Specifications

ManualsBrandsVForce ManualsPaintballGRILL ANNEX IX DOC

EU Declaration of Conformity

Annex IX PPE Regulation (EU) 2016/425

This EU Declaration of conformity refers to the following products

(1)

Product Name

Type

Batch Number or Serial Number or Identifier

VForce Grill

Goggle

22320,22337,22338,22339,22340

VForce Grill

Goggle

22341,22343,22344,23152,23174

VForce Grill

Goggle

23175,23188,23450,23505,23506,23507

VForce Grill

Lens

94464,94463,94465,94462

VForce Grill

Lens

94474,23361

(2) The Manufacturer’s name and address is as follows:

GI Sportz

2955 Adams Center Rd.

Fort Wayne, IN 46803

(3) This Declaration of Conformity is issued under the sole responsibility of the Manufacturer

(4) Detailed description of the PPE to allow traceability/identification of the PPE.

22320 VForce Grill Mask Swamp (Olive Drab/Tan) Thermal Clear

22337 VForce Grill SC Mask Red on Blue Thermal Clear

22338 VForce Grill SC Mask Purple on Grey Thermal Clear

22339 VForce Grill SC Mask Tan on Grey Thermal Clear

22340 VForce Grill SC Mask Green on Grey Thermal Clear

22341 VForce Grill SC Mask Grey on Lime Thermal Clear

22343 VForce Grill Mask Scarlet (Grey on Red) Thermal Clear

22344 VForce Grill Mask Azure (Grey on Blue) Thermal Clear

23152 VForce Grill SE GI Logo on Charcoal Thermal Semi Revo

23153 VForce Grill SE GI Logo on Whitem Thermal Semi Revo

23172 VForce Grill Mask Shark (Charcoal) Thermal Clear

23174 VForce Grill Mask Shadow (Black) Thermal Clear

23175 VForce Grill Mask Ghost (White) Thermal Clear

23188 VForce Grill Mask Terrain Thermal Clear

23450 VForce Grill SE Mask Stix Thermal Semi Revo

23505 VForce Grill SE Mask Digicam Thermal Semi Revo

23506 VForce Grill SE Mask All Seeing Eye Thermal Semi Revo

23507 VForce Grill SE Mask Samurai Thermal Semi Revo

94464 VForce Grill Lens Semi-Revo HD Kryptonite

94463 VForce Grill Lens Semi-Revo HD Magneto

94465 VForce Grill Lens Semi-Revo HD Mirror

94462 VForce Grill Lens Semi-Revo HD Titan

94474 VForce Grill Lens Semi-Revo Quicksilver

23361 VForce Grill Lens Thermal Clear

________________________________________________________________________________________

Photographs may be included if it will assist in identify the product.

(5) The article identified in (4) above is in conformance with the relevant Union Harmonisation Legislation Regulation

(EU) 2016/425.

(6) References to the relevant harmonised standards used, including the date of the standard, or references to the other

technical specifications, including the date of the specification, in relation to which conformity is declared: ASTM

F1776-18

_________________________________________________________________________________________________

(7) CCQS UK Ltd., 5 Harbour Exchange Square, Canary Wharf, London E14 9GE, UK Notified Body: 1105 performed

the EU Type Examination (Module B) and issued the Type Examination Certificate Number _______________

(8) Tick the section that applies:

* This product is Category II

Summary of content (2 pages)

PAGE 1
EU Declaration of Conformity Annex IX PPE Regulation (EU) 2016/425 This EU Declaration of conformity refers to the following products (1) Product Name Type Batch Number or Serial Number or Identifier VForce Grill Goggle 22320,22337,22338,22339,22340 VForce Grill Goggle 22341,22343,22344,23152,23174 VForce Grill Goggle 23175,23188,23450,23505,23506,23507 VForce Grill Lens 94464,94463,94465,94462 VForce Grill Lens 94474,23361 (2) The Manufacturer’s name and address is as follows: GI Sportz
PAGE 2
☐ This product is Category III and is subject to Module C2 internal production control plus supervised product checks at random intervals and is under the surveillance of _______________ (name of notified body and number). ☐ This product is Category III and is subject to Module D Conformity to type based on quality assurance of the production process and is under the surveillance of __________________ (name of notified body and number).