ETB-1254 Rev 0 ETB Anthropometric Datasheet

[NIOSH] Information Collection Provisions in 42 CFR Part 84 - Tests and Requirements for Certification and Approval of Respiratory Protective Devices

Atch_12a_DataCollectionForm (Facial Measurements)

Att 12 Health and Wellness Screent (each test, fit testing)

OMB: 0920-0109

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ETB Anthropometric Datasheet

ETB-1254
Rev 0

Date

Participant
Subject ID

NIOSH CELL

Measurer (last name)

Test Panel Dimensions

Measurement
Tolerance
(mm)

SPREADING CALIPERS
Bizygomatic Breadth (Face Width)
Head Breadth
Minimum Frontal Breadth
Bigonial Breadth
Head Length
Maximum Frontal Breadth

2
2
2
2
2
2

SLIDING CALIPERS
Menton-Sellion Length (Face Length)
Nose Breadth
Nasal Root Breadth
Subnasale-Sellion Length (Nose Length)
Nose Protrusion
Interpupillary Breadth (or Pupilometer)
Lip Length

3
2
2
3
2
2
2

TAPE MEASURE
Neck Circumference
Head Circumference
Bitragion Coronal Arc
Bitragion Frontal Arc
Bitragion Subnasale Arc
Bitragion Chin Arc

3
3
7
5
6
8

Trial 1

Trial 2

Trial 3

Average


File Typeapplication/pdf
AuthorWiltanger, Pat (CDC/NIOSH/NPPTL/ETB)
File Modified2022-08-04
File Created2022-08-04

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