing for Hazardous Materials Emergencies, 2012 edition.

NFPA 1994, Standard on Protective Ensembles for First Respond-ers to CBRN Terrorism Incidents, 2012 edition.

2.3 Other Publications.

2.3.1 AATCC Publications. American Association of Textile

Chemists and Colorists, P.O. Box 12215, Research Triangle Park, NC 27709.

AATCC 42, Water Resistance: Impact Penetration Test, 2007.

AATCC 61, Colorfastness to Laundering, Home and Commercial:

Accelerated, 2010.

AATCC 70, Test Method for Water Repellency: Tumble Jar Dy-namic Absorption Test, 2010.

2.3.2 ANSI Publications. American National Standards Insti-

tute, 25 West 43rd Street, 4th Floor, New York, NY 10036.

ANSI/ISEA 107, High-Visibility Safety Apparel and Headwear, 2010.

ANSI Z87.1, Occupational and Educational Personal Eye and Face Protection Devices, 2010.

ANSI/ISEA Z89.1, Standard for Industrial Head Protection, 2009.

2.3.3 ASTM Publications. ASTM International, 100 Barr

Harbor Drive, P.O. Box C700, West Conshohocken, PA 19428- 2959.

ASTM B 117, Standard Practice for Operating Salt Spray (Fog) Apparatus, 2009.

ASTM D 412a, Standard Test Methods for Vulcanized Rubber and Thermoplastic Rubbers and Thermoplastic Elastomers — Ten-sion, 2006 ae2.

ASTM D 573, Standard Test Method for Rubber-Deterioration in an Air Oven, 2010.

ASTM D 1230, Standard Test Method for Flammability of Ap-parel Textiles, 2010.

ASTM D 1683, Standard Test Method for Failure in Sewn Seams of Woven Apparel Fabrics, 2011.

ASTM D 1776, Standard Practice for Conditioning and Testing Textiles, 2008 e1.

ASTM D 2582, Standard Test Method for Puncture-Propagation Tear Resistance of Plastic Film and Thin Sheeting, 2009.

ASTM D 3787, Method for Bursting Strength of Textiles — Constant-Rate-of-Traverse (CRT) Ball Burst Test, 2011.

ASTM D 3884, Standard Test Method for Abrasion Resistance of Textile Fabrics (Rotary Platform, Double-Head Method), 2009.

1999–10 PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS

Important Notice: This document has been provided for National Association of State EMS Officers (NASEMSO) internal use only. This document is the copyright property of the National Fire Protection Association (NFPA), Copyright © 2013 NFPA, and may not be used for any other purpose or distributed to any other persons or parties outside NASEMSO.

ASTM D 4157, Standard Test Method for Abrasion Resistance of Textile Fabrics (Oscillatory Cylinder Method), 2010.

ASTM D 4966, Standard Test Method for Abrasion Resistance of Textile Fabrics (Martindale Abrasion Test Method), 2010.

ASTM D 5034, Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test), 2009.

ASTM D 5151, Standard Test Method for Detection…