Declaration of Conformity · 2018-01-02 · See attached DTP-000046 Protocol. See attached...

X

Name Title Date

DoC Rev2 10.14.17

Declaration of ConformityIn Accordance with ANSI/ISEA 125-2014

Alexander Andrew, Inc. 1306 S. Alameda St Compton, CA 90221

Declaration # S1017023 Declaration Date 10.18.17

Tested Item # 6050428WR 5pc Confined Space Davit System with Winch and SRL-R

Additional Items Conforming Under this Declaration:

Alexander Andrew, Inc. declares that the product(s) listed above is in conformity with the requirements of the following performance standard(s):

5pc Davit System- OSHA 1926.502 and 1910.66 120' Personnel Winch- ANSI Z359.4-2013 60' SRL-R- ANSI Z359.14-2014

Conformity Assessment Method in accordance with ANSI/ISEA 125-2014

Level 1 Level 2 Level 3

Level 1: FallTech LabOutside the Scope of

ISO/IEC Standard 17025:2005

Level 2: FallTech Lab Within the Scope of


Level 3: Independent 3rd Party Lab accredited to


Supporting Documentation PC-0898 PC-0865 PC-1264 PC-0865DPT-000046

Authorized Signature

Martin Barila VP of Operations 10.26.17

FallTech Testing Laboratory 1306 S. Alameda Street,

Compton, CA 90221-4803Tel: (323) 752-0060

www.falltech.com

Certificate# TL-594 Testing

FLT-08 Rev. H Page 1 of 2

PC-0898 Rpt. Date 8/3/2017 Rpt. Rev Rev Date

Mark Sasaki

Date

Date

Date

Sample ID Description6500128 11"-28" Offset Davit Arm

Zack Winters, Tyler WilsonDate Complete 3/31/2017PC-0898

Test Operator(s)

See attached PC-0898 Protocol

See attached PC-0898 ProtocolSee attached PC-0898

ResultsSee attached PC-0898

Results

Material/Sample Identification

Test Specification Test Criteria Test Result Pass/Fail

Witnessed by

FallTech P/N 6500128 11"-28" Offset Arm and the 6500657 57" Lower Mast/Extension meet the requirements of OSHA 1926, OSHA 1910, and FallTech's General Manufacturing Requirements.

Lab Quality Manager

Test Summary

Test Report No.

Test Request No.

Initiated By Part No.

FallTech Test Report

Test Specification(s)

Part Description

OSHA 1926 & 1910, No Applicable ANSI StandardFallTech

11"-28" Offset Davit Arm and 57" Lower Mast ExtensionPart No. Revision A6500128 & 6500657

Report Prepared For

Conclusion

Report Signatories and Approval

Director of Engineering 10/9/2017

6500657 57" Lower Mast/Extension

10/9/2017

Not Required N/A


Compton, CA 90221-4803Tel: (323) 752-0060

www.falltech.com




Mark Sasaki

Date Complete 3/31/2017PC-0898

Test Report No.

Test Request No.




Part Description


11"-28" Offset Davit Arm and 57" Lower Mast ExtensionPart No. Revision A6500128 & 6500657

Report Prepared For

Characteristic


Ambient Conditions, Indoors

Description of Test 11"-28" Offset Davit Arm with 57" Lower Mast/Extension Static Pull Test

Acceptance Criteria See attached PC-0898 Protocol

Test By Test DateZack Winters, Tyler Wilson 3/31/2017

Time Removed from Conditioning

Test Method See attached PC-0898 Protocol

Test Procedure See attached PC-0898 ProtocolConditioning Requirements

10,000 Lbf Load Cell (+/- 0.5%) 342183 4/25/2018

N/A Time Tested N/A

N/A Actual Conditions Ambient

Test Information

Test Environment

Test Results

End of Report



See attached PC-0898 Test Results

See attached PC-0898 Test Results

Sample ID Criteria Test Data Pass/Fail

Size/TypeEquipment Used

Equipment Used Control Number Calibration Date10k Load Cell


Compton, CA 90221-4803Tel: (323) 752-0060

www.falltech.com



DTP-000046 Rpt. Date 9/26/2017 Rpt. Rev Rev Date

Mark Sasaki

Date

Date

Date

10/9/2017

Not Required N/A

Report Signatories and Approval

N/A Time Tested N/A

N/A Actual Conditions Ambient

Test Information

Test Environment

Director of Engineering 10/9/2017

Witnessed by

Acceptance Criteria

FallTech P/N 6500728 meets the requirements of OSHA 1926.502, OSHA 1910, and FallTech's General Manufacturing Requirements.

Lab Quality Manager

Test Summary

Time Removed from Conditioning

Test Report No.

Test Request No.




Part Description


Confined Space Davit 3-PC Portable BasePart No. Revision A6500728

Report Prepared For

Conclusion

Test Method See attached DTP-000046 Protocol

Test Procedure See attached DTP-000046 ProtocolConditioning Requirements

See attached DTP-000046 Protocol

Test By Test DateZack Winters, Tyler Wilson 4/11/2017Ambient Conditions, Indoors

Description of Test 3-PC Portable Base Static Pull test


See attached DTP-000046 ProtocolSee attached DTP-

000046 ResultsSee attached DTP-000046

Results

Material/Sample IdentificationSample ID Description

6500728 Confined Space Davit 3-PC Portable Base

Zack Winters, Tyler WilsonDate Complete 4/11/2017DTP-000046

Test Operator(s)



Compton, CA 90221-4803Tel: (323) 752-0060

www.falltech.com



DTP-000046 Rpt. Date 9/26/2017 Rpt. Rev Rev Date

Mark Sasaki

Date Complete 4/11/2017DTP-000046

Test Report No.

Test Request No.




Part Description


Confined Space Davit 3-PC Portable BasePart No. Revision A6500728

Report Prepared For

Characteristic


4/25/2018

Test Results

End of Report



See attached DTP-00004 Test Results

See attached DTP-00046 Test Results

Sample ID Criteria Test Data Pass/Fail

Size/TypeEquipment Used

Equipment Used Control Number Calibration Date10k Load Cell 10,000 Lbf Load Cell (+/-0.5%) 342183

of 2

This attestation is issued in accordance with our terms and conditions, a copy of which is available on request. Exova OCM 3883 East Eagle Drive Anaheim, CA 92807 USA

371456-8 FallTech, PC-1264, 7298 ANSI Z359.4 Witness test

October 26, 2017

FallTech Testing Laboratory 1306 S. Alameda Street Compton, CA 90221 Attention: Jay Sponholz Quality Manager Subject: Attestation of Witnessing Testing

Exova OCM Job # 371456-8 FallTech P.O.: OPEN Report No.: PC-1264 Base Part No. 7298 Description: Personnel Winch

Dear Mr. Sponholz: The purpose of this attestation is to attest to the fact that a representative of Exova OCM was on site at FallTech’s facilities to confirm suitability of the equipment used, calibration status of the equipment and to witness testing performed by FallTech employees. Details of this visit are included below:

• Date of Testing: − October 5, 2017

• Exova OCM Test Witness: − 10/5/17 - Nolan Schatzle

• FallTech Test Operators: − Yesbet Sierra/Jay Sponholz

• Specification: ANSI Z359.4-2013 Sections: 3.3, 4.3.6, 4.3.2.1, 4.3.2.2, 4.3.2.3

• Equipment Calibration Interval − 1 year, except weights which are 5 years


Compton, CA 90221-4803

Tel: (323) 752-0060

www.falltech.com


Dan Redden

4028969h Personnel Winch

4028966c Personnel Winch

4028968w Personnel Winch

4028975 Personnel Winch


Personnel Winch4028967


Sample ID Description

Personnel Winch




Yesbet Sierra / Jay Sponholz


Test Operator(s)

Test Report No.

Test Request No.

Initiated By

Part No.

Personnel Winch

4028973w



Part Description

ANSI Z359.4-2013: 3.3, 4.3.6,

4.3.2.1, 4.3.2.2, 4.3.2.3

FallTech

Personnel Winch

Part No. Revision A7298

Report Prepared For











4028970c


FLT-08 Rev. H

Page 1 of 25



Tel: (323) 752-0060

www.falltech.com


Dan Redden


Test Report No.

Test Request No.

Initiated By

Part No.



Part Description

ANSI Z359.4-2013: 3.3, 4.3.6,

4.3.2.1, 4.3.2.2, 4.3.2.3

FallTech

Personnel Winch


Report Prepared For

Static Strength

Maintain load

Static Strength

Maintain load

Static Strength

Maintain load






4028963

Pass

> 1 Minute 1 Minute Pass

ANSI Z359.4-2013

4.3.6.1

> 3100 Lbf 3278.9 lbF Pass


ANSI Z359.4-2013

4.3.6.1

> 3100 Lbf 3164.8 lbF

ANSI Z359.4-2013

4.3.6.1

> 3100 Lbf 3165.3 lbF Pass


Test Summary


Personnel Winch




Material/Sample Identification (Continued)



FLT-08 Rev. H

Page 2 of 25



Tel: (323) 752-0060

www.falltech.com


Dan Redden


Test Report No.

Test Request No.

Initiated By

Part No.



Part Description

ANSI Z359.4-2013: 3.3, 4.3.6,

4.3.2.1, 4.3.2.2, 4.3.2.3

FallTech

Personnel Winch


Report Prepared For

Static Strength

Maintain load

Static Strength

Maintain load

Slippage

(Post Static)

Primary Brake

(Post Static)

Static Strength

Maintain load

Static Strength

Maintain load

Slippage

(Post Static)

Primary Brake

(Post Static)

Static Strength

Maintain load

Static Strength

Maintain load

Slippage

(Post Static)

Primary Brake

(Post Static)

ANSI Z359.4-2013

4.3.6.2

> 1240 Lbf 1324.0 lbF Pass


> 1240 Lbf 1296.5 lbF Pass


Raise / Lower without

slippageNo Slippage Pass

< 4" travel when control

released

Average of 3 readings

> 1240 Lbf 1289.9 lbF Pass

0.0" Pass


ANSI Z359.4-2013

4.3.6.2

> 1240 Lbf 1293.6 lbF Pass


> 1240 Lbf 1297.0 lbF Pass





released


0.0" Pass

Test Summary (Continued)


ANSI Z359.4-2013

4.3.6.2

> 1240 Lbf 1272.7 lbF Pass





released


0.0" Pass


FLT-08 Rev. H

Page 3 of 25



Tel: (323) 752-0060

www.falltech.com


Dan Redden


Test Report No.

Test Request No.

Initiated By

Part No.



Part Description

ANSI Z359.4-2013: 3.3, 4.3.6,

4.3.2.1, 4.3.2.2, 4.3.2.3

FallTech

Personnel Winch


Report Prepared For

Force to Raise

Force to Lower

Force to Raise

Force to Lower

Force to Raise

Force to Lower

Force to Raise

Force to Lower

Force to Raise

Force to Lower

Force to Raise

Force to Lower Pass

< 30.0 Lbf

Average of 3 readings27.4 lbF

16.7 lbF

ANSI Z359.4-2013

4.3.6.3

Pass

< 30.0 Lbf

Average of 3 readings21.7 lbF Pass



ANSI Z359.4-2013

4.3.6.3

< 30.0 Lbf


< 30.0 Lbf

Average of 3 readingsPass

ANSI Z359.4-2013

4.3.6.3 / 4.3.2.1

< 30.0 Lbf


< 30.0 Lbf


ANSI Z359.4-2013

4.3.6.3

< 30.0 Lbf


< 30.0 Lbf


ANSI Z359.4-2013

4.3.6.3 / 4.3.2.2

< 30.0 Lbf


< 30.0 Lbf


ANSI Z359.4-2013

4.3.6.3 / 4.3.2.3

< 30.0 Lbf


< 30.0 Lbf

Average of 3 readings6.2 lbF


FLT-08 Rev. H

Page 4 of 25



Tel: (323) 752-0060

www.falltech.com


Dan Redden


Test Report No.

Test Request No.

Initiated By

Part No.



Part Description

ANSI Z359.4-2013: 3.3, 4.3.6,

4.3.2.1, 4.3.2.2, 4.3.2.3

FallTech

Personnel Winch


Report Prepared For

Slippage

Slippage

Slippage

Slippage

Slippage

Slippage

Primary Brake

Primary Brake

Primary Brake

Primary Brake

Primary Brake

Primary Brake

ANSI Z359.4-2013

4.3.6.5 / 4.3.2.2


released


0.0" Pass

ANSI Z359.4-2013

4.3.6.5 / 4.3.2.3


released


0.0" Pass

ANSI Z359.4-2013

4.3.6.5


released


0.0" Pass

ANSI Z359.4-2013

4.3.6.5


released


0.0" Pass

0.0" Pass

ANSI Z359.4-2013

4.3.6.4 / 4.3.2.2



ANSI Z359.4-2013

4.3.6.4 / 4.3.2.3



ANSI Z359.4-2013

4.3.6.4 / 4.3.2.1

ANSI Z359.4-2013

4.3.6.5 / 4.3.2.1


released




ANSI Z359.4-2013

4.3.6.4



ANSI Z359.4-2013

4.3.6.4

ANSI Z359.4-2013

4.3.6.4





ANSI Z359.4-2013

4.3.6.5


released


0.0" Pass


Test CriteriaTest Specification Test Result Pass/Fail


FLT-08 Rev. H

Page 5 of 25

August 15, 2016

FallTech Testing Laboratory 1306 S. Alameda Street Compton, CA 90221 Attention: Jay Sponholz Quality Manager Subject: Attestation of Witnessing Testing

Exova OCM Job # 361179-2 FallTech P.O.: OPEN Report No.: PC-0865 Base Part No. 7281 Description: 60' Cable 3-Way Self-Retracting Device

Dear Mr. Sponholz: The purpose of this attestation is to attest to the fact that a representative of Exova OCM was on site at FallTech’s facilities to confirm suitability of the equipment used, calibration status of the equipment and to witness testing performed by FallTech employees. Details of this visit are included below:

• Date of Testing: − June 9, 33, 2016

• Exova OCM Test Witness: − Robert Fortner

• FallTech Test Operators: − Yesbet Sierra and Jay Sponholz

• Specification: − ANSI Z359.14-2014 Sections 4.2.1, 4.2.3, 4.2.5, 4.2.6, 4.2.8.1, 4.2.8.2, 4.2.8.3

• Equipment Calibration Interval − 1 year, except weights which are 5 years

Page 1 of 2

This attestation is issued in accordance with our terms and conditions, a copy of which is available on request. Exova OCM 3883 East Eagle Drive Anaheim, CA 92807 USA

361179-2 FallTech (PC-0865, 7281) ANSI Z359.14 Witness test.docx

Exova OCM

Attached to this attestation is the test report generated by FallTech Testing Laboratory. Exova OCM test witness certifies the report accurately presents the testing performed on the samples identified.

Test Report # Date

PC-0865 7/8/2016

Test Witness Signature:

Robert Fortner Technician Mechanical Laboratory

Approval Signature:

Mark E. Kokosinski General Manager

Base Part# Description Sample ID's Results FT15026 FT16272 FT15042 FT16260 FT16259 FT15078 FT15026 FT16272 FT15042 FT16287 FT17267

60' Cable 3-Way Self-Retracting FT17299 7281

Device FT16279 Pass

FT15071 FT16299 FT15028 FT15080 FT16258 FT16272 FT15026 FT15048 FT15075 FT16294 FT15059

(Signed for and on behalf of Exova-OCM)

R.r.

(Signed for a'J! o'J'eha/f ~f ~ova-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.

FallTech Testing Laboratory Attestation Number: 36179-2

Revision Letter: Original Page 2 of 2

Exova OCM 3883 East Eagle Drive Anaheim , CA 92807 USA



Tel: (323) 752-0060

www.falltech.com

PC-0865 Date 7/8/2016 Rev Rev Date

Report Prepared For

Dan Redden

7281

N/A BOM No

PC-0865 6/7/2016 6/29/2016

Yesbet Sierra

FT15075 60' Cable 3-Way Self Retracting Device



FT17299




60' Cable 3-Way Self Retracting Device



FT15026




FT15078


FT16260

FT16259






FT16272

FT15042

FT16287

FT17267


Test Report Number

Test Request #

Initiated By

Base Part #


Test Specification

Date Received Date Complete

Description

ANSI Z359.14-2014 4.3.1, 4.3.3, 4.2.1,

4.3.4, 4.2.8.1, 4.2.8.2, 4.2.8.3, 4.2.5, 4.2.6,


ProductionProposed Part #

FallTech

Built By Whom


Test Operator Test Operator Jay Sponholz



FT15042





FT16279

FT15071

FT16299

FT15028

FT15080

FT16258


FLT-08 Rev. G

Page 1 of 26



Tel: (323) 752-0060

www.falltech.com


Report Prepared For

Dan Redden

7281

N/A BOM No

PC-0865 6/7/2016 6/29/2016

Test Report Number

Test Request #

Initiated By

Base Part #


Test Specification


Description

ANSI Z359.14-2014 4.3.1, 4.3.3, 4.2.1,

4.3.4, 4.2.8.1, 4.2.8.2, 4.2.8.3, 4.2.5, 4.2.6,



FallTech

Built By Whom

Functional 36" Travel

125 % Maximum Capacity

Hold


75 % Minimum Capacity

Hold



Hold



Hold



Hold



Hold

Static Strength

Rescue Mode

Static Strength

Rescue Mode

Static Strength

Rescue Mode


Test Summary

ANSI Z359.14-2014

4.3.1

< 4" Vertical

Displacement0.0" Pass

1 Minute 1 Minute Pass

< 4" Vertical



ANSI Z359.14-2014

4.3.1

< 4" Vertical



< 4" Vertical

Displacement 0.0" Pass


ANSI Z359.14-2014

4.3.1

< 4" Vertical



< 4" Vertical



ANSI Z359.14-2014

4.3.3

> 3,000 Lbf

for > 60 Seconds3106.2 lbF Pass

ANSI Z359.14-2014

4.3.3

> 3,000 Lbf


ANSI Z359.14-2014

4.3.3

> 3,000 Lbf



FLT-08 Rev. G

Page 2 of 26



Tel: (323) 752-0060

www.falltech.com


Report Prepared For

Dan Redden

7281

N/A BOM No

PC-0865 6/7/2016 6/29/2016

Test Report Number

Test Request #

Initiated By

Base Part #


Test Specification


Description

ANSI Z359.14-2014 4.3.1, 4.3.3, 4.2.1,

4.3.4, 4.2.8.1, 4.2.8.2, 4.2.8.3, 4.2.5, 4.2.6,



FallTech

Built By Whom

Arrest Distance

Max Arrest Force

Avg Arrest Force

Post Fall Rescue Mode

Functional Travel

Visual Impact Indicator

Retraction Tension

0% Extracted

Retraction Tension

20% Extracted

Retraction Tension

40% Extracted

Retraction Tension

60% Extracted

Retraction Tension

80% Extracted

Retraction Tension

100% Extracted

Arrest Distance

Max Arrest Force

Avg Arrest Force


Functional Travel


Retraction Tension

0% Extracted

Retraction Tension

20% Extracted

Retraction Tension

40% Extracted

Retraction Tension

60% Extracted

Retraction Tension

80% Extracted

Retraction Tension

100% Extracted

Pass

Class A < 24"

Class B < 54"Pass

1592.1 lbF< 1800 Lbf

1.25 Lbf - 25 Lbf

< 24" Extended5.4 lbF Pass

1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf

< 24" Extended

1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


Visual Deployment Visually Deployed Pass

50% Arrest Distance

< 4" Vertical Displacement

11.4" Travel

0.0" DisplacementPass

1.25 Lbf - 25 Lbf


ANSI Z359.14-2014

4.2.1, 4.2.6, 4.3.4

Class A < 1350 Lbf

Class B < 900 Lbf

50% Arrest Distance


1060.1 lbF Pass

11.1" Travel


22.2"

Pass7.6 lbF


ANSI Z359.14-2014

4.2.1, 4.2.6, 4.3.4

Class A < 24"

Class B < 54"22.8" Pass

< 1800 Lbf 1855.1 lbF Pass

Class A < 1350 Lbf

Class B < 900 Lbf1227.6 lbF Pass

1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf

< 24" Extended6.2 lbF

Pass

1.25 Lbf - 25 Lbf


Pass

1.25 Lbf - 25 Lbf



FLT-08 Rev. G

Page 3 of 26



Tel: (323) 752-0060

www.falltech.com


Report Prepared For

Dan Redden

7281

N/A BOM No

PC-0865 6/7/2016 6/29/2016

Test Report Number

Test Request #

Initiated By

Base Part #


Test Specification


Description

ANSI Z359.14-2014 4.3.1, 4.3.3, 4.2.1,

4.3.4, 4.2.8.1, 4.2.8.2, 4.2.8.3, 4.2.5, 4.2.6,



FallTech

Built By Whom

Arrest Distance

Max Arrest Force

Avg Arrest Force


Functional Travel


Retraction Tension

0% Extracted

Retraction Tension

20% Extracted

Retraction Tension

40% Extracted

Retraction Tension

60% Extracted

Retraction Tension

80% Extracted

Retraction Tension

100% Extracted

Arrest Distance

Max Arrest Force

Avg Arrest Force


Functional Travel


Retraction Tension

0% Extracted

Retraction Tension

20% Extracted

Retraction Tension

40% Extracted

Retraction Tension

60% Extracted

Retraction Tension

80% Extracted

Retraction Tension

100% Extracted

Class A < 24"

Class B < 54"

< 1800 Lbf

Class A < 1575 Lbf

Class B < 1125 Lbf

23.0"

1681.6 lbF

1024.2 lbF

Pass

Pass

8.0 lbF Pass

1.25 Lbf - 25 Lbf

< 24" Extended


50% Arrest Distance


11.5" Travel


ANSI Z359.14-2014

4.2.8.1, 4.3.4

1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


Pass

ANSI Z359.14-2014

4.2.1, 4.2.6, 4.3.4

Class A < 24"


< 1800 Lbf 1756.2 lbF Pass

Class A < 1350 Lbf


1.25 Lbf - 25 Lbf



50% Arrest Distance


11.4" Travel


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf

< 24" Extended

7.6 lbF Pass

1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf



FLT-08 Rev. G

Page 4 of 26



Tel: (323) 752-0060

www.falltech.com


Report Prepared For

Dan Redden

7281

N/A BOM No

PC-0865 6/7/2016 6/29/2016

Test Report Number

Test Request #

Initiated By

Base Part #


Test Specification


Description

ANSI Z359.14-2014 4.3.1, 4.3.3, 4.2.1,

4.3.4, 4.2.8.1, 4.2.8.2, 4.2.8.3, 4.2.5, 4.2.6,



FallTech

Built By Whom

Arrest Distance

Max Arrest Force

Avg Arrest Force


Functional Travel


Retraction Tension

0% Extracted

Retraction Tension

20% Extracted

Retraction Tension

40% Extracted

Retraction Tension

60% Extracted

Retraction Tension

80% Extracted

Retraction Tension

100% Extracted

Arrest Distance

Max Arrest Force

Avg Arrest Force


Functional Travel


Retraction Tension

0% Extracted

Retraction Tension

20% Extracted

Retraction Tension

40% Extracted

Retraction Tension

60% Extracted

Retraction Tension

80% Extracted

Retraction Tension

100% Extracted

Pass

Class A < 1575 Lbf


< 1800 Lbf 1365.5 lbF Pass

1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


Class A < 24"

Class B < 54"

50% Arrest Distance


9.6" Travel


Class A < 24"

Class B < 54"

1426.2 lbF Pass

Class A < 1575 Lbf


50% Arrest Distance


11.0" Travel



1.25 Lbf - 25 Lbf


22.0"

1.25 Lbf - 25 Lbf


ANSI Z359.14-2014

4.2.8.1, 4.3.4

1.25 Lbf - 25 Lbf


ANSI Z359.14-2014

4.2.8.1, 4.3.4


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


Pass

< 1800 Lbf

19.2"


FLT-08 Rev. G

Page 5 of 26



Tel: (323) 752-0060

www.falltech.com


Report Prepared For

Dan Redden

7281

N/A BOM No

PC-0865 6/7/2016 6/29/2016

Test Report Number

Test Request #

Initiated By

Base Part #


Test Specification


Description

ANSI Z359.14-2014 4.3.1, 4.3.3, 4.2.1,

4.3.4, 4.2.8.1, 4.2.8.2, 4.2.8.3, 4.2.5, 4.2.6,



FallTech

Built By Whom

Arrest Distance

Max Arrest Force

Avg Arrest Force


Functional Travel


Retraction Tension

0% Extracted

Retraction Tension

20% Extracted

Retraction Tension

40% Extracted

Retraction Tension

60% Extracted

Retraction Tension

80% Extracted

Retraction Tension

100% Extracted

Arrest Distance

Max Arrest Force

Avg Arrest Force


Functional Travel


Retraction Tension

0% Extracted

Retraction Tension

20% Extracted

Retraction Tension

40% Extracted

Retraction Tension

60% Extracted

Retraction Tension

80% Extracted

Retraction Tension

100% Extracted

ANSI Z359.14-2014

4.2.8.2, 4.3.4

ANSI Z359.14-2014

4.2.8.2, 4.3.4

< 1800 Lbf 1757.2 lbF Pass

Class A < 1575 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf

< 24" Extended

Class A < 24"

Class B < 54"22.8 Pass

< 1800 Lbf 1739.2 lbF Pass

1.25 Lbf - 25 Lbf


24.6" Pass

7.6 lbF Pass

Pass

1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf

< 24" Extended

Class A < 1575 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


50% Arrest Distance


11.4" Travel



Pass

1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


Class A < 24"

Class B < 54"

5.6 lbF Pass

1.25 Lbf - 25 Lbf


50% Arrest Distance


12.3" Travel




FLT-08 Rev. G

Page 6 of 26



Tel: (323) 752-0060

www.falltech.com


Report Prepared For

Dan Redden

7281

N/A BOM No

PC-0865 6/7/2016 6/29/2016

Test Report Number

Test Request #

Initiated By

Base Part #


Test Specification


Description

ANSI Z359.14-2014 4.3.1, 4.3.3, 4.2.1,

4.3.4, 4.2.8.1, 4.2.8.2, 4.2.8.3, 4.2.5, 4.2.6,



FallTech

Built By Whom

Arrest Distance

Max Arrest Force

Avg Arrest Force


Functional Travel


Retraction Tension

0% Extracted

Retraction Tension

20% Extracted

Retraction Tension

40% Extracted

Retraction Tension

60% Extracted

Retraction Tension

80% Extracted

Retraction Tension

100% Extracted

Arrest Distance

Max Arrest Force

Avg Arrest Force


Functional Travel


Retraction Tension

0% Extracted

Retraction Tension

20% Extracted

Retraction Tension

40% Extracted

Retraction Tension

60% Extracted

Retraction Tension

80% Extracted

Retraction Tension

100% Extracted

Pass

< 1800 Lbf 1841.1 lbF

ANSI Z359.14-2014

4.2.8.2, 4.3.4

Class A < 24"

Class B < 54"23.4"

Pass

1.25 Lbf - 25 Lbf

< 24" Extended

Pass

Class A < 1575 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


8.0 lbF Pass

50% Arrest Distance


11.7" Travel



1.25 Lbf - 25 Lbf


ANSI Z359.14-2014

4.2.8.3, 4.3.4

Class A < 24"


< 1800 Lbf 1618.9 lbF Pass

Class A < 1575 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


14.0" Travel



Pass

1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


50% Arrest Distance



FLT-08 Rev. G

Page 7 of 26



Tel: (323) 752-0060

www.falltech.com


Report Prepared For

Dan Redden

7281

N/A BOM No

PC-0865 6/7/2016 6/29/2016

Test Report Number

Test Request #

Initiated By

Base Part #


Test Specification


Description

ANSI Z359.14-2014 4.3.1, 4.3.3, 4.2.1,

4.3.4, 4.2.8.1, 4.2.8.2, 4.2.8.3, 4.2.5, 4.2.6,



FallTech

Built By Whom

Arrest Distance

Max Arrest Force

Avg Arrest Force


Functional Travel


Retraction Tension

0% Extracted

Retraction Tension

20% Extracted

Retraction Tension

40% Extracted

Retraction Tension

60% Extracted

Retraction Tension

80% Extracted

Retraction Tension

100% Extracted

Arrest Distance

Max Arrest Force

Avg Arrest Force


Functional Travel


Retraction Tension

0% Extracted

Retraction Tension

20% Extracted

Retraction Tension

40% Extracted

Retraction Tension

60% Extracted

Retraction Tension

80% Extracted

Retraction Tension

100% Extracted

ANSI Z359.14-2014

4.2.8.3, 4.3.4

1.25 Lbf - 25 Lbf


Class A < 24"

Class B < 54"25.4"

1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


Pass

Pass

< 1800 Lbf 1438.4 lbF

ANSI Z359.14-2014

4.2.8.3, 4.3.4

Class A < 24"


< 1800 Lbf 1204.5 lbF Pass

Class A < 1575 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


50% Arrest Distance < 4"

Vertical Displacement

12.7" Travel



50% Arrest Distance


12.7" Travel



Pass

Class A < 1575 Lbf



FLT-08 Rev. G

Page 8 of 26



Tel: (323) 752-0060

www.falltech.com


Report Prepared For

Dan Redden

7281

N/A BOM No

PC-0865 6/7/2016 6/29/2016

Test Report Number

Test Request #

Initiated By

Base Part #


Test Specification


Description

ANSI Z359.14-2014 4.3.1, 4.3.3, 4.2.1,

4.3.4, 4.2.8.1, 4.2.8.2, 4.2.8.3, 4.2.5, 4.2.6,



FallTech

Built By Whom

Retraction Tension

0% Extracted

Retraction Tension

20% Extracted

Retraction Tension

40% Extracted

Retraction Tension

60% Extracted

Retraction Tension

80% Extracted

Retraction Tension

100% Extracted

Retraction Tension

0% Extracted

Retraction Tension

20% Extracted

Retraction Tension

40% Extracted

Retraction Tension

60% Extracted

Retraction Tension

80% Extracted

Retraction Tension

100% Extracted

Pass

1.25 Lbf - 25 Lbf

< 24" Extended

ANSI Z359.14-2014

4.2.6 1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


8.2 lbF Pass

7.4 lbF Pass

1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


ANSI Z359.14-2014

4.2.6

1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf


1.25 Lbf - 25 Lbf

< 24" Extended


FLT-08 Rev. G

Page 9 of 26

Report Prepared For

Initiated By

Base Part#

Proposed Part#

Test Request#

ANSI Z359.14-2014 4.2.6

ANSI Z359.14-2014 4.2.S

ANSI Z359.14-2014 4.2.S

ANSI Z359.14-2014 4.2.S

'Witnessed by

·~ v ACCREDITED Certificate# TL·594 Testing

FallTech

ANSI 2359.14-2014


Compton, CA 90221-4803 Tel : (323) 752-0060

www.falltech .com

4.3.1, 4.3.3, 4 .2 .1, Dan Redden Test Specification

4.3.4, 4.2.8.1, 4.2.8.2, 4 .2.8.3, 4.2.5, 4.2.6,

7281 Description 60' Cable 3-Way Self Retracting Device

N/A Built By Whom Production BOM No

PC-0865 Date Received 617/2016 Date Complete 6/29/2016

Retraction Tension 1.25 Lbf - 25 Lbf 4.4 lbF

0% Extracted ~ 24" Extended









Retraction Tension 1.25 Lbf- 25 Lbf 7.2 lbF


!'.3,000 Lbf 3084.0 lbF Static Strength

for.:'. 60 Seconds

!'.3,000 Lbf 3062.9 lbF Static Strength

for.:'. 60 Seconds

Static Strength !'.3,000 Lbf

3068.7 lbF for.:'. 60 Seconds

Date

This laboratory Is accredted In accordance with the recogiized lrlernaUonal Standard ISO/IEC 17025:2005. Tlis accred~ation demonstrates tectnical competence for a defined scope and the operation or a

laboratory q111lity managemerl system (rerer to the joirl ISO-ILAC-IAF Commt.nlque dated Jar<Jary 2009). Fal/Tec/1 Testing LaborD!ory allows for a +/- 5% tolerance oo dynamic and static •treflf/f/1tesl re•ub.

Pass

Pass

Pass

Pass

Pass

Pass

Pass

Pass

Pass

7/8/2016

&/3o /It-

FLT-08 Rev. G

Page 10 of 26

Declaration of Conformity · 2018-01-02 · See attached DTP-000046 Protocol. See attached...

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Transcript of Declaration of Conformity · 2018-01-02 · See attached DTP-000046 Protocol. See attached...