EU DECLARATION OF CONFORMITY

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1 No. DECL Rev. D om Ron EU DECLARATION OF CONFORMITY 1. Product Models/Products: Safety Mats. UMA Series. Model(s) UMA. UMMA. UMMYA. UMYA used in conjunction with Safety Mat Controller Models SCC-1224A. MC3, MC6 and with Safety Logic Controller G9SP Series and with NEX-SNC System. 2. Name and address of the manufacturer: OMRON Scientific Technologies Incorporated 6550 Dumbarton Circle, Fremont. CA U.S.A 3. This Declaration of Conformity is issued under the sole responsibility of the manufacturer. 4. Objects of the declaration: Pressure Sensitive Protective Devices to detect the presence of persons- consisting of a Safety Mat Controller in conjunction with pressure sensitive safety mats. Not suitable for the detection of children 5. The objects of the declaration described above are in conformity with the relevant Union harmonization legislation: Machinery Directive 2006/42/EC, 2014/30/EU EMC Directive, RoHS Directive 2011/65/EU 6. References to the relevant harmonized standards used or references to the other technical specifications in relation to which conformity is declared: Machinery Directive: EN ISO :2013, EN 12978:2003+A 1:2009. EN ISO : Name, address, and identification number of Notified Body, Number of EC Type Examination Notified body: TOV NORD CERT GmbH, Certification Body Machinery Address: Langemarckstr. 20, Essen Notified Body identification No.:0044 TUV NORD EC Type Examination Cert. No UMA Safety Mats with SCC-1224A. MC3, MC6 Notified body: TUV Rheinland lndustrie Service GmbH Address: Alboinstr Berlin/Germany Notified Body identification No.: 0035 TUV Rhineland Cert. No. 968/FSA /17, NEX-SNC with UMA Safety Mat TUV Rhineland Cert. No. 968/EL /17, G9SP-Series with Safety Mats UMA Series 112

2 No. DECL Rev. D Signed and on behalf of: OM RON Scientific Technologies Incorporated Place of issue: Fremont, CA, 94555, USA Date of issue: r~ W >01,2. Signature: ~~.e$ 5 ~ Name: Vanessa Chen U A...A..L'-<- Function: Quality Manager. OMRON Scientific Technologies Incorporated Name and address of contact in EU OMRON Europe B.V. Quality & Environment Department Attn: J.J.P.W. Vogelaar. European Quality & Environment Manager Zilverenberg GM, 's-hertogenbosch, The Netherlands 2/2

3 EG -Ba u m u ste rp rufbesche in i gun g EC type-examination certificate Hiermit wird bescheinigt, dass das unten beschriebene Produkt der Firma This certifies that the product mentioned below from company OMRON Scientific Technologies Inc Dumbarton Circle Fremont, CA USA die Anforderung des An hangs 1 der Maschinenrichtlinie EG als eine Grundlage for die EG-Konformitatserklarung erfoiit. meets the requirements of Annex 1 of the Directive 2006/42/EC as a basis for the EC declaration of conformity. GeprOft nach: Tested in accordance with: EN ISO :2013 EN 12978:2003+ A1 :2009 EN ISO :2015 Beschreibung des Produktes: (Details s. Anlage 1) Description of product: (Details see Annex 1) Sicherheitsschaltmatte I safety mat Typenbezeichnung: Type Designation UMA/UMMA/UMYA/UMMYA mit Sicherheitsschaltgeraten with safety control units sec -1224A MC3 MC6 Kat.3/ cat.3 Kat.3/ cat.3 Kat.3/ cat.3 Pld Pld Pld Bemerkung: Remark keine none Registrier-Nr. I Registered No PrOfbericht Nr. I Test Report No Aktenzeichen I File reference / GOitigkeit I Validity von I from bis I until sstelle der TOV NORD CERT GmbH Benannte Stelle 0044 I Notified Body 0044 Essen, TOV NORD CERT GmbH Langemarckstral1e Essen technology@tuev-nord.de Bitte beachten Sie auch die umseitigen Hinweise Please also pay attention to the information stated overleaf

4 ANLAGE ANNEX Anlage 1, Seite 1 von 2 Annex 1, page 1 of 2 zur EG-Baumusterprufbescheinigung I to EC type-examination certificate Registrier-Nr./ Registered No Technical data- safety mat (sensor) manufacturer Omron Scientific Technologies Inc. type UMA, UMMA, UMYA, UMMYA material 2 Component PUR weight 27 kglm' shore hardness 68 ± 5 Shore A sensor incorporated conductive plates coverage none surface burling interconnection max. 10 sensors connected in series electr. adjoining 2 or more interconnected mats combined side-by-side using joining trim mounting with rampbars max. size of sensor up to 1200 mm x 1800 mm detection of children no degree of protection IP65 Tested specifications -safety mat (sensor) actuating force complied with ISO :2013 within the given limits at 2 mm Is response time < 18 ms deformation < 2 mm after an hour dead zone 15 mm at the edges (30 mm in the corners) operating temperature range - 1 o c to +55 c degree of protection IP65 Zer.. sstelle der TOV NORD CERT GmbH Essen, Benannte Stelle 0044 I Notified Body 0044 TOV NORD CERT GmbH Langemarckstrafl.e Essen technology@tuev-nord.de

5 ANLAGE ANNEX Anlage 1, Seite 2 von 2 Annex 1, page 2 of 2 zur EG-Baumusterprufbescheinigung I to EC type-examination certificate Registrier-Nr./ Registered No Technical data -safety mat (control unit) manufacturer Omron Scientific Technologies Inc. response time!:> 13 ms ( SCC -1224A I MC6) S30 ms (MC3) degree of protection IP20 (inside a switching cabinet min. IP 54) functional safety MTTFd PFHd power supply type category I PL [years] [1/h] sec -1224A 3/D 195 6,51 X 10-~ SILCL3 115 VAC MC3 3/D 94 3,97 X 10-o SIL CL2 24V DC SS MC6 3/D 66 2,99 X 10-o SIL CL2 24V DC SS 58 3,29 X 10-o 24V DC Relay 57 4,56 X 10-o 230V AC Relay Complete system - safety mat According to EN ISO :2012, Table D.8 a fault of the sensor with resistor- termination (8,2 k Ohm} not making a connection can be excluded in pressure-sensitive safety mats according EN ISO , if the sensor is in use under valid rated values. In this case the sensor does not contribute to the calculation of the MTTFo-value of the complete safety mat system. Only the MTTFo-value of the relating control unit from the table above is relevant. In this case the Performance Level of the complete system can reach PL d at maximum. Zer.. gsstelle der TOV NORD CERT GmbH Essen, Benannte Stelle 0044 I Notified Body 0044 TOV NORD CERT GmbH Langemarckstral1e Essen technology@tuev-nord.de

6 Certificate No.: 968/EL /17 Product tested Application examples for the Safety Logic Controllers G9SP Series Certificate holder OMRON Corporation Safety Standards Group Shiokoji Horikawa Shimogyo-ku Kyoto Japan Type designation Codes and standards EN ISO : AC:2009 {in extracts) l 0... Intended application Specific requirements Applications ace. to EN ISO using G9SP Series Safety Logic Controllers: with Non-Contact Door Switch D40A: Cat. 3/ PL d with Single Beam Type 2 Sensor E3FS I E3ZS: Cat. 2 / PI c with Safety Mats UM Series: Cat. 3 / PL d with Safety Mats UMA Series: Cat. 3 / PL d with AC Servo System OMNUC G5 Series: Cat. 3/ PL c, d with Multi-function Compact Inverter SYSDRIVE MX2 Series: Cat. 3 / PL d with Non-Contact Door Switch D40Z: Cat. 4 I PL e with Safety Edge SGE: Cat. 3 / PL d The associated application example documentation and the Safety Logic Controllers G9SP Operation Manual, Instructions Reference Manual and Instruction Manual, Sensor and Actor Manuals shall be considered. Valid until The issue of this certificate is based upon an examination, whose results are documented in Report No. 968/EL /17 dated This certificate is valid only for products which are identical with the product tested. It becomes invalid at any change of the codes and standards forming the basis of testing for the intended application. TUV Rhemland lndustrie Service GrnbH Bert:ich Automation Koln, Dipl.-lng. Stephan Hiib /;;!., TUVRheinland Precisely Right.

7 Certificate [!] ~~~ (!] ~ ~~~ No.: 968/FSA /17 Product tested Application example for the NEX SNC System Certificate holder OMRON Corporation Safety Standards Group Shiokoji Horikawa Shimogyo-ku Kyoto Japan Type design ation E / NX-S_ApplicationExample_SafetyMat_RevA.pdf (Rev. A) describing application example using NEX-SNC together with Safety Mat UMA Codes and standards EN ISO :2015 (in extracts) ~ Intended application Specific requirements It can be confirmed that the application example shows a correct connection and combination of the already approved NEX-SNC system and the corresponding Safety Mat UMA according to the requirements for applications up to Cat. 3, PL d ace. to EN ISO The associated application example documentation and the NEX-SNC System user documentation shall be considered. The user needs to observe the specific requirements for the installation conditions and application notes defined in the manuals for the NEX-SNC system and the UMA Mat. Furthermore he has to show that the reliability calculation fulfils the stated Performance Level {PL). Even if the configuration software and the safety design of the modules perform every possible check, the user is obliged to verify the correct execution of every safety function within an application before commissioning of a machine. Valid until The issue of this certificate is based upon an examination, whose results are documented in Report No. 968/FSA /17 dated This certificate is valid only for products which are identical with the product tested. It becomes invalid at any change of the codes and standards forming the basis of testing for the intended application. Koln, TOV Rheinland lndustrie Service GmbH Bereich Automation Funktionale Sicherheit Am Grauen Stern Koln Certification Body Safety & Security for Automation & Grid Dr.-lng. Thorsten Gantevoort A TUVRheinland Precise ly Rig ht.

8 No. DECL Rev. F om Ron EU DECLARATION OF CONFORMITY 1. Product Models/Products: Mat controller: MC6. Safety Mats: UM, UMM. UMQ. UMMQ. UMY. UMYM. UMYQ, UMMYQ. UMA. UMMA. UMYA. UMMYA 2. Name and address of the manufacturer: OM RON Scientific Technologies Incorporated 6550 Dumbarton Circle, Fremont, CA U.S.A 3. This Declaration of Conformity is issued under the sole responsibility of the manufacturer. 4. Objects of the declaration: Pressure Sensitive Protective Devices to detect the presence of persons: Safety Mat Controller in conjunction with universal pressure sensitive safety mats. Not suitable for the detection of children. The mat controller in combination with the safety mat complies with the requirements of the relevant standards (ISO , Cat. 3/PL dace. to ISO , SIL CL 2 ace. to IEC I IEC 61508) and can be used in applications up to these safety levels to detect the presence of persons. 5. The objects of the declaration described above are in conformity with the relevant Union harmonization leg is lation: Machinery Directive 2006/42/EC. EMC Directive 2014/30/EU. RoHS Directive 2011/65/EC 6. References to the relevant harmonized standards used or references to the other technical specifications in relation to which conformity is declared: ISO :2013, IEC :2015. ISO :2015. IEC Parts 1-7:2010. EN 50178: Name, address, and identification number of Notified Body, Number of EC Type Examination Machinery Directive: Notified body: TUV Rheinland lndustrie Service GmbH Address: Alboinstr Berlin I Germany Notified Body identification No.:0035 TUV Rhineland EC Type-Exam Cert No / /17. Report No. 968/M /17 112

9 No. DECL Rev. F Signed and on behalf of: OM RON Scientific Technologies Incorporated Place of issue: Fremont. CA , USA ~~z Signature: --=~:...r 7,..~~ Name: Hank Liu -.c: _ Date of issue: /_0_/_2_3_/_1_0 Function: Quality Representative and Authorized Signatory, OM RON Scientific Technologies Incorporated Name and address of contact in EU OMRON Europe B.V. Qua lity & Environment Department Attn: J.J.P.W. Vogelaar. European Quality & Environment Manager Zilverenberg GM, 's-hertogenbosch. The Netherlands 2/2

10 EC Type-Examination Certificate Reg.-No.: 01/205/ /17 Product tested Type designation Pressure Sensitive Protective Certificate OMRON Scientific Devices to detect the presence of holder Technologies, Inc. persons; Safety Mat Controller in conjunction with Pressure Sensitive Safety Mat 6550 Dumbarton Circle Fremont, CA USA Mat Controller: MC6 Safety Mats: UM, UMM, UMQ, UMMQ, UMY, UMYM, UMYQ, UMMYQ, UMA, UMMA, UMYA, UMMYA Codes and standards ISO :2013 IEC :2015 ISO :2015 IEC Parts 1-7:2010 EN 50178:1997 Intended application Specific requirements The mat controller in combination with the safety mat complies with the requirements of the relevant standards (ISO , Cat. 3 I PL dace. to ISO , SIL CL 2 ace. to IEC I IEC 61508) and can be used in applications up to these safety levels to detect the presence of persons. The instructions of the associated Installation, Operating and Safety Manual shall be considered. Not suitable for the detection of children. It is confirmed, that the product tested complies with the requirements for machines defined in Annex I of the EC Directive /EC. Valid until Berlin, Dipl.-lng. Eberhard Frejno... <( w N www. fs-prod ucts. com A TUVRheinland Preci se ly Right.

11 Annex to Report No.: 968/M /17 Summary of the characteristic data for use of the product in safety-related applications Product: Safety Mat Controllers in combination with Safety Mats Type: MC6 (Mat Controller) UM, UMM, UMQ, UMMQ, UMY, UMYM, UMYQ, UMMYQ, UMA, UMMA, UMYA, UMMYA (Safety Mats) Company: OMRON Scientific Technologies, Inc Dumbarton Circle Fremont, CA United States of America 1. Characteristic data acc. to IEC till -7 and IEC 62061: 1.1 Data for use of the product as a subsystem *) in safety functions MC6 DC 24V SS Value Remark Safety Integrity Level SILCL 2 PFH 2.99 E-08 1/h PFH D = 2.99 E-08, Corresponds to 3.0 % of SIL 2 limit PFD av (T) 2.60 E-03 This is the given value for the stated Proof Test Interval T Corresponds to 26.0 % of SIL 2 limit Proof Test Interval T 20 a MC6 DC 24V Relay Value Remark Safety Integrity Level SILCL 2 PFH 3.29 E-08 1/h PFH D = 3.29 E-08, Corresponds to 3.3 % of SIL 2 limit PFD av (T) 2.85 E-03 This is the given value for the stated Proof Test Interval T Corresponds to 28.5 % of SIL 2 limit Proof Test Interval T 20 a MC6 AC 230V Relay Value Remark Safety Integrity Level SILCL 2 PFH 4.56 E-08 1/h PFH D = 4.56 E-08, Corresponds to 4.6 % of SIL 2 limit PFD av (T) 3.97 E-03 This is the given value for the stated Proof Test Interval T Corresponds to 39.7 % of SIL 2 limit Proof Test Interval T 20 a Remark: At a PFH value, which is < 1 % of the allowed SIL-threshold, the performance of special Proof Tests within the mission time of the product is regarded as not necessary. 1.2 Additional data for use of the product as a subsystem element *) in safety functions MC6 DC 24V SS Value Remark Dangerous failure rate λ d 1.37 E-06 1/h Dangerous undetected 2.99 E-08 1/h failure rate λ du Diagnostic Coverage DC 97.8 % Common Cause Factor β 5 % Diagnostic Test Interval T D < 1 h Proof Test Interval T 20 a Should be 20 a TÜV Rheinland Industrie Service GmbH Version: A-FS, BU FS Products Am Grauen Stein, Köln

12 Annex to Report No.: 968/M /17 *) MC6 DC 24V Relay Value Remark Dangerous failure rate λ d 1.60 E-06 1/h Dangerous undetected 3.29 E-08 1/h failure rate λ du Diagnostic Coverage DC 97.9 % Common Cause Factor β 5 % Diagnostic Test Interval T D < 1 h Proof Test Interval T 20 a Should be 20 a MC6 AC 230V Relay Value Remark Dangerous failure rate λ d 1.76 E-06 1/h Dangerous undetected 4.56 E-08 1/h failure rate λ du Diagnostic Coverage DC 97.4 % Common Cause Factor β 5 % Diagnostic Test Interval T D < 1 h Proof Test Interval T 20 a Should be 20 a Subsystem elements can be used to create redundant architectures in subsystems; within a safety function subsystems are always connected in series (definitions see IEC 62061:2005 and IEC Ed. 2:2010). 2. Characteristic data acc. to ISO : MC6 DC 24V SS Value Remark Performance Level PL d Category Cat. 3 MTTF D 66 a HIGH Average Diagnostic 90% 99% MEDIUM Coverage DC av MC6 DC 24V Relay Value Remark Performance Level PL d Category Cat. 3 MTTF D 58 a HIGH Average Diagnostic 90% 99% MEDIUM Coverage DC av MC6 AC 230V Relay Value Remark Performance Level PL d Category Cat. 3 MTTF D 57 a HIGH Average Diagnostic Coverage DC av 90% 99% MEDIUM The calculation of these values is based on the following assumptions: Number of operating days per year: d op = 365 d Number of operating hours per day: h op = 24 h Operating frequency: 1/h B10D (Output Relay) 2.00 E+05 (AC-15 load, value provided by manufacturer) B10D (Safety Mat) 2.00 E+05 When the product is used deviant from these assumptions (different load, operating frequency, etc.) the values have to be adjusted accordingly. Besides these summary of the characteristic data always the information provided in the product documents of the manufacturer have to be considered. Source of failure rate data: SN 29500, so far no data from the component manufacturer were available. Max. average ambient temperature: 40 C General assumption that 50 % of the component failures are dangerous failures (λ d = 0.5 λ, MTTF D = 2 MTTF), so far no further information was available. TÜV Rheinland Industrie Service GmbH Version: A-FS, BU FS Products Am Grauen Stein, Köln

13 5/16/2017 NKCR.E Auxiliary Devices NKCR.E Auxiliary Devices Page Bottom Auxiliary Devices See General Information for Auxiliary Devices OMRON SCIENTIFIC TECHNOLOGIES INC 6550 Dumbarton Cir Fremont, CA USA E Investigated to ANSI/UL 508 Actuator switches Model(s) MFS 11P11, MFS 11P11CC, MFS 11P20, MFS 11P20CC Actuators Model(s) CM S11ACT, CM S1ACT, CM S221ACT, CM S2ACT, CM S31ACT, CM S321ACT, CM S3ACT, CM S421ACT, CM S521ACT, CM S5ACT, CM S621ACT, CM S6ACT, MA 10ACT, MA 11ACT, MA 12ACT, MA 13ACT, MA 14ACT, MA 15ACT, MA 16ACT, MA 1ACT, MA 20ACT, MA 21ACT, MA 2ACT, MA 3ACT, MA 4ACT, MA 5ACT, MA 6ACT, MA 7ACT, MA 9ACT, MA S20ACT, MA S21ACT, MA S2ACT, MA S34ACT, MA S35ACT, MA S36ACT Control units Model(s) CM S21 24V, CM S41 100V, CM S41 24V Extender modules Model(s) CM SE 24V Grip type enabling switches Model(s) ESD , ESD I Rope switches Model(s) ER 1022, ER 1032, ER 5018, ER 6022, ER 6022 SS Industrial control switches Model(s) SCC 1224 Industrial Control Switches Model(s) SCC 1224A Industrial control switches Model(s) SCC 2124, SCC 2224 Industrial control switches, contact mats Model(s) UMA, UMMA, UMMYA, UMYA Interlock relays Model(s) MC K, MF, SMT 01, SMT 02, SMT 03, SR 0, SR 05, SR 06, SR 07, SR 09, SR 11, SR 12, SR 14, SR 15, SR 16, SR 8 Interlock switches Model(s) T 5007, T 5009, T Limit switches Model(s) SL AL11CC, SL AL11M, SL AL11N, SL AL21CC, SL AL21M, SL AL21MCC, SL AL21MM, SL AL21MN, SL AL21N, SL AL30CC, SL AL30M, SL AL30N, SL MAL11CC, SL MAL11M, SL MAL11N, SL MAL21CC, SL MAL21M, SL MAL21MCC, SL MAL21MM, SL MAL21MN, SL MAL21N, SL MAL30CC, SL MAL30M, SL MAL30N, SL MP11CC, SL MP11M, SL MP11N, SL MP21CC, SL MP21M, SL MP21MCC, SL MP21MM, SL MP21MN, SL MP21N, SL MP30CC, SL MP30M, SL MP30N, SL MRL11CC, SL MRL11M, SL MRL11N, SL MRL21CC, SL MRL21M, SL MRL21MCC, SL MRL21MM, SL MRL21MN, SL MRL21N, SL MRL30CC, SL MRL30M, SL MRL30N, SL MRLS11CC, SL MRLS11M, SL MRLS11N, SL MRLS21CC, SL MRLS21M, SL MRLS21MCC, SL MRLS21MM, SL MRLS21MN, SL MRLS21N, SL MRLS30CC, SL MRLS30M, SL MRLS30N, SL MRP11CC, SL MRP11M, SL MRP11N, SL MRP21CC, SL MRP21M, SL MRP21MCC, SL MRP21MM, SL MRP21MN, SL MRP21N, SL MRP30CC, SL MRP30M, SL MRP30N, SL MSR11CC, SL MSR11M, SL MSR11N, SL MSR21CC, SL MSR21M, SL MSR21MCC, SL MSR21MM, SL MSR21MN, SL MSR21N, SL MSR30CC, SL MSR30M, SL MSR30N, SL MTA11CC, SL MTA11M, SL MTA11N, SL MTA21CC, SL MTA21M, SL MTA21MCC, SL MTA21MM, SL MTA21MN, SL MTA21N, SL MTA30CC, SL MTA30M, SL MTA30N, SL P11CC, SL P11M, SL P11N, SL P21CC, SL P21M, SL P21MCC, SL P21MM, SL P21MN, SL P21N, SL P30CC, SL P30M, SL P30N, SL RLH11CC, SL RLH11M, SL RLH11N, SL RLH21CC, SL RLH21M, SL RLH21MCC, SL RLH21MM, SL RLH21MN, SL RLH21N, SL RLH30CC, SL RLH30M, SL RLH30N, SL RLO11CC, SL RLO11M, SL RLO11N, SL RLO21CC, SL RLO21M, SL RLO21MCC, SL RLO21MM, SL RLO21MN, SL RLO21N, SL RLO30CC, SL RLO30M, SL RLO30N, SL RLS11CC, SL RLS11M, SL RLS11N, SL RLS21CC, SL RLS21M, SL RLS21MCC, SL RLS21MM, SL RLS21MN, SL RLS21N, SL RLS30CC, SL RLS30M, SL RLS30N, SL RP11CC, SL RP11M, SL RP21MCC, SL RP21MM, SL RP21MN, SL RP30CC, SL RP30M, SL RP30N, SL RR11CC, SL RR11M, SL RR11N, SL RR21CC, SL RR21M, SL RR21MCC, SL RR21MM, SL RR21MN, SL RR21N, SL RR30CC, SL RR30M, SL RR30N Magnetically actuated interlock switches Model(s) MA S, followed by 2, 20 or 21, followed by A or D MA S2D, MC S, MC S1, MC S2, MC S6 Relays Model(s) SR203AM01, SR203AM02, SR203M01, SR203M02, SR204P00, SR204P02, SR208AD01, SR208AD02, SR209AD01, SR209AD02 Rope operated emergency switches Model(s) ER 4020, ER 6019 Safety relays Model(s) SMS ##, SMT ##, SR ###AM, SR ###DD, SR ###E, SR ###MP, SR ##A, SR 125SMS4501, SR 125SMS4502, SR 125SMS4503 Safety switches Model(s) T , T , T , T bin/xyv/template/lisext/1frame/showpage.html?name=nkcr.e195653&ccnshorttitle=auxiliary+devices&objid= &cf 1/2

14 5/16/2017 NKCR.E Auxiliary Devices Solenoid locking switches Model(s) TL 5012, TL 8012 S, TL , TL Stand alone switches Model(s) MF 2PCxx (xx=1 thru 99), MFS 11P11+, MFS 11P20+, MFS 12P11+, MFS 12P20+ Switches Model(s) BL 6009, HP 2007, HP 2010, HP 3009, HP 6009, T 2007, T 2010, T 3009, T 4011 Switches and actuators Model(s) CM S11P+ CM S11PC, CM S11PCC, CM S31SC, CM S31SCC or MA 11, followed by AP or DP, followed by 10, 11, 20 or 21 CM S1P+, CM S221P, CM S221P+, CM S2P+, CM S31, CM S321S+, CM S3P+, CM S421S+, CM S521P+, CM S5P+, CM S621P+, CM S6P+, MA 10AP+, MA 10DP+, MA 11AP+, MA 11DP+, MA 12AP+, MA 12AP10, MA 12AP11, MA 12DP+, MA 12DP10, MA 12DP11, MA 13AP+, MA 13AP10, MA 13AP11, MA 13AP20, MA 13AP21, MA 13DP+, MA 13DP10, MA 13DP11, MA 13DP20, MA 13DP21, MA 14AP+, MA 14DP+, MA 14DP10, MA 14DP11, MA 14DS10, MA 14DS11, MA 15AP+, MA 15DP+, MA 15DP21, MA 15DS21, MA 16AP+, MA 16APAS, MA 16APDS, MA 16DP+, MA 16DPAS, MA 16DPDS, MA 1AP+, MA 1DP+, MA 20AP+, MA 20DP+, MA 21AP+, MA 21DP+, MA 2AP+, MA 2DP+, MA 34AS+, MA 34DP10, MA 34DP11, MA 34DS+, MA 34DS10, MA 34DS11, MA 35AS+, MA 35DP21, MA 35DS+, MA 35DS21, MA 36AS+, MA 36DS+, MA S0DS+, MA S20AS+, MA S21AS+, MA S21DS+, MA S2AS+, MA S2DS+, MAA 36APAS, MAA 36APDS, MAA 36DPAS, MAA 36DPDS # Where # represents number. + Followed by CC or Cxx, or followed by C and Cxx where xx is numbers 1 thru 99. Last Updated on Questions? Print this page Terms of Use Page Top 2017 UL LLC The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow Up Service. Only those products bearing the UL Mark should be considered to be Certified and covered under UL's Follow Up Service. Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1. The Guide Information, Assemblies, Constructions, Designs, Systems, and/or Certifications (files) must be presented in their entirety and in a nonmisleading manner, without any manipulation of the data (or drawings). 2. The statement "Reprinted from the Online Certifications Directory with permission from UL" must appear adjacent to the extracted material. In addition, the reprinted material must include a copyright notice in the following format: " 2017 UL LLC". bin/xyv/template/lisext/1frame/showpage.html?name=nkcr.e195653&ccnshorttitle=auxiliary+devices&objid= &cf 2/2

15 5/16/2017 NKCR7.E Auxiliary Devices Certified for Canada NKCR7.E Auxiliary Devices Certified for Canada Page Bottom Auxiliary Devices Certified for Canada See General Information for Auxiliary Devices Certified for Canada OMRON SCIENTIFIC TECHNOLOGIES INC 6550 Dumbarton Cir Fremont, CA USA E Investigated to CAN/CSA C22.2. No Actuator switches Model(s) MFS 11P11, MFS 11P11CC, MFS 11P20, MFS 11P20CC Actuators Model(s) CM S11ACT, CM S1ACT, CM S221ACT, CM S2ACT, CM S31ACT, CM S321ACT, CM S3ACT, CM S421ACT, CM S521ACT, CM S5ACT, CM S621ACT, CM S6ACT, MA 10ACT, MA 11ACT, MA 12ACT, MA 13ACT, MA 14ACT, MA 15ACT, MA 16ACT, MA 1ACT, MA 20ACT, MA 21ACT, MA 2ACT, MA 3ACT, MA 4ACT, MA 5ACT, MA 6ACT, MA 7ACT, MA 9ACT, MA S20ACT, MA S21ACT, MA S2ACT, MA S34ACT, MA S35ACT, MA S36ACT Control units Model(s) CM S21 24V, CM S41 100V, CM S41 24V Extender modules Model(s) CM SE 24V Grip type enabling switches Model(s) ESD , ESD I Rope switches Model(s) ER 1022, ER 1032, ER 5018, ER 6022, ER 6022 SS Industrial control switches Model(s) SCC 1224 Industrial Control Switches Model(s) SCC 1224A Industrial control switches Model(s) SCC 2124, SCC 2224 Industrial control switches, contact mats Model(s) UMA, UMMA, UMMYA, UMYA Interlock relays Model(s) MC K, MF, SMT 01, SMT 02, SMT 03, SR 0, SR 05, SR 06, SR 07, SR 09, SR 11, SR 12, SR 14, SR 15, SR 16, SR 8 Interlock switches Model(s) T 5007, T 5009, T Limit switches Model(s) SL AL11CC, SL AL11M, SL AL11N, SL AL21CC, SL AL21M, SL AL21MCC, SL AL21MM, SL AL21MN, SL AL21N, SL AL30CC, SL AL30M, SL AL30N, SL MAL11CC, SL MAL11M, SL MAL11N, SL MAL21CC, SL MAL21M, SL MAL21MCC, SL MAL21MM, SL MAL21MN, SL MAL21N, SL MAL30CC, SL MAL30M, SL MAL30N, SL MP11CC, SL MP11M, SL MP11N, SL MP21CC, SL MP21M, SL MP21MCC, SL MP21MM, SL MP21MN, SL MP21N, SL MP30CC, SL MP30M, SL MP30N, SL MRL11CC, SL MRL11M, SL MRL11N, SL MRL21CC, SL MRL21M, SL MRL21MCC, SL MRL21MM, SL MRL21MN, SL MRL21N, SL MRL30CC, SL MRL30M, SL MRL30N, SL MRLS11CC, SL MRLS11M, SL MRLS11N, SL MRLS21CC, SL MRLS21M, SL MRLS21MCC, SL MRLS21MM, SL MRLS21MN, SL MRLS21N, SL MRLS30CC, SL MRLS30M, SL MRLS30N, SL MRP11CC, SL MRP11M, SL MRP11N, SL MRP21CC, SL MRP21M, SL MRP21MCC, SL MRP21MM, SL MRP21MN, SL MRP21N, SL MRP30CC, SL MRP30M, SL MRP30N, SL MSR11CC, SL MSR11M, SL MSR11N, SL MSR21CC, SL MSR21M, SL MSR21MCC, SL MSR21MM, SL MSR21MN, SL MSR21N, SL MSR30CC, SL MSR30M, SL MSR30N, SL MTA11CC, SL MTA11M, SL MTA11N, SL MTA21CC, SL MTA21M, SL MTA21MCC, SL MTA21MM, SL MTA21MN, SL MTA21N, SL MTA30CC, SL MTA30M, SL MTA30N, SL P11CC, SL P11M, SL P11N, SL P21CC, SL P21M, SL P21MCC, SL P21MM, SL P21MN, SL P21N, SL P30CC, SL P30M, SL P30N, SL RLH11CC, SL RLH11M, SL RLH11N, SL RLH21CC, SL RLH21M, SL RLH21MCC, SL RLH21MM, SL RLH21MN, SL RLH21N, SL RLH30CC, SL RLH30M, SL RLH30N, SL RLO11CC, SL RLO11M, SL RLO11N, SL RLO21CC, SL RLO21M, SL RLO21MCC, SL RLO21MM, SL RLO21MN, SL RLO21N, SL RLO30CC, SL RLO30M, SL RLO30N, SL RLS11CC, SL RLS11M, SL RLS11N, SL RLS21CC, SL RLS21M, SL RLS21MCC, SL RLS21MM, SL RLS21MN, SL RLS21N, SL RLS30CC, SL RLS30M, SL RLS30N, SL RP11CC, SL RP11M, SL RP21MCC, SL RP21MM, SL RP21MN, SL RP30CC, SL RP30M, SL RP30N, SL RR11CC, SL RR11M, SL RR11N, SL RR21CC, SL RR21M, SL RR21MCC, SL RR21MM, SL RR21MN, SL RR21N, SL RR30CC, SL RR30M, SL RR30N Magnetically actuated interlock switches Model(s) MA S, followed by 2, 20 or 21, followed by A or D MA S2D, MC S, MC S1, MC S2, MC S6 Relays Model(s) SR203AM01, SR203AM02, SR203M01, SR203M02, SR204P00, SR204P02, SR208AD01, SR208AD02, SR209AD01, SR209AD02 Rope operated emergency switches Model(s) ER 4020, ER 6019 Safety switches Model(s) T , T , T , T Solenoid locking switches Model(s) TL 5012, TL 8012 S, TL , TL Stand alone switches Model(s) MF 2PCxx (xx=1 thru 99), MFS 11P11+, MFS 11P20+, MFS 12P11+, MFS 12P20+ Switches Model(s) BL 6009, HP 2007, HP 2010, HP 3009, HP 6009, T 2007, T 2010, T 3009, T bin/xyv/template/lisext/1frame/showpage.html?name=nkcr7.e195653&ccnshorttitle=auxiliary+devices+certified+for+canad 1/2

16 5/16/2017 NKCR7.E Auxiliary Devices Certified for Canada Switches and actuators Model(s) CM S11P+ CM S11PC, CM S11PCC, CM S31SC, CM S31SCC or MA 11, followed by AP or DP, followed by 10, 11, 20 or 21 CM S1P+, CM S221P, CM S221P+, CM S2P+, CM S31, CM S321S+, CM S3P+, CM S421S+, CM S521P+, CM S5P+, CM S621P+, CM S6P+, MA 10AP+, MA 10DP+, MA 11AP+, MA 11DP+, MA 12AP+, MA 12AP10, MA 12AP11, MA 12DP+, MA 12DP10, MA 12DP11, MA 13AP+, MA 13AP10, MA 13AP11, MA 13AP20, MA 13AP21, MA 13DP+, MA 13DP10, MA 13DP11, MA 13DP20, MA 13DP21, MA 14AP+, MA 14DP+, MA 14DP10, MA 14DP11, MA 14DS10, MA 14DS11, MA 15AP+, MA 15DP+, MA 15DP21, MA 15DS21, MA 16AP+, MA 16APAS, MA 16APDS, MA 16DP+, MA 16DPAS, MA 16DPDS, MA 1AP+, MA 1DP+, MA 20AP+, MA 20DP+, MA 21AP+, MA 21DP+, MA 2AP+, MA 2DP+, MA 34AS+, MA 34DP10, MA 34DP11, MA 34DS+, MA 34DS10, MA 34DS11, MA 35AS+, MA 35DP21, MA 35DS+, MA 35DS21, MA 36AS+, MA 36DS+, MA S0DS+, MA S20AS+, MA S21AS+, MA S21DS+, MA S2AS+, MA S2DS+, MAA 36APAS, MAA 36APDS, MAA 36DPAS, MAA 36DPDS + Followed by CC or Cxx, or followed by C and Cxx where xx is numbers 1 thru 99. Last Updated on Questions? Print this page Terms of Use Page Top 2017 UL LLC The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow Up Service. Only those products bearing the UL Mark should be considered to be Certified and covered under UL's Follow Up Service. Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1. The Guide Information, Assemblies, Constructions, Designs, Systems, and/or Certifications (files) must be presented in their entirety and in a nonmisleading manner, without any manipulation of the data (or drawings). 2. The statement "Reprinted from the Online Certifications Directory with permission from UL" must appear adjacent to the extracted material. In addition, the reprinted material must include a copyright notice in the following format: " 2017 UL LLC". bin/xyv/template/lisext/1frame/showpage.html?name=nkcr7.e195653&ccnshorttitle=auxiliary+devices+certified+for+canad 2/2

17 Here are the links to the following OSTI UL Files: NKCR.E Auxiliary Devices NKCR7.E Auxiliary Devices Certified for Canada Put the cursor on the (underlined & highlighted in blue), press Ctrl, then Click. This will bring you to UL s Online Directory for that UL File OMRON SCIENTIFIC TECHNOLOGIES INC OMRON SCIENTIFIC TECHNOLOGIES INC Auxiliary Devices Auxiliary Devices Certified for Canada NKCR.E NKCR7.E See General Information for Auxiliary Devices See General Information for Auxiliary Devices Certified for Canada

18 OMRON AUTOMATION AND SAFETY THE AMERICAS HEADQUARTERS Chicago, IL USA OMRON CANADA, INC. HEAD OFFICE Toronto, ON, Canada OMRON ELECTRONICS DE MEXICO HEAD OFFICE México DF OMRON ELECTRONICS DE MEXICO SALES OFFICE Apodaca, N.L OMRON ARGENTINA SALES OFFICE Cono Sur OMRON CHILE SALES OFFICE Santiago OTHER OMRON LATIN AMERICA SALES OMRON ELETRÔNICA DO BRASIL LTDA HEAD OFFICE São Paulo, SP, Brasil OMRON EUROPE B.V. Wegalaan 67-69, NL-2132 JD, Hoofddorp, The Netherlands. +31 (0) Authorized Distributor: Automation Control Systems Machine Automation Controllers (MAC) Programmable Controllers (PLC) Operator interfaces (HMI) Distributed I/O Software Drives & Motion Controls Servo & AC Drives Motion Controllers & Encoders Temperature & Process Controllers Single and Multi-loop Controllers Sensors & Vision Proximity Sensors Photoelectric Sensors Fiber-Optic Sensors Amplified Photomicrosensors Measurement Sensors Ultrasonic Sensors Vision Sensors Industrial Components RFID/Code Readers Relays Pushbuttons & Indicators Limit and Basic Switches Timers Counters Metering Devices Power Supplies Safety Laser Scanners Safety Mats Edges and Bumpers Programmable Safety Controllers Light Curtains Safety Relays Safety Interlock Switches J89I-E-01 11/14 Note: Specifications are subject to change Omron Electronics LLC Printed in U.S.A. Printed on recycled paper.

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