1 Floor, No.

14 building, Small and Medium

sized Enterprises Pioneer Park,
TEST REPORT Page 1/3
SSL Industry Park, Dongguan - P.R. CHINA
31 July 2017
Tél. : +86 769 23 03 77 70 Report No.: D170712634_1
Fax : +86 769 23 03 77 71
E-mail : ctcdongguan@ctcgroupe.com

APPLICANT: VICSA SAFETY COMERCIAL LIMITADA

(C06632)
PANAMERICANA NORTE 5151,
CONCHALI, SANTIAGO,
CHILE

Date of receipt :24 July 2017

Testing period :24 July 2017
Buyer: -- :30 July 2017
Sample description: LEFT SHOES:HIGH CUT"CALZADO DE SEGURIDAD HW BERING - ALTO"
RIGHT SHOES:LOW CUT"CALZADO DE SEGURIDAD HW BERING - BAJO"
Style / Article no. :ALTO AND BAJO
Test(s) requested :PHYSICAL TEST
Service :REGULAR Previous report :--

Brand / Section :-- Product category :SAFETY SHOE

Season Product type :--
:--
End use :-- Test stage :FIRST TEST
Factory name :-- Supplier name :--
Factory code :-- Exported to :--

1. Conclusion:
ASTM F 2413 : 2011

Tests description Conformity

1 5.5. Electrical Hazard Resistant Footwear (EH) Pass

Pass: requirements met Fail: requirements not met None: no requirement for this test N/A: not applicable

Approved by

Leo TOM KIT FAI

Operational Manager

The report is issued by CTC Dongguan under its General Conditions printed overleaf. The results shown in this report refer only to the sample (s) tested.
Except by special arrangement, the test items will not be retained by CTC Dongguan for more than 3 months. The test report shall not be reproduced, except
in full, without the written approval of the testing laboratory.
 TEST REPORT Page 2/3

31 July 2017
Report No.: D170712634_1

APPLICANT: VICSA SAFETY COMERCIAL LIMITADA

(C06632)
2. Sample(s) description assigned by laboratory:
Size Analyzed product Description Sample information

-- Safety shoes (2 pcs)

Whole footwear Black/yellow

D170712634

The report is issued by CTC Dongguan under its General Conditions printed overleaf. The results shown in this report refer only to the sample (s) tested.
Except by special arrangement, the test items will not be retained by CTC Dongguan for more than 3 months. The test report shall not be reproduced, except
in full, without the written approval of the testing laboratory.
 TEST REPORT Page 3/3

31 July 2017
Report No.: D170712634_1

APPLICANT: VICSA SAFETY COMERCIAL LIMITADA

(C06632)
3. Safety shoes (2 pcs)/--

Whole footwear : Black/yellow

Method Client Unit Result Conformity
Requirement
(+) 5.5. Electrical Hazard ASTM F 2412 : 2011 Pass
Resistant Footwear (EH)
Voltage at failure kV 18
Leakage current - left 1 ≤ 1.0 mA 0.04
Leakage current - right 1 ≤ 1.0 mA 0.05
Arc flashing observed No

END OF TEST REPORT

(+)CNAS accreditation

The report is issued by CTC Dongguan under its General Conditions printed overleaf. The results shown in this report refer only to the sample (s) tested.
Except by special arrangement, the test items will not be retained by CTC Dongguan for more than 3 months. The test report shall not be reproduced, except
in full, without the written approval of the testing laboratory.