33
UM Assembly Palletiser HR7 (partly completed) QS203263 v1.0
EN
Appendix 2
– Decleration of incorporation
DECLARATION OF INCORPORATION RELATING TO
PARTLY COMPLETED MACHINERY
according to Machine Directive 2006/42/EC, Annex II, point 1.B
Original Declaration
Qimarox B.V.
Nobelstraat 43
3846 CE Harderwijk
The Netherlands
Tel.
+31 (0)341 436 700
Fax
+31 (0)341 436 701
Declares vis-à-vis the partly completed machine:
Name
Palletiser installation
Function
Stacking of products on pallets
Model / Type
Assembly palletiser Highrunner HR9
Design
according to layout drawing AE010...
(see separate declaration document
)
Year of construction
2021
Order number
QS21XXXXX
Assembly …
(
see separate declaration document
)
-
that it meets the essential requirements of
Directive 2006/42/EU (Machinery Directive)
mentioned on page 2 of this Declaration of Incorporation
-
that it
does not
meet
all
the requirements of the Machinery Directive and that the assembly
instructions must be followed when installing the machine
-
that the relevant technical documents have been drawn up in accordance with section B of
Annex VII of the Machinery Directive
-
that, at the request of the national authorities, the relevant information on the partly com-
pleted machinery will be transmitted by means of digital files or as hardcopies, without prej-
udice to intellectual property rights
The partly completed machinery must not be put into service until the finished machinery into which
it is to be incorporated has been declared fully compliant with the provisions of
Directive
2006/42/EU (Machinery Directive)
and any other applicable directives.
Where applicable, the following harmonised standards are used:
Type A standards
EN-ISO 12100:2010
Type B standards
EN
–ISO 14119:2013, EN-ISO 13850:2015, EN-ISO 13855:2010
EN-ISO 13857:2019, EN 349:1994+A1:2008, EN-ISO 13849-1:2016
EN-ISO 13849-2:2012, EN-IEC 60204-1:2018, EN-ISO 14120:2015
EN-ISO 14122-2:2016, EN-ISO 14122-3:2016, EN-ISO 4414:2010
Type C standards
EN 619:2019, EN-IEC 60204-32:2008, EN 81-31:2010, EN 415-4:2019
City
Date
Name
Function
Harderwijk
(
Signature: see separate declaration
document
)