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We,
Company Name:
Postal address:
Postcode:
Telephone number:
E-Mail address:
Declare that this DOC is issued under the sole responsibility of the manufacturer.
Apparatus model/product:
Type:
Serial Number(s):
I hereby declare that the partly completed equipment named above in its conception, construction
and form put by us on the market:
• MUST NOT BE PUT INTO SERVICE WITHIN THE UK UNTIL THE FINAL MACHINERY INTO WHICH
IT IS TO BE INCORPORATED HAS BEEN DECLARED IN CONFORMITY WITH THE
MACHINERY (SAFETY) REGULATIONS 2008
APPLICABLE UKCA DIRECTIVES
• Is designed and constructed solely as a non-functional component to be incorporated into a machine
requiring completion
• Is in conformity with the relevant Essential Health and Safety Requirements of the UKCA Supply of
Machinery (Safety) Regulations 2008 (1597/2008) shown overleaf and other directives listed overleaf
The relevant technical documentation is in accordance with the provisions of part B of Annex VII of the
machinery directive and is the responsibility of the signatory below. All relevant information about the
partly completed machinery will be provided, by email, on a reasoned request by the appropriate
national authority.
The name and address of the representative authorised to compile the relevant technical documentation is:-
Ray Neilson
Altrad Belle, Sheen, nr. Buxton, Derbyshire, SK17 0EU, UK.
Signed by:
Ray Neilson
Managing Director
On behalf of Altrad Belle, Sheen, Derbyshire, UK
Place of Declaration:-
Sheen, Nr. Buxton, Derbyshire, SK17 0EU, UK
Date of Declaration:-
December 2022
UKCA Declaration Of Incorporation of
Partly Completed Machinery
Altrad Belle
Sheen, nr. Buxton, Derbyshire
SK17 0EU
+44 (0)1298 84606
sales@altrad-belle.com
Battery Power Head
82v 1.5kW Li-Ion
101 YYMMDD 0000001 to 101 YYMMDD 9999999
2008 No. 1597
DIRECTIVE (
10
GB
SUPPLY OF
) AND ALL OTHER
867/90003/0
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