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VERKLARING VAN OVEREENSTEMMING

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<strong>VERKLARING</strong> <strong>VAN</strong> <strong>OVEREENSTEMMING</strong><br />

Richtlijn Pleziervaartuigen<br />

richtlijn 94/25/EG<br />

Declaration of Conformity • Recreational Craft • directive 94/25/CE<br />

Naam producent: __________________________________________________________________________<br />

Name of the manufacturer<br />

Adres:____________________________________________________________________________________<br />

Adress<br />

Postcode: ________________________ Plaats: __________________________________________________<br />

Zip code City<br />

Land: (code)__________(blokletters)___________________________________________________________<br />

Country (code) (printed)<br />

Module (aankruisen): A _- Aa _ _ B+C _ - B+D _ _ B+F _ G _- H _ _<br />

Module used (check)<br />

ALS DE <strong>VERKLARING</strong> IS GEMAAKT DOOR EEN GEMACHTIGDE VERTEGENWOORDIGER<br />

IF THE DECLARATION IS MADE BY AN AUTORISED REPRESENTATIVE<br />

Gemachtigde vertegenwoordiger gevestigd in het EEA gebied: _____________________________________<br />

Authorised representative established in the EEA territory<br />

Adres:____________________________________________________________________________________<br />

Adress<br />

Postcode: ________________________ Plaats: __________________________________________________<br />

Zip code City<br />

Land: (code)__________(blokletters)___________________________________________________________<br />

Country (code) (printed)<br />

ALS TUSSENKOMST <strong>VAN</strong> EEN AANGEWEZEN INSTANTIE<br />

IF INTERVENTION OF A NOTIFIED BODY<br />

Naam:_________________________________________________________________Code: ______________<br />

Name Code<br />

Adres:____________________________________________________________________________________<br />

Adress<br />

Postcode: ________________________ Plaats: __________________________________________________<br />

Zip code: City<br />

Land: (code)__________(blokletters)___________________________________________________________<br />

Country (code) (printed)<br />

EG-Certificaatnr., indien afgegeven (certificaatnr., datum dag/maand/jaar)________________, ___ / ___ / ___<br />

If EC type-examination certificate has been issued (certificate number and date yr/mo/day)<br />

BESCHRIJVING <strong>VAN</strong> HET VAARTUIG<br />

DESCRIPTION OF THE CRAFT<br />

HIN code:<br />

Hull identification number (HIN)<br />

Merknaam:______________________________________________________________________________________________________<br />

Brand name of the craft<br />

Type of nummer: _________________________________________________________________________________________________<br />

Type or number<br />

Ontwerpcategorie.........................................................................................................................................................................:_____________<br />

Design category<br />

Type boot* ....................................................................................................................................................................................:_____________<br />

Type of boat<br />

Type romp* ..................................................................................................................................................................................:_____________<br />

Type of hull<br />

Dek*...............................................................................................................................................................................................:_____________<br />

Deck<br />

Constructiemateriaal*.................................................................................................................................................................:_____________<br />

Construction material<br />

Voortstuwing* ..............................................................................................................................................................................:_____________<br />

Propulsion<br />

Motortype* ...................................................................................................................................................................................:_____________<br />

Type of engine<br />

Maximaal aanbevolen motorvermogen (kW) ...........................................................................................................................:_____________<br />

Maximum recommended engine power (kW)<br />

Lengte en breedte romp (meter) ................................................................................................................... :_____________ /_____________<br />

Hull length and width (m)<br />

Diepgang (meter)..........................................................................................................................................................................:_____________<br />

Draught (m)<br />

* codes, zie volgende pagina (codes om opposite side)<br />

Ik verklaar op eigen verantwoordelijkheid dat het bovengenoemde vaartuig voldoet aan alle van toepassing<br />

zijnde essentiële eisen zoals gespecificeerd op de volgende pagina<br />

I declare at my own responsability that the boat mentioned above complies with all applicable essential requirements in the way specified on<br />

the opposite side<br />

Naam:_____________________________Blokletters: ___________________________________________________________________<br />

Name Printed<br />

Datum (dag/maand/jaar): _____________________<br />

Date (yr/mo/day)


Type boot • Type of boat<br />

01 zeilboot • sailboat<br />

02 opblaasboot • inflatable<br />

03 anders • other:________________________________<br />

Type romp • Type of hull:<br />

01 enkele romp • monohull<br />

02 meerdere rompen • multihull<br />

03 anders • other:________________________________<br />

Constructiemateriaal • Construction material:<br />

01 aluminium, aluminium legering • aluminium,<br />

aluminium alloys<br />

02 kunststof vezel, versterkte kunststof • plastic, fibre<br />

reinforced plastic<br />

03 staal, staalgelegering • steel, steel alloys<br />

04 hout • wood<br />

05 anders • other:________________________________<br />

Essentiële eisen<br />

Essential requirements<br />

(ref. to relevant article in Annex 1 of the Directive)<br />

Algemene eisen • General requirements (2)<br />

Hull Identification Number - HIN • Hull Identification Number – HIN (2.1)<br />

Plaatje van de bouwer • Builder’s Plate (2.2)<br />

Beveiliging tegen overboord vallen en voorzieningen om weer aan boord te kunnen komen<br />

• Protection from falling overboard and means of reboarding (2.3)<br />

Zicht vanaf de hoofdstuurstand • Visibility from the main steering position (2.4)<br />

Gebruikershandleiding • Owner’s manual (2.5)<br />

Structuur • Structure (3.1)<br />

Stabiliteit en vrijboord • Stability and freeboard (3.2)<br />

Drijfvermogen en reserve-drijfvermogen • Buoyancy and floatation (3.3)<br />

Openingen in romp, dek en bovenbouw • Openings in hull, deck and superstructure (3.4)<br />

Vollopen • Flooding (3.5)<br />

Door de fabrikant aanbevolen maximale belasting • Manufacturer’s maximum<br />

recommended load (3.6)<br />

Bergplaats voor reddingsboot • Liferaft stowage (3.7)<br />

Ontsnappingsweg • Escape (3.8)<br />

Ankeren, afmeren en slepen • Anchoring, mooring and towing (3.9)<br />

Stuureigenschappen • Handling characteristics (4)<br />

Motor en motorruimte • Engines and engine spaces (5.1)<br />

Binnenboordmotor • Inboard engine (5.1.1)<br />

Ventilatie • Ventilation (5.1.2)<br />

Niet ingesloten delen • Exposed parts (5.1.3)<br />

Starten van buitenboordmotor • Outboard engine starting (5.1.4)<br />

Brandstofsysteem • Fuel system (5.2)<br />

Algemeen brandstofsysteem • General – fuel system (5.2.1)<br />

Brandstoftanks • Fuel tanks (5.2.2)<br />

Electrische systemen • Electrical systems (5.3)<br />

Besturingssystemen • Steering systems (5.4)<br />

Allgemeen stuursysteem • General – steering system (5.4.1)<br />

Hoofdvoorzieningen • Emergency arrangements (5.4.2)<br />

Gassystemen • Gas systems (5.5)<br />

Brandbeveiliging • Fire protection (5.6)<br />

Allgemeen brandbeveiliging • General – fire protection (5.6.1)<br />

Navigatie lichten • Navigation lights (5.7)<br />

Voorkomen van lozing • Discharge prevention (5.8)<br />

Voortstuwing • Propulsion:<br />

01 zeilen • sails<br />

02 benzinemotor • petrol engine<br />

03 dieselmotor • diesel engine<br />

04 elektrische motor • electrical motor<br />

05 roeiriemen• oars<br />

06 anders • other:________________________________<br />

Type motor • type of engine:<br />

01 buitenboord • outboard<br />

02 binnenboord • inboard<br />

03 z-drive/hekschroef• z or sterndrive (embase relevable)<br />

04 anders • other:________________________________<br />

Dek • Deck<br />

01 Gesloten • decked<br />

02 Deels gesloten • partly decked<br />

03 Open • open<br />

Gebruikte geharmoniseerde<br />

normen<br />

Harmonised standards used<br />

Gebruikte ISO normen<br />

ISO-standards used<br />

Andere gebruikte normatieve<br />

documenten<br />

Other normative document used<br />

Zie technisch dossier<br />

See the technical file

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