Safety Information

Page 4 of 63 Report No.: CQASZ20210400194S
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 ........................................ : Apr. 01, 2021
Date (s) of performance of tests ............................... : Apr. 01, 2021 - Apr. 08, 2021
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.
According to the EU decision 768/2008/EC and German product safety law (ProdSG), the name and address of
manufacturer (an EU-based importer or authorized representative if the manufacturer is not based in EU) shall be
affixed on the product or, where that is not possible, on its packaging or in a document accompanying the product
before the product is placed on EU market.
Manufacturer’s Declaration per sub-clause 4.2.5 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) ........................... : Same as applicant
General product information:
Product description:
The product is Power Strip with 3 USB Ports, class I equipment, it’s intended indoor use only.
According to the applicant’s requirements, the tests of plug and socket-outlet portions were not considered in this
test report. Relevant tests should be evaluated in other separated test report.
Model differences:
All models are identical except for model name.
Additional application considerations – (Considerations used to test a component or sub-assembly):
N/A