Industrial Apparel Resistance Testing Form
Use this form to submit industrial apparel samples and record resistance test details, conditions, and results.
Requestor and Sample Identification
Requester or Company Name
*
Contact Person
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Lab Name or Department
Sample or Apparel Item Name
*
Sample ID or Specimen ID
*
Apparel Category or Type
*
Please Select
Workwear
Protective Outerwear
Gloves
Trousers
Coveralls
Apron
Shirt
Jacket
Other
Manufacturer or Brand
Material or Composition
Quantity of Samples Submitted
*
Test Configuration and Conditions
Resistance test type(s) requested
*
Abrasion resistance
Tear resistance
Tensile strength
Seam slippage
Puncture resistance
Burst resistance
Other
Standard or method reference
*
Test date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Conditioning and environmental details
Intended use or exposure scenario
*
Please Select
Industrial laundering
Heavy abrasion use
Outdoor exposure
Chemical splash exposure
Heat exposure
Wet conditions
Protective workwear
Other
Special handling instructions
Resistance Test Results
Overall Test Result Status
*
Pass
Fail
Conditional Pass
Inconclusive
Resistance Values by Attribute
*
Rows
Measured Value
Unit Confirmed
Abrasion Resistance
1
2
Tear Resistance
3
4
Puncture Resistance
5
6
Tensile Resistance
7
8
Seam Strength
9
10
Acceptance Criteria Comparison
*
Rows
Meets Criteria
Borderline
Does Not Meet
Abrasion Resistance
11
12
13
Tear Resistance
14
15
16
Puncture Resistance
17
18
19
Tensile Resistance
20
21
22
Seam Strength
23
24
25
Observed Sample Condition After Testing
*
1
2
3
4
5
Observed Wear, Damage, or Degradation Notes
Anomalies Observed During Testing
No anomalies observed
Instrument drift
Specimen slippage
Environmental fluctuation
Unexpected failure mode
Other
Additional Result Notes
Supporting Evidence and Submission Notes
Supporting Evidence Files
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Submission Notes
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