Third Party Verification Claim

INTERTEK TEST DATA SHEETS Page 2 of 3
Client/Ref #: Outsource Asia Industries Engineer: Andrew Rulison
Job No.: G102501078 Tested By: Matthew Stevens Date: 3/10/16
Product: Roof Anchor Reviewed By: Andrew Rulison Date: 3/10/16
Model No.: 00455 Standard:
ANSI/ASSE Z359.1-2007
Quote #/Customer# Qu-00676503
TRANSCRIBED TEST DATA
TEST EQUIPMENT
Used for Test Description Manufacturer Control No. Model No. Serial No. Cal. Date Cal. Due
X Load Cell Interface L137 NA NA 9/18/15 9/18/16
X Latest Standards Used: ANSI/ASSE Z359.1-2007 Verified By: MS
Paragraph Test Description Results Pass/Fail
3.2.5.1 Anchorage Connector Qualification Test (test section 4.3.6)
3,600 lbs-f & hold for 1-minute, then
release load and reapply 5,000 lbs-f
and hold for 1-minute
Orientation
Deformation
(3600)
Breakage
12X12 Pitch
Wood
NO NO
12X12 Pitch
Wood
NO NO
12X12 Pitch
Wood
NO NO
PASS
5.1
Marking Requirements (General)
5.1.1; Markings shall be in English
PASS
5.1.2; Shall endure the life of the
product, pressure sensitive labels
shall meet UL 969
PASS
5.1.3 a; part # and model designation
PASS
5.1.3 b; year of manufacture
PASS
5.1.3 c; manufacturers name or logo
PASS
5.1.3 d; capacity rating
PASS
5.1.3 e; standard number “Z359.1”
PASS
5.1.3 f; warning to follow
manufacturer’s instructions
PASS
5.2.5
Marking Requirements (Anchors)
5.2.5 a; the materials of construction
PASS
5.2.5.b; the proper method of
coupling
PASS
5.2.5.c; avoid contact with sharp
edges and abrasives
PASS
5.2.5.d; inspection requirements
PASS
5.2.5.e; warning regarding
incompatible connectors
PASS
5.2.5.f; stability an compatibility
limitations
PASS
5.2.5.g; physical hazards, thermal,
electrical, chemical
PASS