The Pressure Equipment (Safety) Regulations 2016 SCHEDULE 11 — EU Declaration of Conformity

... Declaration of conformity (No xxxx)

1

Pressure equipment or assembly (product, type, batch or serial number):

... Declaration of conformity (No xxxx)

2

Name and address of the manufacturer and, where applicable, his authorised representative:

3

This declaration of conformity is issued under the sole responsibility of the manufacturer.

4

Object of the declaration (identification of pressure equipment or assembly allowing traceability; it may, where necessary for the identification of the pressure equipment or assembly, include an image): (a) Description of the pressure equipment or assembly; (b) Conformity assessment procedure followed; (c) In the case of assemblies, description of the pressure equipment constituting the assembly, and the conformity assessment procedures followed;

5

The object of the declaration described above is in conformity with the relevant statutory requirements :

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References to the relevant designated standards used or references to the other technical specifications in relation to which conformity is declared:

7

Where appropriate, the name, address and number of the approved body which carried out the conformity assessment and the number of the certificate issued, and a reference to the EU-type examination certificate – production type, EU-type examination certificate – design type, ... design examination certificate or certificate of conformity.

8

Additional information: Signed for and on behalf of: (place and date of issue): (name, function) (signature): (where appropriate, particulars of the signatory authorised to sign the legally binding declaration for the manufacturer or his authorised representative):