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Conformiteitsverklaring - Model certificate of compliance

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C ERTIFICATO DI C ONFORMITÀ P RÜFBESCHEINIGUNG

C ONFORMITEITSVERKLARING

C ERTIFICATE OF C OMPLIANCE

Accordo di mutuo riconoscimento Vereinbarung über die

gegenseitige Anerkennung Overeenkomst m.b.t. Cross

Acceptance

Cross acceptance agreement

Memorandum of Understanding on the

implementation of approval procedures for rolling stock and cross-acceptance of approval procedures of the competent supervisory authorities between

- The Ministry of Transport, Public Works and Water Management of the Netherlands,

- The Federal Ministry of Transport, Building and Urban Affairs of the Federal Republic of

Germany,

- The Federal Department of the Environment, Transport, Energy and Communications of Switzerland,

- The Federal Ministry of Transport, Innovation and Technology of Austria,

- The Ministry of Transport of Italy, signed at Luxembourg on 7th June 2007

Versione/Version/

Versie/Version IRL database xx/xx/2010

Tipo di veicolo Fahrzeugtyp Spoorvoertuigtype Vehicle type

Loco XYZ

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Numero identificativo Fahrzeugnummer Voertuigidentificatie ID-number

xxxxxxxxxxx-x (12345)

the ID-number(s) is(are) the registration number (12 digit) of the vehicle(s) used for approval tests, with the number impressed on the body frame. In case of “old” vehicles (when it is impossible to know which vehicle made the tests), or in

case of assessment without tests (e.g. only calculations), leave the box blank.

Validità per ulteriori tipi di veicoli

Weitere Fahrzeugtypen Geldig voor voertuigtype Valid for other vehicle types

This can be valid for a type of Rolling stock as tested but it could also be used as Cross Acceptance for a slightly different type e.g. Traxx-E

construction for Traxx-DE

Argomento CAL Prüfpunkt CAL

CAL-nummer en onderwerp CAL item

9

Vetri e finestrini/Fenster/Ramen/Windows

Riferimento nazionale Nationale Referenz Nationale referentie(s) en

omschrijving National reference

Disp. RFI 1/2003 – 2.07 “Cabine di guida”

Disp. RFI 1/2003 – 2.07 “Evacuazione del veicolo in caso di emergenza”

Caratteristica/Specifica/Scopo Bewertesmerkmal/

Spezifikation/Schutzziele Onderwerp/Doel

Subject/Scope

Frontscheibe/ Nachweis der mechanischen und optischen Eigenschaften Frontruit: bewijs ten aanzien van de mechanische en optische

eigenschappen

Norme di riferimento Relevantes Regelwerk Referentie Normen Reference norms

UIC 651 EN 15152

Parametri tecnici specifici Eingangsparameter

Fachgebiet

Bedoelde technische eis Specific technical parameter

Proiettile con velocità = … Beschuss mit V = Vmax + 200 km/h Projectielsnelheid V = Vmax + 200 km/h

Elenco documenti Dokumentenverzeichnis Documentenoverzicht List of documents

List of all documents examined for the evaluation: these documents shall be completely identified (ID code of document, title, version, date, etc.)

Localizzazione dei documenti Ablageort der Dokumente Opslaglocatie van de

documenten

Location of documents

Place where documents can be consulted if necessary

Risultato della valutazione Prüfergebnis

Testresultaat Evaluation result

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Limitazioni di esercizio Betriebliche Einschränkungen Beperkingen en voorwaarden Operational restrictions

If necessary, to list all the possible restrictions for the use of vehicle in operation

Kein Einsatz auf Schnellfahrstrecken/

Inzet op baanvakken Vmax<160 km/h

Ref NSA (with logo) NSA made the evaluation and

sign the certificate

Prot. Number Kenmerk: IENM/VENW-2011/xxxxxx

Date Name: ……….

Signature: ……….

Questo Certificato di Conformità ha una validità massima di 7 anni dalla data della sua emanazione. A seguito di richiesta, la sua validità può essere estesa se nel frattempo non è mutato il contesto legale di riferimento.

Die Prüfbescheinigung ist auf die gleiche Geltungsdauer wie die zugrundeliegende EG-Prüferklärung und die Bauartzulassung (Basis für vereinfachte Inbetriebnahmegenehmigung) von höchstens sieben Jahren nach ihrer Erstellung befristet. Sie kann auf Antrag verlängert werden, wenn sich die zu prüfenden Anforderungen der technischen Regelwerke nicht fortentwickelt haben.

De Conformiteitsverklaring kent een maximum geldigheidsduur van 7 jaar na de datum van afgifte. Op aanvraag kan deze worden verlengd indien de toepasselijke wettelijke eisen sindsdien niet zijn gewijzigd.

This Certificate of Compliance has a maximum validity of 7 years after the date of issue. It can be extended upon request when the legal requirements have not changed since then.

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