225 Wilshire Ave SW, Concord NC, 28025
Phone: 800-230-0319
Email: [email protected]
Web: safewaze.com
Fax: 704-262-9051
I
I
I
I
I
MUST FOLLOW ALL MANUFACTURER’S
INSTRUCTIONS INCLUDED WITH THIS EQUIPMENT
DO NOT REMOVE THIS LABEL
MUST BE INSPECTED BEFORE EACH USE.
MUST BE INSPECTED BY A COMPETENT PERSON AT
LEAST ANNUALLY FROM MFG DATE.
ANY UNIT THAT HAS BEEN SUBJECTED TO FALL ARREST FORCES
MUST BE REMOVED FROM SERVICE.
MINIMUM BREAKING STRENGTH: 5,000 lbf / 22.25 kN
Materials:
Stainless Steel, Alloy Steel, and
Aluminum Alloy
021-4081
021-4082
Meets: ANSI Z359.18-2017, OSHA 1910.140, OSHA 1926.502
5K SWIVEL D-RING ANCHOR:
225 Wilshire Ave SW
Concord, NC 28025
USA
(800) 230-0319
www.safewaze.com
S/N
XXXXXXX
021025
Installs into 1/2” pre-drilled hole in concrete. Hole
must be drilled to a minimum depth of 5-3/8”.
Concrete must be a minimum of 3,000 psi and at
least 7” thick. Install using (1) 5/8” x 4.5” concrete
expansion bolt.
Capacity:
ANSI 130-310 lbs (140.61 kg)
OSHA Up to 420 lbs (190.5 kg)
Made in China
(Anchor Assembly)
(Anchor Only)
INSTALLATION
ANCHOR COMPONENTS
WARNING
• A preplanned rescue procedure in the event of a fall is required. The rescue plan must be specific
to the project. The rescue plan must allow for employees to rescue themselves, or to be promptly
rescued by alternative means.
• Harnesses or connectors selected for use with any Safewaze anchor must be compatible in size
and configuration. User must ensure compatibility of snap hooks, carabiners and other connectors.
Any connection which could allow disengagement must be eliminated. Snap hooks and carabiners
must be self locking and self closing and must never be hooked to each other.
• A Competent Person must conduct an analysis of the workplace and anticipate where workers will
be conducting their duties, the route they will take to reach their work, and the existing and potential
fall hazards they may be exposed to. The Competent Person must choose the fall protection
equipment to be utilized.
• Do not misuse equipment.
• Equipment designated for fall protection must never be used to lift, hang, support or hoist tools or
equipment unless specifically certified for such use.
• Safewaze Anchors shall be inspected prior to each use by the user, and at least annually by a
Competent Person other than the user. Annual inspections shall be documented. Severity of
conditions during use may necessitate increased frequency of documented inspections.
• Anchors that fail inspection MUST be removed from service.
• Prior to each use, inspect the anchor for deficiencies or damage, including, but not limited to, sharp
edges, rough edges, deformations, corrosion, pits, burrs, chemical exposure, extreme heat expo
sure, kinked, bird nested, or otherwise damaged cable, and damaged, missing or illegible labels. If
any deficiencies or defects are found, the anchor must IMMEDIATELY be removed from service.
• The anchor must be inspected at least annually by a Competent Person other than the user.
Competent person inspections must be recorded in the inspection log included in this manual and
on the inspection grid label on the anchor.
INSPECTION
MAINTENANCE & STORAGE
WARRANTY
Anchor can be cleaned with water and mild soap if necessary. User should remove all dirt, possible
corrosives, and contaminants from the anchor prior to, and after each use. Never use any type of
corrosive substance to clean the anchor.
Excess water should be blown out with compressed air. Hardware can be wiped off with a clean, dry
cloth.
When not in use, store the anchor in a cool dry area where it will not be exposed to extreme light,
extreme heat, excessive moisture, or possibly corrosive chemicals or materials.
Safewaze warrants its products are free from defects in materials and construction under normal use
and service. Liability is not accepted for abuse, modification, improper use, destructive activity and
contaminated exposure.
INSPECTION LOG
Date
Inspection Items Noted
Corrective Action
Initials
LABELS
1. The 021-4081 can be installed both vertically and horizontally. The installation process is the
same for both methods. Acceptable load conditions are illustrated in Figure 7.
2. The work location should be free of debris, and other materials or equipment that could interfere
with the proper operation of this equipment.
3. Inspect the substrate to which the anchor will be attached. User should inspect for the following
hazards. These hazards include, but are not limited to, excessive corrosion, cracks, severe rust
spotting on concrete surface, physical damage, spray applied fireproofing, electrical hazards, etc...
4. Installation requires 7” thick or greater concrete. Installation location must be a minimum of 9” from
any edge or another anchor. Determine installation location for the anchor and drill a 5/8” hole to a
minimum depth of 5-3/8” (See Figure 8, Dwg. 1). Concrete must be a minimum of 3000 psi.
5. Using a compressor or other type of pneumatic equipment, clear the hole of all debris
(See Figure 8, Dwg. 2).
6. Insert the Concrete Wedge Bolt through the steel washer, the top of the swivel, through the steel
bushing and insert the bolt into the drilled hole (See Figure 8, Dwg. 3). Tap bolt into the hole using a
hammer. Embedment of the expansion bolt must be a min. of 4.5” (See Figure 8, Dwg. 4).
7. Torque the Concrete Wedge Bolt to 100 ft-lbs (See Figure 8, Dwg 5).
8. PFAS can now be connected to the 021-4081 (See Figure 8, Dwg. 6)
FIGURE 5 - ANCHOR COMPONENTS
FIGURE 6 - INSTALLATION SPECIFICATIONS DIAGRAM
FIGURE 8 - INSTALLATION ILLUSTRATION
FIGURE 9 - 021-4053 CONCRETE BOLT INSTALLATION ILLUSTRATION
TABLE 1 - INSTALLATION
B
A
C
D
Dwg. 1
Dwg. 4
Dwg. 3
Dwg. 6
Dwg. 5
Dwg. 2
Anchor Components
A
Fall Protection Connection Point
B
Concrete Wedge Bolt
C
Steel Washer
D
Steel Bushing
Installation Specifications
A
Minimum Distance from any Edge or Another Anchor
9 inches
B
Minimum Thickness
7 inches
C
Required Hole Diameter
5/8 inch
D
Minimum PSI
3000 psi
E
Minimum Drill Hole Depth
5-3/8 inches
MONTH
YEAR
INSPECTION LOG
WARNING:
Compliant fall protection and emergency rescue
systems help prevent serious injury during fall arrest.
Avoid contact with sharp edges and abrasive
surfaces. Only make compatible connections. Avoid
all physical hazards, including, but not limited to,
thermal, electrical and chemical sources.
Failure to
follow all warnings or misuse of equipment could
result in serious injury or death.
For proper
equipment usage, see user’s instructions, visit
www.safewaze.com or call
SAFEWAZE
at
(800) 230-0319.
MONTH
YEAR
MFG. DATE
01
04
02
03
2022
2021
12
11
10
09
08
07
06
05
2026
2025
2024
2023
021026
Concrete
B
D
E
C
A
X
FIGURE 7 - LOAD CONDITIONS DIAGRAM
• Users should consult with their doctor to verify ability to safely absorb the forces of a fall arrest
event. Fitness level, age, and other health conditions can greatly affect an individuals ability to
withstand fall arrest forces. Women who are pregnant, individuals considered minors must not use
any Safewaze equipment.
• Never alter any part of an anchor or add/remove components. Safewaze shall not be held
responsible for injury or death due to tampering.
• Anchors that are exposed to fall arrest forces MUST be IMMEDIATELY removed from service and
destroyed.
• Failure to follow these instructions and warnings could result in serious injury or death in the event
of a fall.
Min. 5-3/8”
Depth
Torque: 100 ft-lbs
(136 Nm)
4.5” min. (114mm)
Embedment Depth
Replacement Components
Optional Fastener
021-4073
Concrete Wedge Bolt
021-4082
Swivel D-ring Anchor
021-4083
Bushing and Washer
021-4053
Concrete Bolt
021-4081
021027 - INST. A
Installation:
*Concrete: Must be a minimum of 3,000 psi and fully cured. DO NOT use in hollow
blocks, lightweight concrete, stone, grout, or bricks.
1. Determine suitable installation location. Ensure minimum edge distance and anchor
spacing are within tolerable limits (See Label 021027 - INST. B for Diagram).
2. Drill a 1/2” (12.7 mm) hole to a minumum depth of 5-3/8”.
3. Use compressed air to clear the hole of debris.
4. Insert wedge bolt through steel washer, swivel D-ring anchor, and steel bushing.
5. Tap wedge bolt into hole using a hammer. Embedment of expansion bolt must be a
min. of 4.5”.
6. Torque wedge bolt to 100 ft-lbs.
021027 - INST. B
Installation Diagram:
Concrete
B
D
E
C
A
A
B
C
D
E
Minimum Distance from any Edge
or Another Anchor
Minimum Thickness
Required Hole Diameter
Minimum PSI
Minimum Drill Hole Depth
9 in
7 in
1/2 in
3000 psi
5-3/8 in
Installation Specifications
Dwg. 5
Dwg. 3
Dwg. 4
Maximum Manual Installation Torque:
45 ft-lbs (61Nm)
Maximum Impact Wrench Power
Torque: 300 ft-lbs (407Nm)
X
✓
*IMPORTANT:
When used with
the 021-4053, a
drill hole diameter
of 1/2'' is required.
