LISTING REPORT INTERTEK TESTING SERVICES NA INC. 1809 10th Street, Suite 400 Plano, TX 75074 Job No. 3116703 and 3124658 Issued: 06/21/07 Revised: 11/27/12 Page 1 of 28 REPORT NO. 3116703DAL-001 INSPECTION, TESTS AND EVALUATION OF A WEIGHT CONTROLLER RENDERED TO HARDY PROCESS SOLUTIONS SAN DIEGO, CA GENERAL: This Report gives the results of the inspection, tests and evaluation of a Weight Controller product line with the Standards listed below. This investigation was authorized by Purchase Order No.16198, dated 02/07/07, updated 05/23/07. The investigation was begun on 05/17/07 and completed on 06/21/07. Prototype samples in good condition were provided by the client on 05/11/07 and tested at Intertek’s Richardson, TX facility. CSA C22.2 No. 213 – M1987 (Reaffirmed 2004), Non-incendive Electrical Equipment for Use in Class I, Division 2 Hazardous Locations; ANSI/ISA-12.12.01-2007, Nonincendive Electrical Equipment for Use in Class I and II, Division 2 and Class III, Divisions 1 and 2 Hazardous (Classified) Locations Applicant: Hardy Process Solutions 9440 Carroll Park Drive, Suite 150 San Diego, CA 92121-5201, USA Contact: Primary: - Debra Lawson (debra.lawson@hardysolutions.com) Phone: Fax: Alternate: -Lito Guiriba (Lito.Guiriba@hardysolutions.com) (858) 278-2900 (858) 278-9700 Manufacturer: Hardy Process Solutions 9440 Carroll Park Drive, Suite 150 San Diego, CA 92121-5201, USA Contact: Primary: -Debra Lawson (debra.lawson@hardysolutions.com) Phone Fax: Alternate: -Lito Guiriba (Lito.Guiriba@hardysolutions.com) (858) 278-2900 (858) 278-9700 This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this report. Only the Client is authorized to permit copying or distribution of this report and then only in its entirety. Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. The observations and test results in this report are relevant only to the sample tested. This report by itself does not imply that the material, product, or service is or has ever been under an Intertek certification program. Official Report Template ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 2 Report Composition: Cover Revisions Main Report Illustrations Markings Components Requiring Yearly Testing Numbering 1 2-2a, 2b 3, 3a – 19h 20 – 25 26 27 – 28 Total Number of Pages 39 Issued: 06/21/07 Revised: 09/13/12 REVISION SUMMARY - The following changes have been made to this Report: Date/ Proj # Off ID 06-18-2012/ G100756655 DAL Project Handler/ Reviewer Chaitanya Katekar Page Item Cover 27 Revised date, Changed from “RENDERED TO HARDY INSTRUMENTS” to “RENEDERED TO HARDY PROCESS SOLUTIONS”. Updated Applicant’s and Manufacturer’s name, address, contact and Fax number In the header of each page: Revised date and Changed “Hardy Instruments” to “Hardy Process Solutions” Updated Revision summary Added Test Performance No. 2 Replaced previous signatures on files, Added Conclusion No. 2 Replaced “Blockmaster Electronics” with “Phoenix Contact” Replaced “type CIF” by “type MSTB” Changed current rating from “15A” to “12A” Added alternate Connectors Changed current rating from “15A” to “12A” Added alternate Connectors Changed AC Power Supply PWA number from “05350545-01” to “0535-0545-01-0” Changed Main Controller PWA number from “05350540-01” to “0535-0540-01-0” Changed current rating from “15A” to “12A” Added alternate Connectors Changed current rating from “15A” to “12A” Added alternate Connectors Corrected battery’s nominal capacity rating from “0.48mAh” to “48mAh” Added alternate battery Replaced “DIP Switch USB” by “DIP Switch S2” Replaced “Dip switch for USB connection” by “Dip switch for unit configuration” Updated CEC address. Chaitanya Katekar/ Cover Revised date Jeremy Maxwell 2 Revised date, Revised table with report page numbers Added revision summary dated 09-13-2012 Michael Spector 2-28 2 4 5 13 5,6,7, 8 13 9 17 17 17 6 7 9 10 09-13-2012/ G100756655 DAL Description of Change ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 2a 2a, 2b 3 New: 09/13/12 New page for revision summary Revised date. Under “Models”: Added following new option cards. -AWS1 or Blank = Analog Weigh Scale Input (05350542-01-0) -AWS2 = Analog Interface Module (0535-0561-01-0) -DWS4 = 4000 Series Digital Weigh Scale Input (17050190-0) -DWS2 = 2000 series Digital Weight Scale input card (1705-0191-0) -PB = Profibus interface (Assy: 0535-0548-01-0) -RIO = Remote I/O (Assy: 0535-0549-01-0) -CN = ControlNet I/O (Assy: 0535-0551-01-0) -DIO = Digital Input / Output card (Assy: 0535-0547-010) 3a 4 5 16 17 1 17 18 9 19 19 11 19 19 19 13 14 19 19a19h 20-24 15 New page added due to addition of new option cards. Updated Model similarity section to explain similarity between HI4050 and HI4050CW Under Electrical ratings: For DC model, deleted 50/60Hz Revised date Added Test Performance No. 3 Revised date Replaced previous signatures on file. Added Conclusion No. 3 Revised date Replaced old photos with new photos Corrected Typos in specifications of switching power supply Added alternate battery by Rayovac Revised date Replaced old photos with new photos Revised date Changed DeviceNet PWA part number from 05350543-01 to 0535-0543-01-0, Changed DIO PWA part number from “0535-0547-01” to “0535-0547-01-0” Replaced “Blockmaster Electronics” with “Phoenix Contact” Replaced “type CIF” by “type MSTB” Changed current rating from “15A” to “12A” Added alternate Connectors Changed p/n from ISO721D to ISO721D/ISO721DR Changed p/n from H11L1s to H11L1s/H11L1SM Changed Weigh Scale PWA part number from Weigh Scale PWA: 0535-0542-01 to 0535-0542-01-0 Changed Analog Output PWA part number from 05350546-01 to 0535-0546-01-0 Replaced “Blockmaster Electronics” with “Phoenix Contact” Replaced “type CIF” by “type MSTB” Changed current rating from “15A” to “12A” Added alternate Connectors New pages for new option card options Revised date. Replaced previous Illustrations with new Illustrations ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 2b 26 Revised date Replaced previous labels with new labels Changed catalogue number from 0535-0544 to 05340544-01-0 Changed catalogue number from 0535-0541 to 05350541-01-0 Changed catalogue number from 0535-0545 to 05350545-01-0 Changed catalogue number from 0535-0540 to 05350540-01-0 Changed catalogue number from 0535-0543 to 05350543-01-0 Changed catalogue number from 0535-0547 to 05350547-01-0 Changed catalogue number from 0535-0542 to 05350542-01-0 Changed catalogue number from 0535-0546 to 05350546-01-0 28 G100756655 DAL 11-15-12 Chaitanya Katekar/ Cover Revised Date Ryan Parks 2b 3a Revised Date, Added revision summary dated 11-15-12 Revised Date, Deleted reference of “Group E” from gas groups. Revised date. Corrected typo. The Part number for the ESD PWA should be 0534-0544-01-0 not 0534-0533-01-0. Revised Date Replaced previous Illustration with new. Previous Illustration had reference of “Group E” Revised Date Replaced previous marking with new. Previous marking had reference of “Group E” 15 20-21 26 G100756655 DAL 11-27-12 Issued: 09/13/12 Revision: 11/27/12 4 Chaitanya Katekar Cover Revised Date Jeremy Maxwell 3a Revised Date Added “Class III, Division 1 and Division 2” in hazardous location area classification ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 3 Issued: 06/21/07 Revised: 09/13/12 PRODUCT DESCRIPTION PRODUCT COVERED Weighing Module Models: HI 4050, HI 4050CW – xx - xx - xx – xx – xx ... I II III IV V VI Suffix xx may be any alphanumeric character representing the following nomenclature. I: Series Designations HI 4050 and HI 4050CW II Mounting Style -DR = Din Rail Mount (No Display) -PM = Panel Mount (Display included) III Power Supply -DC = DC input only, temperature range -AC = AC power card installed, temperature range (Assy: 0535-0545-01-0) IV: Ethernet Option Software 1 No/Blank = Not installed -EIP = EIP installed V: Ethernet Software Option 2 No/Blank = Not installed -MD = ModBus TCP/IP software installed VI: Application Software Option No/Blank = Not installed -ROC = Rate Of Change installed VII: Weight Interface Options -AWS1 or Blank = Analog Weigh Scale Input (0535-0542-01-0) -AWS2 = Analog Interface Module (0535-0561-01-0) -DWS4 = 4000 Series Digital Weigh Scale Input (1705-0190-0) -DWS2 = 2000 series Digital Weight Scale input card (1705-0191-0) VIII: Network Options (Bottom right slot as you look at the back panel) -N2 = No Network Option -DN = Devicenet card (Assy: 0535-0543-01-0) -4ANA = 4-channel Analog Output (Assy: 0535-0546-01-0) -PB = Profibus interface (Assy: 0535-0548-01-0) -RIO = Remote I/O (Assy: 0535-0549-01-0) -CN = ControlNet I/O (Assy: 0535-0551-01-0) IX: X: Aux Options (Top left slot as you look at the back panel) -N3 = No Aux option -4ANB = 4-channel Analog Output (Assy: 0535-0546-01-0) -DIO = Digital Input / Output card (Assy: 0535-0547-01-0) Weight & Measurement Software Options None/Blank = Not enabled -NTEP = National Type Evaluation Program -CWM = Canadian Weights and Measure ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 3a Issued: 09/13/12 Revised: 11/27/12 For Use In: Class I, Division 2, Groups A – D and Class II, Division 2, Groups F – G, Class III, Division 1 and Division 2 Hazardous Locations Operating Temperature Code: T4A Ambient Temperature Range: -10°C to +50°C PRODUCT DESCRIPTION The device is a weighing module intended to be panel mounted in an enclosure with wiring per local codes. When panel mounted (PM option) in a NEMA 4X enclosure, the device maintains NEMA 4X protection suitable for indoor or outdoor use. The DIN rail option (DR) must be installed in an acceptable enclosure. The device has multiple terminal plugs for connection of normally non-arcing field wiring, to be disconnected in an area deemed nonhazardous or while the circuit is not energized. MODEL SIMILARITY The HI 4050 series of Weight Controllers are all similar in construction, consisting of the same main controller board and weigh module, with optional I/O boards and communication boards. The devices vary based on the power source type, mounting/display options, communication board, and I/O board configuration. The panel mount version (PM) has a display/keypad while the DIN rail version (DR) does not. Model HI 4050CW is identical to model HI 4050 except it incorporates –DSW4 and -DSW2 digital weigh scale input card. ELECTRICAL RATINGS Product HI 4050-AC HI 4050-DC Voltage 100/240 VAC 12/24 VDC Current/Power 0.5A 10W Frequency 50/60 Hz NA ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 4 Issued: 06/21/07 Revised: 09/13/12 TEST PERFORMANCE NO. 1 A representative sample of the products were tested in accordance with CSA C22.2 No. 213 – M1987 (Reaffirmed 2004), Non-incendive Electrical Equipment for Use in Class I, Division 2 Hazardous Locations, and ANSI/ISA12.12.01-2007, Nonincendive Electrical Equipment for Use in Class I and II, Division 2 and Class III, Divisions 1 and 2 Hazardous (Classified) Locations. The following tests were performed: Test Connector Separating Force Non-incendive Circuits Temperature Test CSA C22.2 No.213 ANSI/ISA-12.12.01 4.2.2 6.4 6.2 8.2 7 10 The following tests were also performed to verify that the enclosure meets NEMA 4X protection when panel mounted per UL 50 and CSA C22.2 No.94-M91. Test Icing Test Hosedown Gasket Test Corrosion CSA C22.2 No.94 ANSI/UL 50 6.7 6.8.2 6.2.5 6.12.2 34 35 43 39 Results of the tests indicate the specimens conform to applicable test criteria. TEST PERFORMANCE NO. 2 A representative sample of the products were tested in accordance with CSA C22.2 No. 213 – M1987 (Reaffirmed 2004), Non-incendive Electrical Equipment for Use in Class I, Division 2 Hazardous Locations, and ANSI/ISA12.12.01-2007, Nonincendive Electrical Equipment for Use in Class I and II, Division 2 and Class III, Divisions 1 and 2 Hazardous (Classified) Locations. The following tests were performed: Test Connector Separating Force CSA C22.2 No.213 ANSI/ISA-12.12.01 4.2.2 8.2 Results of the tests indicate the specimens conform to applicable test criteria. TEST PERFORMANCE NO. 3 A representative sample of the products were tested in accordance with CSA C22.2 No. 213 – M1987 (Reaffirmed 2004), Non-incendive Electrical Equipment for Use in Class I, Division 2 Hazardous Locations, and ANSI/ISA12.12.01-2007, Nonincendive Electrical Equipment for Use in Class I and II, Division 2 and Class III, Divisions 1 and 2 Hazardous (Classified) Locations. The following tests were performed: Test Connector Separating Force Temperature Test CSA C22.2 No.213 ANSI/ISA-12.12.01 4.2.2 6.2 8.2 10 ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 5 Issued: 06/21/07 Revised: 03/19/12 CONCLUSION A representative sample of the products covered by this report have been evaluated and found to comply with the applicable requirements of CSA C22.2 No. 213 – M1987 (Reaffirmed 2004), Non-incendive Electrical Equipment for Use in Class I, Division 2 Hazardous Locations, and ANSI/ISA-12.12.01-2007, Nonincendive Electrical Equipment for Use in Class I and II, Division 2 and Class III, Divisions 1 and 2 Hazardous (Classified) Locations. Report prepared by: Report reviewed by: Signature on File. Signature on File Ryan Parks Compliance Investigator Jeremy Neagle Hazardous Location Team Leader CONCLUSION No. 2 A representative sample of the products covered by this report have been evaluated and found to comply with the applicable requirements of CSA C22.2 No. 213 – M1987 (Reaffirmed 2004), Non-incendive Electrical Equipment for Use in Class I, Division 2 Hazardous Locations, and ANSI/ISA-12.12.01-2007, Nonincendive Electrical Equipment for Use in Class I and II, Division 2 and Class III, Divisions 1 and 2 Hazardous (Classified) Locations Report prepared by: Report reviewed by: Signature on File Signature on File Chaitanya Katekar Compliance Investigator Michael Spector Staff Engineer CONCLUSION No. 3 A representative sample of the products covered by this report have been evaluated and found to comply with the applicable requirements of CSA C22.2 No. 213 – M1987 (Reaffirmed 2004), Non-incendive Electrical Equipment for Use in Class I, Division 2 Hazardous Locations, and ANSI/ISA-12.12.01-2007, Nonincendive Electrical Equipment for Use in Class I and II, Division 2 and Class III, Divisions 1 and 2 Hazardous (Classified) Locations Report prepared by: Report reviewed by: Chaitanya Katekar Compliance Investigator Jeremy Maxwell Compliance Investigator ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 6 Issued: 06/21/07 Revised: 06/18/12 GENERAL INFORMATION The Applicant and Manufacturer have agreed to produce, test and label ETL Listed products in accordance with the requirements of this Report. The Manufacturer has also agreed to notify Intertek and to request authorization prior to using alternate parts, components or materials. COMPONENTS Components used shall be those itemized in this Intertek report covering the product, including any amendments and/or revisions. LISTING MARK The ETL Listing mark applied to the products shall either be separable in form, such as labels purchased from Intertek, or on a product nameplate or other media only as specifically authorized by Intertek. Use of the mark is subject to the control of Intertek. MANUFACTURING AND PRODUCTION TESTS Manufacturing and Production Tests shall be performed as required in this Report. FOLLOW-UP SERVICE Periodic unannounced audits of the manufacturing facility shall be scheduled by Intertek. An audit report shall be issued after each visit. Special attention will be given to the following: 1. 2. 3. 4. Conformance of the manufactured product to the descriptions in this Report. Conformance of the use of the ETL mark with the requirements of this Report and the Certification Agreement. Manufacturing changes. Performance of specified Manufacturing and Production Tests. In the event that the Intertek representative identifies non-conformance(s) to any provision of this Report, the Applicant shall take one or more of the following actions: 1. 2. 3. Correct the non-conformance. Remove the ETL Mark from non-conforming product. Contact the issuing product safety evaluation center for instructions. ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 7 Issued: 06/21/07 Revised: 06/18/12 GENERAL REQUIREMENTS AND DEFINITIONS Recognized Component – A component part, which has been previously evaluated by an accredited certification body with restrictions and must be evaluated as part of the basic product considering the restrictions as specified by the Conditions of Acceptability. Listed Component – A component part, which has been previously Listed or Certified by an accredited Certification Organization with no restrictions and is used in the intended application within its ratings. Unlisted Component – A part that has not been previously evaluated to the appropriate designated component standard. It may also be a listed or recognized component that is being used outside of its evaluated Listing or component recognition. Critical Component – An essential part, material, subassembly, system, software, or accessory of a product that has a direct bearing on the product’s conformance to applicable requirements of the product standard. Construction Details - For specific construction details, reference should be made to the following photographs and descriptions. All dimensions are approximate unless specified as exact or within a tolerance. In addition to the specific construction details described in this Report, the following general requirements also apply. 1. Spacing - In primary circuits, minimum spacing are maintained through air and over surfaces of insulating material between current-carrying parts of opposite polarity and between current-carrying parts and deadmetal parts. The spacing requirements are evaluated per ordinary locations requirements. 2. Mechanical Assembly - Components such as switches, fuseholders, connectors, wiring terminals and display lamps are reliably mounted and prevented from shifting or rotating by lockwashers, starwashers, or the mounting format. 3. Corrosion Protection - All ferrous metal parts are suitably protected against corrosion by painting, plating or the equivalent. 4. Grounding - All exposed dead-metal parts and all dead-metal parts within the enclosure that are exposed to contact during any servicing operation and that are likely to become energized are reliably connected to the grounding lead of the power supply cord. 5. Internal Wiring – Internal wiring is routed away from sharp parts. Recognized separable (quick disconnect) connectors of the positive detent type. Closed loop connectors, or other types specifically described in the text of this report are also acceptable as internal wiring terminals. All wiring is minimum 28 AWG, with a minimum rating of 24V, 80°C, VW-1. 6. Accessibility of Live Parts - All uninsulated live parts in primary circuitry are housed within a metal enclosure constructed with no openings other than those specifically described in the constructions details. 7. Markings - The product is marked on a component labeling system as follows: manufacturer's name, model number, serial number, electrical ratings, and hazardous locations suitability. Refer to MARKING NO. 1. 8. Cautionary Markings – Cautionary markings are provided in English and French. Refer to MARKING NO. 1. 9. Installation, Operating and Safety Instructions - Instructions for installation and use of this product are provided by the manufacturer. Refer to Illustration No. 1 for details. 10. Ordinary Locations – The device is Listed for use in ordinary locations in addition to the locations described in this report per the Safety Requirements for Electrical Equipment for Measurement, Control, and Laboratory Use – Part 1: General Requirements (ANSI/UL 61010-1-2005, 2nd Ed., 07/12/2004, Rev. 07/22/2005; and CAN/CSA 22.2 No. 61010-1-04, 2nd Ed., 07/01/2004). ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 8 Issued: 06/21/07 Revised: 06/18/12 MANUFACTURING AND PRODUCTION TESTS The manufacturer agrees to conduct the following Manufacturing and Production Tests as specified: Required Tests Dielectric Voltage Withstand Test Grounding Continuity Test ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 9 Issued: 06/21/07 Revised: 06/18/12 DIELECTRIC VOLTAGE WITHSTAND TEST Method One hundred percent of production of the products covered by this Report shall be subjected to a routine production line dielectric withstand test. The test shall be conducted on products, which are fully assembled. Prior to applying the test potential, all switches, contractors, relays, etc., should be closed so that all primary circuits are energized by the test potential. If all primary circuits cannot be tested at one time, then separate applications of the test potential shall be made. The test voltage specified below shall be applied between primary circuits and accessible dead-metal parts. The test voltage may be gradually increased to the specified value but must be maintained at the specified value for one second or one minute as required. Test Equipment The test equipment shall incorporate a transformer with an essentially sinusoidal output, a means to indicate the applied test potential, and an audible and/or visual indicator of dielectric breakdown. The test equipment shall incorporate a voltmeter in the output circuit to indicate directly the applied test potential if the rated output of the test equipment is less than 500VA. If the rated output of the test equipment is 500VA or more, the applied test potential may be indicated by either: 1 a voltmeter in the primary circuit; 2 - a selector switch marked to indicate the test potential; or 3 - a marking in a readily visible location to indicate the test potential for test equipment having a single test potential output. In cases 2 and 3, the test equipment shall include a lamp or other visual means to indicate that the test potential is present at the test equipment output. All test equipment shall be maintained in current calibration. Products Requiring Dielectric Voltage Withstand Test PRODUCT All products configured for AC operation Test Voltage 1390 VAC or 1970 VDC Test Time 2 sec. 2 sec. ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 10 Issued: 06/21/07 Revised: 06/18/12 GROUNDING CONTINUITY TEST Method Each product listed below shall be subjected to a test to determine that there is continuity between accessible dead-metal parts of the product and the grounding pin or blade of the attachment plug. If all accessible dead metal is connected, only a single test need be performed. A visual or audible device (ohmmeter, buzzer, etc.) may be used to indicate grounding continuity. Products Requiring Grounding Continuity Test All products configured for AC operation ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 11 Issued: 06/21/07 Revised: 06/18/12 CORRELATION PAGE FOR MULTIPLE LISTINGS MULTIPLE LISTING The following products which are identical to those identified in the index except for model number and participant name are authorized to bear the ETL label under provisions of the Intertek Multiple Listing Program MULTIPLE LISTEE None BASIC LISTEE MANUFACTURER PRODUCT MULTIPLE LISTEE MODEL NO. BASIC LISTEE MODEL NO. BASIC LISTEE ORDER NO. ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 12 HI 4050 Weight Controller series Issued: 06/21/07 PHOTO NO. 1 5 1 6 9 3 8 10 2 4 ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 13 HI 4050 Weight Controller series Issued: 06/21/07 Revised: 06/18/12 PHOTO NO. 1 General - PHOTO NO. 1 shows the external view of the HI 4050-PM-AC-EIP-DN-N3 1. Enclosure – Aluminum, 2.5mm thick, with top and bottom panel plates secured by 4 screws each. Contains Main Controller and all PWAs secured to bottom connector access panel with screws. Top is secured to Display Bezel by knurled thumb screws, which secure bezel to panel when mounted. Screws are accessible on inside of enclosure only when mounted. See Illustration No. 2 2. Display Bezel – Recognized Component material, thermoplastic, Bayer type FR110, 94V-0, 1.6mm thick. The display bezel has an O-Ring gasket in the recessed in an outer groove to provide NEMA 4X protection when panel-mounted in a NEMA 4X enclosure. 3. AC Connector Plug – Recognized Component, Ria Connect, type 31351113, rated 300V, 15A. Non-arcing, secured by screws to faceplate; accessible/removable by tool only. 4. O-Ring Gasket – Made from Recognized Component material, Buna Nitrile, 162mm diameter, 3mm thick, ORings West, type N70-M3X162. O-Ring is recessed in bezel groove to provide NEMA 4X protection when panel-mounted in a NEMA 4X enclosure. 5. DIO Plug, Weigh Scale Plug – Recognized Component, Phoenix Contact or equiv., type MSTB, 9 pos., rated 300V, 12A. Non-arcing, requires >15N separation force. Alternate - Recognized Component, Sauro or equiv., type CIF, 9 pos., rated 300V, 15A. Non-arcing, requires >15N separation force 6. Main Controller, 24VDC Plug – Recognized Component, Phoenix Contact or equiv., type MSTB, 3 pos., rated 300V, 12A. Non-arcing, requires >15N separation force. Alternate - Recognized Component, Sauro or equiv., type CIF, 3 pos., rated 300V, 15A. Non-arcing, requires >15N separation force 7. AO Plug (not shown) - Recognized Component, Phoenix Contact or equiv., type MSTB, 8 pos., rated 300V, 12A. Non-arcing, requires >15N separation force. Alternate - Recognized Component, Sauro or equiv., type CIF, 8 pos., rated 300V, 15A. Non-arcing, requires >15N separation force. 8. Remote Display Plug - Recognized Component, Phoenix Contact or equiv., type MSTB, 6 pos., rated 300V, 12A. Non-arcing, requires >15N separation force. Alternate - Recognized Component, Sauro or equiv., type CIF, 6 pos., rated 300V, 15A. Non-arcing, requires >15N separation force 9. Printer/Score-Board Plug - Recognized Component, Phoenix Contact or equiv., type MSTB 2.5, 7 pos., rated 300V, 12A. Non-arcing, requires >15N separation force. Alternate - Recognized Component, Sauro or equiv., type CIF, 7 pos., rated 300V, 15A. Non-arcing, requires >15N separation force. 10. DeviceNet Plug - Recognized Component, Phoenix Contact or equiv., type MSTB 2.5, 5 pos., rated 300V, 12A. Non-arcing, requires >15N separation force. Alternate - Recognized Component, Sauro or equiv., type CIF, 5 pos., rated 300V, 15A. Non-arcing, requires >15N separation force. ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 14 Issued: 06/21/07 Revised: 06/18/12 HI 4050 Weight Controller series PHOTO NO. 2 2 4 5 1 3 6 ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 15 HI 4050 Weight Controller series Issued: 06/21/07 Revised: 11/15/12 PHOTO NO. 2 General - PHOTO NO. 2 shows the internal components of the display 1. Flex Circuit Cable, J2 – Unlisted Component, non-arcing. Connects Display PWA to Keypad. Nonarcing, requires >15N separation force. 2. Ribbon Cable, J7 – Unlisted Component, non-arcing. Connects Display PWA to Main Controller PWA. Non-arcing, requires >3X mass of the cable for separation force. Boards are secured by screws and produce no additional strain on cable. 3. LCD Display Interface – Unlisted Component, non-arcing. No sparking components or connectors. 4. ESD PWA (0534-0544-01-0) – Recognized Component PWB material, 94V-0. No sparking components or connectors. 5. Display PWA (0535-0541-01-0) – Recognized Component PWB material, 94V-0. Ribbon connector is non-arcing. Other connectors are not connected. No other sparking parts. 6. Membrane Button IC – Unlisted Component, used in non-incendive circuit. ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 16 HI 4050 Weight Controller series 3 Issued: 06/21/07 Revised: 09/13/12 PHOTO NO. 3 10 2 8 4 9 7 1 5 6 ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 17 HI 4050 Weight Controller series Issued: 06/21/07 Revised: 06/18/12 PHOTO NO. 3 General - PHOTO NO. 3 shows the internal PWAs AC Power Supply PWA: 0535-0545-01-0 (Optional Board) 1. Switching Power Supply – Recognized Component, Cincon Electronics Co. Ltd., p/n CFM1005S. Rated 85-264 VAC, 50/60 Hz, 420mA max load current; max.,output voltage24VDC Non-arcing; no sparking parts except for output trim POT which is accessible by tool only. 2. Y-Caps – Recognized Component, Vishay, p/n WYO 4n7m, rated 250VAC, non-incendive. 3. Bridge Cap – Recognized Component, Vishay, p/n F1772 AC275V SH, rated 250VAC, 0.47uF, nonincendive. 4. AC Input Connector, J1 – Unlisted Component, non-arcing, soldered to PCB; plug is screwed down and has tool access only. Connects Display PWA to Keypad. 5. Header, Power Supply to Main Controller – Unlisted Component, non-arcing. Connects Power Supply to Main Controller PWA. Boards are secured together by screws and have no possibility of breaking contact except by removal with tool. Main Controller PWA: 0535-0540-01-0 6. J1 – Recognized Component, Phoenix Contact or equiv., type MSTB 2.5, 3 pos., rated 300V, 12A. Non-arcing; headers are soldered to PCB; mating plugs require >15N separation force. Alternate - Recognized Component, Sauro or equiv., type CIM, 3 pos., rated 300V, 15A. Non-arcing; headers are soldered to PCB; mating plugs requires >15N separation force. 7. J2 – Recognized Component, Phoenix Contact or equiv., type MSTB 2.5, 7 pos., rated 300V, 12A. Non-arcing; headers are soldered to PCB; mating plugs require >15N separation force. Alternate - Recognized Component, Sauro or equiv., type CIM, 7 pos., rated 300V, 15A. Non-arcing; headers are soldered to PCB; mating plugs requires >15N separation force 8. J4 – J11, Headers – Unlisted Components, non-arcing. Connects Main Controller PWA to other cards. Boards are secured together by screws and have no possibility of breaking contact except by removal with tool. 9. Battery, BT1 – Recognized Component, Panasonic, p/n BR1225, rated 3V, 48mAh, non-arcing; board accessible by tool only. Alternate - Recognized Component, Panasonic, p/n BR1220, rated 3V, 35mAh, non-arcing; board accessible by tool only Alternate - Recognized Component, Rayovac, p/n BR1225, rated 3V, 50mAh, non-arcing; board accessible by tool only (OEM- Panasonic) 10. Dip Switch, S2 – Unlisted Components, non-arcing, non-accessible. Dip switch for unit configuration, board accessible by tool only. ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 18 HI 4050 Weight Controller series Issued: 06/21/07 Revised: 09/13/12 PHOTO NO. 4 General - PHOTO NO. 4 show the DeviceNet, DIO, Weigh Scale, and Analog Ouput PWAs. 15 16 11 13 12 14 ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 19 Issued: 06/21/07 Revised: 09/13/12 HI 4050 Weight Controller series General - PHOTO NO. 4 PHOTO NO. 4 shows the DeviceNet, DIO, Weigh Scale, and Analog Ouput PWAs. DeviceNet PWA: 0535-0543-01-0 (Optional Board) and DIO PWA: 0535-0547-01-0 (Optional Board) 11. J1 – Recognized Component, Phoenix Contact or equiv., type MSTB, 5 pos. (DeviceNet), 9 pos. (DIO), rated 300V, 12A. Non-arcing; headers are soldered to PCB; mating plugs require >15N separation force. Alternate - Recognized Component, Sauro or equiv., type CIM, 5 pos. (DeviceNet), 9 pos. (DIO), rated 300V, 15A. Non-arcing; headers are soldered to PCB; mating plugs requires >15N separation force 12. J11 (DeviceNet), J2 (DIO), Header – Unlisted Components, non-arcing. Connect to Main Controller PWA. Non-arcing; headers are soldered to PCB; mating plugs require >15N separation force. 13. Optos, U1, U4 (DeviceNet Only) – Recognized Component, Texas Instruments, p/n ISO721D/ISO721DR, rated 560V working, 4kV iso. 14. Opto U5 (DeviceNet) and U2, U3, U4 (DIO) – Recognized Component, Fairchild Semiconductor, p/n H11L1s/H11L1SM, 7.5kV iso. Weigh Scale PWA: 0535-0542-01-0 and Analog Output PWA: 0535-0546-01-0 (Optional Board) 15. J1 – Recognized Component, Phoenix Contact or equiv., type MSTB, 9 pos. (Weigh Scale), 8 pos. (Analog Output), rated 300V, 12A. Non-arcing; headers are soldered to PCB; mating plugs require >15N separation force. Alternate - Recognized Component, Sauro or equiv., type CIM, 9 pos. (Weigh Scale), 8 pos. (Analog Output), rated 300V, 15A. Non-arcing; headers are soldered to PCB; mating plugs require >15N separation force 16. J2, Header – Unlisted Component, non-arcing. Connects to Main Controller PWA. Boards are secured together by screws and have no possibility of breaking contact except by removal with tool. ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 19a New: 09/13/12 HI 4050 Weight Controller series PHOTO NO. 5 General -PHOTO NO. 5 shows the 2000 Series Digital Weigh Scale Input Card and 4000 Series Digital Weigh Scale Input Card 2 4 1 3 7 5 6 8 2000 Series Digital Weigh Scale Input Card 2 4 1 7 5 6 4000 Series Digital Weigh Scale Input Card 8 ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 19b HI 4050 Weight Controller series New: 09/13/12 PHOTO NO. 5 General -PHOTO NO. 5 shows the 2000 Series Digital Weigh Scale Input Card and 4000 Series Digital Weigh Scale Input Card 1. J6- BNC connector, Recognized component, Tyco electronics, Soldered to PCB, requiring >15 N force, Used to connect digital load cell as input, Temp. Range: -65ºC to +85ºC 2. U1-Microcontroller- Manufacturer- STMicroelectronics, p/n STM32F101x C/D/E high-density access line microcontrollers, 36 MHz maximum frequency, ARM-based 32-bit MCU, Temp. Range: -40ºC to +85ºC, Operating voltage 2V to 3.6V 3. U5- Logic Integration chip-Manufacturer-XILINX, p/n- XC9500 series 4. IC6, IC7, IC2, IC1, IC10- Low voltage octal buffer/line driver, Manufacturer- Fairchild semiconductor, p/n-74LCX541, Temp. Range: -40ºC to +85ºC Alternate- Octal buffer/line driver Manufacturer- Texas Instruments, p/n- SN54HC541, SN74HC541, Temp. Range: -40ºC to +85ºC 5. C12- Electrolytic Capacitor-Manufacturer-Nichicon, p/n PM series, Temp. Range: – 55°C to +105°C , RoHS compliant 6. L3- Inductor, Manufacturer-Sumida, P/N- RCH-895 series, Temp. Range: – 40°C to +100°C , RoHS compliant 7. IC8-Static RAM, Manufacturer- Cypress Semiconductor Corporation, p/n-CY7C1399BN, Temp. Range:–40 °C to 85 °C. 3.3V, 180mW (max) 8. C10-Capacitor-Manufacturer-Panasonic, Radial Lead type, Series M, type A, Max Temp: 85ºC, RoHs Compliant ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 19c New: 09/13/12 HI 4050 Weight Controller series PHOTO NO. 6 General -PHOTO NO. 6 shows the Analog Weigh Scale Input Card (New A to D Chip) and ControlNet IO Interface Option Card 1 3 2 Analog Weigh Scale Input Card (New A to D Chip) 6 4 5 ControlNet IO Interface Option Card ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions HI 4050 Weight Controller series Page 19d New: 09/13/12 PHOTO NO. 6 General -PHOTO NO. 6 shows the Analog Weigh Scale Input Card (New A to D Chip) and ControlNet IO Interface Option Card 1. J1 – Recognized Component, Phoenix Contact or equiv., type MSTB, 9 pos rated 300V, 12A. Non-arcing; headers are soldered to PCB; mating plugs require >15N separation force Alternate - Recognized Component, Sauro or equiv., type CIM, 9 pos. rated 300V, 15A. Non-arcing; headers are soldered to PCB; mating plugs requires >15N separation force 2. L2-L8 – Suppression component, part number 2743037447, RoHS compliant, max current rating 5 Amp., Max Rdc 1.2 m Ω 3. New A to D chip (U1) - Part number AD7190, Manufacturer-Analog devices, Temp. Range -40ºC to +105 ºC. Current – 6mA, Max Junction Temp. 150 ºC 4. Assembly Cover – Recognized component (UL file number: E122538), Manufacturer – Polykemi, UL-94 at 1.6mm HB 5. Elbow Socket- Manufacture-Tyco electronics, Drawing number: 1634513, Rev. C, requires>15N separation force, Contact resistance 3 m Ω, 6. DC-DC Convertor- Manufacturer-Power mate technology Co. Ltd, Output current limit 2.5Amp, Temp. Range -40ºC to +85 ºC, RoHS compliant ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 19e New: 09/13/12 HI 4050 Weight Controller series PHOTO NO. 7 General -PHOTO NO. 7 shows the Digital IO Option Card and ProfiBus Interface Option Card 2 1 3 4 5 Digital IO Option Card 7 6 8 9 ProfiBus Interface Option Card ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 19f HI 4050 Weight Controller series New: 09/13/12 PHOTO NO. 7 General -PHOTO NO. 7 show the Digital IO Option Card and ProfiBus Interface Option Card 1. J1 – Recognized Component, Phoenix Contact or equiv., type MSTB, 9 pos rated 300V, 12A. Non-arcing; headers are soldered to PCB; mating plugs require >15N separation force Alternate - Recognized Component, Sauro or equiv., type CIM, 9 pos. rated 300V, 15A. Non-arcing; headers are soldered to PCB; mating plugs requires >15N separation force 2. Q7, Q12, Q10, Q14- NPN Transistors, Manufacturer- Fairchild Semiconductor, p/n- MJD47/50, Junction Temperature: 150º , base current: 0.6A Alternate - NPN Transistors, Manufacturer- On Semiconductor, p/n- MJD47/NJVMJD47T4G/ MJD50,, Junction Temperature: 150º , base current: 0.6A Alternate - NPN Transistors, Manufacturer- STMicroelectronics, p/n- MJD4, Junction Temperature: 150º, base current: 0.6A 3. U1- Microcontroller, Manufacturer- Microchip, p/n PIC16F87/88, Temp. range: -40°C to +125° C, Operating voltage 2.0V to 5.5V 4. F1, F2, F3, F4- Fuses, Recognized Component, Manufacturer-Bourns, Temp range: -40 °C to +85 °C p/nMF-SM Series, Not subject to overlaod during normal operation Alternate- Recognized Component, Manufacturer- Little fuse, Max Temp: 85 °C p/n- 2016L Series, Not subject to overlaod during normal operation 5. U2, U3, U4-Optocoupler- Manufacturer- Fairchild Semiconductor p/n- H11L1M, H11L2M, H11L3M, Temp range: -40 °C to +85 °C 6. J1-Connector/ Receptacle, Manufacturer- ITT, p/n ZEDEL9SBA/ZEDE9SBA, Mechanically secured to board, requiring > 15N force, Number of contact positions-9 Alternate – Manufacturer- TE, p/n 5745781/ 5747844,Mechanically secured to board, requiring > 15N force, Number of contact positions-9 7. U9- Profibus controller, Manufacturer- Siemens, p/n- SPC3, Version 1.6, Max supply voltage 6V, Max input current 10 mA, Temp range: -40 °C to +85 °C 8. U15- Clock oscillator, Manufacturer- ECS Inc. International, p/n- ECS-8FMX (5V) Frequency-48Mhz Temp range: -40 °C to +85 °C 9. T1- Power Transformer, Manufacturer- Coilcraft, p/n- DA2303-AL, Primary voltage 5V, Temp range: –40°C to +125°C ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 19g New: 09/13/12 HI 4050 Weight Controller series PHOTO NO. 8 General -PHOTO NO. 8 show the Remote IO Interface Option Card 4 3 2 1 5 6 Remote IO Interface Option Card 7 ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 19h HI 4050 Weight Controller series New: 09/13/12 PHOTO NO. 8 General -PHOTO NO. 8 show the Remote IO Interface Option Card 1. J1 – Recognized Component, Phoenix Contact or equiv., type MSTB, 5 pos rated 300V, 12A. Non-arcing; headers are soldered to PCB; mating plugs require >15N separation force Alternate - Recognized Component, Sauro or equiv., type CIM, 5 pos. rated 300V, 15A. Non-arcing; headers are soldered to PCB; mating plugs requires >15N separation force 2. U5- Main communication chip, Manufacturer- Allen bradley, Drawing number-94317700-A04, Rev B, Dated 11/02/05, Temp range 0ºC to 85 ºC 3. Transistor (U4)- 8 bit bidirectional voltage level transistor, Manufacturer-Texas Instruments, Temp. Range -40ºC to +85 ºC, Conti. Output current-50mA 4. Capacitor (C14)- Interference Suppression Film Capacitor, Manufcaturer- Vishay, P/n-F1772-2 310 V-X2, MKT Radial Potted Type, 0.047µF, Recognized component (UL and CSA), Max temp : 110 °C Alternate - Interference Suppression Film Capacitor, Manufcaturer- Vishay, P/n- MKP336 2 X2, MKT Radial Potted Type, 0.047µF, Recognized component (UL and CSA), Max temp - 110 °C 5. T1-Transformer-Manufacturer- Allen Bradley, Drawing number 97624200, Rev D01, Dated 05-13-96 6. DIP Switch (S1) - Unlisted Components, CTS Corp, non-arcing, non-accessible. Dip switch for unit configuration, board accessible by tool only Alternate - Unlisted Components, Tyco electronics, non-arcing, non-accessible. Dip switch for unit configuration, board accessible by tool only 7. Diodes (D1 and D2) – Unlisted component, Manufacturer- Onsemiconductor,MRA4005T, Temp. Range 55ºC to +150 ºC ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions HI 4050 Weight Controller series Page 20 Issued: 06/21/07 Revised: 11/15/12 ILLUSTRATION NO. 1 ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions HI 4050 Weight Controller series Page 21 Issued: 06/21/07 Revised: 11/15/12 ILLUSTRATION NO. 1 ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions HI 4050 Weight Controller series Page 22 Issued: 06/21/07 Revised: 09/13/12 ILLUSTRATION NO. 1 ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions HI 4050 Weight Controller series Page 23 Issued: 06/21/07 Revised: 09/13/12 ILLUSTRATION NO. 1 ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions HI 4050 Weight Controller series Page 24 Issued: 06/21/07 Revised: 09/13/12 ILLUSTRATION NO. 1 ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions HI 4050 Weight Controller series Page 25 Issued: 06/21/07 Revised: 06/18/12 ILLUSTRATION NO. 2 ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 26 HI 4050 Weight Controller series Issued: 06/21/07 Revised: 11/15/12 MARKING NO. 1 Label for AC units Label for DC Units ED 16.3.13 (4/27/07) Report No. 3116703DAL-001 Hardy Process Solutions Page 27 Issued: 06/21/07 Revised: 06/18/12 HI 4050 Weight Controller series Evaluation of Unlisted Components Because unlisted components are uncontrolled, and they do not fall under a third party follow up program, Intertek may require these components to be tested and/or evaluated at least once annually, more often for certain components, as part of the independent certification process. The unlisted components in the table below require testing and/or evaluation as indicated. Note to Intertek Follow Up Inspector: The Component Evaluation Center, CEC, will notify you in writing when these components must be selected and sent to the CEC for re-evaluation Ship the samples to: Intertek Testing Services Component Evaluation Center 13200 Levan Road Livonia, MI 48150 USA Sample Disposition: Due to the destructive nature of the testing, all samples will be discarded at the conclusion of testing unless, the manufacturer specifically requests the return of the samples. The request for return must accompany the initial component shipment. The Unlisted Components covered by this report are shown in the following Table: ED 16.3.13 (4/27/07) Required Action*** Visual – verify thickness, material per Illustration No.2 Quarterly 1 No Visual – verify thickness and material Annual 1 Yes Partial – Spectral Analysis Test Quarterly 1 No Visual – verify board part number Quarterly 1 No Visual – verify board part number Quarterly 1 No Visual – verify board part number Quarterly 1 No Visual – verify board part number Quarterly 1 No Visual – verify board part number Quarterly 1 No Visual – verify board part number Quarterly 1 No Visual – verify board part number Quarterly 1 No Visual – verify board part number Qty Quarterly Page 28 1 Send to CEC (YES or NO) No Frequency* Report No.3116703DAL-001 Hardy Process Solutions Photo Item Component Manufacturer Catalog No. No. No. Description 1 1 Enclosure Display 1 2 Bezel O-Rings N701 4 O-Ring West M3X162 0534-05442 4 ESD PWA Hardy 01-0 Display 0535-05412 5 Hardy PWA 01-0 AC Power 0535-05453 1-5 Supply Hardy 01-0 PWA Main 0535-05403 6–10 Controller Hardy 01-0 PWA 11- DeviceNet 0535-05434 Hardy 14 PWA 01-0 110535-05474 DIO PWA Hardy 14 01-0 15Weigh 0535-05424 Hardy 16 Scale PWA 01-0 15Analog 0535-05464 Hardy 16 Output PWA 01-0 * Quarterly, semi-annual, annual. ** note: Indicate any samples not available and provide the anticipated date that the component will be available. *** Required Action (select one of the three): Visual Partial Full Evaluation Note: Issued: 06/21/07 Revised: 09/13/12 Visual means the quarterly verification of the description of the unlisted component in the report is sufficient for Certification. ED 16.3.13 (4/27/0