Declaration of Conformity In Accordance with ANSI/ISEA
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1 Declaration of Conformity In Accordance with ANSI/ISEA Alexander Andrew, Inc S. Alameda St Compton, CA Declaration # D Declaration Date Tested Item # 6' DuraTech Web Mini SRD Additional Items Conforming Under this Declaration: 72706SA SA SA SA SA SB SB SB SB SB SB SD SD SE SF SF SG SG TB TB TB TB TB TB6 Alexander Andrew, Inc. declares that the product(s) listed above is in conformity with the requirements of the following performance standard(s): Conformity Assessment Method in accordance with ANSI/ISEA Level 1 Level 2 X Level 3 Level 1: Lab Outside the Scope of ISO/IEC Standard 17025:2005 Level 2: Lab Within the Scope of ISO/IEC Standard 17025:2005 Level 3: Independent 3rd Party Lab accredited to ISO/IEC Standard 17025:2005 Supporting Documentation PC-0542 PC-0543 Authorized Signature Name Dustin Hawkins Title VP Business Development Date DoC Rev
2 Ex ova OCM Attached to this attestation is the test report generated by Testing Laboratory. Exova OCM test witness certifies the report accurately presents the testing performed on the samples identified. Test Report # Date PC /25/2015 Base Part# Sample ID's Results Test Witness Signature: Robert Fortner Technician Mechanical Laborato (Signed for and on behalf of Exova-OCM) Approval Signature: Bruce K. Sauer Technical Director Approval Signature: Thomas J. (Tom) Parsons Manager Quali I Technical Services (Signed for and on behalf of Exova-OCM) ~~ This attestation shall not be reproduced except in full, without the written approval of Exova-OCM. The laboratory has witnessed the testing the material I items supplied by the client as sampled by the client. The testing is not within Exova OCM's L.A.B scope of testing and was not performed at Exova OCM. LABORATORY ACCREDITATION BUREAU ACCREDITED Certificate# L2195 Testing ISO/IEC Testing Laboratory Attestation Number: Revision Letter: Original Page 2 of 2 Exova OCM 3883 East Eagle Drive Anaheim, CA USA
3 Test Report PC-0542 Date 2/25/2015 Rev Rev Date 4.2.1, 4.2.3, 4.2.5, 4.2.6, , PC-0542 Date Received Test Operator Peter Mahbubani Test Operator Yesbet Sierra Sample ID Material/Sample Identification Certificate# TL-594 Testing Page 1 of 26 FLT-08 Rev. D 10/1/2014
4 Test Report PC-0542 Date 2/25/2015 Rev Rev Date 4.2.1, 4.2.3, 4.2.5, 4.2.6, , PC-0542 Date Received Test Summary Test Criteria Test Result /Fail < 1800 Lbf Class A < 1350 Lbf Class B < 900 Lbf 17.6" LBf LBf 1.6 LBf 21.7" Dynamic Strength Line Constituent Strength Dynamic Strength Line Constituent Strength Dynamic Strength Line Constituent Strength < 1800 Lbf LBf Class A < 1350 Lbf Class B < 900 Lbf > 1000 Lbf LBf 4' Fall w/ 300 Lb Test Weight; Weight Shall Not Strike the Ground 18.1" < 1800 Lbf LBf Class A < 1350 Lbf Class B < 900 Lbf 4' Fall w/ 300 Lb Test Weight; Weight Shall Not Strike the Ground LBf 1.8 LBf Did not strike ground Did not strike ground > 1000 Lbf LBf 4' Fall w/ 300 Lb Test Weight; Weight Shall Not Strike the Ground LBf 1.8 LBf Did not strike ground > 1000 Lbf LBf Certificate# TL-594 Testing Page 2 of 26 FLT-08 Rev. D 10/1/2014
5 Test Report PC-0542 Date 2/25/2015 Rev Rev Date 4.2.1, 4.2.3, 4.2.5, 4.2.6, , PC-0542 Date Received Static Strength > 3,000 Lbf for > 60 Seconds lbf Static Strength > 3,000 Lbf for > 60 Seconds lbf Static Strength > 3,000 Lbf for > 60 Seconds lbf lbf lbf lbf 18.7" < 1800 Lbf LBf 18.7" < 1800 Lbf LBf LBf 2.2 LBf 20.6" < 1800 Lbf LBf LBf 1.6 LBf LBf 1.75 LBf Certificate# TL-594 Testing Page 3 of 26 FLT-08 Rev. D 10/1/2014
6 Test Report PC-0542 Date 2/25/2015 Rev Rev Date 4.2.1, 4.2.3, 4.2.5, 4.2.6, , PC-0542 Date Received 12.25" < 1800 Lbf LBf 18.0" < 1800 Lbf LBf < 1800 Lbf lbf LBf 2.4 lbf LBf 1.8 lbf 16.4" lbf 2.0 lbf 19.1" < 1800 Lbf lbf lbf 1.8 lbf 21.9" < 1800 Lbf lbf lbf 1.8 lbf Certificate# TL-594 Testing Page 4 of 26 FLT-08 Rev. D 10/1/2014
7 1306 S. Al~111etJ~ Slr eel, I el: (::!:.13) hl UUbU PC-0542 lieill1lm.il'l.gm~=:i l.tll~ Date I 2/ Rev I I Rev Date I 4.2.1, 4.2.3, 4.2.5, 4.2.6, , Base Part# Proposed Part# Test Request# NIA PC-0542 I BOMINo Date Received I Date Complete! 2/ Class A!:24" Class B :;54" 19.2" !: 1800 Lbf lbf Class A:; 1575 Lbf Class B:; 1125 Lbf lbf 1.25 Lbf- 25 Lbf 2.0 lbf P/N Self-retracting Device meets the requirements of ANSI Z Lab Quality Manager Peter Mahbubani!Witnessed by l:c..u 11r.1Ctllfl;. ' H r.lui '~~ I Date I 2/25/2015 I ~~ I Date I '1/rs1/1':{' ~ ~IS ;ab:""a"l:... s accru:lrtt::i,.. a::con:lar:ct: Nl't'!'I Ult: -.c'.:grhze:i '"te,,.at.;;:i,..,a, itat'::i ::#!SO IE(. l 7C25.lCCS.,,\I XC't:lrUf:..:lt'. ::IUT'\.:l'IH'1fttl ttchj"~ =-="'e t ~C fer a ::lef~e::i sc::a:e al"i~ tl'le :i;;;trat:-c~ ~fa lab-:: rate') :i,..,al":t 1 Ta,,ag -r.e,,t S('.ltt:IT' l"tlf'l' tc tl'le J-= 1"1t ~ ~~-1.\F C.0,,...,..11,.>q,.; t: :lated ia-111a,... ~CC9 t ACCREDITED Certificate" TL-594 Testing Page 5 of 26 FLT-08 Rev. D 10/1/2014
8 Exova ClCM Attached to this attestation is the test report generated by Testing Laboratory. Exova OCM test witness certifies the report accurately presents the testing performed on the samples identified. Test Report # Date PC /25/2015 Test Witness Signature: Robert Fortner Technician Mechanical Laboratory Base Part# Sample ID's Results (Signed for and on behalf of Exova-OCM) ~ ~--=-.). -:::> Approval Signature: Bruce K. Sauer Technical Director Approval Signature: Thomas J. (Tom) Parsons Manager Qualit I Technical Services (Signed for and on behalf of Exova-OCM) c?-w~ This attestation shall not be reproduced except in full, without the written approval of Exova-OCM. The laboratory has witnessed the testing the material I items supplied by the client as sampled by the client. The testing is not within Exova OCM's LAB scope of testing and was not performed at Exova OCM. Testing Laboratory Attestation Number: Revision Letter: A Page 2 of 2 Exova OCM 3883 East Eagle Drive Anaheim, CA USA LABORATORY ACCREDITATION BUREAU ACCREDITED Certificate# L2195 Testing ISO/IEC 17025
9 Test Report PC-0543 Date 2/25/2015 Rev Rev Date 4.2.1, 4.2.3, 4.2.5, 4.2.6, , PC-0543 Date Received Test Operator Peter Mahbubani Test Operator Yesbet Sierra Sample ID Material/Sample Identification Certificate# TL-594 Testing Page 1 of 26 FLT-08 Rev. D 10/1/2014
10 Test Report PC-0543 Date 2/25/2015 Rev Rev Date 4.2.1, 4.2.3, 4.2.5, 4.2.6, , PC-0543 Date Received Test Criteria Test Result /Fail Test Summary < 1800 Lbf Class A < 1350 Lbf Class B < 900 Lbf 18.9" lbf lbf 1.8 lbf 14.0" Dynamic Strength Line Constituent Strength Dynamic Strength Line Constituent Strength Dynamic Strength Line Constituent Strength < 1800 Lbf lbf Class A < 1350 Lbf Class B < 900 Lbf lbf 2.2 lbf 13.1" < 1800 Lbf lbf Class A < 1350 Lbf Class B < 900 Lbf 4' Fall w/ 300 Lb Test Weight; Weight Shall Not Strike the Ground lbf 2.0 lbf Did not strike ground > 1000 Lbf lbf 4' Fall w/ 300 Lb Test Weight; Weight Shall Not Strike the Ground Did not strike ground > 1000 Lbf lbf 4' Fall w/ 300 Lb Test Weight; Weight Shall Not Strike the Ground Did not strike ground > 1000 Lbf lbf Certificate# TL-594 Testing Page 2 of 26 FLT-08 Rev. D 10/1/2014
11 Test Report PC-0543 Date 2/25/2015 Rev Rev Date 4.2.1, 4.2.3, 4.2.5, 4.2.6, , PC-0543 Date Received Static Strength > 3,000 Lbf for > 60 Seconds lbf Static Strength > 3,000 Lbf for > 60 Seconds lbf Static Strength > 3,000 Lbf for > 60 Seconds lbf lbf lbf lbf 24.2" < 1800 Lbf lbf lbf 1.8 lbf 19.8" < 1800 Lbf lbf lbf 1.8 lbf < 1800 Lbf lbf 23.3" lbf 1.8 lbf Certificate# TL-594 Testing Page 3 of 26 FLT-08 Rev. D 10/1/2014
12 Test Report PC-0543 Date 2/25/2015 Rev Rev Date 4.2.1, 4.2.3, 4.2.5, 4.2.6, , PC-0543 Date Received 20.4" < 1800 Lbf lbf lbf 1.8 lbf 19.2" < 1800 Lbf lbf < 1800 Lbf lbf lbf 1.8 lbf 20.1" lbf 1.6 lbf 25.4" < 1800 Lbf lbf lbf 1.6 lbf 22.8" < 1800 Lbf lbf lbf 1.8 lbf Certificate# TL-594 Testing Page 4 of 26 FLT-08 Rev. D 10/1/2014
13 4.2.1, 4.2.3, 4.2.5, 4.2.6, , , Base Part# Proposed Part# PC-0543 BuiltB Whom Date Received Class A~ 24" Class BS54" 21.9" ANSI S1800 Lbf Class A~ 1575 Lbf Class B ~ 1125 Lbf 1.25 Lbf 25 Lbf lbf lbf 3.8 lbf Lab Quality Manager Peter Mahbubani Date 4/20/2015!witnessed by Date C> m '-l -...i a!:=-n:, '>:: ir::rtir:t - ~ : :: :ia-c:e.-llt.. f"e "'l!::r.ze=.. te '"n =- ~a,,:;a : :.C E: 1 7 J~S z::s -.. J a.::-::: e::'tat ~- ::e-r :-st" t s tir =oo: - -::a.::-ro;:ete'":tt r: 01 :hif '"t::l' J::;::ir ar-:1 t~e ::irrat :. "' :;fa a~:: at::, :l'..:a Tf Ta a;rte.? l>sfl'... e'e t:; t~t: : "'t '50 ',..1.~- J.1' :.:TT:."' :;:.. e :;IJH:t. a"'.. ar, z.;.:;9 ACCRrnlTED Certificate# TL-594 Testing Page 5 of 26 FLT-08 Rev. D 10/1/2014
Declaration of Conformity In Accordance with ANSI/ISEA
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