TR Annex Responsibility

RESPONSIBILITY
FOR USE WITH ECB CERTIFICATES OF COMPLIANCE

Guides & Enquiries ecb.org.za/coc (012) 7512290 [email protected]
Date CoC Issued: COC No. ECB
NOTE: For new/altered/temporary installations ONLY. If no signatures are on this annex then signatory on test report takes responsibility.
DESIGN
I, being the person responsible for the DESIGN of the electrical installation, particulars of which are described in section 3 of this document, CERTIFY that the work for
which I have been responsible, is to the best of my knowledge and belief in accordance with the relevant legislation and SANS standards and specifications. I acknowledge
and accept the results as per section 4 of this document. The extent of liability of the signatory is limited to the installation described in section 1 of this document.
Professional Registration
Name (in block letters): …………………………………………………………………………………………………………………………………… .. No: ……………………………………………………………………………………..
Position: …………………………………………………………………………………………………………………………… Telephone: ………………………………………………………………………………………………………………….
Email address: ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
For and on behalf of company: ……………………………………………………………………………………………………………………………………… CIPC No: ………………………………………………………………………
Address: …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
Signature: ……………………………………………………………………………………………………………………………………………………………………… Date: ……………………………………………………………………………
MATERIAL SPECIFICATION/ PROCUREMENT
I, being the person responsible for the MATERIAL PROCUREMENT for the electrical installation, particulars of which are described in section 3 of this document, CERTIFY
that the equipment that I have procured, is to the best of my knowledge and belief in accordance with the Relevant Legislation and SANS Specifications and standards. I
acknowledge and accept the results as per section 4 of this document. The extent of liability of the signatory is limited to the installation described in section 1 of this
document For the MATERIAL SPECIFICATION/ PROCUREMENT:
Email address: ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Address: …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
Signature: ……………………………………………………………………………………………………………………………………………………………………… Date: ……………………………………………………………………………
CONSTRUCTION
I, being the person responsible for the CONSTRUCTION of the electrical / instrumentation installation, particulars of which are described in section 3 of this document,
CERTIFY that the work for which I have been responsible, is to the best of my knowledge and belief in accordance with the Relevant Legislation and SANS Specifications and
Standards. I acknowledge and accept the results as per section 4 of this document. The extent of liability of the signatory is limited to the installation described in section 1
of this document For the CONSTRUCTION:
Email address: ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
DoL Registered Person No: ……………………………………………………………………………………………… DoL Contractor No: ………………………………………………………………………………………………………
Address: …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
Signature: ……………………………………………………………………………………………………………………………………………………………………… Date: ……………………………………………………………………………
DOCUMENT ACCEPTED BY:
Name (in block letters): …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
Email: ………………………………………………………………………………………………………………………… Telephone: ………………………………………………………………………………………………………………….
Signature: ……………………………………………………………………………………………………………………………………………………………………… Date: ……………………………………………………………………………

TR Annex Responsibility

Uploaded by

Copyright:

Available Formats

TR Annex Responsibility

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

TR Annex Responsibility

Uploaded by

Copyright:

Available Formats

RESPONSIBILITY

FOR USE WITH ECB CERTIFICATES OF COMPLIANCE

Date CoC Issued: COC No. ECB

Position: …………………………………………………………………………………………………………………………… Telephone: ………………………………………………………………………………………………………………….

For and on behalf of company: ……………………………………………………………………………………………………………………………………… CIPC No: ………………………………………………………………………

Signature: ……………………………………………………………………………………………………………………………………………………………………… Date: ……………………………………………………………………………

MATERIAL SPECIFICATION/ PROCUREMENT

Position: …………………………………………………………………………………………………………………………… Telephone: ………………………………………………………………………………………………………………….

For and on behalf of company: ……………………………………………………………………………………………………………………………………… CIPC No: ………………………………………………………………………

Signature: ……………………………………………………………………………………………………………………………………………………………………… Date: ……………………………………………………………………………

Position: …………………………………………………………………………………………………………………………… Telephone: ………………………………………………………………………………………………………………….

For and on behalf of company: ……………………………………………………………………………………………………………………………………… CIPC No: ………………………………………………………………………

DoL Registered Person No: ……………………………………………………………………………………………… DoL Contractor No: ………………………………………………………………………………………………………

Signature: ……………………………………………………………………………………………………………………………………………………………………… Date: ……………………………………………………………………………

DOCUMENT ACCEPTED BY:

Name (in block letters): …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

Email: ………………………………………………………………………………………………………………………… Telephone: ………………………………………………………………………………………………………………….

Signature: ……………………………………………………………………………………………………………………………………………………………………… Date: ……………………………………………………………………………

You might also like