SKYLOTEC SECUPIN SPA-TYP-1-L, Instructions For Use Manual, Page: 24 / 113

MAT-MA 0014_GB SECUPIN 22/02/2018 page 9 of 14
Description/sketch roof layout/installation situation
This confirms that the installed fall protection system (short description of the fall protection system used with
specifications regarding relevant system dimensions, batch/serial number, etc.) was properly installed regarding all
units and in compliance with all provisions of the European Technical Evaluation (ETA) with the approval no.: ETA-
16/0790 and the building products used for the manufacture of the subject of approval (anchor devices as well as their
components and attachment means) were marked in accordance with the regulations of the relevant verification of
applicability (standard, general building control certification, European Technical Certification).
_________________________________ ________________________________________________________
(place, date)
(stamp/signature)
(This description must be handed over to the principle for possibly required forwarding to the competent building
supervision authority)