EU DECLARATION OF CONFORMITY

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1 No.EI SWK0021A Original om Ron EU DECLARATION OF CONFORMITY 1. Product Models/Products: D4BS Series 2. Name and address of the manufacturer: OMRON Corporation Shiokoji Horikawa Shimogyo-Ku. Kyoto Japan 3. This declaration of conformity is issued under the sole responsibility of the manufacturer. 4. Objects of the declaration: D4BS Series. Safety Door Switches 5. The objects of the declaration described above are in conformity with the relevant Union harmonization legislation: 2006/42/EC Machinery Directive 6. References to the relevant harmonized standards used or references to the other technical specifications in relation to which conformity is declared: EN : Clause Place and date of issue: ~'-"'-'-=-:r-.x...;;...;f=~-==--""'--';:...;..;.=a.:;+--=:;._=-~-=-- Signature: Name: Function: Industrial Automation Company. Safety Division. Safety Product Management Group Manager 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 111 GQ Al

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3 Zertifikat Certificate mit iiberwachter Konformitiit of surveyed conformity Zertifikat Nr. Certificate No. J Blatt Page TUVRheinland Ihr Zeichen Client Reference 13IF048 Unser Zeichen Our Reference ZK-RYK Ausstellungsdatum Date of Issue ( daylmolyr) Genehmigungsinhaber License Holder Fertigungsstatte Manufacturing Plant Omron Corp. Togo Electronics Works Co., Ltd. Shiokoji Horikawa, Shimogyo-ku Kadota, Yurihama-cho Kyoto-shi, Kyoto Tohaku-gun, Tottori JAPAN JAPAN Priifzeichen Test Mark _A@ TUVRheinland Safety Regular Production Surveillance ID Gepriift nach Tested ace. to GS-ET-15:2001 EN :2004+A1 Zertifiziertes Produkt ( Gerateidentifikation) Certified Product (Product Identification) Lizenzentgelte - Einheit License Fee- Unit Safety Door Interlock Switch, as page 0001 Changes Test Requirement: EN :2004 changed to: EN :2004+A1 Factory: Omron Izumo Co., Ltd Nishi-Hayashigi-cho Izumo-shi, Shimane JAPAN withdrawn Dem Zertifikat liegt unsere Priif- und Zertifizierungsordnung zugrunde. Das Produkt entspricht den o.g. Anforderungen, die Herstellung wird iiberwacht. This certificate is based on our Testing and Certification Regulation. The product fulfills above mentioned requirements, the production is subject to surveillance. Zertifizierungsstelle TUv Rheinland LGA Products GmbH, TillystraBe 2, Niirnberg Tel.: cert-validity@de.tuv.com Fax: Dipi.-Ing. (FH) J. Taylor 10/020 d TUV, TUEV and TUV are registered trademarks, Utilisation and application requires prior approval

4 TOV Rheinland Product Safety GmbH Am Grauen Stein D Koln Certificate No.: J Our reference: ZO- CSH/nko Appendix No.: 1 (To be filled in by TOV Rheinland) Constructional Data Form (GS-ET-15)!:A TUV Page 4/5 TYPE NOMENCLATURE: Door Switch D4BS I - Basic type D4BS D4BS F S - # # # -1-1i Til Tv v VI VII VIII II - Conduit variation 1: PG13.5 2: G1/2 3: 1/2-14NPT 4: M20 5: PG13.5 (3 conduits type) 6: G1/2 (3 conduits type) 7: 1/2-14NPT (3 conduits type) 8: M20 (3 conduits type) Ill - Switch mechanism 5: 1 NC/1 NO (slow action) 6: 1 NC/1 NO (slow action) (Gold plated contact) 7: 1 NC/1 NO (slow action) (Make before break type) 8: 1 NC/1 NO (slow action) (Make before break type) (Gold plated contact) A: 2NC (slow action) B: 2NC (slow action) (Gold plated contact) All of above types have direct opening mechanism. IV - Head direction F: Front R: Right L: Left B: Back Head direction is easily changeable to above four directions by users. V - Head variation S: Standard VI - Indicator Blank: without indicator VII- Body color Blank : Standard color R :Red VIII- Customer code Blank : Standard # tomer code -maximum 6 digit letter(s) and/or number(s) /)m;~tn lzuli1p' tjo'l L t/ (Place) (Stamp and Signature of Applicant)

5 TOV Rheinland Product Safety GmbH Am Grauen Stein D Koln Certificate No.: J Our reference: ZO- CSH/nko Appendix No.: 1 (To be filled in by TOV Rheinland) Constructional Data Form (GS-ET-15) A TUV Page 5/5 Actuating Key (Tounge) D4BS I - Basic type D4BS-K D4BS K 1 - # I 11 iii II- Operation Key Type 1 : Parallel type 2: Vertical type 3: Adjustable type #: Other type code- maximum 3 digit letter(s) and/or number(s) Ill - Customer Code Blank: Standard # : Customer code- maximum 6 digit letter(s) and/or number(s) (Jmr?Jnlzumo {}>. 1 Ltt! (Place) ()e-u.l lh-1t~fl6 1 (Date) (Stamp and Signature of Applicant)

6 5/25/2018 NKCR.E Auxiliary Devices NKCR.E76675 Auxiliary Devices If you notice a change to your NKCR Listing Card, click here to learn more. Page Bottom Auxiliary Devices See General Information for Auxiliary Devices OMRON CORP SAFETY STANDARDS GROUP IAB GLOBAL QUALITY CENTER SHIOKOJI HORIKAWA SHIMOGYO-KU, KYOTO JAPAN E76675 Trademark and/or Tradename:, Investigated to ANSI/UL 508 Emergency Stop Pushbutton Switches Model(s) Series A22NE, followed by -S, -M or -L, may be followed by P, may be followed by RC, RO, RS or TN, followed by -P, followed by 0, 1, 2, A, B or C, followed by 0, 1, 2, A, B or C, followed by 0, 1, 2, A, B or C, followed by -N, -A, -B, -C, -D or -E, may be followed by -B, -S or -SB. Auxilary Device Enclosed Model(s) Switches, type D4SL-N; followed by 1, 2, 3 or 4; followed by A, B, C, D, E, F, G, H, J, K, L, M, N, P, Q or R; followed by F or D; followed by A or G; may be followed by C or D; may be followed by 4; followed by C; followed by 1, 3 or 5 may be followed by additional letter(s) and/or number(s). Auxilary Device Enclosed Key-type Selector Switch Model(s) A22LK, followed by 2RLA or 2RLB,followed by 22,13,or 04,may be followed by K, followed by 01, may be followed by up to 10 letters and/or numbers. Auxilary Device Open type Model(s) G9SE Series followed by 2, 4, followed by 0, 2, followed by 1, followed by blank, T05, or T30. Door lock switches Model(s) D4GL, followed by 1, 2, 3 or 4, followed by A thru H or J thru M, followed by B, F, L, R, D, E, G or H, followed by A, G or N, may be followed by A, B or C, may be followed by 4, may be followed by N.* Door switches Model(s) D4BL Series, followed by 1, 2, 3 or 4, followed by C, D, E or F, followed by A, B C, D, E, F or G, followed by blank, A, B, C, D, E or F, followed by blank, or T, followed by blank or up to six letters and/or numbers. D4BS-11BSF1*, D4BS-11FSF1*, D4BS-11LSF1*, D4BS-11RSF1* D4GS-N, followed by 1, 2, 3 or 4, followed by R or T, may be followed by 3, 5 or up to two letter and/or numbers, may be followed by up to six letters and/or numbers. D4JL, followed by 1, 2, 3 or 4, followed by A thru H, J thru N or P thru R, followed by D or F, followed by A or G, followed by C or D, followed by 5, 6, 7, or 8, followed by blank, followed by blank, Y or Z, may be followed by four alphanumeric code, may be followed by six digit maximum alphanumeric code. D4N 9120GP D4N, may be followed by A or H, followed by 1 thru 9 or A, B or C, followed by 1, 2 or A thru G, followed by 20, 21, 21-TK, 22 thru 29, 2B, 2C, 2D, 2G, 2H, 2J, 2L, 31, 32, 34, 62, 63, 72, 80, 87, RE, LE, AS, BC or AS1, may be followed by R.* D4NL, followed by 1, 2, 3 or 4, followed by A thru H, J thru N, P or Q, followed by B, D, E, F, G, L or R, followed by A, B, C, D, E, F, G, H, J, K or L, may be followed by A thru F, may be followed by 4, may be followed by S, may be followed by Z.* D4NS, followed by 1 thru 9 or A, B or C, followed by A thru F, followed by B, D, E, F, G, H, L or R.* Illuminated Pushbutton Switches Model(s) Series A22N, followed by L, followed by BN, BP, BG, BM, MN, MP, MG, MM, RN, RP, or RM, followed by A or M, followed by TR, TG, TY, TW, TA, or TO, followed by A, followed by G or P, followed by 0,1,2,A,B,or C, followed by 0, followed by

7 5/25/2018 NKCR.E Auxiliary Devices 0,1,2,A,B,or C, followed by R, G, Y, W, A, or O, followed by A, B, C, D, or E. Illuminated Pushbuttons Switches Model(s) Series A30N, followed by L, followed by MN, MP, MG, or MM, followed by A or M, followed by TR, TG, TY, TW, TA, or TO, followed by A, followed by G or P, followed by 0,1,2,A,B,or C, followed by 0, followed by 0,1,2,A,B,or C, followed by R, G, Y, W, A, or O, followed by A, B, C, D, or E. Illuminated Selector Switches Model(s) Series A22N, followed by W, followed by 2B, 2M, 2R, 3B, 3M, or 3R, followed by M, L, R, or B, followed by TR, TG, TY, TW, TA, or TO, followed by A, followed by G or P, followed by 0,1,2,A,B,or C, followed by 0, followed by 0,1,2,A,B,or C, followed by R, G, Y, W, A, or O, followed by A, B, C, D, or E. Series A30N, followed by W, followed by 2M or 3M, followed by M, L, R, or B, followed by TR, TG, TY, TW, TA, or TO, followed by A, followed by G or P, followed by 0,1,2,A,B,or C, followed by 0, followed by 0,1,2,A,B,or C, followed by R, G, Y, W, A, or O, followed by A, B, C, D, or E. Key Selector Switches Model(s) Series A22N, followed by K, followed 2B, 2M, 2R, 3B, 3M, or 3R, followed by M, L, R, or B, followed by 01, followed by A, B, C, D, E, F, or G, followed by A, followed by G or P, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C. Series A30N, followed by K, followed 2M or 3M, followed by M, L, R, or B, followed by 01, 02, 03, 04, 05, or 06, followed by A, B, C, D, E, F, or G, followed by A, followed by G or P, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C. Lamp Block Model(s) Series A22N, followed by Z, followed by T, followed by A, B, C, D, or E follow by P or blank, followed by blank or N. Limit switches Model(s) D4A, followed by 3, may be followed by E, followed by 01-06, 07-V, 07-H, 08-12, or 24, may be followed by N, followed by GM or KGM.* D4B, followed by -1, -2, -3, -4, -5, -6, -7 or -8, followed by 1, 2, 3, 4, 5, 6, 7, 8, A, B, C or D, followed by 1 thru 8 or 00, may be followed by up to two numbers or letters, followed by N, may be followed by LD or LE.* D4B-F, followed by 1, 2, 3 or 4, followed by 1, 2 or 3, followed by 11, 15, 1F or 1R, followed by F, may be followed by 1.* D4BS, followed by -1, -2, -3, -4, -5, -6, -7 or -8, followed by 5, 6, 7, 8, A or B, followed by F, R, L or B, followed by S, may be followed by LD or LE.* D4C, followed by 10, 20, 30, A0, C0 or D0, followed by a two digit number, followed by DRAJ01 or ARAJ01.* D4C-1*, D4C-2*, D4C-3*, D4C-4*, D4C-5*, D4C-6*, D4CC-1*, D4CC-2*, D4CC-3*, D4CC-4*, D4CC-5*, D4CC-6* D4F, followed by 1 thru 5, followed by 0 or 2, followed by 0, 2, 3, G or H, followed by a number, followed by R, L or D.* SHL, followed by D, Q or W, with or without 1 or 2 digit number, followed by 55, followed by blank, followed by blank, L, L6 or L7, followed by blank, MD, ML or MR, followed by blank, 2 or 3, followed by blank, TC or TH, followed by blank or 11, followed by blank or T, followed by blank or up to six additional letters and/or numbers. ##, RCA2-2, CA2-2##, CA-2##, CA12-2##, CL##-2##, CAL##-2##, RCA2-2N, CA2-2##N, CA-2##N, CA12-2##N, CL##-2##N or SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed by P1, TH or TC55, may be followed by E2 or P2, may be followed by 139 to 145, RP4# or RP6#, followed by LD or LR, may be followed by 2 or 3, may be followed by A or F, may be followed by S or S2, followed by -M1J###,- M1GJ###, -M1JB###, -DGJ###, -DGJS###, -DHJS###-A, -DK1CJ###, -DK1EJ###, -DK1EJ2###, -M1TJ###, -M1TJB###, -M1TGJ###, - DTGJ###, -DTGJS###, -DTK1EJ###, K13, K15, K17, K41, K42, K43 or K51, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s). ($) SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed by P1, RP, RP7, RP8, RP9 or E10, may be followed by 55, may be followed by TH or TC, may be followed by E2 or P2, may be followed by 139 to 145, RP4# or RP6#, may be followed by A or F, may be followed by S or S2, followed by -AGJ### or -AK1EJ###, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s).($) SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed by P1, RP, RP7, RP8, RP9 or E10, may be followed by 55, may be followed by TH or TC, may be followed by E2 or P2, may be followed by 139 to 145, RP4# or RP6#, may be followed by A or F, may be followed by S or S2, followed by -M1J###,-M1GJ###, -M1JB###, -DGJ###, -DGJS###, -DHJS###-A, -DK1CJ###, -DK1EJ###, -DK1EJ2###, -M1TJ###, -M1TJB###, - M1TGJ###, -DTGJ###, -DTGJS### or, -DTK1EJ###, K13, K15, K17, K41, K42, K43 or K51, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s). ($) SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed by P1, RP, RP7, RP8, RP9 or E10, may be followed by 55, may be followed by TH or TC, may be followed by E2 or P2, may be followed by RP60U, may be followed by G1, G, Y or TS, may be followed by A or F, may be followed by S or S2, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s). ($) SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed by P1, TH or TC55, may be followed by E2 or P2, may be followed by 139 to 145, RP4# or RP6#, followed by LD or LR, may be followed by 2 or 3, may be followed by A or F, may be followed by S or S2, followed by -AGJ### or -AK1EJ###, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s). ($) SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed by P1, TH or TC55, may be followed by E2 or P2, may be followed by RP60U, may

8 5/25/2018 NKCR.E Auxiliary Devices be followed by G1, G, Y or TS, followed by LE, may be folowed by 2 or 3, may be followed by A or F, may be followed by S or S2, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s). ($) ##, RCA2-2, CA2-2##, CA-2##, CA12-2##, CL##-2##, CAL##-2##, RCA2-2N, CA2-2##N, CA-2##N, CA12-2##N, CL##-2##N, SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed 55, may be followed by E2 or P2, may be followed by 139 to 145, RP4# or RP6#, followed by LE, may be followed by 2 or 3, may be followed by A or F, may be followed by S or S2, followed by -AGJ### or -AK1EJ###, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s). ($) WL, may be followed by R, followed by C, D, G, H, NJ, or SD, followed by a number, may be followed by LD, followed by GM, KGM or K-GM.* WL, may be followed by R, may be followed by 01, may be followed by A or B, may be followed by M, followed by C#, D#, G#, H#, NJ#, or SD# where # is up to a ten-digit symbol of letter(s) and/or number(s), may be followed by E2, may be followed by RP, 10, or 31, may be followed by P1, may be followed by 55, may be followed by TC, TC2, TH, or T, may be followed by 13##, RP4##, RP5##, RP6##, or 14##, where ## is a one or two digit symbol of letter(s) and/or number(s), may be followed by G1, G, Y, TS, or C, may be followed by LE, LD, LDN, LR or R, may be followed by 2 or 3, may be followed by A or F, may be followed by S, may be followed by DGJ###, DTGJ###, DK1CJ###, DK1EJ###, DTK1EJ###, M1J###, M1TJ###, M1GJ###, M1TGJ###, M5J###, DHJS###, AGJ###, AK1EJ####, AK1J###, AK4EJ### or K###, where ### is up to a five digit symbol of letter(s) and/or number(s), may be followed by up to a five digit symbol of letter(s) and/or number(s). ZE, ZV or ZV2, may be followed by -01 or Y, followed by N or Q, followed by six letters and/or numbers, may be followed by 2, may be followed by G, G1, S or Y, may be followed by TC or TH.* Limit switches, actuator heads Model(s) D4A-0001N*, D4A-0002N*, D4A-0003N*, D4A-0004N*, D4A-0005N*, D4A-0006N*, D4A-0007HN*, D4A-0007VN*, D4A-0008N*, D4A-0009N*, D4A-0010N*, D4A-0011N*, D4A-0012N*, D4A-0014N*, D4A-0015N*, D4A-0016N*, D4A-0017N*, D4A-0018N*, D4A-0019N*, D4A-0020N*, D4A-0024N* Limit switches, bodies Model(s) D4A-0000N*, D4A-0100N*, D4A-0300N*, D4A-0500N*, D4A-0700N*, D4A-0900N*, D4A-0E00N* Limit switches, receptacles Model(s) D4A-1000*, D4A-1000N*, D4A-2000*, D4A-2000N*, D4A-3000*, D4A-3000N*, D4A-4000*, D4A- 4000N*, D4A-5000*, D4A-5000N*, D4A-6000*, D4A-6000N* Limit swtiches Model(s) WL, may be followed by M, followed by RCA2-, CA2-##, CA-##, CA12-##, CL##-##, CAL##-##, RG2-, G2-##, G12- ##, GL##-##, GAL##-##, RCA2-2, CA2-2##, CA-2##, CA12-2##, CL##-2##, CAL##-2##, RCA2-2N, CA2-2##N, CA-2##N, CA12-2##N, CL##-2##N or, CAL##-2##N, RGCA-, GCA2-##, GCA12-##, GCL##-##, GCAL##-##, RCA32-, CA32-###, D###-, D2###-, D3###-, SD###-, SD2###-, SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed by P1, TH or TC55, may be followed by E2 or P2, may be followed by RP60U, may be followed by G1, G, Y or TS, followed by LD or LR, may be followed by 2 or 3, may be followed by A or F, may be followed by S or S2, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s). ($) Magnetically actuated switches Model(s) D40B-1B10, D40B-1B3, D40B-1D10, D40B-1D3, D40B-2B10, D40B-2B3, D40B-2D10, D40B-2D3, D40B-3D5C, D40B-3E5C, D40B-A1, D40B-A2, D40B-A3, D40B-J1, D40B-J2, D40B-S1B10, D40B-S1B3, D40B-S1D10, D40B-S1D3, D40B-S2B10, D40B-S2B3, D40B-S2D10, D40B-S2D3, D40B-S3D5C, D40B-S3E5C Non-contact door switches Model(s) D40A-1C, followed by 2, 5, or a three digit number, may be followed by -F.+ D40Z, followed by 1, followed by C, may be followed by 2 or 5, may be followed by S or A.* Non-contact door switches, actuators only Model(s) D40A-A1 Non-contact door switches, sensors only Model(s) D40A-A1C2, D40A-A1C5 Pendant enable switches Model(s) A4EG-, followed by B or C, followed by 00, E1, E2, M2, P1 or P2, followed by 0, B, R, Y or G, followed by 0, followed by 1, 2 or 4, followed by 0 or 1, may be followed by SH, may be followed by up to six number(s) and/or letter(s) except for A. Pilot Light Model(s) Series M22N, followed by BN, BP, BG or BC, followed by TR, TG, TY, TW, TA, Or TO, followed by A, followed by R, G, Y, W, A, or O, followed by A, B, C, D, or E, followed by P or blank Pilot Lights Model(s) Series M30N, followed by MN, MP, MG, or MC, followed by TR, TG, TY, TW, TA, Or TO, followed by A, followed by R, G, Y, W, A, or O, followed by A, B, C, D, or E, followed by P or blank. Pushbutton Switch Model(s) Series A22N, followed by N, followed by BN, BP, BG, BM, MN, MP, MG, MM, RN, RP, or RM, followed by A or M, followed by NR, NG, NY, NW, NA, NB, UR, UG, UY, UW, UA or UO, followed by A, followed by G or P, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by N, followed by N. Pushbuttons Switches Model(s) Series A30N, followed by N, followed by MN, MP, MG, or MM, followed by A or M, followed by NR, NG, NY, NW, NA, NB, UR, UG, UY, UW, UA or UO, followed by A, followed by G or P, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by N, followed by N. Selector Switches Model(s) Series A22N, followed by S, followed by 2B, 2M, 2R, 3B, 3M, or 3R, followed by M, L, R, or B, followed by NR, NG, NY, NW, NA, or NB, followed by A, followed by G or P, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by N, followed by N. Series A30N, followed by S, followed by 2M or 3M, followed by M, L, R, or B, followed by NR, NG, NY, NW, NA, or NB, followed by A, followed by G or P, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by N, followed by N. Switch Contact Block Model(s) Series A22N followed by Z, followed by S, followed by G or P, followed by 1 or 2, followed by A,B or C, followed by blank or N. Terminal relays Model(s) F3SP-T01 ($) - ##: w/wo Maximum 2 digits number(s), ###: w/wo Maximum 3 digits number(s) * - May be followed by additional number(s) and/or letter(s). + - Additional functional safety investigation was completed to UL 991 and IEC Last Updated on

9 5/25/2018 NKCR7.E Auxiliary Devices Certified for Canada NKCR7.E76675 Auxiliary Devices Certified for Canada If you notice a change to your NKCR7 Listing Card, click here to learn more. Page Bottom Auxiliary Devices Certified for Canada See General Information for Auxiliary Devices Certified for Canada OMRON CORP SAFETY STANDARDS GROUP IAB GLOBAL QUALITY CENTER SHIOKOJI HORIKAWA SHIMOGYO-KU, KYOTO JAPAN E76675 Investigated to CAN/CSA C22.2 No Emergency Stop Pushbutton Switches Model(s) Series A22NE, followed by -S, -M or -L, may be followed by P, may be followed by RC, RO, RS or TN, followed by -P, followed by 0, 1, 2, A, B or C, followed by 0, 1, 2, A, B or C, followed by 0, 1, 2, A, B or C, followed by -N, -A, -B, -C, -D or -E, may be followed by -B, -S or -SB. Auxilary Device Enclosed Key-type Selector Switch Model(s) A22LK, followed by 2RLA or 2RLB,followed by 22,13,or 04,may be followed by K, followed by 01, may be followed by up to 10 letters and/or numbers. Auxilary Device Open type Model(s) G9SE Series followed by 2, 4, followed by 0, 2, followed by 1, followed by blank, T05, or T30. Illuminated Pushbutton Switches Model(s) Series A22N, followed by L, followed by BN, BP, BG, BM, MN, MP, MG, MM, RN, RP, or RM, followed by A or M, followed by TR, TG, TY, TW, TA, or TO, followed by A, followed by G or P, followed by 0,1,2,A,B,or C, followed by 0, followed by 0,1,2,A,B,or C, followed by R, G, Y, W, A, or O, followed by A, B, C, D, or E. Illuminated Pushbuttons Switches Model(s) Series A30N, followed by L, followed by MN, MP, MG, or MM, followed by A or M, followed by TR, TG, TY, TW, TA, or TO, followed by A, followed by G or P, followed by 0,1,2,A,B,or C, followed by 0, followed by 0,1,2,A,B,or C, followed by R, G, Y, W, A, or O, followed by A, B, C, D, or E. Illuminated Selector Switches Model(s) Series A22N, followed by W, followed by 2B, 2M, 2R, 3B, 3M, or 3R, followed by M, L, R, or B, followed by TR, TG, TY, TW, TA, or TO, followed by A, followed by G or P, followed by 0,1,2,A,B,or C, followed by 0, followed by 0,1,2,A,B,or C, followed by R, G, Y, W, A, or O, followed by A, B, C, D, or E. Series A30N, followed by W, followed by 2M or 3M, followed by M, L, R, or B, followed by TR, TG, TY, TW, TA, or TO, followed by A, followed by G or P, followed by 0,1,2,A,B,or C, followed by 0, followed by 0,1,2,A,B,or C, followed by R, G, Y, W, A, or O, followed by A, B, C, D, or E. Key Selector Switches Model(s) Series A22N, followed by K, followed 2B, 2M, 2R, 3B, 3M, or 3R, followed by M, L, R, or B, followed by 01, followed by A, B, C, D, E, F, or G, followed by A, followed by G or P, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C. Series A30N, followed by K, followed 2M or 3M, followed by M, L, R, or B, followed by 01, 02, 03, 04, 05, or 06, followed by A, B, C, D, E, F, or G, followed by A, followed by G or P, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C. Lamp Block Model(s) Series A22N, followed by Z, followed by T, followed by A, B, C, D, or E follow by P or blank, followed by blank or N. Limit switches Model(s) WL, may be followed by M, followed by RCA2-, CA2-##, CA-##, CA12-##, CL##-##, CAL##-##, RG2-, G2-##, G12- ##, GL##-##, GAL##-##, RCA2-2, CA2-2##, CA-2##, CA12-2##, CL##-2##, CAL##-2##, RCA2-2N, CA2-2##N, CA-2##N, CA12-2##N, CL##-2##N or CAL##-2##N, RGCA-, GCA2-##, GCA12-##, GCL##-##, GCAL##-##, RCA32-, CA32-###, D###-, D2###-, D3###-, SD###-, SD2###-, SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed by P1, TH or TC55, may be followed by E2 or P2, may be followed by 139 to 145, RP4# or RP6#, followed by LD or LR, may be followed by 2 or 3, may be followed by A or F, may be followed by S or S2, followed by -M1J###,-M1GJ###, -M1JB###, -DGJ###, -DGJS###, -DHJS###-A, -DK1CJ###, -DK1EJ###, -DK1EJ2###, -M1TJ###, - M1TJB###, -M1TGJ###, -DTGJ###, -DTGJS###, -DTK1EJ###, K13, K15, K17, K41, K42, K43 or K51, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s). ($) SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed by P1, RP, RP7, RP8, RP9 or E10, may be followed by 55, may be followed by TH or

10 5/25/2018 NKCR7.E Auxiliary Devices Certified for Canada TC, may be followed by E2 or P2, may be followed by 139 to 145, RP4# or RP6#, may be followed by A or F, may be followed by S or S2, followed by -AGJ### or -AK1EJ###, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s).($) SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed by P1, RP, RP7, RP8, RP9 or E10, may be followed by 55, may be followed by TH or TC, may be followed by E2 or P2, may be followed by 139 to 145, RP4# or RP6#, may be followed by A or F, may be followed by S or S2, followed by -M1J###,-M1GJ###, -M1JB###, -DGJ###, -DGJS###, -DHJS###-A, -DK1CJ###, -DK1EJ###, -DK1EJ2###, -M1TJ###, -M1TJB###, - M1TGJ###, -DTGJ###, -DTGJS### or, -DTK1EJ###, K13, K15, K17, K41, K42, K43 or K51, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s). ($) SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed by P1, RP, RP7, RP8, RP9 or E10, may be followed by 55, may be followed by TH or TC, may be followed by E2 or P2, may be followed by RP60U, may be followed by G1, G, Y or TS, may be followed by A or F, may be followed by S or S2, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s). ($) SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed by P1, TH or TC55, may be followed by E2 or P2, may be followed by 139 to 145, RP4# or RP6#, followed by LD or LR, may be followed by 2 or 3, may be followed by A or F, may be followed by S or S2, followed by -AGJ### or -AK1EJ###, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s). ($) SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed by P1, TH or TC55, may be followed by E2 or P2, may be followed by RP60U, may be followed by G1, G, Y or TS, followed by LE, may be folowed by 2 or 3, may be followed by A or F, may be followed by S or S2, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s). ($) ##, RCA2-2, CA2-2##, CA-2##, CA12-2##, CL##-2##, CAL##-2##, RCA2-2N, CA2-2##N, CA-2##N, CA12-2##N, CL##-2##N, SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed 55, may be followed by E2 or P2, may be followed by 139 to 145, RP4# or RP6#, followed by LE, may be followed by 2 or 3, may be followed by A or F, may be followed by S or S2, followed by -AGJ### or -AK1EJ###, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s). ($) Limit swtiches Model(s) WL, may be followed by M, followed by RCA2-, CA2-##, CA-##, CA12-##, CL##-##, CAL##-##, RG2-, G2-##, G12- ##, GL##-##, GAL##-##, RCA2-2, CA2-2##, CA-2##, CA12-2##, CL##-2##, CAL##-2##, RCA2-2N, CA2-2##N, CA-2##N, CA12-2##N, CL##-2##N or, CAL##-2##N, RGCA-, GCA2-##, GCA12-##, GCL##-##, GCAL##-##, RCA32-, CA32-###, D###-, D2###-, D3###-, SD###-, SD2###-, SD3###-, NJ-###, NJ-S### or GNJ-###, may be followed by P1, TH or TC55, may be followed by E2 or P2, may be followed by RP60U, may be followed by G1, G, Y or TS, followed by LD or LR, may be followed by 2 or 3, may be followed by A or F, may be followed by S or S2, may be followed by -Q, followed by -N, may be followed by optional letter(s) and/or number(s). ($) Pilot Light Model(s) Series M22N, followed by BN, BP, BG or BC, followed by TR, TG, TY, TW, TA, Or TO, followed by A, followed by R, G, Y, W, A, or O, followed by A, B, C, D, or E, followed by P or blank Pilot Lights Model(s) Series M30N, followed by MN, MP, MG, or MC, followed by TR, TG, TY, TW, TA, Or TO, followed by A, followed by R, G, Y, W, A, or O, followed by A, B, C, D, or E, followed by P or blank. Pushbutton Switch Model(s) Series A22N, followed by N, followed by BN, BP, BG, BM, MN, MP, MG, MM, RN, RP, or RM, followed by A or M, followed by NR, NG, NY, NW, NA, NB, UR, UG, UY, UW, UA or UO, followed by A, followed by G or P, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by N, followed by N. Pushbuttons Switches Model(s) Series A30N, followed by N, followed by MN, MP, MG, or MM, followed by A or M, followed by NR, NG, NY, NW, NA, NB, UR, UG, UY, UW, UA or UO, followed by A, followed by G or P, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by N, followed by N. Selector Switches Model(s) Series A22N, followed by S, followed by 2B, 2M, 2R, 3B, 3M, or 3R, followed by M, L, R, or B, followed by NR, NG, NY, NW, NA, or NB, followed by A, followed by G or P, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by N, followed by N. Series A30N, followed by S, followed by 2M or 3M, followed by M, L, R, or B, followed by NR, NG, NY, NW, NA, or NB, followed by A, followed by G or P, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by 0,1,2,A,B or C, followed by N, followed by N. Switch Contact Block Model(s) Series A22N followed by Z, followed by S, followed by G or P, followed by 1 or 2, followed by A,B or C, followed by blank or N. Investigated to CAN/CSA C22.2. No Auxilary Device Enclosed Model(s) Switches, type D4SL-N; followed by 1, 2, 3 or 4; followed by A, B, C, D, E, F, G, H, J, K, L, M, N, P, Q or R; followed by F or D; followed by A or G; may be followed by C or D; may be followed by 4; followed by C; followed by 1, 3 or 5 may be followed by additional letter(s) and/or number(s). Door lock switches Model(s) D4GL, followed by 1, 2, 3 or 4, followed by A thru H or J thru M, followed by B, F, L, R, D, E, G or H, followed by A, G or N, may be followed by A, B or C, may be followed by 4, may be followed by N.* Door switches Model(s) D4BL Series, followed by 1, 2, 3 or 4, followed by C, D, E or F, followed by A, B C, D, E, F or G, followed by blank, A, B, C, D, E or F, followed by blank, or T, followed by blank or up to six letters and/or numbers. D4BS-11BSF1*, D4BS-11FSF1*, D4BS-11LSF1*, D4BS-11RSF1*

11 5/25/2018 NKCR7.E Auxiliary Devices Certified for Canada D4GS-N, followed by 1, 2, 3 or 4, followed by R or T, may be followed by 3, 5 or up to two letter and/or numbers, may be followed by up to six letters and/or numbers. D4JL, followed by 1, 2, 3 or 4, followed by A thru H, J thru N or P thru R, followed by D or F, followed by A or G, followed by C or D, followed by 5, 6, 7, or 8, followed by blank, followed by blank, Y or Z, may be followed by four alphanumeric code, may be followed by six digit maximum alphanumeric code. D4N 9120GP D4N, may be followed by A or H, followed by 1 thru 9 or A, B or C, followed by 1, 2 or A thru G, followed by 20, 21, 21-TK, 22 thru 29, 2B, 2C, 2D, 2G, 2H, 2J, 2L, 31, 32, 34, 62, 63, 72, 80, 87, RE, LE, AS, BC or AS1, may be followed by R.* D4NL, followed by 1, 2, 3 or 4, followed by A thru H, J thru N, P or Q, followed by B, D, E, F, G, L or R, followed by A, B, C, D, E, F, G, H, J, K or L, may be followed by A thru F, may be followed by 4, may be followed by S, may be followed by Z.* D4NS, followed by 1 thru 9 or A, B or C, followed by A thru F, followed by B, D, E, F, G, H, L or R.* Hand mixers Model(s) KJ-805 Limit switches Model(s) D4A, followed by 3, may be followed by E, followed by 01-06, 07-V, 07-H, 08-12, or 24, may be followed by N, followed by GM or KGM.* D4B, followed by -1, -2, -3, -4, -5, -6, -7 or -8, followed by 1, 2, 3, 4, 5, 6, 7, 8, A, B, C or D, followed by 1 thru 8 or 00, may be followed by up to two numbers or letters, followed by N, may be followed by LD or LE.* D4B-F, followed by 1, 2, 3 or 4, followed by 1, 2 or 3, followed by 11, 15, 1F or 1R, followed by F, may be followed by 1.* D4BS, followed by -1, -2, -3, -4, -5, -6, -7 or -8, followed by 5, 6, 7, 8, A or B, followed by F, R, L or B, followed by S, may be followed by LD or LE.* D4C, followed by 10, 20, 30, A0, C0 or D0, followed by a two digit number, followed by DRAJ01 or ARAJ01.* D4C-1*, D4C-2*, D4C-3*, D4C-4*, D4C-5*, D4C-6*, D4CC-1*, D4CC-2*, D4CC-3*, D4CC-4*, D4CC-5*, D4CC-6* D4F, followed by 1 thru 5, followed by 0 or 2, followed by 0, 2, 3, G or H, followed by a number, followed by R, L or D.* SHL, followed by D, Q or W, with or without 1 or 2 digit number, followed by 55, followed by blank, followed by blank, L, L6 or L7, followed by blank, MD, ML or MR, followed by blank, 2 or 3, followed by blank, TC or TH, followed by blank or 11, followed by blank or T, followed by blank or up to six additional letters and/or numbers. WL, may be followed by R, followed by C, D, G, H, NJ, or SD, followed by a number, may be followed by LD, followed by GM, KGM or K-GM.* WL, may be followed by R, may be followed by 01, may be followed by A or B, may be followed by M, followed by C#, D#, G#, H#, NJ#, or SD# where # is up to a ten-digit symbol of letter(s) and/or number(s), may be followed by E2, may be followed by RP, 10, or 31, may be followed by P1, may be followed by 55, may be followed by TC, TC2, TH, or T, may be followed by 13##, RP4##, RP5##, RP6##, or 14##, where ## is a one or two digit symbol of letter(s) and/or number(s), may be followed by G1, G, Y, TS, or C, may be followed by LE, LD, LDN, LR or R, may be followed by 2 or 3, may be followed by A or F, may be followed by S, may be followed by DGJ###, DTGJ###, DK1CJ###, DK1EJ###, DTK1EJ###, M1J###, M1TJ###, M1GJ###, M1TGJ###, M5J###, DHJS###, AGJ###, AK1EJ####, AK1J###, AK4EJ### or K###, where ### is up to a five digit symbol of letter(s) and/or number(s), may be followed by up to a five digit symbol of letter(s) and/or number(s). ZE, ZV or ZV2, may be followed by -01 or Y, followed by N or Q, followed by six letters and/or numbers, may be followed by 2, may be followed by G, G1, S or Y, may be followed by TC or TH.* Limit switches, actuator heads Model(s) D4A-0001N*, D4A-0002N*, D4A-0003N*, D4A-0004N*, D4A-0005N*, D4A-0006N*, D4A-0007HN*, D4A-0007VN*, D4A-0008N*, D4A-0009N*, D4A-0010N*, D4A-0011N*, D4A-0012N*, D4A-0014N*, D4A-0015N*, D4A-0016N*, D4A-0017N*, D4A-0018N*, D4A-0019N*, D4A-0020N*, D4A-0024N* Limit switches, bodies Model(s) D4A-0000N*, D4A-0100N*, D4A-0300N*, D4A-0500N*, D4A-0700N*, D4A-0900N*, D4A-0E00N* Limit switches, receptacles Model(s) D4A-1000*, D4A-1000N*, D4A-2000*, D4A-2000N*, D4A-3000*, D4A-3000N*, D4A-4000*, D4A- 4000N*, D4A-5000*, D4A-5000N*, D4A-6000*, D4A-6000N* Magnetically actuated switches Model(s) D40B-1B10, D40B-1B3, D40B-1D10, D40B-1D3, D40B-2B10, D40B-2B3, D40B-2D10, D40B-2D3, D40B-3D5C, D40B-3E5C, D40B-A1, D40B-A2, D40B-A3, D40B-J1, D40B-J2, D40B-S1B10, D40B-S1B3, D40B-S1D10, D40B-S1D3, D40B-S2B10, D40B-S2B3, D40B-S2D10, D40B-S2D3, D40B-S3D5C, D40B-S3E5C Non-contact door switches Model(s) D40A-1C, followed by 2, 5, or a three digit number, may be followed by -F.+ D40Z, followed by 1, followed by C, may be followed by 2 or 5, may be followed by S or A.* Non-contact door switches, actuators only Model(s) D40A-A1 Non-contact door switches, sensors only Model(s) D40A-A1C2, D40A-A1C5 Pendant enable switches Model(s) A4EG-, followed by B or C, followed by 00, E1, E2, M2, P1 or P2, followed by 0, B, R, Y or G, followed by 0, followed by 1, 2 or 4, followed by 0 or 1, may be followed by SH, may be followed by up to six number(s) and/or letter(s) except for A. Terminal relays Model(s) F3SP-T01 ($) - ##: w/wo Maximum 2 digits number(s), ###: w/wo Maximum 3 digits number(s) * - May be followed by additional number(s) and/or letter(s). + - Additional functional safety investigation was completed to UL 991 and IEC

12 Here are the links to the following OSTI UL Files: NKCR2.E Auxiliary Devices NKCR8.E Auxiliary Devices Certified for Canada Put the cursor on the link (underlined & highlighted in blue), press Ctrl, then Click. This will bring you to UL s Online Directory for that UL File Company Name OMRON CORP OMRON CORP Category Name Auxiliary Devices - Component Auxiliary Devices Certified for Canada - Component Link to File NKCR2.E76675 NKCR8.E76675 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 link (underlined & highlighted in blue), press Ctrl, then Click. This will bring you to UL s Online Directory for that UL File Company Name Category Name Link to File OMRON CORP Auxiliary Devices NKCR.E76675 OMRON CORP Auxiliary Devices Certified for Canada NKCR7.E76675

13 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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