Evaluation Form

advertisement
Glove Wear Test Evaluation
Participant data for evaluation/follow-up
Once the user is given the proper size, glove attributes should be compared to his or her current glove
model(s), and to other models participating in the wear trial. Attributes should be considered while the
gloves are worn during firefighting activities such as training, fireground and extrication.
At the end of the wear trial period, the wearer should rate the following criteria as shown.
Name (Opt):
Fire Dept:
Glove Model:
Rank (Opt)
Station #:
Glove Mfg. Date:
Phone #:
WT begin
date:
Approx # runs:
Shift:
WT end date:
Approx # working fire calls
Fit and comfort
Criteria
Rate on a 1-10 scale … “10” being most favorable
Width of Hand
Too Loose
Finger Length
Too long, fingers
not all the way to
the end of glove
Flexibility
Restricting- Not
able to make a
complete fist
Dexterity
Not able to pick
up smaller items
such as pens or
small tools
Stiff, or irritating
to the skin
Liner Comfort
Compression
resistance at
palm of hand
Painful palm
compression
Fit at wrist
Loose, does not
fit snug around
wrist
Overlap
Poor overlap at
sleeve end
Much chaffing
and rubbing
Resistance to
chaffing/rubbing
Comfortably Snug
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
Soft, smooth- does not
irritate the skin
1
2
3
4
5
6
7
8
9
10
Compression not
noticeable
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
Good overlap at sleeve
end
No chaffing or rubbing
Fingers fit snug and all
the way to the end of
the glove
Unrestricting- Able to
make a complete fist
Able to pick up and
hold pens and grasp
small tools
Snug, but not tight. Still
allows full range of
movement without
resistance
Moisture
management
Donning (Dry)
Hot and sweaty
1
2
3
4
5
6
7
8
9
10
Dry and breathable
Difficult
1
2
3
4
5
6
7
8
9
10
Easy
Doffing (Dry)
Difficult
1
2
3
4
5
6
7
8
9
10
Easy
Donning (Wet)
Difficult
1
2
3
4
5
6
7
8
9
10
Easy
Doffing (Wet)
Difficult
1
2
3
4
5
6
7
8
9
10
Easy
1
Glove Wear Test Evaluation
Participant data for evaluation/follow-up
Protection, performance and functionality
Criteria
Rate on a 1-10 scale … “10” being most favorable
Thermal
resistance
during
firefighting
Heat quickly noticeable
1
2
3
4
5
6
7
8
9
10
Heat not
noticeable
Warmth in cold
weather (if
applicable)
Coldness quickly
noticeable
1
2
3
4
5
6
7
8
9
10
Kept hands warm
1
2
3
4
5
6
7
8
9
10
No intrusion of
outside water
1
2
3
4
5
6
7
8
9
10
No intrusion of
sharp objects
Moisture
resistance
Gloves leak
Puncture
resistance
Gloves got punctured
Grip
Poor grasp, slipping
1
2
3
4
5
6
7
8
9
10
Good grasp, no
slipping
Cut Resistance
Gloves got cut
(Where?
)
1
2
3
4
5
6
7
8
9
10
No cuts
(Where?
(Where?
)
)
Durability
Criteria
Rate on a 1-10 scale … “10” being most favorable
Abrasion
resistancePalm side
Abrasion
resistance- Back
of hand
Wearing down
Abrasion
resistance Fingertip
Wearing down
Stitching
Coming apart
(Where?
Intact
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
Wearing down
(Where?
(Where?
(Where?
Liner retention
)
)
)
)
Problems with liner
inverting when doffing
glove
Intact
Intact
Intact
1
2
3
4
5
6
7
Other comments:
Please return completed form to LION via one of the following options:
 Fax to: 877-803-8032 attn: Inside Sales
 E-mail to: [email protected]
 Mail to:
LION
Attn: Inside Sales
7200 Poe Ave., Suite 400
Dayton, OH 45414
2
8
9
10
No problems with
liner inverting
when doffing
glove
Download
Random flashcards
Radiobiology

39 Cards

Radioactivity

30 Cards

Nomads

17 Cards

Create flashcards