Declaration of Conformity

In Accordance with ANSI/ISEA 125-2014

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

Declaration # B1114012 Declaration Date 11.20.14

Tested Item # 7042M Journeyman Towerclimber® FBH

Additional Items Conforming Under this Declaration:

7042S 7042L 7042XL

7042AS 7042AM 7042AL 7042AXL 7042A2X

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

ANSI Z359.1-2007 and ANSI Z359.3-2007

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-0388

Authorized Signature

Name Dustin Hawkins Title VP Business Development Date 11.21.14

DoC Rev1 7.2.14

Fall protection; Safety equipment; Safety gear; Construction Safety; Industrial Safety
 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-0388 Date 11/20/2014 Rev Rev Date
Report Prepared For FallTech

ANSI Z359.1-2007 4.3.3.1, 4.3.3.1a, 4.3.3.2, 4.3.3.2a

Initiated By Dan Redden Test Specification
ANSI Z359.3-2007 4.2.3.2

Base Part # 7042M Description Full Body Harness

Proposed Part # N/A Built By Whom Production BOM No
Test Request # PC-0388 Date Received 11/3/2014 Date Complete 11/19/2014
Test Operator Peter Mahbubani Test Operator Yesbet Sierra

Material/Sample Identification
Sample ID Description
2155953 Full Body Harness
2159949 Full Body Harness
2136714 Full Body Harness
2136709 Full Body Harness
2136711 Full Body Harness
2136712 Full Body Harness
2155952 Full Body Harness

Test Summary
Test Specification Test Criteria Test Result Pass/Fail
Static Strength 5,000 Lbf > 1 Minute 5016.7 Lbf Pass  
Harness Shall Not Release Test 
Static Strength Did Not Release Pass
Torso
ANSI Z359.1‐2007         
Adjuster Slippage Slippage < 1" 0.60" Pass
4.3.3.1
Shall Not Tear a Distance 
Tear Distance Did Not Reach 
Tear Distance Greater Than to Adjacent  Pass
Adjacent Eyelet
Eyelet
Static Strength 3,600 Lbf > 1 Minute 3,633.5 Lbf Pass  
Harness Shall Not Release Test 
Static Strength Did Not Release Pass
Torso
ANSI Z359.1‐2007         
Adjuster Slippage Slippage < 1" 0.20" Pass
4.3.3.1a
Shall Not Tear a Distance 
Tear Distance Did Not Reach 
Tear Distance Greater Than to Adjacent  Pass
Adjacent Eyelet
Eyelet

Certificate# TL‐594 Testing Page 1 of 10 FLT‐08 Rev. D     10/1/2014

 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-0388 Date 11/20/2014 Rev Rev Date
Report Prepared For FallTech

ANSI Z359.1-2007 4.3.3.1, 4.3.3.1a, 4.3.3.2, 4.3.3.2a

Initiated By Dan Redden Test Specification
ANSI Z359.3-2007 4.2.3.2

Base Part # 7042M Description Full Body Harness

Proposed Part # N/A Built By Whom Production BOM No
Test Request # PC-0388 Date Received 11/3/2014 Date Complete 11/19/2014

Dynamic Performance  Harness Shall Not Release Test 
Did Not Release Pass  
(Feet First) Torso
Dynamic Performance  Remain Suspended for         
5 Minutes Pass
ANSI Z359.1‐2007          (Feet First) > 5 Minutes
4.3.3.2 No Load Bearing Element Shall 
Load Bearing Element Break or Separate from the  Did Not Break or Separate Pass
Body Support
Dynamic Performance  Angle at Rest < 30° 1.75° Pass
Dynamic Performance  Harness Shall Not Release Test 
Did Not Release Pass  
(Head First) Torso
Dynamic Performance  Remain Suspended for         
5 Minutes Pass
ANSI Z359.1‐2007          (Head First) > 5 Minutes
4.3.3.2 No Load Bearing Element Shall 
Load Bearing Element Break or Separate from the  Did Not Break or Separate Pass
Body Support
Dynamic Performance  Angle at Rest < 30° 0.90° Pass
Dynamic Performance  Harness Shall Not Release Test 
Did Not Release Pass  
(Sternal D‐ring) Torso
Dynamic Performance  Remain Suspended for         
5 Minutes Pass
ANSI Z359.1‐2007          (Sternal D‐ring) > 5 Minutes
4.3.3.2a No Load Bearing Element Shall 
Load Bearing Element Break or Separate from the  Did Not Break or Separate Pass
Body Support
Dynamic Performance  Angle at Rest < 30° 29.35° Pass
Dynamic Strength                 Harness Shall Not Release Test 
Did Not Release Pass  
ANSI Z359.3‐2007          (Side D‐rings) Torso
4.2.3.2 Dynamic Strength                 Remain Suspended for         
5 Minutes Pass
(Side D‐rings) > 1 Minute
Dynamic Strength                 Harness Shall Not Release Test 
Did Not Release Pass  
ANSI Z359.3‐2007          (Seat D‐rings) Torso
4.2.3.2 Dynamic Strength                 Remain Suspended for         
5 Minutes Pass
(Seat D‐rings) > 1 Minute

Certificate# TL‐594 Testing Page 2 of 10 FLT‐08 Rev. D     10/1/2014

 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-0388 Date 11/20/2014 Rev Rev Date
Report Prepared For FallTech

ANSI Z359.1-2007 4.3.3.1, 4.3.3.1a, 4.3.3.2, 4.3.3.2a

Initiated By Dan Redden Test Specification
ANSI Z359.3-2007 4.2.3.2

Base Part # 7042M Description Full Body Harness

Proposed Part # N/A Built By Whom Production BOM No
Test Request # PC-0388 Date Received 11/3/2014 Date Complete 11/19/2014

Conclusion
FallTech P/N 7042M Full Body Harness meets the requirements of ANSI Z359.1‐2007 and ANSI Z359.3‐2007.

Report Signatories and Approval

Lab Quality Manager
Date 11/20/2014
Dan Redden

Witnessed by Not Applicable Date Not Applicable

Certificate# TL‐594 Testing Page 3 of 10 FLT‐08 Rev. D     10/1/2014