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Test Request Information
Please answer the following questions as well as you are able to provide information about what your testing needs are with sled impact facility at the University of Michigan Transportation Research Institute (UMTRI).
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* Indicates required question
Email
*
Your email
Company Name
*
Who is requesting the test?
Your answer
Contact Information
*
Provide the contact person name, company address, email and phone number.
Your answer
Product(s) to be Tested
*
Wheelchair
Wheelchair Seating System
Wheelchair Tiedown and Occupant Restraint System (WTORS)
Child Restraint System
Pet Restraint System
Other:
Required
Number of Tests Needed
Your answer
Safety Standard(s)
Select the safety standard to which you would like to test the product, if any.
ANSI/RESNA WC-4:2017 Section 18 or WC18 (WTORS-USA)
ISO 10542 (WTORS-International)
ANSI/RESNA WC-4:2017 Section 19 or WC19 (Wheelchairs-USA)
ISO 7176-19 (Wheelchairs-International)
ANSI/RESNA WC-4:2017 Section 20 or WC20 (Seating Systems-USA)
ISO 16840-4 (Seating Systems-International)
ANSI/RESNA WC-4:2017 Section 10 or WC10 (Rear-facing Wheelchair Passenger Spaces)
FMVSS 213 (Child / Pet Restraints-USA)
CMVSS 213 (Child Restraints-Canada)
Not sure?
Other:
Anthropomorphic Test Devices (ATD) or Dummy(s) Needed
Indicate what test dummy or dummies you will be needed for your test(s).
Riley Low Birthweight (Premee)
Newborn (Part 572-K)
6-Month-Old (Part 572-D)
12-Month-Old CRABI (Part 572-R)
18-Month-Old CRABI
Hybrid III 3-year-old (Part 572-P)
Hybrid III 6-year-old (Part 572-N)
Weighted Hybrid III 6-year-old (Part 572-S)
Hybrid III 10-year-old (Part 572-T)
Hybrid III 5th Percentile Female Adult (Part 572-O)
Weighted Hybrid III 5th Percentile (Small) Female Adult (130 lb)
Hybrid III 50th Percentile (Midsize) Male Adult
Hybrid III 95th Percentile (Large) Male Adult
Dog
Not sure?
Other:
Test Dummy Mass
Indicate if you require additional mass added to the ATD(s) or if the standard mass is needed.
Standard
Other:
Instrumentation Needed
Indicate if you require additional data collected from the ATD other than standard head and chest triax accelerations (not applicable to dog dummies).
Standard
Other:
Video Camera Views
Two cameras are provided standard for testing, but additional views may be provided upon request for a small fee. Indicate a particular view that is desired.
Standard
Other:
Date of Desired Testing
*
UMTRI is typically able to schedule testing with about 2 weeks notice. Indicate if you have a desired date for testing and UMTRI engineers will follow up with availability information.
MM
/
DD
/
YYYY
Will Anyone Attend the Testing?
Yes
No
Maybe
Clear selection
Additional Information / Notes
Your answer
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