TEST REPORT IEC Information technology equipment Safety Part 1: General requirements

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2 Test Report issued under the responsibility of: TEST REPORT IEC Information technology equipment Safety Part 1: General requirements Report Number.... : Date of issue... : Apr.24, 2014 Total number of pages Applicant s name... : Address... : ICCNexergy Inc-Design Center 5th Floor Western,ChangHua Building, No. 921 XingYe Road, NanCun Town, Panyu, Guangzhou City, Guangdong, P.R. China Test specification: Standard... : IEC :2005 (Second Edition) + Am 1: Am 2:2013 Test procedure...: Non-standard test method...: Test Report Form No... : Test Report Form(s) Originator...: CB Scheme N/A IEC60950_1F SGS Fimko Ltd Master TRF... : Dated Copyright 2014 IEC System of Conformity Assessment Schemes for Electrotechnical Equipment and Components (IECEE System). All rights reserved. This publication may be reproduced in whole or in part for non-commercial purposes as long as the IECEE is acknowledged as copyright owner and source of the material. IECEE takes no responsibility for and will not assume liability for damages resulting from the reader's interpretation of the reproduced material due to its placement and context. If this Test Report Form is used by non-iecee members, the IECEE/IEC logo and the reference to the CB Scheme procedure shall be removed. This report is not valid as a CB Test Report unless signed by an approved CB Testing Laboratory and appended to a CB Test Certificate issued by an NCB in accordance with IECEE 02. General disclaimer: The test results presented in this report relate only to the object tested. This report shall not be reproduced, except in full, without the written approval of the Issuing CB Testing Laboratory. The authenticity of this Test Report and its contents can be verified by contacting the NCB, responsible for this Test Report. Test item description... : Trade Mark... : Switch Mode Power Supply 1) 2) 3) Manufacturer... : Model/Type reference... : Ratings... : ICCNexergy, Inc. SUITE 900, 4 WESTBROOK CORPORATE CENTER, WESTCHESTER, IL 60154, USA 1), 3): FWBx0yz, FWCx0yz (x, y, z are variables, details see page 8) 2): AE20, AE21, AE27, 9006AE01, 9006AE02 Input: AC V~, 50-60Hz, 1.5 Amps Output: See model list on page 8

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4 Page 3 of 80 Report No List of Attachments (including a total number of pages in each attachment): - Attachment 1: National differences (65 pages) - Attachment 2: Photo documentation (8 pages) Summary of testing: Tests performed (name of test and test clause): 1. Following tests performed during evaluation Clause(s) Test(s) Input Current Test Durability of Marking Test Energy Hazard in Operator Access Area Capacitance Discharge Test SELV limits for Normal Conditions SELV limits for Abnormal Conditions Limited current circuit test Earthing resistance Test Humidity Conditioning Working Voltage over Insulation & Clearance and creepage distance measurements 4.1 Stability test Steady force test 10 N Steady force test 250N Impact test Drop test Stress relief test Maximum Temperature Test Ball Pressure Test Touch Current Test 5.2 Electric Strength Test 5.3 Fault Condition Test Testing location: TÜV Rheinland (Guangdong) Ltd. No.199 Kezhu Road, Guangzhou Science City Guangzhou China Remark: The models FWB100012A, FWB100024A, FWB100048A, and 9006AE02 have been selected for multiple testing. If no specified, the mode FWB100012A, FWB100024A, FWB100048A, and 9006AE02 were the selected model for the tests.

5 Page 4 of 80 Report No Summary of compliance with National Differences: List of countries addressed Summary of compliance with National Differences to IEC :2005 (Second Edition) + Am 1: Am 2:2013 (for explanation of codes see below): EU Group Differences, EU Special National Conditions, AT, DK, IT, SE, US The product fulfils the requirements of EN :2006+A11:2009+A1:2010+A12:2011+A2:2013 Additional National Differences to IEC :2005 (2nd Edition)+Am 1:2009 (for client s requirement): EU Group Differences, EU Special National Conditions, AU, CA, DE, FI, GB, IL, KR, SI The product fulfils the requirements of EN :2006+A11:2009+A1:2010+A12:2011 Additional National Differences to IEC :2005 (2nd Edition) (for client s requirement): CH, CN, ES, IE, NO The product fulfils the requirements of EN :2006+A11:2009 Explanation of used codes: AT=Austria, AU=Australia, CA=Canada, CH=Switzerland, CN=China, DE=Germany, DK=Denmark, ES=Spain, FI=Finland, GB=United Kingdom, IE=Ireland, IL=Israel, IT=Italy, KR=Republic of Korea, NO=Norway, SE=Sweden, SI=Slovenia, US=United States of America. All national differences see corresponding pages.

6 Page 5 of 80 Report No Copy of marking plate(s): The artwork below may be only a draft. The use of certification marks on a product must be authorized by the respective NCBs that own these marks. (Additional requirements for markings. See 1.7 NOTE) 1)Trade Mark of Elpac 2) Trade Mark of ICC 3) Trade Mark of Intermec

7 Page 6 of 80 Report No Note: There are representative labels; the others are identical to them except for the model number, detail see model list on page 8.

8 Page 7 of 80 Report No Test item particulars... : Equipment mobility...: [X] movable [] hand-held [X] transportable [] stationary [] for building-in [] direct plug-in Connection to the mains...: [X] pluggable equipment [X] type A [] type B [] permanent connection [X] detachable power supply cord [] non-detachable power supply cord [] not directly connected to the mains Operating condition...: [X] continuous [] rated operating / resting time: Access location...: [X] operator accessible [] restricted access location Over voltage category (OVC)...: [] OVC I [X] OVC II [] OVC III [] OVC IV [] other: Mains supply tolerance (%) or absolute mains supply values...: 10% Tested for IT power systems...: [X] Yes [] No IT testing, phase-phase voltage (V)...: 230 (only for Norway) Class of equipment...: [X] Class I [] Class II [] Class III [] Not classified Considered current rating of protective device as part of the building installation (A)...: 16A (20A for CSA and US, 13A for UK) Pollution degree (PD)...: [] PD 1 [X] PD 2 [] PD 3 IP protection class...: IPX0 Altitude during operation (m)...: Up to 2000 Altitude of test laboratory (m)...: below 2000 Mass of equipment (kg)...: Approximately 0.64kg Possible test case verdicts: - test case does not apply to the test object... : N/A - test object does meet the requirement... : P (Pass) - test object does not meet the requirement... : F (Fail) Testing... : Date of receipt of test item... : Mar., 2014 Date (s) of performance of tests... : Mar., 2014

9 Page 8 of 80 Report No General remarks: "(See Enclosure #)" refers to additional information appended to the report. "(See appended table)" refers to a table appended to the report. Throughout this report a comma / point is used as the decimal separator. Manufacturer s Declaration per sub-clause of IECEE 02: The application for obtaining a CB Test Certificate includes more than one factory location and a declaration from the Manufacturer stating that the sample(s) submitted for evaluation is (are) representative of the products from each factory has been provided...: Yes Not applicable When differences exist; they shall be identified in the General product information section. Name and address of factory (ies)... : ICC Electronics (Dongguan) Ltd. General product information: No.23, Shang Yuan Road, Qing Xi Town, Dong Guan City, Guangdong, P.R. China 1. The apparatus are Class I Switch Mode Power Supply (desktop type) used for DC supply of information technology equipment, output cord is non-detachable; 2. The adapter s top enclosure is secured to the bottom enclosure by ultrasonic weld; 3. The test samples are pre-production sample without serial numbers; 4. Specified maximum ambient temperature is 40 C. Model list: Output Transformer no. Model name Input Voltage (Vdc) Max. Current (A) Max. (W) (F11A ) FWBx0yz, FWCx0yz Vac, 50-60Hz, 1.5A AE AE21, 9006AE AE27, 9006AE (F11A ) Note: The x can be any 3 digit number code number between and including 050 to 100 and represents the output power from 50 Watts to 100 Watts. Electrically the units are identical; the only difference is the power supplies are de-rated. All output is limited to a maximum 100W or 8.3 Amps. The y =12-48 and represents the output voltage The z can be A to Z or blank, no safety related.

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