Body Armor Build Sheet

Document Name:	NIJ CTP Body Armor Build Sheet	Approval Date:	dd mmm yyyy
Revision:	21 Jun 2012	Implementation Date:	dd mmm yyyy
OMB Number:	1121-0321	Expires:	dd mmm yyyy

National Institute of Justice Compliance Testing Program
Body Armor Build Sheet

In accordance with the Paperwork Reduction Act of 1995, no person is required to respond to a collection of information unless it displays a valid OMB control number. The OMB number for this collection is 1121-0321. Public reporting burden for this collection of information is estimated to average one hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information.

This information is being requested pursuant to 6 U.S.C. 162(b)(4) and 6 U.S.C. 162(b)(6)(B). The disclosure is voluntary. The information provided on this form will be used by the National Institute of Justice (NIJ) to administer a product conformity assessment program for products used by law enforcement and correctional officers. This information and the associated products are voluntarily submitted under the Compliance Testing Program.

PRIVACY ACT NOTICE:

This document contains Confidential Commercial Information.

The National Institute of Justice Compliance Testing Program (hereafter, the NIJ CTP) shall use reasonable efforts to maintain confidential all information identified as “Confidential Commercial Information” that it obtains from the Applicant. Confidential Commercial Information shall not include information that is (a) publicly available; (b) subsequently acquired by the NIJ CTP from other sources in a manner that does not constitute a breach of this Agreement; (c) disclosed by the NIJ CTP when deemed, at its sole discretion, to be necessary to the NIJ CTP’s performance of the requested conformity assessment; (d) required to be produced pursuant to an order or command of any judicial or regulatory authority; (e) required by any common law or statutory duty; or (f) disclosed in the interest of officer safety.

The NIJ CTP shall take reasonable steps to safeguard Applicant data within the NIJ CTP systems prior to external transmission and may transmit Applicant's Confidential Information and data to Applicant through the Internet or any public network, unless otherwise directed in writing by Applicant.

TEST ID:

ACCEPTED:

SECTION 1: APPLICANT INFORMATION

APPLICANT (COMPANY) NAME AS SHOWN ON THE PREVIOUSLY SUBMITTED APPLICANT AGREEMENT:

Build Sheet Application for Test ID: I acknowledge that any inaccuracies in this document may require additional testing up to a complete repeat of initial type testing. I also declare that this design has not previously been submitted to the NIJ CTP for evaluation to the current standard by the applicant named above. Final Build Sheet: I hereby declare that all body armor samples provided for initial type testing (in association with the Test ID above) were identically constructed using the same materials (from the same manufacturer/supplier) and stitch patterns as described here.

APPLICANT AUTHORIZED SIGNATORY OR REPRESENTATIVE (PRINTED NAME AND SIGNATURE):

DATE:

SECTION 2: TESTING INFORMATION

PROPOSED MODEL DESIGNATION:

GENDER:

LEVEL (NIJ STD 0101.06):

LEVEL (NIJ STD 0115.00):

TYPE:

BALLISTIC TEST SIZES (NIJ STD 0101.06, SECTION 4.1.1): Soft Armor:: Soft Armor Large: Hard Armor Plate:

STAB TEST SIZES (NIJ STD 0115.00, SECTION 4.2):

SHOT-TO-EDGE DISTANCES (FOR BALLISTIC SOFT ARMOR ONLY, NIJ STD 0101.06, SECTION 7.6.1):

Threat 1: Threat 2:

SHOTS-PER-PLATE (FOR BALLISTIC HARD ARMOR LEVEL IV ONLY, NIJ STD 0101.06, SECTION 4.1.2.2):

PERFORATION-BACKFACE TESTING: BALLISTIC LIIMIT TESTING:

SECTION 3: EXTERNAL CARRIER

NOTE: For soft armor ballistic models, test carriers shall meet the requirements of NIJ STD 0101.06, Section 4.1.6. Hard armor ballistic models are not required to have carriers. Stab models shall have a carrier but do not need to meet the same ballistic requirements.

Ballistic carriers are cotton or polycotton with an areal density of not more than 250 g/m2 (7.37 oz/yd2) N/A (Hard Armor Plates and Stab models) Ballistic carriers meet an exception noted in Section 4.1.6. The material information is noted here:

TEST ID:

SECTION 4: PANEL COVERING

NOTE: The panel covering (also known as a pad cover) refers to the cover immediately surrounding the completed assembly. This is not the removable exterior cover.

MATERIAL TYPE

FINAL SUPPLIER

PRODUCT NAME OR CODE

METHOD OF CLOSURE

SECTION 5: MODEL UNIFORMITY

THE INFORMATION SHOWN ON THIS PAGE REPRESENTS THE CONSTRUCTION FOR WHICH PANEL:

Front Back Both

SAMPLES BEING SUBMITTED FOR COMPLIANCE TESTING ARE DEFINED AS:

Planar Non-Planar

THIS PANEL CONTAINS FEATURES SUCH AS FEMALE STRUCTURING, FRONT-OPENING, REINFORCED ZONES, ETC., WHICH CREATE DISCOUNTINUITIES OR VARYING THICKNESSES ACROSS THE PANEL:

No Yes. Please attach drawings indicating the location of the non-uniform areas.

SECTION 6: MATERIAL INFORMATION

NOTE: List all materials as they appear from the strike (impact) side of the vest. A specification sheet from the material supplier should also be provided and attached to this application when available.

MATERIAL TYPE

FINAL SUPPLIER

PRODUCT NAME OR CODE

PRODUCT CHARACTERISTICS

LAYER ROTATION OR ORIENTATION

LAYERS IN GROUP

TOTAL:

SECTION 7: ASSEMBLY INFORMATION

NOTE: List all stitching, taping or other techniques used to hold the layers together. A separate drawing is also recommended to be attached to the application.

ASSEMBLY DESCRIPTION

LOCATION ON PANEL

SPECIFIC TYPE OF THREAD, TAPE, ETC.

STITCHES-PER-INCH (WHERE NECCESARY)

RANGE OF LAYERS

SECTION 8: ADDITIONAL INFORMATION

NOTE: Please provide any other information about this model in the space below.

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