Certificado de Linea y Arnes

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Certificate of Manufacture Page 1 of 2

Capital Safety - USA 3833 Sala Way Red Wing, MN 55066-5005 Phone 651.388.8282 Fax 651.388.5065

Certificate of Manufacturing Compliance


Ship Date: 11/09/10 PO number: 10-1163
Sales Order: 883974 Invoice: 958369

Sold-To: F0009 Ship-To: TECSEG


TECSEG S.A.C. ENTIRE ORDER SHIPPING FROM
AV LOS FAISANES 116-118 CSGC MISSISSAUGA, ONTARIO
URB. LA CAMPINA DIRECT SHIPMENT TO PERU
CHORRILLOS,LIMA, ,
PERU USA

DBI-SALA and Protecta hereby certify the following items to meet or exceed the following applicable
OSHA, ANSI and/or DBI-SALA and Protecta General Manufacturing Requirements as indicated below.

Item Information Quantity


Line:1 (1191205)HARN PT 3DH MED/LG PRO 3600
Standards: (OSHA)1910.66, (OSHA)1926.502, (DBI)Gen. Mfg. Req., ((ANSI))A10.32, (ANSI)Z359.1-07,
(ANSI)Z359.3, (ANSI)Z359.4,
Line:2 (1191201)HARN PT 1D MED/LG PRO 150
Standards: (OSHA)1910.66, (OSHA)1926.502, ((ANSI))A10.32, (ANSI)Z359.1-07,
Line:3 (1103270)HARN PT XO 4DH D3 250
Standards: (ANSI)Z359.1-1992 (R1999), (OSHA)1910.66, (OSHA)1926.502, (DBI)Gen. Mfg. Req.,
Line:4 (AB17610)HARN PT XO 4DH LG,FIRST 60
Standards: (ANSI)Z359.1-1992 (R1999), (OSHA)1910.66, (OSHA)1926.502, (DBI)Gen. Mfg. Req.,
Line:5 (1341001)S/A PRO WEB 6', 9502573 ENDS 500
Standards: (OSHA)1910.66, (OSHA)1926.502, ((ANSI))A10.32, (ANSI)Z359.1-07,
Line:6 (1340180)S/A PRO WEB 100% 6', 9502573,2 2000118 ENDS 2900
Standards: (OSHA)1910.66, (OSHA)1926.502, ((ANSI))A10.32, (ANSI)Z359.1-07,
Line:7 (1342001)S/A PRO WEB 100% 6', 9502573 ENDS 180
Standards: (ANSI)Z359.1-07,
Line:8 (1340125)S/A PRO WEB 6', 9502573,2000118 ENDS 250
Standards: (OSHA)1910.66, (OSHA)1926.502, ((ANSI))A10.32, (ANSI)Z359.1-07,
Line:9 (1342275)S/A PRO WEB 100% ADJ 6', 9502573,2 2000118 ENDS 30
Standards: (OSHA)1910.66, (OSHA)1926.502, ((ANSI))A10.32, (ANSI)Z359.1-07,
Line:10 (1342250)S/A PRO WEB 100% ADJ 6', 9502573 ENDS 30
Standards: (OSHA)1910.66, (OSHA)1926.502, ((ANSI))A10.32, (ANSI)Z359.1-07,
Line:11 (1385301)LNYD WEB ADJ 6' PRO, 9502573 ENDS 500
Standards: (OSHA)1910.66, (OSHA)1926.502, (ANSI)Z359.1-07,
Line:12 (1385501)LNYD ROPE 6' PRO, 9502573 ENDS 150
Standards: (OSHA)1910.66, (OSHA)1926.502,
Line:13 (1351001)REBAR ASSY WEB,SWVL2'PRO, 9502573,2000118 ENDS 100
Standards: (OSHA)1910.66, (OSHA)1926.502,
Line:14 (1003000)TIE OFF ADAPTOR PT 3' 100

http://192.168.124.50/cgi-bin/wspd_cgi.sh/WService=wsdbi/dbi/intranet/endcert_inv.html 1/31/2011
Certificate of Manufacture Page 2 of 2

Standards: (ANSI)Z359.1-1992 (R1999), (OSHA)1910.66, (OSHA)1926.502, (DBI)Gen. Mfg. Req.,


Line:15 (1003006)TIE OFF ADAPTOR PT 6' 50
Standards: (ANSI)Z359.1-1992 (R1999), (OSHA)1910.66, (OSHA)1926.502, (DBI)Gen. Mfg. Req.,
Line:16 (AJ450A)TIE OFF ADAPTOR PT 3' 300
Standards: (ANSI)Z359.1-1992 (R1999), (OSHA)1910.66, (OSHA)1926.502, (DBI)Gen. Mfg. Req.,
Line:17 (AJ450A6)TIE OFF ADAPTOR PT 6' 200
Standards: (ANSI)Z359.1-1992 (R1999), (OSHA)1910.66, (OSHA)1926.502, (DBI)Gen. Mfg. Req.,

Most current version of standard unless otherwise noted.

DBI-SALA Representative Date: 01/31/11

All certifications of applicable OSHA, ANSI, and/or DBI-SALA and Protecta General Manufacturing standards apply to
new, serviced, and/or inspected products, as of date shipped from DBI-SALA, Red Wing Minnesota.
Certification is void if manufacturer's instructions for use, care, and maintenance are not followed.
Alterations or misuse of this product will also void all certification.

www.capitalsafety.com [email protected]

http://192.168.124.50/cgi-bin/wspd_cgi.sh/WService=wsdbi/dbi/intranet/endcert_inv.html 1/31/2011
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