intertek ‘Total Quality. Assured. ‘TestReport Number; SHAHO1221878 Date: 15 Jun, 2020 ‘Sample Description: ‘One(1 ) style of submitted sample said to be ; Item Name Goggle. Item No. + O01 Goods Exported To : USA. Country Of Origin China. Tests Conducted ‘As requested by the applicant, for details refer to attached page(s). Conclusion: ‘Tested samples Standard Result Submitted samples ANSI/ISEA Z87.1-2015 Occupational and Educational Pass. Personal Eye and Face Protection Devices See details enclosed Excluding = Clause 5.3 ~ Marking To be continued Authorized By: Intertek Testing Services Ltd, Shanghai, Wenzhou Branch L Sf / Peter Chen General Manager Page 1 of 6 Intertek Testing Services Ltd., Shanghai Room 8205, 4F,No.827, Wenzhou Avenue, “el: +86 577 8555 6055 Wenzhou Branch Longwan Bistnct, Wenzhou Giy, Zhejiang Province, Fax: #86 577 6881 2119 EME CARR 5 BLA LH 2 China. 325000, nae www intertek.com’ rn “TIAA rk esha A 87 TA OM “4H 8208 5 325000 - . _intertek ‘otal Quality. Assured. Test Report Tests Conducted Re Number: ments for Eye and Face Protection Devices ‘SHAHO1221878 Test standard: ANSI/ISEA Z87.1-2015 American National Standard Occupational and Educational Personal Eye and Face Protection Devices Number of samples tested: Fifteen (15) pairs of spectacles. Clause Requirement ‘Assessment 5 General Requirements 5 Optical Requirements S14 Optical Quality P 512 Luminous Transmission P 5.1.3 Haze ~ Clear Lenses Only P 514 Refractive Power, Astigmatism, Resolving Power, Prism and Prism p Imbalance for Plano Protectors Refractive Power, Astigmatism, Prism and Prism Imbalance for 515 NA Prescription Protectors 52 Physical Requirements P 5.24 Drop Ball Impact Resistance P 522 Ignition P 523 Corrosion Resistance of Metal Components P 5.24 Minimum Coverage Area P 53 Marking 534 Required Protector Markings # 532 Placement of Markings # 533 Prescription Lens Carriers # 54 Other Requirements 54d Vented Goggles S4AtA Direct Ventilation NA 5412 Indirect Ventilation NA 542 ‘Screen Windows and Sereen Lenses NA 543 Welding Protectors 5.434 Transmittance of Non-Lens Area for Welding Helmets NA 5432 Light Tightness NA 5433 Cover Lenses NA 5434 Information Provided with Welding Protectors NA 544 Frames for Removable Lenses NA 545 Minimum Lens Thickness for Prescription Spectacles NA 55 Replaceable lenses 5.54 Goggles NA 552 Welding Helmets and Handshields NA 56 ‘Aftermarket Components and Accessories NA 6 Impact Rated Protector Requirements 64 General 613 Lateral (Side) Coverage NA 62 Impact Requirements 622 High Mass Impact NA Intertok Testing Services Ltd., Shangh Room 8208, 4F, No.827, Wenzhou Avenu Tol: +86 577 8555 6055 Wenzhou Braneh Longwan District, Wenzhou City, Zhejiang Province, LEAP AF BARA AFSL hina. 325000, PART A MATa HJM 827 LACE Opa 8 8205 5% 325000, Fax: 186.577 8661 2119 ‘www.intertek.com Page 2 of 6 nintertek ‘otal Quality. Assured. Number: SHAHO1221878 Tests Conducted 623 High Velocity impact P 624 Penetration Test NA 625 Prescription Lens Material Qualification NA 6.26 Prescription Lens Mounting Qualification NA 63 ‘Additional Impact Requirements for Specific Protector Types 634 Devices with Lift Fronts NA 63.2 Welding Helmets and Welding Faceshields NA 633 Prescription Lens Carriers Behind Plano Protectors NA 7 Optical Radiation Protector Requirements TA Protectors with Clear Lenses NA 72 Protectors providing Filtration of Optical Radiation 724 Filter Lenses 7244 Transmission Requirements NA 7242 Visible Light Fiters NA 7243 Variations in Luminous Transmittance NA 722 Transmittance of Non-Lens Components NA 73 ‘Automatic Darkening Welding Filter Lenses 734 Luminous Transmittance NA 732 ‘UVR Transmittance NA 733 ‘Switching Index NA 734 Cceclusion NA 735 ‘Angular Dependence of Luminous Transmittance NA 8 Droplet and Splash, Dust, and Fine Dust Protection Requirements 84 Droplet and Splash Hazard 8.14 Goggles NA 8.1.2 Faceshields NA 82 Dust Hazard NA 83 Fine Dust Hazard NA ee To be continued Page 3 of 6 Intertok Testing Services Ltd., Shangh Room 8208, 4F, No.827, Wenzhou Avenu Tol: +86 577 8555 6055 Wenzhou Branch Longwan District, Wenzhou Giy, zhejiang Province, Fax: +86 977 8681 2119 LEER AE ARI AG LS LI S29 hina. 325000, ‘wen intertek.com rn PART A MATa HJM 827 LACE Opa 8 8205 5% 325000, ‘wwrw.intertek.com.cnintertek ‘otal Quality. Assured. Test Report Tests Conducted Number: SHAHO1221878 #1 = All protectors shall bear the permanent markings in specified locations as shown below Lenses & Replacement lenses Warking for + | complete device Type of mark Spectacles All Other Frame’ | (no replaceable parts)’ ‘Al protectors shall bear the markings Below Manufacturer's mark or logo Yes Yes Yes Yes ‘Standard Plano, Readers, Magnifiers ze7 287 zer Rx z87 287-2 287-2 Coverage (email head size) a H ‘The following shall be required o the manufacturer. nly when claims of i impact rating, a specific lens type and/or use made by Impact mark Impact Rated Plano, Readers Magniers + zers zor zs1 Impact Rated Rx : Zar Za7.26 wera Tens type Clear Weling Fitrseetables) | W shade Wshade W shade UV Fite (see table 6)* Usscale number | U scale number Usscale number IR Filter (see table 7) Rscale number | R scale number R scale number ible Ligh Fiter(Se01ble | | seslenumber | L scale number L scale number Variable Tint v v v Special Purpose Lenses s 5 5 Use Splash / Droplet bs bs Bust ba bs Fine Dust 8 5 Notes 1, Frame components subject to marking vary by type of protector. + Spectacles: Front and at least one temple. Both detachable sideshields are marked 287+, if impact rated + Goggles: Frame and lens housing or carrier + Faceshields: Headgear/adapter, crown and chin protector + Welding helmets and handshields: Headgear/adapter, shell and lens housing or carrier + Respirators: None + Prescription frames: Size marking on front and temples in accordance with ANSI Z80.5-2010 2. A complete device (no replaceable components) shall have at least one set of markings. The markings may be on the lens or the frames or both the lens and the frame. 3. For spectacle protectors, coverage marking "H' shall be on the lens for rimless or semi-rimless lens retention systems. 4. "Filter" include: UV, Visible and IR Light Filters. In case of multiple fiter type compliance, designations shall be listed in the order given in this table: U, L, R. Intertek Testing Services Ltd,, Shanghai Wenzhou Branch LER ARI 45 LAS 2 Room 8205, 4F, No.827, Wenzhou Avenue, Longwan District, Wenzhou Giy, Zhejiang Province, China, 325000 Mi fit RR AL 87 8 418 8205 325000 To be continued Page 4 of 6 Tel: +86 577 8555 6055 Fax: +86577 80812110 ff 9 wwnw.intertek.com n wwrw.intertek.com.cn,intertek Total Quality. Assured. Number, SHAHO1221878 Tests Conducted Keys * Assessment relates only to those specimens which were tested and are the subject of this report * Unless stated otherwise, specimens were tested in the condition as received by Intertek Test data: 5.1.2 Luminous transmission Range Left ooular (%) Right ocular (%) Requirement (%6) ‘380 - 780nm (Tv) 90.3 89.4 285 5.1.3 Haze Left ocular Right ocular Requirement Wide angle scattering (%) ide angle scattering (%) os a es 5.1.4 Refractive power, astigmatism, resolving power, prism and prism imbalance Refractive power Refractive power (0) Specimen Left ocular Right ocular a +0.06 40.05 Tolerance anos Astigmatism ‘stigmatic power (0) Specimen Left ocular Right ocular a 0.00 0.00 Tolerance enn Resolving Power Resolving power Specime Leftocular Right ocular a Pattern 20, Patter 20, Tolerance Eattem 2) Prism and Prism Imbalance Prism Imbalance (A) a ees Vertical Horizontal; Base out a 009 0.13, 0.09 Tolerance 50.50 50.25 50.50 Abbreviation: More than or equal to Less than or equal to Date sample received : May 26, 2020 & Jun 9, 2020 ‘Testing period : May 26, 2020 To Jun 15, 2020 To be continued Page 5 of 6 Intertok Testing Services Ltd., Shangh Room 8208, 4F, No 827, Wenzhou Avenu Tel: +86 577 8555 6055 Wenzhou Branch Longwan Distnct, Wenzhou Gity, Zhejiang Province, Fax #86 577 8681 2118 EEE ERA RAS BLAS AA LY 29 China. 325000" : ‘wwnw.intertek.com rn UMM seins he MAM 827 KQHTALQINe —wwewcintertek.com.cn "Fe }4 #8 8205 3° 325000,intertek ‘otal Quality. Assured. ‘SHAHO1221878 ‘Test Report Number: Tests Conducted End of report This report is made solely on the basis of your instructions andor information and materials supplied by you Its not intended fo be a recommendation for any particular course of action. ntrfek does not accept a duly of care or any eer responsibly fo any person ather than the Cent in vespect of his report and only accepts Habity {othe Chet insofar asi expressly contained in the terms and conditions governing infentek’s provision of services fo you. Intrtek makes no warranties oF represenfatons eer express or imped wih respect fo this report save as provided for inthase fem and cantons: We have amd fo conduct the Review ca @ thigent and careful basis and we do not accept any aby to you for any los arising out of erin connection with this report, contrat, fot, by statute or otherwise, ‘except in the event of our gross negigence or wif misconduct. This report shal not be reproduced except in ful, without written approval ofthe laboratory. Page 6 of 6 Intertok Testing Services Ltd., Shangh Room 8205, 4F, No.827, Wenzhou Avenu Tol: +86 577 8555 6055 Wenzhou Branch Longwan District, Wenzhou Giy, zhejiang Province, Fax #86 577 8881 2118 “EMRE ARERR 6A BUS HY 298 hina. 325000, ‘wen intertek.com rn PART A MATa HJM 827 LACE Opa 8 8205 5% 325000,