TN-20931 Indianapolis Fire Department – Status Investigation Report 1

PPE CASE

Personal Protective Equipment Conformity Assessment Studies and 

Evaluations

Evaluation of a Self-Contained Breathing Apparatus Involved 

in a Near Miss in the Fire Service 

Indianapolis, Indiana Fire Department Requested the Evaluation of a

Scott® Safety Air-Pak® Plus 4.5, 4500 psi, 30 minute unit with NIOSH 

Approval Number TC-13F-76CBRN 

As part of the National Institute for Occupational Safety and Health (NIOSH), Fire Fighter 

Fatality Investigation and Prevention Program (FFFIPP), the 

National Personal Protective Technology Laboratory (NPPTL) 

agreed to examine and evaluate an SCBA unit identified as a 

Scott® Safety model Air-Pak® Plus 4.5, 4500 psi, 30 minute, selfcontained breathing apparatus (SCBA).

This SCBA status investigation was assigned NIOSH Task Number 

20931. The Indianapolis Fire Department was advised that

NIOSH NPPTL would provide a written report of the inspection

and any applicable test results.

The SCBA unit was shipped to the NIOSH facility in Morgantown,

West Virginia. The unit was delivered to the fire investigation 

laboratory, room 1513, for secure storage and to have a chain of 

custody form completed on April 29, 2016. The secured storage 

area consists of shelves behind a cage accompanied with a 

padlock. The SCBA unit is tracked on the secured cage entry log 

each time it is removed from the secured storage area for 

inspection and performance testing. 

NIOSH evaluated an SCBA 

used by a fire fighter 

involved in a near miss 

incident. The SCBA was not 

found to contribute to the 

near miss. A qualified 

service technician should 

always inspect, repair, test, 

clean, and replace damaged 

components of any SCBA 

involved in an incident 

before it may be returned to 

service.
TN-20931 Indianapolis Fire Department – Status Investigation Report 2

Disclaimer

The purpose of Respirator Status Investigations is to determine the conformance

of each respirator to the NIOSH approval requirements found in Title 42, Code

of Federal Regulations, Part 84. A number of performance tests are selected

from the complete list of Part 84 requirements and each respirator is tested in

its “as received” condition to determine its conformance to those

performance requirements. Each respirator is also inspected to determine its

conformance to the quality assurance documentation on file at NIOSH.

In order to gain additional information about its overall performance, each

respirator may also be subjected to other recognized test parameters, such

as National Fire Protection Association (NFPA) consensus standards. While the

test results give an indication of the respirator’s conformance to the NFPA

approval requirements, NIOSH does not actively correlate the test results from

its NFPA test equipment with those of certification organizations which list

NFPA-compliant products. Thus, the NFPA test results are provided for

information purposes only.

Selected tests are conducted only after it has been determined that each

respirator is in a condition that is safe to be pressurized, handled, and tested.

Respirators whose condition has deteriorated to the point where the health

and safety of NIOSH personnel and/or property is at risk will not be tested.
TN-20931 Indianapolis Fire Department – Status Investigation Report 3

Investigator Information

The Self-Contained Breathing Apparatus (SCBA) performance tests and inspection were 

conducted by Angie Andrews, Jeremy Gouzd and Karis Kline of the Morgantown Testing 

Team, Evaluation and Testing Branch, National Personal Protective Technology Laboratory,

National Institute for Occupational Safety and Health, Morgantown, West Virginia. The 

report was also written by this team.

NIOSH Task Number 20931

SCBA Inspection

The unit was removed from the packaging in room 1513 and inspected on July 18, 2016 by Angie 

Andrews, Jeremy Gouzd, and Karis Kline of the Morgantown Testing Team (MTT) at NPPTL. The 

SCBA was visually examined, component by component, in the condition received to determine

the conformance of the unit to the NIOSH-approved configuration. The unit was identified as the

Scott® Safety Company model Air-Pak® Plus 4.5, 30 minute, 4500 psi unit, NIOSH approval

number TC-13F-76CBRN and as the unit submitted by the Indianapolis Fire Department. The 

visual inspection process was documented photographically. 

Once the inspection was completed, the SCBA unit was repackaged and placed back in the 

secured storage area. 

The complete SCBA inspection is summarized in Appendix I. The condition of each major

component of the SCBA that was photographed with a digital camera is contained in Appendix

III.
TN-20931 Indianapolis Fire Department – Status Investigation Report 4

SCBA Testing

The purpose of the testing was to determine how well the SCBA component conformed to the

approval performance requirements of Title 42, Code of Federal Regulations, Part 84 (42 CFR

84). Further testing was conducted to provide an indication of the SCBA component’s 

conformance to the National Fire Protection Association (NFPA) Airflow Performance

requirements of NFPA 1981, Standard on Open-Circuit Self-Contained Breathing Apparatus for 

the Fire Service, 1997 Edition.

NIOSH SCBA Certification Tests (in accordance with the performance requirements of 42 

CFR 84):

1. Positive Pressure Test [§ 84.70(a)(2)(ii)]

2. Rated Service Time Test (duration) [§ 84.95]

3. Static Pressure Test [§ 84.91(d)]

4. Gas Flow Test [§ 84.93]

5. Exhalation Resistance Test [§ 84.91(c)]

6. Remaining Service Life Indicator Test (low-air alarm) [§ 84.83(f)]

National Fire Protection Association (NFPA) Tests (in accordance with NFPA 1981, 1997 

Edition):

7. Airflow Performance Test [Chapter 5, 5-1.1]

The NIOSH test report for the SCBA is in Appendix II. Tables One and Two summarize the test 

results. 

Summary and Conclusions

An SCBA unit was submitted to NIOSH/NPPTL by the Indianapolis, Indiana Fire Department for

evaluation by calling in the request. The SCBA unit was delivered to the NIOSH facility in 

Morgantown on April 29, 2016 and extensively inspected on July 19, 2016. The unit was

identified as a Scott® Safety model Air-Pak® Plus 4.5, 4500 psig, 30 minute, SCBA (NIOSH

approval numbers, TC-13F-76CBRN). As a result of the inspection, it was determined that the 

unit was in good condition with signs of heat damage on the shoulder straps. The cylinder was

shipped with the pack and the valve was in the off position when received. The cylinder gauges

indicated that the tank was empty. The regulator and facepiece sealing areas on the unit were

relatively clean and in good shape. The unit had only slight scratches on the lens. Visibility

through the facepiece lens was good. The facepiece head harness and the straps were in good 

condition and the straps moved freely, but were slightly dirty. The NFPA approval label was

present and readable. The personal alert safety system (PASS) functioned.

The Indianapolis SCBA met the requirements of the six NIOSH SCBA certification tests.
TN-20931 Indianapolis Fire Department – Status Investigation Report 5

The unit also passed the NFPA “Airflow Performance” test. However, the original mask mounted 

regulator (MMR) could not pass the facepiece leakage test. The original facepiece was replaced 

with a NIOSH-owned Scott® Safety unit to ensure that the mask was indeed sealed and found the 

issue was with the fire original MMR. The original unit and MMR, as submitted by the Indianapolis 

Fire Department, were used for the NFPA breathing machine portion of the SCBA testing.

In light of the information obtained during this investigation, NIOSH MTT proposes no further

action on its part at this time. The SCBA unit was returned to storage pending return to the

Indianapolis Fire Department.

Before this unit is to be placed back into service, the SCBA must be repaired, tested, cleaned, and

any damaged components replaced and inspected by a qualified service technician, including

such testing and other maintenance activities, as prescribed by the schedule from the SCBA

manufacturer. Typically a flow test should be conducted in accordance with the manufacturer 

instructions and is required at least annually.

Actions to be Taken by the Fire Departments With SCBAs 

Involved in an Incident

• Any SCBA unit involved in an incident may not be placed back in service until the SCBA has 

been repaired, tested, cleaned and any damaged components replaced and inspected by a

qualified service technician, including such testing and other maintenance activities as

prescribed by the schedule from the SCBA manufacturer. 

• All SCBA units, even those not involved in an incident, should undergo a flow test on an 

annual basis at a minimum.

Actions the PPE Users, Selectors, and Purchasers May Take to 

Further Protect Themselves and Others from Hazards

• Sign up for NPPTL’s Listserv at http://www.cdc.gov/niosh/npptl/sub-NPPTL.html to receive 

email notifications relevant to PPE.

For more information related to personal protective equipment, visit the NIOSH website

www.cdc.gov/niosh/npptl

To receive documents or other information about occupational safety and health topics, contact NIOSH:

Telephone: 1–800–CDC–INFO (1–800–232–4636)

TTY: 1–888–232–6348

CDC INFO: www.cdc.gov/info

or visit the NIOSH website at www.cdc.gov/niosh

For a monthly update on news at NIOSH, subscribe to NIOSH eNews by visiting www.cdc.gov/niosh/eNews
TN-20931 Indianapolis Fire Department – Status Investigation Report 6

Appendix I

SCBA Inspection Report
TN-20931 Indianapolis Fire Department – Status Investigation Report 7

National Personal Protective Technology Laboratory, Evaluation and Testing Branch

Respirator Field Problem

Incoming Inspection Report Summary

Task Number: TN-20931 Requestor: Indianapolis Fire Department

Date Received: April 29, 2016 (SCBA) Date Received: April 29, 2016 (Cylinder)

Date Inspected: July 18, 2016 Description: Fire Department Requesting 

Technical Assistance

Manufacturer: Scott® Safety Inspected by: Angie Andrews, Jeremy Gouzd, 

Karis Kline

Approval Number: TC-13F-76CBRN SCBA Type: Open-Circuit, Pressure-Demand

The SCBA was received in a cardboard box (refer to Figures 1 – 4 in Appendix III). 

Contact Agency: Indianapolis Fire Department

As received:

• Pack and cylinder in large plastic bag, facepiece in separate bag, mask mounted regulator 

(MMR) floating in box

• Cylinder received empty

• Bypass was 3⁄4 closed

• Donning switch on, regulator inactive

• MMR disconnected from facepiece and unit

• Facepiece included

Components and Observations

NOTE: All references to “right” or “left” are from the user’s perspective.

Facepiece (Refer to Figures 5 - 10 in Appendix III):

Facepiece assembly; P/N 805337-13/-33 Large Model: AV3000 MFG date: Not found

Facepiece Seal P/N: 31001740 MFG date: 10/10 

Nosecup P/N: 31001045 Large MFG Date: 3rd quarter 2010 

• Overall condition is good

• Lot number label is present 
TN-20931 Indianapolis Fire Department – Status Investigation Report 8

• Lens is good with some scratches 

• Head harness is good, carabiner attached to top adjustment strap 

• Head harness straps good, straps move freely, hold in place, held securely to facepiece, 

slightly dirty

• Attachment points for straps are good

• The facepiece seal “rubber” portion is excellent

• Regulator interface area is good, no debris

2. Mask Mounted Regulator (MMR) (Refer to Figures 11 - 15 in Appendix III):

Air-Pak® plus CBRN regulator with Vibralert and quick disconnect. 

Regulator assembly P/N: 115SO719000287

Other markings: 0719000287 etched into plastic; A2Q07; 20077-10; R-1876 and 09 etched on front 

of MMR

MFG Date: 5-7-2007

• Overall condition is good with no signs of heat damage

• Outer case is good and front label is in good condition

• Donning switch is in good condition. Switch is on, regulator inactive.

• Detached from pack at quick disconnect

• Bypass 3⁄4 closed

• Bypass knob fair shape

• Inside flange has minimal scratches, clean

• Sealing area mostly clean and in decent shape

• Regulator can be attached and removed

• Locking assembly does function

3. Low Pressure Regulator Hose (Refer to Figure 16 in Appendix III):

Scott® part number: Illegible due to normal wear

• Overall condition is good 

• Detached from pack at quick disconnect

• Quick disconnect in good condition and functions 

• Line runs through the shoulder strap to the reducer

• Signs of heat damage to shoulder straps

4. 4.5 Pressure Reducer Assembly (Refer to Figures 17 - 19 in Appendix III):

P/N: (Partial) 115S13230_7_81

Other markings: Sticker on side reading “CGA Pressure...”

S/N: Not found MFG Date: Not found
TN-20931 Indianapolis Fire Department – Status Investigation Report 9

• SCOTT marking is present

• Overall condition is good, some debris on top

• All airline connections are secure with no sign of heat damage

• Low pressure line, dual manifold assembly in pouch and in good condition

5. High Pressure Hose and Cylinder Attachment (Refer to Figures 20 - 22 in Appendix III):

Cylinder Attachment P/N: 802226-15

Other marking: 0613

Quickfill markings: Parker RGX-N-05 with 01SW underneath

• Overall condition is good

• Cylinder attachments thread clean, threads on and off, O-ring in place 

• Quick fill cover in good condition, connection clean 

6. Console Assembly PASS (Refer to Figures 23 - 24 in Appendix III):

Markings on label not visible due to wear 

• Overall condition is good

• Lines good shape—pressure/electrical

• Gauge lens is good and readable, but foggy 

• Protective casing is good

• Rubber attachment strap present, attached to the PASS console and shoulder strap

• PASS did function

• SEI label present

7. PASS Control Module (Refer to Figures 26 - 27 in Appendix III):

Part Number: 200451-02-12 with Pak Tracker 

ID: 00183223

• Overall condition is good shape

• Held securely to backframe

• Wire connection connected to PASS device

• Wire held secure to backframe and runs to console assembly

8. Backframe Assembly (Refer to Figures 28 - 32 in Appendix III):

P/N: 200275-02; 

Other markings: EG27B; 10009192; 6; 

Stamp on wire split from control module to reducer to 

PASS Console 31001150-02 REV; 4/13
TN-20931 Indianapolis Fire Department – Status Investigation Report 10

SN: (Partial) ... 20006319

NFPA 1981 2007 ed.

• Overall good condition, no bends/cracks in wire frame, or plate

• Shoulder straps were attached to the frame

• Cylinder strap latch is in fair condition and functional

• NIOSH label present, and readable TC-13F-76CBRN for the unit

9. Straps and Buckles (Refer to Figures 33, 34 in Appendix III):

• Overall strap condition is good but dirty with some signs of heat damage, dye sublimation 

• Both shoulder straps attached at the top of the backframe 

• Hose lines and wires pass through shoulder straps

• All adjustable buckles move and hold in place

• Waist area buckle latches and release

• Lumbar strap in good condition

10. Compressed Air Cylinder and Cylinder Valve Assembly (Refer to Figures 35 - 38 in Appendix 

III):

Minute Duration: 30 minute

DOT –Number: DOT-E-10915-4500

TC-SU-51341-310 

IH 38260

UN1002

A2Q03

Scott® Part number: 10009671

Scott® logo visible Luxfer REE: 83

Manufacture date: 6/03 4500 PSIG

• Overall condition is good as there are some surface scratches and dirt present (minimal)

• Gauge is readable 

• Threads clean but some are damaged

• As received cylinder valve fully closed with no air remaining

• Rubber bumper at base on cylinder valve is in fair condition

• Rehydro label present: (Partial) ??/13

• P/N for assembly/cylinder not readable

• On Stem: (Partial#) 804721-01

11. Auxiliary Hose (Refer to Figure 39 in Appendix III):
TN-20931 Indianapolis Fire Department – Status Investigation Report 11

Dual manifold hose assembly

• Overall condition is good and rubber protective boots are in good shape

• Straps attached to covers and cylinder attachment assembly

• Fittings are clean
TN-20931 Indianapolis Fire Department – Status Investigation Report 12

Appendix II

SCBA Test Results
TN-20931 Indianapolis Fire Department – Status Investigation Report 13

 National Personal Protective Technology Laboratory, Evaluation and Testing Branch

SCBA Test Report

Task Number: TN-20931

Manufacturer: Scott® Safety

NIOSH Approval Number: TC-13F-76CBRN

Tests Performed by: Angie Andrews, Jeremy Gouzd, 

Karis Kline

Report written by: Karis Kline

Date of Report: July 21, 2016

I. Background

April 29, 2016, an SCBA unit from the Indianapolis Fire Department was delivered to the

NIOSH facility in Morgantown, West Virginia. The unit was removed from the packaging in 

room 1513 and inspected on July 18, 2016 by Angie Andrews, Jeremy Gouzd, and Karis 

Kline of the Morgantown Testing Team (MTT) at NPPTL. The SCBA was visually examined,

component by component, in the condition received to determine the conformance of the

unit to the NIOSH-approved configuration. The unit was identified as the Scott® Safety

Company model Air-Pak® Plus 4.5, 30 minute, 4500 psi unit, NIOSH approval number TC13F-76CBRN and as the unit submitted by the Indianapolis Fire Department. The visual

inspection process was documented photographically. 

II. Test Outlines

1. POSITIVE PRESSURE TEST – NIOSH Test Procedure No. 120

42 CFR Part 84 Reference: Subpart H, § 84.70 (a)(2)(ii)

Requirement:

The pressure inside the facepiece in relation to the immediate environment is positive

during both inhalation and exhalation.

Procedure:

A breathing machine with a 622 kg-m/min cam operating at 24 RPM with a 40 liters per

minute flow rate (115 liters per minute peak flow) is connected to an anthropometric 

head for cycling. A pressure tap in the head is connected to a transducer which in turn

is connected to a strip chart recorder for determining the pressure in the facepiece.
TN-20931 Indianapolis Fire Department – Status Investigation Report 14

Results: The unit was tested on July 20, 2016 and met the test requirement. The inhalation 

breathing resistance did not become negative during the test. The HUD, remote gauge, and

donning switch functioned normally.

Inhalation Breathing Resistance 0.2

(inches of water column):

 

Pass/Fail: Pass

2. RATED SERVICE TIME TEST – NIOSH Test Procedure No. 121

42 CFR Part 84 Reference: Subpart F, § 84.53 (a) and Subpart H, § 84.95 (a) and (b)

Requirement:

Service time will be measured while the apparatus is operated by a breathing machine 

as described in § 84.88. The open-circuit apparatus will be classified according to the

length of time it supplies air or oxygen to the breathing machine. Classifications are

listed in § 84.53.

Procedure:

A breathing machine with a 622 kg-m /min cam operating at 24 RPM with a 40 liters per

minute flow rate is connected to an anthropometric head for cycling. A pressure tap in 

the head is connected to a transducer which in turn is connected to a strip chart recorder 

for determining the pressure in the facepiece. The breathing machine is run until the

inhalation portion of the breathing curve falls below the minimum requirement.

Results: Tested on July 20, 2016, the SCBA met the test requirement.

Test Notes: The measured service time (adjusted to correspond with the recorded

breathing cycles) was more than the rated service time of 30 minutes. The PASS unit 

did function during the test. The SCBA did not go negative on inhalation but 

maintained positive pressure in the facepiece at the same level.

The measured service time (adjusted to correspond with the recorded breathing cycles) 

was more than the rated service time of 30 minutes. The PASS did function.

Measured Service Minutes Seconds

 Time: 30 33.9

 Pass/Fail: Pass
TN-20931 Indianapolis Fire Department – Status Investigation Report 15

3. STATIC PRESSURE TEST – NIOSH Test Procedure No. 122

42 CFR Part 84 Reference: Subpart H, § 84.91 (d)

Requirement:

The static pressure (at zero flow) in the facepiece shall not exceed 38 mm (1.5

inches) water-column height.

Procedure:

The facepiece is fitted to an anthropometric head for testing. A pressure tap in the

head is connected to a calibrated manometer. Full cylinder pressure is applied to the

unit at zero flow and a reading from the manometer is recorded.

Results: Tested on July 20, 2016, the SCBA met the test requirement.

Facepiece Static Pressure (inches of water 0.9

column):

Pass/Fail: Pass

4. GAS FLOW TEST – NIOSH Test Procedure No. 123

42 CFR Part 84 Reference: Subpart H, § 84.93 (b) and (c)

Requirement:

The flow from the apparatus shall be greater than 200 liters per minute when the

pressure in the facepiece of demand apparatus is lowered by 51 mm (2 inches) water 

column height when full container pressure is applied. Where pressure demand

apparatus are tested, the flow will be measured at zero gage pressure in the facepiece.

Procedure:

A pressure tap in the anthropometric head is connected to a manometer for

determining when the pressure inside the facepiece is at zero. A mass flow meter is 

connected in line between the anthropometric head and an adjustable vacuum source

to measure flow. The SCBA cylinder is replaced by a test stand which is adjusted

initially to full cylinder pressure. The vacuum source is adjusted during the test to 

maintain the desired pressure inside the facepiece. Once the proper facepiece 

pressure has stabilized, a flow reading is recorded. The procedure is then repeated

with the test stand adjusted to 500 psig.
TN-20931 Indianapolis Fire Department – Status Investigation Report 16

Results: Tested on July 21, 2016, the SCBA met the test requirement. The bypass appeared

to function normally.

Applied pressure Airflow (liters per minute) Pass/Fail

4500

psig

467.2 Pass

500 psig 535.2 Pass

5. EXHALATION RESISTANCE TEST – NIOSH Test Procedure No. 122

42 CFR Part 84 Reference: Subpart H, § 84.91 (c)

Requirement:

The exhalation resistance of pressure-demand apparatus shall not exceed the static

pressure in the facepiece by more than 51 mm (2 inches) water-column height.

Procedure:

The facepiece is mounted on an anthropometric head form. A probe in the head form

is connected to a slant manometer for measuring exhalation breathing resistance. The

airflow through the apparatus is adjusted to a rate of 85 liters per minute and the

exhalation resistance is recorded.

Results: Tested on July 21, 2016, the SCBA met the test requirement.

Exhalation Breathing Resistance

(inches of water column):

2.22

Static Pressure (inches of water

column):

0.9

Difference (inches of water column): 1.32

Pass/Fail: Pass
TN-20931 Indianapolis Fire Department – Status Investigation Report 17

6. REMAINING SERVICE LIFE INDICATOR TEST – NIOSH Test Procedure No. 12

42 CFR Part 84 Reference: Subpart H, § 84.83 (f) and Subpart G, § 84.63 (c)

Requirement:

Each remaining service life indicator or warning device shall give an alarm when the

remaining service life of the apparatus is reduced within a range of 20 to 25 percent of 

its rated service time or pressure.

This requirement is modified under § 84.63(c) as follows: For apparatus which do not

have a method of manually turning off remote gage in the event of a gage or gage line

failure the remaining service life indicator is required to be set at 25% ± 2% of the rated

service time or pressure.

Procedure:

A calibrated gauge is connected in line between the air supply and the first stage

regulator. The unit is then allowed to gradually bleed down. When the low air alarm is 

activated, the pressure on the gauge is recorded. This procedure is repeated six times. 

The average of the six readings is calculated and recorded.

Results: Tested on July 21, 2016. The test requirement is between 1035 and 1215 psig (25%

± 2%).

Run # Alarm 

Point (psig)

VibrAlert

Alarm 

Point (psig)

HUD

1. 1120 1150

2. 1120 1130

3. 1110 1140

4. 1110 1140

5. 1110 1130

6. 1100 1140

Avg. 1112 1138

Pass/Fail Pass Pass
TN-20931 Indianapolis Fire Department – Status Investigation Report 18

7. NFPA AIRFLOW PERFORMANCE TEST

NFPA 1981 (1997 Edition) Reference: Chapter 5, Performance Requirements, Sec. 5-1.1

Requirement:

SCBA shall be tested for airflow performance as specified in Section 6-1, Airflow

Performance Test, and the SCBA facepiece pressure shall not be less than 0.0 in (0.0

mm) water column nor greater than 31⁄2 in (89 mm) water column above ambient 

pressure from the time the test begins until the time the test is concluded.

Procedure:

The required equipment specified in the NFPA standards were used to conduct the

tests on this unit. A pressure tap in the head is connected to a transducer which in 

turn is connected to a flatbed chart recorder for determining the pressure in the

facepiece.

Results: The SCBA passed this test.

Test Notes: PASS unit was functional. HUD was functional. Alarm systems were functional.

Maximum Facepiece Pressure

(inches of water column):

3.07

Minimum Facepiece

Pressure(inches of water 

0.25

Pass/Fail: PASS

III. Disposition

Following testing, the SCBA unit was returned to the package in which the unit was shipped

to NIOSH and placed in secured storage. The unit was then removed from secured storage

on September 14, 2016 and a download of the data logger was conducted by the MTT in 

lab H-1513. The unit was placed back into secured storage awaiting shipment back to the

fire department.

The results of all tests are summarized in Tables One and Two which follow.
TN-20931 Indianapolis Fire Department – Status Investigation Report 19

TABLE ONE – Summary of NIOSH Test Results

Task Number: 20931

Manufacturer: Scott® Safety

NIOSH Approval Number: TC-13F-76CBRN

Tests Performed By: Angie Andrews, Jeremy Gouzd, 

Karis Kline

Dates of Tests: July 20 & 21, 2016

TEST/42 CFR PART 84 REFERENCE STANDARD RESULT PASS FAIL

1. POSITIVE PRESSURE TEST Reference: 

Subpart H, § 84.70 (a)(2)(ii) ≥ 0.00 INWC 0.20 INWC X

2. RATED SERVICE TIME TEST Reference: 

Subpart F, § 84.53 (a), Subpart H, § 84.95 

(a) and (b) 

≥ 30 min. 30 min 33.9 s X

3. STATIC PRESSURE TEST Reference: Subpart

H, § 84.91 (d) ≤ 1.50 INWC 0.9 INWC X

4. GAS FLOW TEST (at Full Cylinder Pressure)

Reference: Subpart H, § 84.93 (b) and (c) ≥ 200 lpm 467.2 LPM X

4. GAS FLOW TEST (at 500 psig) Reference: 

Subpart H, § 84.93 (b) and (c) ≥ 200 lpm 535.2 LPM X

5. EXHALATION RESISTANCE TEST Reference: 

Subpart H, § 84.91 (c) ≤ 2.00 INWC 1.32 INWC X

6. REMAINING SERVICE LIFE INDICATOR TEST 

(vibrating alarm) Reference: Subpart H, §

84.83 (f) and Subpart G, § 84.63 (c)

Between 1035 

and 1215 psig 1112 PSIG X

6. REMAINING SERVICE LIFE INDICATOR TEST 

(light alarm HUD) Reference: Subpart H, § 

84.83 (f) and Subpart G, § 84.63 (c)

Between 1035 

and 1215 psig 1138 PSIG X

NOTE: The Positive Pressure Test and Rated Service Life Test are run simultaneously.
TN-20931 Indianapolis Fire Department – Status Investigation Report 20

TABLE TWO – Summary of NFPA Test Results

TEST/REFERENCE STANDARD RESULT PASS FAIL

7. NFPA AIRFLOW PERFORMANCE

Reference: NFPA 1981 (1997 Edition),

Section 5-1.1

≤ 3.50 INWC

Exhalation

Resistance

3.07 INWC X

7. NFPA AIRFLOW PERFORMANCE

Reference: NFPA 1981 (1997 Edition),

Section 5-1.1

≥ 0.00 INWC

Inhalation

Resistance

0.25 INWC X
TN-20931 Indianapolis Fire Department – Status Investigation Report 21

DATA LOGGER

INFORMATION
TN-20931 Indianapolis Fire Department – Status Investigation Report 22 Time Date Off To Sensing Sensing To Off PreAlarm To Alarm Manual Alarm Alarm Reset Low Battery Sensing To PreAlarm Clock Reset Pending Clock Reset Power On Reset

9:54:12 10/20/2015 - - - - - - - - X -

7:38:04 10/20/2015 - - - - - - - X - -

7:35:34 10/20/2015 - X - - - - - - - -

7:35:06 10/20/2015 - - - - - - X - - -

7:34:44 10/20/2015 - - - - - - X - - -

7:34:22 10/20/2015 - - - - - - X - - -

7:34:00 10/20/2015 - - - - - - X - - -

7:33:40 10/20/2015 X - - - - - - - - -

12:45:18 10/19/2015 - X - - - - - - - -

12:45:12 10/19/2015 - - - - - - X - - -

12:44:34 10/19/2015 - - - - X - - - - -

12:44:32 10/19/2015 - - - X - - - - - -

12:44:26 10/19/2015 - - - - - - X - - -

12:43:38 10/19/2015 - - - - - - X - - -

12:43:06 10/19/2015 - - - - - - X - - -

12:42:18 10/19/2015 - - - - - - X - - -

12:41:52 10/19/2015 - - - - - - X - - -

12:41:20 10/19/2015 - - - - - - X - - -

12:40:56 10/19/2015 - - - - - - X - - -

12:40:34 10/19/2015 - - - - - - X - - -

12:39:48 10/19/2015 - - - - - - X - - -

12:39:26 10/19/2015 - - - - - - X - - -

12:39:00 10/19/2015 - - - - - - X - - -
TN-20931 Indianapolis Fire Department – Status Investigation Report 23

12:38:36 10/19/2015 - - - - - - X - - -

12:38:10 10/19/2015 - - - - - - X - - -

12:36:50 10/19/2015 - - - - - - X - - -

12:36:28 10/19/2015 - - - - - - X - - -

12:36:08 10/19/2015 - - - - - - X - - -

12:35:10 10/19/2015 - - - - - - X - - -

12:34:50 10/19/2015 - - - - - - X - - -

12:34:04 10/19/2015 - - - - - - X - - -

12:33:44 10/19/2015 X - - - - - - - - -

12:13:56 10/19/2015 - X - - - - - - - -

12:13:48 10/19/2015 - - - - - - X - - -

12:13:20 10/19/2015 - - - - - - X - - -

12:12:48 10/19/2015 - - - - - - X - - -

12:12:18 10/19/2015 X - - - - - - - - -

12:07:08 10/19/2015 - X - - - - - - - -

12:07:00 10/19/2015 - - - - - - X - - -

12:06:38 10/19/2015 - - - - - - X - - -

12:06:12 10/19/2015 - - - - - - X - - -

12:05:48 10/19/2015 - - - - - - X - - -

12:05:24 10/19/2015 - - - - - - X - - -

12:04:20 10/19/2015 - - - - - - X - - -

12:03:28 10/19/2015 - - - - - - X - - -

12:03:06 10/19/2015 - - - - - - X - - -

12:02:40 10/19/2015 - - - - - - X - - -

12:02:04 10/19/2015 - - - - - - X - - -

12:01:42 10/19/2015 - - - - - - X - - -

12:01:20 10/19/2015 - - - - - - X - - -

12:00:58 10/19/2015 - - - - - - X - - -

12:00:28 10/19/2015 - - - - - - X - - -

12:00:08 10/19/2015 X - - - - - - - - -

11:55:44 10/19/2015 - X - - - - - - - -

11:55:18 10/19/2015 - - - - - - X - - -

11:54:40 10/19/2015 - - - - - - X - - -

11:54:06 10/19/2015 - - - - - - X - - -

11:53:44 10/19/2015 - - - - - - X - - -

11:53:20 10/19/2015 - - - - - - X - - -

11:52:58 10/19/2015 - - - - - - X - - -

11:52:34 10/19/2015 - - - - - - X - - -

11:52:12 10/19/2015 - - - - - - X - - -

11:51:48 10/19/2015 - - - - - - X - - -

11:51:20 10/19/2015 - - - - - - X - - -
TN-20931 Indianapolis Fire Department – Status Investigation Report 24

11:50:58 10/19/2015 - - - - - - X - - -

11:50:36 10/19/2015 - - - - - - X - - -

11:50:12 10/19/2015 - - - - - - X - - -

11:49:50 10/19/2015 - - - - - - X - - -

11:48:54 10/19/2015 - - - - - - X - - -

11:48:32 10/19/2015 - - - - - - X - - -

11:48:08 10/19/2015 - - - - - - X - - -

11:47:46 10/19/2015 - - - - - - X - - -

11:46:40 10/19/2015 - - - - - - X - - -

11:46:16 10/19/2015 - - - - - - X - - -

11:45:54 10/19/2015 - - - - - - X - - -

11:45:32 10/19/2015 - - - - - - X - - -

11:45:04 10/19/2015 - - - - - - X - - -

11:44:42 10/19/2015 - - - - - - X - - -

11:44:20 10/19/2015 - - - - - - X - - -

11:43:58 10/19/2015 - - - - - - X - - -

11:43:36 10/19/2015 - - - - - - X - - -

11:43:14 10/19/2015 - - - - - - X - - -

11:42:52 10/19/2015 - - - - - - X - - -

11:42:28 10/19/2015 - - - - - - X - - -

11:42:06 10/19/2015 - - - - - - X - - -

11:41:46 10/19/2015 - - - - - - X - - -

11:41:22 10/19/2015 - - - - - - X - - -

11:41:00 10/19/2015 - - - - - - X - - -

11:40:38 10/19/2015 - - - - - - X - - -

11:40:14 10/19/2015 - - - - - - X - - -

11:39:52 10/19/2015 - - - - - - X - - -

11:39:30 10/19/2015 - - - - - - X - - -

11:39:08 10/19/2015 - - - - - - X - - -

11:38:46 10/19/2015 - - - - - - X - - -

11:38:24 10/19/2015 - - - - - - X - - -

11:37:48 10/19/2015 - - - - - - X - - -

11:37:26 10/19/2015 - - - - - - X - - -

11:37:04 10/19/2015 - - - - - - X - - -

11:36:42 10/19/2015 - - - - - - X - - -

11:36:16 10/19/2015 - - - - - - X - - -

11:35:54 10/19/2015 - - - - - - X - - -

11:35:30 10/19/2015 - - - - - - X - - -

11:34:56 10/19/2015 - - - - - - X - - -

11:34:34 10/19/2015 - - - - - - X - - -

11:34:14 10/19/2015 - - - - - - X - - -
TN-20931 Indianapolis Fire Department – Status Investigation Report 25

11:33:52 10/19/2015 - - - - - - X - - -

11:33:32 10/19/2015 X - - - - - - - - -

11:26:16 10/19/2015 - X - - - - - - - -

11:26:08 10/19/2015 - - - - - - X - - -

11:25:46 10/19/2015 - - - - - - X - - -

11:25:22 10/19/2015 - - - - - - X - - -

11:24:24 10/19/2015 - - - - - - X - - -

11:24:04 10/19/2015 - - - - - - X - - -

11:23:42 10/19/2015 - - - - - - X - - -

11:23:20 10/19/2015 - - - - - - X - - -

11:22:58 10/19/2015 - - - - - - X - - -

11:22:36 10/19/2015 - - - - - - X - - -

11:22:14 10/19/2015 - - - - - - X - - -

11:21:52 10/19/2015 - - - - - - X - - -

11:21:30 10/19/2015 - - - - - - X - - -

11:21:08 10/19/2015 - - - - - - X - - -

11:20:46 10/19/2015 - - - - - - X - - -

11:20:24 10/19/2015 - - - - - - X - - -

11:20:02 10/19/2015 - - - - - - X - - -

11:19:40 10/19/2015 - - - - - - X - - -

11:19:18 10/19/2015 - - - - - - X - - -

11:18:54 10/19/2015 - - - - - - X - - -

11:18:28 10/19/2015 - - - - - - X - - -

11:18:06 10/19/2015 - - - - - - X - - -

11:17:44 10/19/2015 - - - - - - X - - -

11:17:22 10/19/2015 - - - - - - X - - -

11:17:00 10/19/2015 - - - - - - X - - -

11:16:38 10/19/2015 - - - - - - X - - -

11:16:16 10/19/2015 - - - - - - X - - -

11:15:56 10/19/2015 - - - - - - X - - -

11:15:32 10/19/2015 - - - - - - X - - -

11:15:06 10/19/2015 - - - - - - X - - -

11:14:46 10/19/2015 - - - - - - X - - -

11:14:24 10/19/2015 - - - - - - X - - -

11:14:02 10/19/2015 - - - - - - X - - -

11:13:40 10/19/2015 - - - - - - X - - -

11:13:18 10/19/2015 - - - - - - X - - -

11:12:56 10/19/2015 - - - - - - X - - -

11:12:34 10/19/2015 - - - - - - X - - -

11:12:12 10/19/2015 - - - - - - X - - -

11:11:50 10/19/2015 - - - - - - X - - -
TN-20931 Indianapolis Fire Department – Status Investigation Report 26

11:11:30 10/19/2015 - - - - - - X - - -

11:11:08 10/19/2015 - - - - - - X - - -

11:10:46 10/19/2015 - - - - - - X - - -

11:10:20 10/19/2015 - - - - - - X - - -

11:09:58 10/19/2015 - - - - - - X - - -

11:09:36 10/19/2015 - - - - - - X - - -

11:09:06 10/19/2015 - - - - - - X - - -

11:08:42 10/19/2015 - - - - - - X - - -

11:08:22 10/19/2015 - - - - - - X - - -

11:08:00 10/19/2015 - - - - - - X - - -

11:07:38 10/19/2015 - - - - - - X - - -

11:07:16 10/19/2015 - - - - - - X - - -

11:06:54 10/19/2015 - - - - - - X - - -

11:06:34 10/19/2015 - - - - - - X - - -

11:06:12 10/19/2015 - - - - - - X - - -

11:05:50 10/19/2015 - - - - - - X - - -

11:05:30 10/19/2015 - - - - - - X - - -

11:05:08 10/19/2015 - - - - - - X - - -

11:04:46 10/19/2015 - - - - - - X - - -

11:04:22 10/19/2015 - - - - - - X - - -

11:03:34 10/19/2015 - - - - - - X - - -

11:03:04 10/19/2015 - - - - - - X - - -

11:02:08 10/19/2015 - - - - - - X - - -

11:00:30 10/19/2015 - - - - - - X - - -

11:00:08 10/19/2015 - - - - - - X - - -

10:58:54 10/19/2015 - - - - - - X - - -

10:58:12 10/19/2015 - - - - - - X - - -

10:56:44 10/19/2015 - - - - - - X - - -

10:56:22 10/19/2015 - - - - - - X - - -

10:55:46 10/19/2015 - - - - - - X - - -

10:55:24 10/19/2015 - - - - - - X - - -

10:53:50 10/19/2015 - - - - - - X - - -

10:53:28 10/19/2015 - - - - - - X - - -

10:52:46 10/19/2015 - - - - - - X - - -

10:52:24 10/19/2015 - - - - - - X - - -

10:52:02 10/19/2015 - - - - - - X - - -

10:51:40 10/19/2015 - - - - - - X - - -

10:51:18 10/19/2015 - - - - - - X - - -

10:50:56 10/19/2015 - - - - - - X - - -

10:50:36 10/19/2015 X - - - - - - - - -

5:14:30 9/22/2015 - X - - - - - - - -
TN-20931 Indianapolis Fire Department – Status Investigation Report 27

5:14:14 9/22/2015 - - - - - - X - - -

5:13:54 9/22/2015 X - - - - - - - - -

5:11:00 9/22/2015 - X - - - - - - - -

5:10:42 9/22/2015 - - - - - - X - - -

5:10:18 9/22/2015 - - - - - - X - - -

5:09:58 9/22/2015 X - - - - - - - - -

5:31:34 9/17/2015 - X - - - - - - - -

5:31:14 9/17/2015 - - - - - - X - - -

5:30:46 9/17/2015 - - - - X - - - - -

5:30:46 9/17/2015 - - - X - - - - - -

5:30:42 9/17/2015 - - - - X - - - - -

5:30:40 9/17/2015 - - X - - - - - - -

5:30:28 9/17/2015 - - - - - - X - - -

5:29:54 9/17/2015 - - - - - - X - - -

5:29:34 9/17/2015 X - - - - - - - - -

16:48:28 9/16/2015 - X - - - - - - - -

16:47:50 9/16/2015 X - - - - - - - - -

6:22:54 9/14/2015 - X - - - - - - - -

6:22:48 9/14/2015 - - - - X - - - - -

6:22:46 9/14/2015 - - - X - - - - - -

6:22:10 9/14/2015 X - - - - - - - - -

13:08:54 9/13/2015 - X - - - - - - - -

13:08:42 9/13/2015 - - - - - - X - - -

13:08:06 9/13/2015 - - - - - - X - - -

12:59:14 9/13/2015 - - - - - - X - - -

12:58:48 9/13/2015 - - - - - - X - - -

12:43:58 9/13/2015 X - - - - - - - - -

5:28:52 9/13/2015 - X - - - - - - - -

5:28:52 9/13/2015 - - - - - - X - - -

5:28:26 9/13/2015 - - - - - - X - - -

5:28:00 9/13/2015 X - - - - - - - - -

5:11:32 9/11/2015 - X - - - - - - - -

5:11:22 9/11/2015 - - - - - - X - - -

5:11:00 9/11/2015 - - - - - - X - - -

5:10:30 9/11/2015 X - - - - - - - - -

5:24:48 9/10/2015 - X - - - - - - - -

5:24:44 9/10/2015 - - - - - - X - - -

5:24:22 9/10/2015 X - - - - - - - - -

5:31:52 9/8/2015 - X - - - - - - - -

5:31:50 9/8/2015 - - - - - - X - - -

5:31:30 9/8/2015 - - - - X - - - - -
TN-20931 Indianapolis Fire Department – Status Investigation Report 28

5:31:30 9/8/2015 - - - X - - - - - -

5:31:26 9/8/2015 - - - - X - - - - -

5:31:26 9/8/2015 - - X - - - - - - -

5:31:14 9/8/2015 - - - - - - X - - -

5:30:54 9/8/2015 X - - - - - - - - -

6:30:56 9/4/2015 - X - - - - - - - -

6:30:48 9/4/2015 - - - - - - X - - -

6:30:28 9/4/2015 X - - - - - - - - -

17:16:38 9/2/2015 - X - - - - - - - -

17:16:32 9/2/2015 - - - - - - X - - -

17:15:46 9/2/2015 - - - - - - X - - -

17:15:20 9/2/2015 - - - - - - X - - -

17:15:00 9/2/2015 X - - - - - - - - -

5:27:58 8/30/2015 - X - - - - - - - -

5:27:56 8/30/2015 - - - - X - - - - -

5:27:56 8/30/2015 - - X - - - - - - -

5:27:44 8/30/2015 - - - - - - X - - -

5:27:24 8/30/2015 X - - - - - - - - -

6:15:46 8/29/2015 - X - - - - - - - -

6:15:40 8/29/2015 - - - - - - X - - -

6:15:18 8/29/2015 X - - - - - - - - -

5:26:46 8/28/2015 - X - - - - - - - -

5:26:38 8/28/2015 - - - - - - X - - -

5:26:18 8/28/2015 X - - - - - - - - -

6:24:14 8/23/2015 - X - - - - - - - -

6:23:50 8/23/2015 X - - - - - - - - -

5:00:28 8/21/2015 - X - - - - - - - -

4:59:46 8/21/2015 - - - - - - X - - -

4:59:26 8/21/2015 X - - - - - - - - -

5:17:14 8/20/2015 - X - - - - - - - -

5:16:52 8/20/2015 X - - - - - - - - -

5:20:42 8/19/2015 - X - - - - - - - -

5:20:32 8/19/2015 - - - - - - X - - -

5:20:12 8/19/2015 X - - - - - - - - -

5:16:24 8/18/2015 - X - - - - - - - -

5:16:22 8/18/2015 - - - - X - - - - -

5:16:22 8/18/2015 - - X - - - - - - -

5:16:10 8/18/2015 - - - - - - X - - -

5:15:36 8/18/2015 X - - - - - - - - -

5:37:06 8/14/2015 - X - - - - - - - -

5:36:58 8/14/2015 - - - - - - X - - -
TN-20931 Indianapolis Fire Department – Status Investigation Report 29

5:36:38 8/14/2015 X - - - - - - - - -

5:22:34 8/7/2015 - X - - - - - - - -

5:22:26 8/7/2015 - - - - - - X - - -

5:22:06 8/7/2015 X - - - - - - - - -

4:49:30 8/6/2015 - X - - - - - - - -

4:49:08 8/6/2015 - - - - - - X - - -

4:48:48 8/6/2015 X - - - - - - - - -

5:36:00 8/5/2015 - X - - - - - - - -

5:36:00 8/5/2015 - - - - - - X - - -

5:35:36 8/5/2015 X - - - - - - - - -

5:44:34 8/3/2015 - X - - - - - - - -

5:44:10 8/3/2015 X - - - - - - - - -

6:05:18 8/2/2015 - X - - - - - - - -

6:05:14 8/2/2015 - - - - - - X - - -

6:04:54 8/2/2015 X - - - - - - - - -

5:29:28 7/31/2015 - X - - - - - - - -

5:29:12 7/31/2015 - - - - - - X - - -

5:28:44 7/31/2015 X - - - - - - - - -
TN-20931 Indianapolis Fire Department – Status Investigation Report 30

Appendix III

SCBA Inspection Report
TN-20931 Indianapolis Fire Department – Status Investigation Report 31

Figure 1: SCBA as received in cardboard box

Figure 2: SCBA unit in plastic bag inside box

Figure 3: SCBA as removed from shipping box

Figure 4: SCBA unit as removed from packaging

Figure 5: Overview of facepiece

Figure 6: Hairnet straps good/carabiner attached to top adjustment strap

Figure 7: Facepiece seal P/N

Figure 8: Inside of nose cup

Figure 9: Nose cup P/N

Figure 10: Port for second stage regulator

Figure 11: Mask Mounted Regulatory (MMR)

Figure 12: Label and marking on MMR

Figure 13: Etching on MMR

Figure 14: Additional etching on MMR

Figure 15: MMR seal and HUD

Figure 16: Low pressure line and quick disconnect clean and functional

Figure 17: Top view of pressure reducer assembly

Figure 18: Side view of pressure reducer assembly

Figure 19: Bottom view of pressure reducer assembly

Figure 20: Cylinder attachment and O-ring clean

Figure 21: Quick fill overall condition is good

Figure 22: Quick fill with cover removed

Figure 23: PASS console

Figure 24: Back of PASS console

Figure 25: PASS module with Pak-Tracker

Figure 26: PASS control module

Figure 27: PASS control module ID#

Figure 28: Overview of backframe

Figure 29: Cylinder strap in good condition and functional

Figure 30: NIOSH approval label on frame

Figure 31: Manufacturer label present

Figure 32: Backframe assembly P/N

Figure 33: Overview of straps and buckles

Figure 34: Shoulder straps have signs of heat damage

Figure 35: Overview of cylinder

Figure 36: Cylinder gauge is readable

Figure 37: Cylinder label and other markings

Figure 38: Cylinder valve threads are clean with some damage to threads

Figure 39: Auxiliary hose assembly in good condition
TN-20931 Indianapolis Fire Department – Status Investigation Report 32

Figure 1: SCBA as received in cardboard box

Figure 2: SCBA unit in plastic bag inside box
TN-20931 Indianapolis Fire Department – Status Investigation Report 33

Figure 3: SCBA unit as removed from shipping box

 Figure 4: SCBA unit as removed from packaging
TN-20931 Indianapolis Fire Department – Status Investigation Report 34

Figure 5: Overview of facepiece

Figure 6: Hairnet straps good/carabiner attached to top adjustment strap
TN-20931 Indianapolis Fire Department – Status Investigation Report 35

Figure 7: Facepiece seal P/N

Figure 8: Inside of nose cup
TN-20931 Indianapolis Fire Department – Status Investigation Report 36

 Figure 9: Nose cup P/N

Figure 10: Port for second stage regulator
TN-20931 Indianapolis Fire Department – Status Investigation Report 37

Figure 11: Mask Mounted Regulator (MMR)

Figure 12: Label and marking on MMR
TN-20931 Indianapolis Fire Department – Status Investigation Report 38

Figure 13: Etching on MMR

Figure 14: Additional etching on MMR
TN-20931 Indianapolis Fire Department – Status Investigation Report 39

Figure 15: MMR seal and HUD

Figure 16: Low pressure line and quick disconnect clean and functional
TN-20931 Indianapolis Fire Department – Status Investigation Report 40

Figure 17: Top view of pressure reducer assembly

Figure 18: Side view of pressure reducer assembly
TN-20931 Indianapolis Fire Department – Status Investigation Report 41

 

Figure 19: Bottom view of pressure reducer assembly

Figure 20: Cylinder attachment and O-ring clean
TN-20931 Indianapolis Fire Department – Status Investigation Report 42

Figure 21: Quick fill overall condition is good

Figure 22: Quick fill with cover removed
TN-20931 Indianapolis Fire Department – Status Investigation Report 43

Figure 23: PASS console

Figure 24: Back of PASS console
TN-20931 Indianapolis Fire Department – Status Investigation Report 44

Figure 25: PASS module with Pak-Tracker

Figure 26: PASS control module
TN-20931 Indianapolis Fire Department – Status Investigation Report 45

 Figure 27: PASS control module ID#

Figure 28: Overview of backframe
TN-20931 Indianapolis Fire Department – Status Investigation Report 46

 Figure 29: Cylinder strap in good condition and functional

Figure 30: NIOSH Approval label on frame
TN-20931 Indianapolis Fire Department – Status Investigation Report 47

Figure 31: Manufacturer label present

Figure 32: Backframe assembly P/N
TN-20931 Indianapolis Fire Department – Status Investigation Report 48

Figure 33: Overview of straps and buckles

Figure 34: Shoulder straps have signs of heat damage
TN-20931 Indianapolis Fire Department – Status Investigation Report 49

Figure 35: Overview of cylinder

Figure 36: Cylinder gauge is readable
TN-20931 Indianapolis Fire Department – Status Investigation Report 50

Figure 37: Cylinder label and other markings

Figure 38: Cylinder valve threads are clean with some damage to threads
TN-20931 Indianapolis Fire Department – Status Investigation Report 51

Figure 39: Auxiliary hose assembly in good condition