Safety Information
Page 5 of 63 Report No.: CQASZ20210400194S
Energy Source Identification And Classification Table:
(Note 1: Identify the following six (6) energy source forms based on the origin of the energy.)
(Note 2: The identified classification e.g., ES2, TS1, should be with respect to its ability to cause pain or injury on
the body or its ability to ignite a combustible material. Any energy source can be declared Class 3 as a worse case
classification e.g. PS3, ES3.
Electrically-caused injury (Clause 5):
(Note: Identify type of source, list sub-assembly or circuit designation and corresponding energy source
classification)
Example: +5 V dc input ES1
Source of electrical energy Corresponding classification (ES)
Input terminal ES3
Output terminal ES1
Internal circuits
(All primary circuits)
ES3
Electrically-caused fire (Clause 6):
(Note: List sub-assembly or circuit designation and corresponding energy source classification)
Example: Battery pack (maximum 85 watts): PS2
Source of power or PIS Corresponding classification (PS)
Input terminal PS3
Output terminal PS2
Internal circuits
(All primary circuits)
PS3
Injury caused by hazardous substances (Clause 7)
(Note: Specify hazardous chemicals, whether produces ozone or other chemical construction not addressed as
part of the component evaluation.)
Example: Liquid in filled component Glycol
Source of hazardous substances Corresponding chemical
N/A N/A
Mechanically-caused injury (Clause 8)
(Note: List moving part(s), fan, special installations, etc. & corresponding MS classification based on Table 35.)
Example: Wall mount unit MS2
Source of kinetic/mechanical energy Corresponding classification (MS)
Sharp edges and corners MS1
Equipment mass (<7kg) MS1










