10.
DECLARATION OF CONFORMITY
Fall protection system:
_____________________________________________________________________________________________
Name/recipient/principal:
_____________________________________________________________________________________________
Address:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Construction site/building/
_____________________________________________________________________________________________
Floor:
_____________________________________________________________________________________________
Name of installation company:
_____________________________________________________________________________________________
Address:
_____________________________________________________________________________________________
Name of anchor system:
_____________________________________________________________________________________________
Number of permitted users:
_____________________________________________________________________________________________
Name of fastening system:
_____________________________________________________________________________________________
Date of completion:
_____________________________________________________________________________________________
Anchor base:
MAT-MA-0018-EN SECUPIN
o Concrete
______________________ (strength class)
o Cellular concrete
______________________ (strength class)
o Prestressed concrete
______________________ (strength class)
23/01/2015
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