Declaration of Conformity

In Accordance with ANSI/ISEA 125-2014

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

Declaration # B1215002a Declaration Date 12.30.15

Tested Item # 7017 Contractor 3D Standard Non-belted FBH

Additional Items Conforming Under this Declaration:

7017XL 70172X 70173X S7017 S7017

7015 7015XS 7015XL 70152X 70153X S7015
7015SML 7015LXL 70152X3XL 7015SMO 7015LXO 70152X3XO

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

ANSI Z359.11-2014

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

Level 1 Level 2 X Level 3

Level 1: FallTech Lab Level 2: FallTech Lab Level 3: Independent 3rd Party Lab
Outside the Scope of Within the Scope of accredited to
ISO/IEC Standard 17025:2005 ISO/IEC Standard 17025:2005 ISO/IEC Standard 17025:2005

Supporting
Documentation
PC-0777

Authorized Signature

Name Dustin Hawkins Title VP Business Development Date 1.25.16

DoC Rev1 7.2.14

 FallTech Testing Laboratory
1306 S. Alameda Street,
Compton, CA 90221-4803
Tel: (323) 752-0060
www.falltech.com

FallTech Test Report

Test Report Number PC-0777 Date 12/30/2015 Rev Rev Date
Report Prepared For FallTech
ANSI Z359.11-2014
Initiated By Dan Redden Test Specification
4.3.5, 4.3.3, 4.3.6, 4.3.7
Base Part # 7017 Description Full Body Harness
Proposed Part # N/A Built By Whom Production BOM No
Test Request # PC-0777 Date Received 12/10/2015 Date Complete 12/22/2015
Test Operator Jay Sponholz Test Operator Yesbet Sierra

Material/Sample Identification
Sample ID Description
242061 Full Body Harness
241980 Full Body Harness
241860 Full Body Harness
2477763 Full Body Harness
241912 Full Body Harness
241992 Full Body Harness
241694 Full Body Harness
2412381 Full Body Harness
242136 Full Body Harness
2478060 Full Body Harness
242039 Full Body Harness
2477730 Full Body Harness

FLT-08 Rev. F
Certificate# TL-594 Testing Page 1 of 12
 FallTech Testing Laboratory
1306 S. Alameda Street,
Compton, CA 90221-4803
Tel: (323) 752-0060
www.falltech.com

FallTech Test Report

Test Report Number PC-0777 Date 12/30/2015 Rev Rev Date
Report Prepared For FallTech
ANSI Z359.11-2014
Initiated By Dan Redden Test Specification
4.3.5, 4.3.3, 4.3.6, 4.3.7
Base Part # 7017 Description Full Body Harness
Proposed Part # N/A Built By Whom Production BOM No
Test Request # PC-0777 Date Received 12/10/2015 Date Complete 12/22/2015

Test Summary
Test Specification Test Criteria Test Result Pass/Fail
Static Strength
3600 Lbf > 1 Minute 3658.2 Lbf Pass
(Dorsal D-ring)
Static Strength Harness Shall Not Release Test
Did Not Release Pass
(Dorsal D-ring) Torso
ANSI Z359.11-2014 Adjuster Slippage Slippage < 1" 0.0" Pass
4.3.5 Shall Not Tear a Distance
Tear Distance Greater Than to Adjacent Did Not Tear Through Pass
Eyelet
Straps Shall Not Show Any
Tearing Did Not Tear Pass
Signs of Tearing
Static Strength
3600 Lbf > 1 Minute 3644.7 Lbf Pass
(Dorsal D-ring)
Static Strength Harness Shall Not Release Test
Did Not Release Pass
(Dorsal D-ring) Torso
ANSI Z359.11-2014 Adjuster Slippage Slippage < 1" 0.0" Pass
4.3.5 Shall Not Tear a Distance
Tear Distance Greater Than to Adjacent Did Not Tear Through Pass
Eyelet
Straps Shall Not Show Any
Tearing Did Not Tear Pass
Signs of Tearing
Static Strength
3600 Lbf > 1 Minute 3691.7 Lbf Pass
(Dorsal D-ring)
Static Strength Harness Shall Not Release Test
Did Not Release Pass
(Dorsal D-ring) Torso
Adjuster Slippage Slippage < 1" 0.0" Pass
ANSI Z359.11-2014
4.3.5 Shall Not Tear a Distance
Tear Distance Greater Than to Adjacent Did Not Tear Through Pass
Eyelet
Straps Shall Not Show Any
Tearing Did Not Tear Pass
Signs of Tearing

FLT-08 Rev. F
Certificate# TL-594 Testing Page 2 of 12
 FallTech Testing Laboratory
1306 S. Alameda Street,
Compton, CA 90221-4803
Tel: (323) 752-0060
www.falltech.com

FallTech Test Report

Test Report Number PC-0777 Date 12/30/2015 Rev Rev Date
Report Prepared For FallTech
ANSI Z359.11-2014
Initiated By Dan Redden Test Specification
4.3.5, 4.3.3, 4.3.6, 4.3.7
Base Part # 7017 Description Full Body Harness
Proposed Part # N/A Built By Whom Production BOM No
Test Request # PC-0777 Date Received 12/10/2015 Date Complete 12/22/2015

Static Strength
3600 Lbf > 1 Minute 3647.3 Lbf Pass
(Side D-ring)
Static Strength Harness Shall Not Release Test
Did Not Release Pass
(Side D-ring) Torso
Adjuster Slippage Slippage < 1" 0.0" Pass
ANSI Z359.11-2014
4.3.5 Shall Not Tear a Distance
Tear Distance Greater Than to Adjacent Did Not Tear Through Pass
Eyelet
Straps Shall Not Show Any
Tearing Did Not Tear Pass
Signs of Tearing
Static Strength
3600 Lbf > 1 Minute 3649.4 Lbf Pass
(Side D-ring)
Static Strength Harness Shall Not Release Test
Did Not Release Pass
(Side D-ring) Torso
Adjuster Slippage Slippage < 1" 0.0" Pass
ANSI Z359.11-2014
4.3.5 Shall Not Tear a Distance
Tear Distance Greater Than to Adjacent Did Not Tear Through Pass
Eyelet
Straps Shall Not Show Any
Tearing Did Not Tear Pass
Signs of Tearing
Static Strength
3600 Lbf > 1 Minute 3647.2 Lbf Pass
(Side D-ring)
Static Strength Harness Shall Not Release Test
Did Not Release Pass
(Side D-ring) Torso
Adjuster Slippage Slippage < 1" 0.0" Pass
ANSI Z359.11-2014
4.3.5 Shall Not Tear a Distance
Tear Distance Greater Than to Adjacent Did Not Tear Through Pass
Eyelet
Straps Shall Not Show Any
Tearing Did Not Tear Pass
Signs of Tearing

FLT-08 Rev. F
Certificate# TL-594 Testing Page 3 of 12
 FallTech Testing Laboratory
1306 S. Alameda Street,
Compton, CA 90221-4803
Tel: (323) 752-0060
www.falltech.com

FallTech Test Report

Test Report Number PC-0777 Date 12/30/2015 Rev Rev Date
Report Prepared For FallTech
ANSI Z359.11-2014
Initiated By Dan Redden Test Specification
4.3.5, 4.3.3, 4.3.6, 4.3.7
Base Part # 7017 Description Full Body Harness
Proposed Part # N/A Built By Whom Production BOM No
Test Request # PC-0777 Date Received 12/10/2015 Date Complete 12/22/2015

Dynamic Performance Peak Impact Load

4130.6 Lbf Pass
Dorsal D-ring (Feet First) > 3600 Lbf
Dynamic Performance Harness Shall Not Release Test
Did Not Release Pass
Dorsal D-ring (Feet First) Torso
Dynamic Performance Remain Suspended for > 5
5 Minutes Pass
Dorsal D-ring (Feet First) Minutes
ANSI Z359.11-2014 Dynamic Performance
Angle at Rest < 30° 4.75° Pass
4.3.3 Dorsal D-ring (Feet First)
At Least One Fall Arrest
Dynamic Performance Visibly and Permanently
Indicator Shall be Deployed Pass
Dorsal D-ring (Feet First) Deployed
Visibly and Permanently

Dynamic Performance Harness Stretch Shall Not

12.0" Pass
Dorsal D-ring (Feet First) Exceed 18"
Dynamic Performance Peak Impact Load
4639.2 Lbf Pass
Dorsal D-ring (Feet First) > 3600 Lbf
Dynamic Performance Harness Shall Not Release Test
Did Not Release Pass
Dorsal D-ring (Feet First) Torso
Dynamic Performance Remain Suspended for > 5
5 Minutes Pass
Dorsal D-ring (Feet First) Minutes
ANSI Z359.11-2014 Dynamic Performance
Angle at Rest < 30° 5.7° Pass
4.3.3 Dorsal D-ring (Feet First)
At Least One Fall Arrest
Dynamic Performance Visibly and Permanently
Indicator Shall be Deployed Pass
Dorsal D-ring (Feet First) Deployed
Visibly and Permanently
Dynamic Performance Harness Stretch Shall Not
10.48" Pass
Dorsal D-ring (Feet First) Exceed 18"
Dynamic Performance Peak Impact Load
4169.3 Lbf Pass
Dorsal D-ring (Feet First) > 3600 Lbf
Dynamic Performance Harness Shall Not Release Test
Did Not Release Pass
Dorsal D-ring (Feet First) Torso
Dynamic Performance Remain Suspended for > 5
5 Minutes Pass
Dorsal D-ring (Feet First) Minutes
ANSI Z359.11-2014 Dynamic Performance
Angle at Rest < 30° 4.45° Pass
4.3.3 Dorsal D-ring (Feet First)
At Least One Fall Arrest
Dynamic Performance Visibly and Permanently
Indicator Shall be Deployed Pass
Dorsal D-ring (Feet First) Deployed
Visibly and Permanently

Dynamic Performance Harness Stretch Shall Not

13.56" Pass
Dorsal D-ring (Feet First) Exceed 18"

FLT-08 Rev. F
Certificate# TL-594 Testing Page 4 of 12