Third Party Verification Claim

INTERTEK TEST DATA SHEETS Page 3 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
Paragraph Test Description Results Pass/Fail
5.3
Instruction Requirements (General)
5.3.1
Provided to the user printed in English and affixed
to the equipment
PASS
5.3.2
Shall contain the following information:
• instructions shall be provided to users
• mfr’s name, address, telephone #
• mfr’s part number, and model designation
• intended use and purpose
• proper method of use and limitations
• illustrations showing locations of markings
• reproduction of printed information
• inspection procedures
• anchorage requirements
• criteria for discarding equipment
• procedures for cleaning, etc.
• reference to ANSI/ASSE Z359.1-2007
PASS
5.3.3
Require that only the equipment manufacture to
make repairs
PASS
5.3.4
Require the user to remove equipment subjected to
a fall
PASS
5.3.5 Require the user to have a rescue plan
PASS
5.3.6
Warnings regarding:
• altering the equipment
• misusing the equipment
• using combinations of components
• exposing the equipment to chemicals
• using around moving machinery
• using near sharp edges
PASS