Third Party Verification Claim

**
“Intertek Laboratory is ISO/IEC 17025:2005 (CAN-P-4E)
accredited by Standards Council of Canada (SCC) with the scope available
for review at the following location: http://www.scc.ca/en/palcan/38
This report is for the exclusive use of Intertek's Client and is
provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility
and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other th
an to the Client in accordance with
the agreement, for any loss, expense or damage occasioned by the use of this report. Only the Client is authorized to permit
copying or distribution of
this report and then only in its entirety. Any use of the Intertek name or one of its marks for the s
ale or advertisement of the tested material, product or
service must first be approved in writing by Intertek. The observations and test results in this report are relevant only to
the sample tested. This report by
itself does not imply that the material, product, or service is or has ever been under an Intertek certification program.
Intertek, Inc.
3933 US Route 11, Cortland, NY 13045 USA
Telephone: [phone] Fax: [phone] Web: www.intertek.com
INTERTEK TEST REPORT
Jessica Halverson
GF Protection Inc. d/b/a Guardian Fall Protection
6305 S 231
st
Street
Kent, WA 98032-1872
Intertek Test Report Number:
G102
501078
CRT
-
00
1
Intertek
Signed
Quote Number (s):
Qu
-
00676503
Client Reference Number:
254835
Client PO#:
152940
Product Type:
Roof Anchor
Product Models:
See Page 2 of this Test Report
Type of T
esting Entity:
Third Party Testing Laboratory
Type of Testing:
Qualification
Test Standard:
ANSI/ASSE Z359.1
-
20
07
Manufacturer’s Name and Address:
(see above)
Evaluation/Testing Location:
Intertek, 3933 US Rte 11, Cortland NY 13045 **
Date(s) of Te
sting:
3/10/16
Dear Jessica,
Intertek has completed the evaluation of your Temper roof anchor model 00455 to the client specified sections of,
American National Standard, Safety Requirements For Personal Fall Arrest Systems, Subsystems and Components,
ANSI/ASSE Z359.1-2007. The results of these tests are as indicated below.
Tests Completed Test Date ANSI/ASSE Z359.1-2007
Clause
Pass/Fail
Design Requirements 3 PASS
Static Strength Test Wood 4.3.6 PASS
Markings & Instructions 5 PASS
Please see attached test data for details.
This test report concludes the work anticipated in the testing phase of your project.
If there are any questions regarding this report please contact the undersigned at 607-753-6711.
Tested by, Reviewed by,
Matthew Stevens
Andrew Rulison
Technician
Ass
ociate Engineer/Team Lead
Performance Group Performance Group