Occupational Health and Safety Act, 1993 (Act No. 85 of 1993)RegulationsPressure Equipment Regulations, 2009Annexure 1 : Certificate of Conformity for Gas Installations |
CERTIFICATE OF CONFORMITY FOR GAS INSTALLATIONS
OCCUPATIONAL HEALTH AND SAFETY ACT, 1993
Regulation 17(3) of the Pressure Equipment Regulations, 2009
Certificate of conformity by an authorised person
I, _______________________________, declare that I am an authorised person for gas installations with registration number _____________ and ID number __________
Address __________________________________
_________________________________________
_________________________________________
Telephone number (______) __________________
I further declare that I inspected and tested the installation at -
Street ___________________________________
Stand number _____________________________
Name of building ___________________________
Name of farm _____________________________
Number of farm ___________________________
Township/Municipality/District ________________
Name of gas supplier ______________________
Type of gas ______________________________
Amount of gas stored on premises ___________kg
and that, in terms of regulation 17(3), the installation complies with the provisions of 17(2) and that the installation is safe.
I am aware that I am liable to prosecution in the case of a false declaration.
________________ __________________
Signature Date