February 28, 2013 Visca Safety S.A. Casa Matriz Pintor Cicarelli 683-SAN JOAQUÍN CHILI Intertek Test Report Number: G100779289CRT-103 Dear Vicsa Staff: Intertek has completed the evaluation of your K2 Safety Goggles with In/Out Lenses, manufactured by Vicsa Safety S.A. to the Rating of Z87+. The Safety Goggles were evaluated to the requirements of American National Standard for Occupational and Educational Personal Eye and Face Protection Devices, ANSI/ISEA Z87.1-2010. The test samples were received on 2/5/13 in new condition. The evaluations were performed at Intertek in Cortland, NY on 9/4/12 through 2/5/13. The results of these tests are as indicated below. Sample(s) provided for Evaluation: 20 pairs of Safety Goggles

Tests Completed:

Test Date(s):

Section

Results

General Requirements (All Protectors) Impact Protector Requirements (Z87+) Droplet and Splash Protector Requirements

9/4/12-2/5/13 9/4/12-9/6/12

5 6

PASS PASS

10/12/12

8

PASS

NOTE: See Pages 3-8 for the representative data sheets for the product evaluated. This test report concludes the work for your project outlined under Intertek Quote No: 500385008. If there are any questions regarding this report please contact the undersigned at 607-753-6711.

Tested by:

Reviewed by:

Erik Sprague Associate Engineer Performance Group

Sara Ensign Associate Engineer Performance Group

An independent organization testing for safety, performance, and certification. 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 than 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 sale 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: +1 607-753-6711 Fax: +1 607-756-9891 Web: www.intertek.com

INTERTEK TEST DATA SHEETS Client:

Vicsa Safety SA

Engineer:

Erik Sprague

Job No.:

G100779289

Tested By:

Erik Sprague

Product:

Safety Goggles

Reviewed By: Sara Ensign

Model No.:

K2

Standard:

Description:

K2 Goggles with In-Out Lenses

Sample Control Number: Type: Style:

Spectacle: Plano:

X

X

Faceshield: Photochromatic:

Date: 9/4/12 – 2/5/13 Date: 9/27/12 – 2/22/13

ANSI/ISEA Z87.1-2010

2012-06-250506; 2012-08-253565 Goggle: Rx:

Page 2 of 8

TRANSCRIBED TEST DATA

WH Lenses: Tinted:

X

FF Respirator: Clear:

Removable: Non-Removable:

X

Table of Contents: Required:

Page(s):

Section:

Test Description:

Pass/Fail:

(X)

1

N/A

Intertek Report No:

N/A

(X)

2

N/A

Table of Contents

N/A

(X)

2

N/A

Equipment List

N/A

(X)

3-8

5

General Requirements (all protectors)

PASS

(X)

3-8

6

Impact Protector Requirements (Z87+)

PASS

(X)

3-8

8

Droplet and Splash Protector Requirements

PASS

Equipment List: Used:

Equipment:

Manufacturer:

Model No.:

Control No.:

Cal. Due Date:

N/A

N/A

(X)

Headform

Inspec

EN 168:2001 Medium Head (50th percentile adult male)

(X)

Headform

Inspec

“H” Head

NA

N/A

(X)

6-inch scales

Fowler

52-389-006

N1273

4/23/13

(X)

Gram Scale

Denver Inst

DI-4K

S132

11/11/12

(X)

Calipers

Mitu

0-6”

N1217

5/30/13

(X)

Tape Measure

Craftsman

939392

N766

11/22/12

(X)

Thermocouple / Meter / Rod

Newport

HHM290/N

M218

12/14/12

(X)

Balance/Scale

Denver Instruments

MXX-612

S295

9/14/12

(X)

High Mass Impactor (pointed projectile)

Intertek

Z87-2010 High Mass

J143

12/14/12

(X)

Air Cannon

Basic Eng

HVIT

N740

8/3/13

(X)

Ventilation Probe

Intertek

1.5mm x 125mm

J154

8/3/13

(X)

Needle Penetrator

Intertek

Z87-2010 Penetrator

J174

N/A

(X)

Drop Ball

Intertek

Z87-2010 Drop Ball

J147

2/10/13

INTERTEK TEST DATA SHEETS

Page 3 of 8

Client:

Vicsa Safety SA

Engineer:

Erik Sprague

Job No.:

G100779289

Tested By:

Erik Sprague

Product:

Safety Goggles

Reviewed By: Sara Ensign

Model No.:

K2

Standard:

Description:

K2 Goggles with In-Out Lenses

Sample Control Number: Type: Style:

Spectacle: Plano:

X

X

Faceshield: Photochromatic:

Date: 9/27/12 – 2/22/13

ANSI/ISEA Z87.1-2010

2012-06-250506; 2012-08-253565 Goggle: Rx:

Date: 9/4/12 – 2/5/13

TRANSCRIBED TEST DATA

WH Lenses: Tinted:

X

FF Respirator: Clear:

Removable: Non-Removable:

X

Section 5, General Requirements (All Protectors) Section (Test) 5 5.2

Requirement

Results

General Requirements (All Protectors) Physical Requirements: Sample # Protectors shall be free from projections, sharp edges or other defects which are likely to cause discomfort or injury during use.

5.2.1 (9.6)

1 Physical Defects NO PASS

Drop Ball Impact Resistance: The protector lenses shall not fracture when impacted by a steel ball. A complete device shall fail if any of the following occurs; piece fully detached from inner surface, fracture, penetration of the rear surface, or lens not retained Drop-Ball Required Weight, grams 68 Diameter, mm (inch) 25.4 (1”) Drop Height, cm (inch) 127 (50”)

5.2.2 5.2.3 (9.7)

Compliance

Actual 68.3 25.4 50”

Protector Criteria Ignition:

Laboratory Conditions: Temperature Humidity Range 18-28 °C Range (65-82 °F) 35-65 % Actual: 67° 54 Req’d:

Sample 9.6: (1) (2) (3) (4)

Fracture, penetration, etc NO NO NO NO

See section 5.2.1 Sample #:

Protectors shall not ignite or continue to glow once the rod is removed. Each externally exposed material (exclusive of textiles or elastic bands) shall be tested.

Impact eye Location Left Left Right Right

PASS

Info only

5.2.3

Laboratory Conditions: Temperature Humidity Range 18-28 °C Range (65-82 °F) 35-65 % Actual: 70° 63 Req’d:

Type Lens Frame Temple

Ignition

Afterglow

NO NO NO

NO NO NO

PASS

INTERTEK TEST DATA SHEETS Client:

Vicsa Safety SA

Engineer:

Erik Sprague

Job No.:

G100779289

Tested By:

Erik Sprague

Product:

Safety Goggles

Reviewed By: Sara Ensign

Model No.:

K2

Standard:

Description:

K2 Goggles with In-Out Lenses

Sample Control Number: Type: Style:

Spectacle: Plano:

Section (Test) 5 5.2.4 (9.8)

X

X

Faceshield: Photochromatic:

FF Respirator: Clear:

Removable: Non-Removable:

Results

X

Compliance

Corrosion Resistance: Laboratory Conditions: Temperature Humidity Range 18-28 °C Range (65-82 °F) 35-65 % Actual: ° Req’d:

Sample #: Metal Components

NA (*No metal Parts)

Function Impaired Y N NA Y N NA Y N NA

Minimum Coverage Area: The eyewire and lens shall cover in plain view an area of not less than 40 mm (1.57 in.) in width and 33 mm 1.30 in.) in height (elliptical) in front of each eye, centered on the geometrical center of the lens. Frames designed for small head sizes shall cover in plain view an area of not less than 34 mm (1.34 in.) in width and 28 mm (1.10 in.) in height (elliptical), centered on the geometrical center of the lens. Frames designed for small head sizes shall be tested on the 54 mm (2.13 in.) PD headform and are permitted to have an eye size, including eyewire thickness, as small as 34 x 28 mm (1.34 x 1.10 in.). Frames that are tested using the small headform shall be marked on the frame with the letter “H”.

5.3

X

General Requirements (All Protectors) Metal components used in protectors shall be corrosion resistant to the degree that the function of the protector shall not be impaired by the corrosion. Lenses and electrical components are excluded from these requirements. Date/Time: Brine solution: Boil for 15 minutes Immerse in room temp solution Dry for 24-hours at room temp Rinse, air dry, evaluate

5.2.5

Date: 9/27/12 – 2/22/13

TRANSCRIBED TEST DATA

WH Lenses: Tinted:

Requirement

Date: 9/4/12 – 2/5/13

ANSI/ISEA Z87.1-2010

2012-06-250506; 2012-08-253565 Goggle: Rx:

Page 4 of 8

Sample #: 1 Minimum Coverage YES PASS

Minimum Lens Thickness: The minimum lens thickness for specified protector shall be those indicated in Table 3.

No. 1 2 3 4 5 6 7 8 9

Sample #: 1 Type: (see table below) Measured Lens Thickness (mm):

Table 3 Minimum Lens Thickness Protector Minimum Thickness Spectacle, Plano ≥ 3.0 mm (0.12 in.) Spectacle, Plano, Impact Rated No Minimum Thickness Requirement Spectacle, Prescription ≥ 3.0 mm (0.12 in.) Spectacle, Prescription, Impact Rated ≥ 2.0 mm (0.08 in.) ≥ 3.0 mm (0.12 in.) Glass Goggles ≥ 1.27 mm (0.05 in.), Non-glass Goggles, Impact Rated No Minimum Thickness Requirement Faceshield ≥ 1.0 mm (0.04 in.) Faceshield, Impact Rated No Minimum Thickness Requirement Welding Helmets No Minimum Thickness Requirement

6 1.32

PASS

INTERTEK TEST DATA SHEETS

Page 5 of 8

Client:

Vicsa Safety SA

Engineer:

Erik Sprague

Job No.:

G100779289

Tested By:

Erik Sprague

Product:

Safety Goggles

Reviewed By: Sara Ensign

Model No.:

K2

Standard:

Description:

K2 Goggles with In-Out Lenses

Sample Control Number: Type: Style:

Spectacle: Plano:

Section (Test) 5 5.4

X

X

Faceshield: Photochromatic:

TRANSCRIBED TEST DATA

WH Lenses: Tinted:

Requirement

Date: 9/27/12 – 2/22/13

ANSI/ISEA Z87.1-2010

2012-06-250506; 2012-08-253565 Goggle: Rx:

Date: 9/4/12 – 2/5/13

X

FF Respirator: Clear:

Removable: Non-Removable:

Results

X

Compliance

General Requirements (All Protectors) Marking Requirements: All protectors shall bear the permanent markings in specified locations as shown in Table 4a of the standard. Markings shall follow the sequence shown in Table 4b of the standard. Marking for lens type and use applications shall be required only when claims for protection against the hazard or indicated use are made by the manufacturer. In addition, the components of frames that are intended for prescription protector use shall be marked for size in accordance with the system described in ANSI Z80.52004. Fronts shall be marked with the A-dimension (eye size) and DBL.

Sample #: 1 Markings on Sample VICZ87+U6L1.7D3S

Meets requirements of Table 4a or 4b:

YES

Reference Table 4a of standard: Lenses & Replacement Lenses Type of Mark

Spectacles

All Other

All Protectors shall bear the markings below: Mfg Mark or Logo Yes Yes Standard – Plano Z87 Standard – Rx Z87 Coverage (small head) H The following markings shall be required only when claims are made: Impact Mark –Impact rated Plano + Z87+ Impact Mark – Impact rated Rx + Z87+ Lens Type – Clear Lens Type - Welding W shade W shade Lens Type – UV Filter U scale # U scale # Lens Type – Visible Light Filter L scale # L scale # Lens Type – IR Filter R scale # R scale # Lens Type – Variable Tint V V Special Purpose S S Use- Splash / Droplet Use – Dust Use – Fine Dust

5.5 5.5.1

Frame

Complete Device (no replaceable parts)

Yes Z87 Z87-2 H

Yes Z87 Z87-2

Z87+ Z87-2+

Z87+ Z87-2+

D3 D4 D5

W shade U scale # L scale # R scale # V S D3 D4 D5

PASS

Other Requirements Goggles: If the goggle is equipped with adjustable ventilation, the protector shall be tested in the maximum open position.

Sample #: Adjustable YES

NO

NA (*not adjustable)

INTERTEK TEST DATA SHEETS Client:

Vicsa Safety SA

Engineer:

Erik Sprague

Job No.:

G100779289

Tested By:

Erik Sprague

Product:

Safety Goggles

Reviewed By: Sara Ensign

Model No.:

K2

Standard:

Description:

K2 Goggles with In-Out Lenses

Sample Control Number: Type: Style:

Spectacle: Plano:

Section (Test) 5 5.5.1.1

X

X

Faceshield: Photochromatic:

X

FF Respirator: Clear:

Removable: Non-Removable:

Results

X

Compliance

General Requirements (All Protectors) Direct Ventilation: Sample #: 1 Probe penetrate opening NO

Opening to exclude spherical objects 1.5 mm in diameter or greater.

5.5.1.2

Date: 9/27/12 – 2/22/13

TRANSCRIBED TEST DATA

WH Lenses: Tinted:

Requirement

Date: 9/4/12 – 2/5/13

ANSI/ISEA Z87.1-2010

2012-06-250506; 2012-08-253565 Goggle: Rx:

Page 6 of 8

PASS

Indirect Ventilation: Sample #: Passage exist

No direct straight-line passage from the exterior to the interior exists.

NA

Section 6, Impact Protector Requirements (Z87+) Section (Test)

Requirement

Results

6 6.1 6.1.1

Impact Protector Requirements (Z87+) General Impact Rated Protectors:

Information only

6.1.2

Shall meet the impact requirements and be marked per Tables 4a and 4b of the standard. Frames and Shells

6.1.3 (9.10)

Compliance

Tested as a complete device, see test sections 6.2.2 and 6.2.3

PASS

Lateral (side) Coverage: Impact rated protectors shall provide continuous lateral coverage (i.e. no openings greater than 1.5 mm (.06 in.) in diameter) from the edge of the lens to a point not less than 10 mm (0.394 in.) posterior to the corneal plane and not less than 10 mm (0.394 in.) above and not less than 10 mm (0.394 in.) below the horizontal plane centered on the eyes of the headform.

Sample #: Location 0° Right (random) 10 mm above 90° Right 10mm above 90° Left 10mm above 0° Left (random) 10mm below 90° Right 10mm below 90° Left 10mm below

Coverage YES YES YES YES YES YES

PASS

INTERTEK TEST DATA SHEETS Client:

Vicsa Safety SA

Engineer:

Erik Sprague

Job No.:

G100779289

Tested By:

Erik Sprague

Product:

Safety Goggles

Reviewed By: Sara Ensign

Model No.:

K2

Standard:

Description:

K2 Goggles with In-Out Lenses

Sample Control Number: Type: Style:

6.2 6.2.1 6.2.2 (9.11)

Spectacle: Plano:

X

Date: 9/4/12 – 2/5/13 Date: 9/27/12 – 2/22/13

ANSI/ISEA Z87.1-2010

2012-06-250506; 2012-08-253565 Goggle: Rx:

X

Faceshield: Photochromatic:

TRANSCRIBED TEST DATA

WH Lenses: Tinted:

Impact Requirements Protector Acceptance Criteria High Mass Impact:

FF Respirator: Clear:

X

Removable: Non-Removable:

See sections 6.2.2, 6.2.3, 6.2.4, 6.2.6

The complete device shall be capable of resisting an impact from a pointed projectile. A complete device shall fail if any of the following occurs; piece fully detached from inner surface, fracture, penetration of the rear surface, lens not retained.

Impactor- Pointed Projectile Required Actual Weight, (grams) 500 502 Drop Height, cm (inch) 127 (50”) 50”

6.2.3 (9.12)

Page 7 of 8

X

Info only

Laboratory Conditions: Temperature Humidity Range 18-28 °C Range (65-82 °F) 35-65 % Actual: 70° 55 Req’d:

Sample 9.11: (1) (2) (3) (4)

Impact eye Location Left Left Right Right

Fracture, penetration, etc NO NO NO NO

PASS

High Velocity Impact: The complete device shall be capable of resisting impact from a 6.35 mm (0.25 in) diameter steel ball traveling at the velocity specified in Table 5 (see Appendix A). No contact with the eye of the headform is permitted as a result of the impact. A complete device shall fail if any of the following occurs; piece fully detached from inner surface, fracture, penetration of the rear surface, lens not retained. For the high-velocity test, the unaided eye observes any piece adhering to the contact paste, or observes contact paste on the projectile or complete device.

**Complete APPENDIX A prior to testing **

Diameter, mm Weight, grams

Steel Ball Required 6.35 1.06

Actual 6.34 1.01

Laboratory Conditions: Temperature Humidity Range 18-28 °C Range (65-82 °F) 35-65 % Actual: 68° 51 Req’d:

Sample #:

9.12

#

Impact Location

Impact Velocity (ft/s)

Contact w/ eye

(1)

0° Rt. Eye

251.8

NO

(2)

30° Rt. Eye

251.2

NO

(3)

*90° Rt. Eye (above)

250.4

NO

(4)

0° Lt. Eye

251.7

NO

(5)

30° Lt. Eye

251.5

NO

(6)

*90° Lt. Eye (below)

251.4

NO

*10 mm above or below the plane of the eyes.

PASS

INTERTEK TEST DATA SHEETS Client:

Vicsa Safety SA

Engineer:

Erik Sprague

Job No.:

G100779289

Tested By:

Erik Sprague

Product:

Safety Goggles

Reviewed By: Sara Ensign

Model No.:

K2

Standard:

Description:

K2 Goggles with In-Out Lenses

Sample Control Number: Type: Style:

Spectacle: Plano:

6.2.4 (9.13)

X

X

Faceshield: Photochromatic:

Penetration Test (lenses only):

Actual 43.95 50”

6.2.5 (9.14)

Prescription Lens Material Qualification

6.2.6 (9.11)

Prescription Lens Mounting Qualification

X

FF Respirator: Clear:

Removable: Non-Removable:

X

Laboratory Conditions: Temperature Humidity Range 18-28 °C Range (65-82 °F) 35-65 % Actual: 67° 53 Req’d:

Lenses for all complete devises shall be capable of resisting penetration by a weighted needle.

Needle Penetrator Required Weight, grams 44.2 Drop Height, cm (inch) 127 (50”)

Date: 9/27/12 – 2/22/13

TRANSCRIBED TEST DATA

WH Lenses: Tinted:

A complete device shall fail if any of the following occurs; piece fully detached from inner surface, fracture, penetration of the rear surface, lens not retained.

Date: 9/4/12 – 2/5/13

ANSI/ISEA Z87.1-2010

2012-06-250506; 2012-08-253565 Goggle: Rx:

Page 8 of 8

Sample 9.13: (1) (2) (3) (4)

Impact eye Location Left Left Right Right

Penetration NO NO NO NO

PASS

Not this type NA Not this type

A complete device shall fail if any of the following occurs; piece fully detached from inner surface, fracture, penetration of the rear surface, lens not retained.

NA

Section 8, Droplet and Splash, Dust, and Fine Dust Protector Requirements Section (Test) 8 8.1

8.1.1 (9.16.1)

Requirement

Results

Compliance

Droplet and Splash, Dust, and Fine Dust Protector Requirements Droplet and Splash:

Goggles: The droplets and/or splash shall not cause a red coloration within either of the two circles described in the test method. No account shall be taken of any such coloration up to a distance of 6 mm (0.24 in.) inside the edges of the protector.

Chemical solutions prepared by: Adrian Buzea

Date: 4/2011

Laboratory Conditions: Temperature Humidity Range 18-28 °C Range (65-82 °F) 35-65 % Actual: 66-70° 46-50 Req’d:

Sample #: Red discoloration within the circles:

3 NO

PASS

CERTIFICACION ANTIPARRA K2 INTERTEK.pdf

Frame NO NO. Temple NO NO. PASS. Page 3 of 8. CERTIFICACION ANTIPARRA K2 INTERTEK.pdf. CERTIFICACION ANTIPARRA K2 INTERTEK.pdf. Open.

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