BSI guide to masks and face
coverings for use in the UK
during the COVID-19 pandemic
V1.4 June 2020
If you are manufacturing PPE
Introduction
As the UK moves to the stage of recovery from the COVID-19 pandemic, people are asking how they
should protect themselves in different environments. One of the most common forms of protection
is a mask but, as there are different types of masks, it can be confusing to know what they are for
and how they should be used. An inappropriate or poor design of mask may not protect the wearer
adequately and may also lead to a false sense of protection. The UK Government has also issued
guidance on the public use of face coverings, which are intended to protect those with whom
wearers come into contact, rather than the wearers themselves.
This BSI guide summarizes the main characteristics of the most common categories of mask (for
use in healthcare settings and by workers requiring protective equipment) and face coverings (for
use by the general public). It can also be used by businesses to help them provide the appropriate
protection for their employees.
If you are involved in procuring PPE
If you are a member of the public
Overview of masks and face coverings
2
This paper gives a high level overview of the differences
between the four main types of mask and face covering
that are being used in the UK and throughout Europe
to protect against the risk of coronavirus. Background
information is also provided in the form of a taxonomy
of common types of face masks, other personal safety
equipment and other products such as face coverings.
Government advice is to wear a face covering, if you
can, in enclosed public spaces where social distancing
isn’t possible and where you will come into contact with
people you do not normally meet. These face coverings
are not the same as the surgical masks or protective
masks used by healthcare and other workers as part of
personal protective equipment.
Manufacturers of protective or medical face masks need
to meet the requirements of the PPE Regulation, the
Medical Device Directive or both and these products must
feature the CE marking. This guide details some of the key
technical specifications of which you need to be aware.
To protect people effectively, it is important to select the
appropriate type of PPE for the particular environment. It
is also important to source PPE from a reputable supplier
to ensure that it complies with the correct regulations.
This guide contains information that you need to consider
when purchasing PPE.
Surgical masks to EN 14683:2019+AC:2019
Surgical face masks are intended to limit the transmission of infective agents.
Surgical face masks can also incorporate a microbial barrier that is designed to be effective in reducing the emission
of infective agents from the nose and mouth of a carrier or a patient with clinical symptoms. Surgical masks are
intended to be a barrier to infection of others though they do offer limited protection to the wearer.
Surgical face masks are classified into two main types;
Type I – these masks should only be used by patients and other persons to reduce the risk of spread of infections
particularly in epidemic or pandemic situations. Type I masks are not intended for use by healthcare professionals in
an operating room or in other medical settings with similar requirements.
Type II and Type IIR – these masks are principally intended for use by healthcare professionals in an operating room
or other medical settings with similar requirements. Type II is further divided according to whether or not the mask is
splash resistant. The R signifies splash resistance.
These products are certified under the European Medical Devices Regulation as a Class I device, so they must be CE
marked based on the manufacturer’s self-declaration unless they are supplied as sterile.
Protective masks to EN 149:2001+A1:2009
Protective masks are designed to protect against particulates such as dust particles and various viruses in the air.
These masks, unlike surgical masks, protect the wearer from inhaling infectious agents or pollutants in the form of
aerosols, droplets, or small solid particles. The wearer must be free of facial hair for this type of mask to be effective
and should be ‘fit tested’ to ensure that the wearer has the appropriate, specific mask. These masks can be used in
domestic, industrial and healthcare applications.
The EN 149 standard defines three classes of filter efficiency for these masks;
FFP1 – 80% filtering efficiency
FFP2 – 94% filtering efficiency
FFP3 – 99% filtering efficiency
In the current COVID-19 situation, the World Health Organization (WHO) is recommending the minimum of an FFP2
mask for offering protection. The NHS is stipulating FFP3 in high risk areas and FFP2 in lower risk areas.
In addition, masks are classified as single shift use only (marked NR on the product) or as re-usable i.e. more than one
shift (marked R on the mask).
These products must comply with the European Personal Protective Equipment (PPE) Regulation and be certified by
a Notified Body, such as BSI, and feature the CE marking. They are a Category III product under the PPE Regulation,
so they must bear the CE Marking and a four-digit number identifying the Notified Body certifying it.
3
In the current COVID-19 situation, the UK Government is working to make PPE available to healthcare workers as
quickly as possible. They have set out two routes for the assessment of PPE depending on the scale of manufacture
and who will be using the PPE. This guidance can be found here - please copy the URL and paste into your browser:
https://www.gov.uk/guidance/opss-coronavirus-covid-19-guidance-for-business-and-local-authorities
Where there is a requirement for conformity assessment by a Notified Body, BSI has implemented a number of
procedures to speed up the certification of masks, gowns, gloves and face shields for frontline healthcare workers.
Given the urgency of the situation and the specific situation of healthcare workers, it has been agreed at European
level that the full requirements of the PPE Regulation and Medical Device Directive need not be applied. Instead the
European Commission has published a recommendation, Recommendation 2020/403 that invites Notified Bodies
such as BSI to consider a minimum test requirement for the specific circumstances of healthcare workers.
To meet this, BSI has developed a stream-lined test specification for PPE suitable for use during the emergency,
producing a special technical specification for COVID-19 use (see table on page five) to ensure PPE masks for
healthcare workers meet a minimum FFP2 classification. In this specification, BSI has recommended retaining the
test set out in the British Standard (BS EN 149), which calls for the use of paraffin oil as a test agent due to its small
particle size - a reasonable simulation of the hazard posed by the coronavirus.
Masks meeting this specification are intended for use by healthcare workers in the context of COVID-19 only and are
not for industrial or other applications. BSI will certify these products to the PPE Regulation and issue certificates to
Module B and C2 to the PPE regulation. These masks will therefore qualify for the CE Marking for the duration of the
pandemic under Recommendation 2020/403.
PPE mask for healthcare workers based on Recommendation
2020/403
7.7 Practical performance
The particle filtering half mask shall undergo practical
performance tests under realistic conditions.
These general tests serve the purpose of checking the
equipment for imperfections that cannot be
determined by the tests described elsewhere in this standard.
Where practical performance tests show the apparatus
has imperfections related to wearer’s acceptance, the test
house shall provide full details of those parts of the practical
performance tests which revealed these imperfections.
2 subjects As Received (AR)
EN 149:2001+A1:2009 Performance requirement
Technical testing specification for COVID-19 masks for use by
healthcare workers
Testing shall be done in
accordance with 8.4
EN 149:2001+A1:2009
Test method clause
During the tests the particle filtering half mask shall
be subjectively assessed by the wearer and after the
test, comments on the following shall be recorded:
a. head harness comfort;
b. security of fastenings;
c. field of vision;
d. any other comments reported by the wearer on
request
Requirement
7.9 Leakage
7.9.1 Total inward leakage
5 subjects with samples As Received (AR)
Testing shall be done in
accordance with 8.5
All individual exercise results tests shall be not
greater than 11 % (for FFP2)
and, in addition, all arithmetic means for the total
inward leakage shall be not greater than 8 % (for
FFP2)
7.9 Leakage
7.9.2 Penetration of filter material
3 samples As Received (AR) for NaCl and Paraffin oil
3min test
Testing shall be done in
accordance with 8.11
6% for both Paraffin oil and NaCl
7.12 Carbon dioxide content of the inhalation air
3 samples As Received (AR)
Testing shall be done in
accordance with 8.7
The carbon dioxide content of the inhalation air
(dead space) shall not exceed an average of 1.0 %
(by volume)
7.16 Breathing resistance
3 samples As Received (AR)
Testing shall be done in
accordance with 8.9
The breathing resistances shall meet the
requirements of:
30l/min – 0.7mbar (inhale)
95l/min – 2.4mbar (inhale)
160l/min – 3.0mbar (exhale)
If achieves cl 7.9.2 FFP3 class:
30l/min – 1.0mbar (inhale)
95l/min – 3.0mbar (inhale)
160l/min – 3.0mbar (exhale)
5
The UK Government has issued advice for the use of a face covering in enclosed public spaces where social
distancing isn’t possible and where you will come into contact with people you do not normally meet. This is most
relevant for short periods indoors in crowded areas, for example, on public transport or in some shops. The advice
refers to evidence suggesting that face coverings do not protect the wearer but may provide some protection to
those the wearer comes into close contact with. The advice can be found on the government website - please copy
the URL and paste into your browser:
https://www.gov.uk/government/publications/staying-safe-outside-your-home/staying-safe-outside-your-home
These face coverings are not classified as PPE or as medical face masks and there are no formal standards or
certification requirements. It is for manufacturers to ensure that they are producing products that are safe and in
accordance with the General Product Safety Regulations. The Office for Product Safety and Standards has published
guidance for manufacturers and makers of face coverings - please copy the URL and paste into your browser:
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/891041/
Guidance-for-businesses-and-individuals-face-coverings-version-2.pdf
Face coverings for use by the public
6
Surgical/medical face masks
Name
Health care staff
to limit passing on
coronavirus and other
germs to patients in
medical settings
Intended users
Patients
Who does
it protect?
Class 1 - Medical
Devices regulations
Applicable regulations
Medicines and Healthcare
products Regulatory Agency
(MHRA)
Regulator or
enforcement authority
The table below summarizes common types of face mask, other PPE designed to reduce the risk of transmission of
the virus and other products such as face coverings. It includes intended users, the protection offered, the applicable
regulations and the relevant UK regulator or enforcement authority.
Surgical/medical/PPE face masks Healthcare
professionals
The wearer and
patients
Medical Devices
regulations and PPE
regulations
MHRA, Health and Safety
Executive (HSE) (for business
use) and Trading Standards (for
consumer use)
PPE face masks Health care staff
to limit catching
coronavirus and other
germs from patients
in medical settings
The wearer
PPE regulations
HSE (for business use)
Trading Standards (for
consumer use)
Other personal safety equipment
Gowns
Name
Healthcare
professionals and
wearers
Intended users
Wearers
Who does
it protect?
Medical devices
regulations and PPE
regulations
Applicable regulations
MHRA, HSE (for business use) and
Trading Standards (for consumer
use)
Regulator or
enforcement authority
Examination gloves, surgical gloves
Healthcare
professionals
Patients
Medical Devices
regulations:
Class 1 -
examination gloves
Class IIa -
surgical gloves
MHRA
Visors, eye shields, safety glasses
Healthcare
professionals
The wearer
PPE regulations
HSE (for business use) and Trading
Standards (for consumer use)
PPE gloves
The wearer (for
example for use in
laboratories or for
other protective
purposes)
The wearer
PPE regulations
HSE (for business use) and Trading
Standards (for consumer use)
Dual use gloves
Healthcare
professionals and
wearers
Patients and
wearers
PPE and Medical
Devices regulations
MHRA, HSE (for business use) and
Trading Standards (for consumer
use)
Protective suits/coveralls
Healthcare
professionals and
wearers
Wearers
Category III – PPE
regulations
HSE (for business use) and Trading
Standards (for consumer use)
7
Face masks
Taxonomy of personal safety equipment, masks and
face coverings
Other products
Face covering i.e. not PPE or medical
device
Name
General public
Intended users
Intended to
reduce public not
individual risk
Who does
it protect?
General product safety
regulations (product
must be safe i.e. non-
toxic, non-choking etc)
The manufacturer/seller
must not call it PPE or
a medical device nor
make any claim that
the product will provide
protection to any
specific individual
Applicable regulations
Trading Standards - if
product is unsafe or carries
misleading claims
Regulator or
enforcement authority
BSI/UK/1757/PC/0520/EN/GRP
For updates on standards and certification of personal protective equipment
please visit: bsigroup.com
For enquiries about standards: [email protected]
For enquiries about testing and certification of PPE:
product.certifi[email protected]
Taxonomy of personal safety equipment, masks and
face coverings (continued)