9.
OVEREENSTEMMINGSVERKLARING
(is volgens DIBt-richtlijn enkel in Duitsland nodig)
Valbeveiligingssysteem:
___________________________________________________________________________________________
Naam/Ontvanger/Opdrachtgever:
___________________________________________________________________________________________
Adres:
___________________________________________________________________________________________
___________________________________________________________________________________________
Bouwplaats/Gebouw:
___________________________________________________________________________________________
Etage:
___________________________________________________________________________________________
Naam installateur:
___________________________________________________________________________________________
Adres:
___________________________________________________________________________________________
Beschrijving bevestigingsinrichting:
___________________________________________________________________________________________
Aantal toegestane gebruikers:
___________________________________________________________________________________________
Beschrijving bevestigingssysteem:
___________________________________________________________________________________________
Datum voltooiing:
_________________________________________________
Verankeringsbodem:
Beton
______________________ (vastheidsklasse)
MAT-MA-0005—00-NL
D-BOLT
20/07/2018
Pagina 13 van 19