Equipment utilized by competitors in this class may include sighted guides, guide rails, beeping balls and clap sticks. The use of a sighted guide by people in this class is dependent on the specific requirements of the sport. Para-alpine and para-Nordic skiers use guides, with the guide for B1 skiers generally skiing behind the skier to maximize the ability of the skier to hear the guide. The guide tells the skier things like when weight should be shifted, elements coming up on the course, and how to position themselves to maximize the diagonal run of the course. In cycling, this classification also uses a guide, utilizing a tandem bicycle with the guide sitting at the front.

Competitors must use a guide in athletics. When a runner is looking for a guide, they are encouraged to find one with a gait like their own. A rope or tether may be used to connect the runner to the guide. For field events such as the long jump triple jump, or discus, a caller may be used. Voice commands can also be used in 100-meter events. At the 2012 Summer Paralympics, it was the first time guides in athletics were awarded medals. At the elite level, guides are treated the same as the blind runner. Guides and runners must both use blocks for any race shorter than 400 meters. In 200-meter races, the guide runs on the right side of the runner. For races 800 meters or longer, a runner may use up to two guides, but the course officials must be informed of any decision to use more than one guide in advance of the race. In the marathon, the runner may use up to four different guides. The runner must finish ahead of the guide. In running, the guide should attempt to match the running pattern of the runner, not the other way around.

Callers are used in para-equestrian to assist the rider in navigating the competition ring. For S11 swimmers, a tapper stands on the pool deck to tap the swimmer as they approach the wall. The swimmer must bring their own tapper. Swimmers in this class are required to wear black out goggles. In blind archery competitions, archers use a blind fold and a tactile sighting device. This classification is not eligible to compete at the Paralympic Games. In five-a-side football and para-equestrian, B1 competitors are required to wear blindfolds. In judo, B1 classified competitors have a red dot on their kit to let others know they are completely blind.