"Common text for"
EQUIPMENT DESCRIPTION
FORM/APPLICATION FORM
FOR TESTING
TO EN XXX YYY
(to be used for market surveillance /
enforcement of the R&TTE Directive)
<title of EN XXX YYY>
<version>
<status of approval (if any)>
The equipment description form is part of the documentation relating to measurements (i.e. the “Test Report”).
AP-3
EQUIPMENT DESCRIPTION FORM FOR TESTING
The application form shall be completed by the applicant and submitted to a test laboratory accredited in accordance with EN45001 and EN45002 or ISO guides 25 and 38 or a national standard conforming to EN45001 and EN45002 or ISO guides 25 and 38.
PLEASE READ THE FOLLOWING NOTES
Note (a)
More than one item of equipment may be required to be submitted for testing where an equipment needs to be modified to provide connections to facilitate testing, i.e. measurements requiring direct connections to be made, for example audio measurements. In such cases a second unmodified equipment may be required for radiated i.e. case or cabinet radiation or ERP (effective radiated power) measurements to be performed.
Full details of modifications are to be provided.
Note (b) (1)
Some ENs (and ETSs/IETSs) allow for variations in frequency range, maximum power, channel separation, etc., to reflect differing requirements. Manufacturers producing equipment conforming to these standards may wish to offer an equipment of the same basic design in several variants each with differing RF characteristics such as frequency range, maximum power, etc.
Manufacturers may also wish to offer a "family" of equipment with differing operational features of an optional nature e.g. selective calling. Guidance to applicants, relevant to the standard in question on the resting requirements for equipment with such features should be given at this point in the application form, e.g. reference to the standard or relevant ETSI Technical Report.
Each member of a family with a different optional operational feature shall carry a unique type designation.
( 1 ) To be used where relevant to the standard concerned. Should be adapted to the requirements of the concerned standard.
Note (c)
Accessories
It is expected that equipment is provided with appropriate connectors to facilitate the connection of test equipment by the test laboratory to the equipment under test (E.U.T.). This should enable:
a) access to the equipment RF power output (transmitter) and RF input (receiver);
b) operation of the equipment "press to talk'' transmitter operation;
c) access to the equipment modulator audio input;
d) access to the receiver audio output. If the equipment has more than one audio output then suitable connectors for these are also required. It is not permissible to access the receiver audio output in parallel with loudspeaker;
e) means of connecting the equipment to an external power supply.
Note (d)
When measurements are performed on a preproduction model, that model must be manufactured to the same production drawings and manufacturer's specification as the later production models.
Where this is not the case, either partial or full measurements are expected to be carried out on the final production equipment.
Note (e)
It is the manufacturer's responsibility to ensure that the equipment meets all the regulatory requirements for marking in the country where the equipment is expected to be placed on the market.
Note (f)
The title page of the Test Report shall include the following statement:
"
The documentation shall consist of two parts
Part one. Application Form
Part two. Test Report Form
"
Note (g)
If particular abbreviation(s) or acronym(s) which are not described in the standard (e.g. w.r.t. means which refer to ...) are used, a glossary of these abbreviation(s) or acronym(s) is to be included.
Note (h)
It is the applicant's responsibility to try and obtain information on the appropriate technical information.
However, it may occur that an applicant is not in a position to complete or to provide all items (e.g. test fixtures).
The box relating to the Applicant’s details has been changed for the purpose of this Application Form.
AP-3 17
APPLICANT'S DETAILSCATEGORY OF APPLICANT (Please tick rele- (a) MANUFACTURER
vant box opposite)
(b) IMPORTER
If box (b), (c) , (d) or (e) is ticked
complete details in box below with (c) DISTRIBUTOR
respect to the manufacturer.
(d) AGENT
(e) ADMINISTRATION
ORGANISATION NAME ......
ADDRESS ......
......
NAME FOR CONTACT PURPOSES ......
TELEPHONE NO: ...... FAX NO: ......
TELEX NO: ......
MANUFACTURER'S DETAILS
COMPANY NAME ......
ADDRESS ......
......
NAME FOR CONTACT PURPOSES ......
TELEPHONE NO: ...... FAX NO: ......
TELEX NO: ......
The type designation may be either a single alphanumeric code or an alphanumeric
code divided into two parts.
Please fill in
EITHER :
TYPE DESIGNATION AS
A SINGLE ALPHANUMERIC CODE
OR :
TYPE DESIGNATION IN
TWO PARTS :
1. EQUIPMENT SERIES NO. (3)
("MODEL NUMBER")
2. EQUIPMENT SPECIFIC NO. (4)
("IDENTIFICATION NO")
(2) This is the manufacturer's numeric or alphanumeric code that is specific to a particular model of equipment. It may contain information in coded form on the characteristics of the equipment e.g. frequency, power. The manufacturer is free to choose the form of the type designation.
(3) This is the generic number, code or trade name used by the manufacturer to describe a series or 'family' of equipment of substantially the same mechanical and electrical construction which will include a number of related equipments. This number is often referred to as the "model no.".
(4) This is the manufacturer's identification number given to a specific equipment in the series or 'family' of equipments. It is often referred to as the "identification number".
TYPE OF EQUIPMENT (1) Base station (Equipment fitted with an antenna socket for use with an
external antenna, and intended for use in a fixed
location).
Mobile station (Mobile equipment fitted with an antenna socket, for use
with an external antenna, normally used in a vehicle or
as a transportable station).
Handportable (Equipment either fitted with an antenna socket or having
an integral antenna or both, normally used on a stand-
alone basis, to be carried or on a person held in the hand).
Other ......
BASE STATION (1)(5)
Transmitter Simplex
Receiver Duplex
Transceiver Communal Site Use
PSTN connection
ISDN connection
MOBILE STATION (1)(5)
Transmitter Simplex
Receiver Duplex
Transceiver
Remote Control Head(s)
HANDPORTABLE (1)(5)
Transmitter Simplex
Receiver Duplex
Transceiver
Remote Control Head(s)
(1) To be used where relevant to the EN concerned. Should be adapted to the requirements of the EN concerned.
(5) These categories are given as examples only. The categories used will vary according to the nature of the equipment in each EN. The categories chosen should reflect the content and requirements of the EN concerned. Choice of categories and definitions are the responsibility of the appropriate TB.
TRANSMITTER TECHNICAL CHARACTERISTICSTRANSMITTER FREQUENCY (1)
Method of frequency generation
crystal
synthesiser
other ......
TRANSMITTER CHANNEL SWITCHING FREQUENCY RANGE (1) (6)
......
TRANSMITTER FREQUENCY ALIGNMENT RANGE (1) (7)
......
(1) To be used where relevant to the EN concerned. Should be adapted to the requirements of the EN concerned.
(6) This is the frequency range over which an equipment is capable of being switched under normal working conditions without realignment.
(7) This is the frequency range (alignment range) over which an equipment can be adjusted to operate.
NORMAL USE
Is the equipment designed to transmit continuous Yes
carrier while power is on?
No
Is the equipment designed to transmit a carrier Yes
by control action?
No
Is the transmitter operating normally Yes
in pulsed mode?
No
TRANSMITTER RF POWER CHARACTERISTICS (1)
MAXIMUM RATED TRANSMITTER OUTPUT POWER as stated by manufacturer
...... W AT TRANSMITTER RF OUPUT CONNECTOR
...... W EFFECTIVE RADIATED POWER (FOR EQUIPMENT WITH INTEGRAL ANTENNA)
Is the transmitter intended to be able to operate in:
Continuous duty Yes
No
Intermittent duty Yes
No
If intermittent, state DUTY CYCLE
Transmitter ON ...... minutes
Transmitter OFF ...... minutes
And/or duty cycle expressed as a percentage .... %
Is transmitter output power variable?
Yes No
continuously Maximum
variable power ...... Watts
stepped
dB per step (if necessary steps)......
number of steps ......
Maximum RF output power ...... Watts
Minimum RF output power ...... Watts
Further details (if necessary) ......
TRANSMITTER - MODULATION
Angle (FREQUENCY) AM Digital
Other ......
(1) To be used where relevant to the EN concerned. Should be adapted to the requirements of the EN concerned.
TRANSMITTER MODULATION INPUT CHARACTERISTICS (1)Modulation input signal level for 60% of maximum deviation at ...... Hz (8)
at
Microphone socket ...... mV impedance ...... ohms
Accessory socket ...... mV impedance ...... ohms
Other ...... impedance ...... ohms
Lowest audio modulation frequency transmitted by the equipment
...... Hz
(1) To be used where relevant to the EN concerned. Should be adapted to the requirements of the EN concerned.
TRANSMITTER POWER SOURCE (8) AC MAINS ...... State voltage Single phase
Three phase
...... AC MAINS FREQUENCY (Hz)
DC Voltage
DC Maximum Current
Other
BATTERY
Nickel Cadmium
Mercury
Alkaline
Lead acid (Vehicle regulated)
Leclanché
Lithium
Other ......
...... Volts End point voltage as quoted by equipment manufacturer
(8) If a transmitter and receiver use the same power source, this should be declared. In such cases only the box for the transmitter power source should be filled.
RECEIVER TECHNICAL CHARACTERISTICSRECEIVER FREQUENCY
METHOD OF FREQUENCY GENERATION
CRYSTAL
SYNTHESIZER
OTHER ......
INTERMEDIATE FREQUENCIES (7)
1st ...... kHz
2nd ...... kHz
3rd ...... kHz
Is local oscillator injection frequency higher or lower than the receiver
nominal frequency
Higher
Lower
RECEIVER CHANNEL SWITCHING FREQUENCY RANGE (6)
......
RECEIVER FREQUENCY ALIGNMENT RANGE (7)
......
(6) This is the frequency range over which an equipment is capable of being switched under normal working conditions without realignment.
(7) This is the frequency range (alignment range) over which an equipment can be adjusted to operate.
RECEIVER AUDIO (AF) CHARACTERISTICSLoudspeaker ...... W (Max rated output power)
Line ...... W " " " "
Earpiece ...... W " " " "
Load Impedance
Balanced
Loudspeaker ...... ohms
Unbalanced
Line ...... ohms
Earpiece ...... ohms
DC voltage on connection
Loudspeaker ...... Volts
Line ...... Volts
Earpiece ...... Volts
RECEIVER POWER SOURCE (8)
AC MAINS ...... State voltage Single phase
Three phase
...... AC MAINS FREQUENCY (Hz)
DC Voltage
DC Maximum Current
Other
BATTERY
Nickel Cadmium
Mercury
Alkaline
Lead acid (Vehicle regulated)
Leclanché
Lithium
Other ......
...... Volts End point voltage as quoted by equipment manufacturer
(8) If a transmitter and receiver use the same power source, this should be declared. In such cases only the box for the transmitter power source should be filled.
TRANSMITTER AND RECEIVER CHARACTERISTICSITU DESIGNATION(S) OF EMISSION
......
CHANNEL SEPARATION ......
State the maximum number of channels over which the equipment can operate
......
EXTREME TEMPERATURE RANGE over which equipment is to be type tested (1) (9)
-25 C to +55 C
-15 C to +55 C
-10 C to +55 C
Other ......
(1) To be used where relevant to the EN concerned. Should be adapted to the requirements of the EN concerned.
(9) This should cover the temperature ranges defined in the appropriate standard.
CONSTRUCTION OF EQUIPMENT
Single unit (10)
Multiple units
If multiple units describe each one clearly
......
......
(10) "Unit" means a physically separate item of the equipment.
AUTOMATIC EQUIPMENT SWITCH OFF (1) (11)If the equipment is designed to automatically switch off at a predetermined
voltage level which is higher or lower in value than the battery minimum
voltage calculated values this shall be clearly stated.
Applies ...... Cut-off voltage
Does not apply
(11) Certain types of equipment, e.g. cordless telephones, may be designed to switch off whenever voltage falls below a pre-determined level. This is to prevent the equipment from malfunctioning at too low a voltage level, e.g. when the battery has run down. The pre-determined "switch off" level may be higher than the minimum.
SIGNALLING (1)Is selective signalling fitted Yes
No
Is selective signalling
Analogue
Digital
If Analogue, state: format ......
: tone frequencies ...... Hz
......
If Digital, state : modulation method ......
: bit rate ...... b/s
......
(1) To be used where relevant to the EN concerned. Should be adapted to the requirements of the EN concerned.
DUPLEX OPERATION (1)Is the equipment intended for
Duplex operation Yes
No
Is the equipment fitted with separate
Transmitter and Receiver antenna sockets
Yes
No
Is the equipment fitted with a duplex filter
as an integral part of the equipment with a
single antenna connection socket
Yes
No
Is the duplex filter externally fitted and connected
to the main equipment by co-axial cable(s)
Yes
No
Type and make of Duplex filter
......
COMMUNAL SITE OPERATION (1)
Is the equipment fitted with Circulators/Isolators, internally
or externally, as part of the equipment, to achieve the ..... dB
limit for communal site operations?
Yes
No
If YES what is the value of attenuation of the Circulator/Isolator?
dB
(1) To be used where relevant to the EN concerned. Should be adapted to the requirements of the EN concerned.