Application for PED Certification压力设备认证申请表

1、Application for PED Certification压力设备认证申请表Please fill in English / 请用中英文填写（上英文下中文），请将以下表格认真填写完整。Applicant (申请公司)Corporate name：(公司名称)Address：(地址)Telephone：(电话)Fax：(传真)Name of contact (s)(联系人)：E-mail or website：(邮件或公司网站)MANUFACTURER (生产工厂)Name：(名称)Address：(地址)Telephone：(电话) Fax：(传真)Name of contact (s

2、) (联系人)E-mail or website：(邮件或公司网站)Employees related to CE ProductCE认证产品涉及的员工数Number of Sites现场数In case the project is deputized by the agent, please fill up the following form.(如果此项目是由咨询机构或实验室代理，请填写以下的表格)Name of agent：(代理公司名称)Address：(地址)Telephone：(电话)Fax：(传真)Name of contact(s)(联系人):E-mail or websit

3、e(邮件或公司网站)Type of Product产品种类:Conformity assessment module符合性评估模式:Additional Services附加服务:（ ）Vessels 压力容器（ ）Piping管线（ ）Fired or heated pressure equipment直接 火加热压力设备（ ）Pressure accessories 压力附件 （ ）Safety accessories 安全附件（ ）Assembly组装件（ ）Other(i.e. components)其它(如：零件):（ ）Module A1/模式A1（ ）Module B/模式B（

4、）Module B1/模式B1（ ）Module C1/模式C1（ ）Module D/模式D（ ）Module D1/模式D1（ ）Module E /模式E（ ）Module E1/模式E1（ ）Module F/模式F（ ）Module G/模式G（ ）Module H/模式H（ ）Module H1/模式H1（ ）SEP（ ）We are not sure and would like guidance我们不确定，需要指导（ ）Welders qualification 焊工资格评定（ ）Welding qualification 焊接工艺评定（ ）NDE Personnel Qual

5、ificationQualification NDE人员资格（ ）European Appraisal for Materialsmaterials 欧盟材料评估 guidanceProduct Standard(s)/产品标准： Quality system information 质量体系信息（ ）ISO 9000 （ ）ISO 14000（ ）API QI（ ）ASME（ ）Others Expiry date/到期日：_Status/状态：（ ）Certified/已经认证 （ ）In process/执行当中 （ ）Not yet applied/尚未申请Certified by/认

6、证机构：DeclarationsNo.1 In signing this application we undertake to comply fully with the Pressure Equipment Regulation 1999 (SI 1999/2001) or the Pressure Equipment Directive 97/23/EC.我司承诺完全遵从欧盟的压力设备准则1999 (SI 1999/2001)或97/23/EC指令No.2 We have not submitted an application for this/ these products to a

7、ny other Notified Body.我司没有向任何其他认证机构上交过这种产品的认证申请No.3 We are requesting a change of certification body for our Quality Management System based route to conformity基于一致性考虑，我司要求更改我们的质量认证体系It is understood that LNV has the right to charge for its services also in cases when the equipment proves not to be

8、 in accordance with the requirements被认证方接受即使产品被证明不符合要求的情况下，LNV仍有权要求认证费用。Signature/签字： Print Name/姓名打印： Date/日期： Product information/产品信息:Equipment data设备数据:Equipment 1设备类型1Equipment 2设备类型2Equipment 3设备类型3Equipment 4设备类型4Product Description产品名称:Design, Fabrication, Inspection & Testing Rules设计/制造

9、/检验/测试准则:Medium 介质Nominal size DN直径范围Nominal size Volume体积范围Max. Allowable Pressure最大许用压力Range of allowable temperature许用温度范围Main Material for pressurized parts主要受压部件的材质Pressurized retaining weld受压焊缝l Cladding 堆焊l Butt Weld 对焊l Fillet Weld角接Number of welding Procedure Qualification to be certified p

10、er EN Standard需按EN标准进行焊接工艺评定的数量Number of welder to be certified per EN Standard需按EN标准进行焊工资格评定的焊工数量Non-destructive Test Method and applied code/Standard无损探伤方法及采用的标准Non-destructive Test to pressurized welds (Butt weld, Fillet Weld)有无对受压焊缝（对接、角接）进行无损检验-Numbers of Non-destructive Test Personnel to be certified per EN Standard需按EN标准进行无损探伤人员资格评定的人员数-Other permanent joint (i.e. Bond, Rolling for tube to tube-sheet we