(T2, A1, FB7-3, REV16), Status: 19.04.2017

Part 3: Questions about the certification according to DIN EN ISO 3834 ff.

What fields are to be certified? (Question not applicable to organisations without any branches)

☐ Only the headquarters
☐ The whole organisation including the branch(es)

Manufactured products (if possible, please enclose a company brochure)

Click here to enter text.
Click here to enter text.

Production type

☐ Single-item fabrication / ☐ Series fabrication

Maximum product weights and dimensions

Product weight / Click here to enter text.
Dimensions / Click here to enter text.

Utilised base materials (thickness range) and filler materials

Base materials / Thickness range / Filler materials
Click here to enter text. / Click here to enter text. / Click here to enter text.
Click here to enter text. / Click here to enter text. / Click here to enter text.
Click here to enter text. / Click here to enter text. / Click here to enter text.

Mainly utilised welding and/or allied processes

Classification numbers according to DIN EN ISO 4063 / Degree of mechanisation / Qualification of the procedure according to
Click here to enter text. / Click here to enter text. / Click here to enter text.
Click here to enter text. / Click here to enter text. / Click here to enter text.
Click here to enter text. / Click here to enter text. / Click here to enter text.
Click here to enter text. / Click here to enter text. / Click here to enter text.

Are any heat treatments carried out?

☐ Yes, internally / ☐ Yes, subcontracting / ☐ No

What activities relevant to welding technology do you always subcontract?

Click here to enter text.
Click here to enter text.

Personnel

Type /

Number

/ Qualification/testing basis
Certified welders / xx / Click here to enter text.
Certified operators / installer / xx / Click here to enter text.
Welding coordinators / xx / Click here to enter text.
Responsible welding coordinator
Name: / Click here to enter text.
Qualification1): / ☐ IWE / ☐ IWT / ☐ IWS / ☐ Click here to enter text.
Telephone: / Click here to enter text.
E-mail: / Click here to enter text.

Representative welding coordinator

Name: / Click here to enter text.
Qualification1): / ☐ IWE / ☐ IWT / ☐ IWS / ☐ Click here to enter text.
Telephone: / Click here to enter text.
E-mail: / Click here to enter text.

1) Designation of the occupation and proof of the qualifications (copies of certificates) as well as the occupational activities until now (as tables) should be enclosed.

Other representatives please specify here:

Click here to enter text.

FB7-3REV16_Order_Certifcation_Annex3_ISO3834.docxPage 1 of 2 pages