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Description/sketch of roof layout/installation conditions
Herewith, we confirm that
the installed fall protection system
(short description of the fall protection system used, including information on relevant system dimensions,
batch/serial number, etc.)
.......................................................................................................................................
was installed properly and in compliance with all provisions of the general building inspectorate approval
Z-14.9-704 of Deutsches Institut für Bautechnik with respect to all the details and
the building products (anchoring device, as well as its components and fixtures) used for producing the
object of approval were identified in accordance with the provisions of the respective usability certificate
(standard, general building inspectorate approval, European technical approval).
..................................
(place, date)
(This statement must be handed over to the principle for possibly required forwarding to the competent building
control authority)
MAT-MA-0007 MOBILFIX
..............................
(stamp/signature/abbreviation)
Stand: 08/11/2016
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