Body Armor Build Sheet

Document Name:
Revision:
OMB Number:

NIJ CTP Body Armor Build Sheet
07 Dec 2015
1121-0321

Approval Date:
Implementation Date:
Expires:

dd Mmm yyyy
dd Mmm yyyy
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 the NIJ Compliance Testing
Program (NIJ CTP), a conformity assessment program for products used by criminal justice practitioners. This information and the
associated products are submitted voluntarily.

PRIVACY ACT NOTICE:
This document contains Confidential Commercial Information.
The Conformity Assessment Body (hereafter, the “CAB”), which consists of both NIJ and the recipient of the Cooperative Agreement
Number 2014-IJ-CX-K004 issued by the Office of Justice Programs, 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 CAB from other sources in a
manner that does not constitute a breach of this Agreement; (c) disclosed by the CAB when deemed, at its sole discretion, to be
necessary to the CAB’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
criminal justice practitioner safety.
Test ID is issued after the NIJ CTP has reviewed this
documentation for completeness. An additional review, for
accuracy, shall be performed after testing is completed and
samples are received by the NIJ CTP.

TEST ID:

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

SECTION 1: TESTING INFORMATION
Proposed Model Designation:

Declared Gender:
Male

Structure Tested:

Female

Neutral

Flexible

Ballistic Resistance of Body Armor, NIJ Standard-0101.06
Type:

IIA

II

IIIA

III

Threat 2:
Size Tested:

N/A
C1

Non-Planar

ICW

Front Opening

Stab Resistance of Personal Body Armor,
NIJ Standard-0115.00

IV

Protection Level:

Shot to Edge Distance:
Threat 1:

Hard

Planar

1”

2”

1”

2”

C2

C3

Other
3”

Other

C4

Edge Blade

1

2

3

Spike

1

2

3

Male

Female

Size Tested:

C5

Other (Hard)
Hard Ballistic Armor:
Curve:

P-BFS Test

Ballistic Limit Test

Shots per panel:

Shots per panel:

Number of panels:

Number of panels:

SECTION 2: 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:

SECTION 3: PANEL COVERING
MATERIAL TYPE

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.

FINAL SUPPLIER

PRODUCT NAME OR CODE

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METHOD OF CLOSURE

Document Name:
Revision:
OMB Number:

NIJ CTP Body Armor Build Sheet
07 Dec 2015
1121-0321

Approval Date:
Implementation Date:
Expires:

dd Mmm yyyy
dd Mmm yyyy
dd Mmm yyyy

TEST ID:
SECTION 4: 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.

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

PRODUCT NAME OR
CODE

FINAL SUPPLIER

Front

PRODUCT
CHARACTERISTICS

Back

Both

LAYER ROTATION
OR ORIENTATION

LAYERS IN
GROUP

TOTAL:
SECTION 5: ASSEMBLY INFORMATION
ASSEMBLY DESCRIPTION

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. Stitch types and seam types from ISO 4915 and ISO 4916 may be referenced.

LOCATION ON PANEL

SECTION 6: ADDITIONAL INFORMATION

SPECIFIC TYPE OF THREAD,
TAPE, ETC.

STITCHES-PER-INCH
(WHERE NECCESARY)

RANGE OF
LAYERS

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

All key features, discontinuities and range of variations (to adjust for end user fit) intended for this model must be identified in this
document or in attached documents (listed in Section 6 of this document). Key features include but are not limited to: materials of
construction (and source), slits, slots, cuts, notches, seams, darts, stitching, overlaps, folds, additional panels or similar features.
Any inaccuracies in this document may require additional testing up to a complete repeat of initial type testing.
This design has not previously been submitted to the NIJ CTP for evaluation to the current standard by the applicant named
above.
All body armor samples provided for initial type testing (in association with the Test ID above) are identically constructed.
APPLICANT AUTHORIZED SIGNATORY OR REPRESENTATIVE
(PRINTED NAME AND SIGNATURE):

DATE:

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