Declaration Of Conformity - SKYLOTEC D-BOLT AP-058 Instrucciones De Uso

9.

DECLARATION OF CONFORMITY

(Is only required in Germany as per the DIBt regulation)
Fall protection system:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Name/recipient/principal:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Address:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Construction site/building/
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Floor:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Name of installation company:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Address:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Name of anchoring device:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Number of permitted users:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Name of fastening system:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Date of completion:
___________________________________________________________________________________________________
Anchor base:
MAT-MA-0005-EN_D-BOLT
Concrete
Cellular concrete
Prestressed concrete
Steel
09/06/2017
______________________ (strength class)
______________________ (strength class)
______________________ (strength class)
______________________ (strength class)
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