ATEX Equipment Assessment

Questionnaire

Company Name: ____________________________________________________

Address: ___________________________________________________________
City: ____________________________ State: ________ Zip: _____________
Contact Name: ________________________ Telephone: ___________________
Email: ___________________________________ Fax: ___________________
Website: __________________________________________________________

1. Service(s) requested
EC-Type Examination Quality Assurance Assessment
ATEX analysis ATEX evaluation
Certification by Notified Body Seminar “Basics of ATEX Directive”
Risk Assessment Risk Assessment support

2. Is the intended use limited to a certain kind of atmosphere?

Gas Dust Gas + Dust

If further limited, please specify the type of environment:

________________________________________________________________________

3. Category of Equipment (Group II only, not intended for Mining Applications)

Category 1 (Zone 0, 20) Category 2 (Zone 1, 21) Category 3 (Zone 2, 22)

Method(s) of protection
ia ib d e p m n o q iD mD pD tD

(Please see last page for Category, Zone and Protection explanations)

4. Intended use(s) of equipment, description of functions

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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ATEX Equipment Assessment
Questionnaire

5. Equipment name, model number(s), options

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

6. Intended markets, industries, locations for equipment

______________________________________________________________________________
______________________________________________________________________________

7. Equipment ratings (electrical, mechanical, max temperature, approvals, etc.)

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

8. Design, Quality Control, and Fabrication

Quality system utilized No Yes Description ______________________________

ISO 9001:2000 Registered No Yes Current Registrar _________________________
Other Approvals ______________________________________________________________
Production
Location(s) of Production ________________________________________________________
Normal Production Schedule Single Multiple Custom
Volume __________________________ units per ________________
Number of Employees ____________ Number of Production Employees ______________
Number of Locations _____________ Number of Shifts ____________
Manufacturing Processes
Subcontracted No Yes (what processes?) ______________________________________
______________________________________________________________________________

RETURN TO: Gregory Salicki, Program Manager gsalicki@us.tuv.com

Phone: (512) 927-0070 Ext. 233 Fax: (512) 927-0080

Rev B– 06/27/2007
 ATEX Equipment Assessment
Questionnaire
CATEGORY OF
EQUIPMENT CLASSIFICATION
Category 1
for products ensuring a very
high level of protection
intended for use where
explosive environments are
very likely to occur and for
long periods of time.
Category 2
for products ensuring a high
level of protection intended
for use where explosive
environments are likely to
occur and may be sustained
for short durations.
Category 3
for products capable of
maintaining normal operation
intended for use where
explosive environments are
less likely to occur and are
for short durations only.
Note: For Category 3 equipment and for Category 2 non-electrical equipment, surveillance audits
by a Notified Body are not mandatory.
AREA CONFORMITY SUITABLE METHODS
REQUIREMENTS OF PROTECTION
All Equipment: Any two redundant,
independent Zone 1
(1) EC-Type Examination methods of protection or:
Gas: Zone 0
Plus: ia – Intrinsically Safe
Dust: Zone20 (2 faults)
(2) Production Quality
Assessment; or Product iaD – Intrinsically Safe
Verification maD - Encapsulated
Electrical Equipment, and Any Category 1 method of
Internal Combustion protection or specific type
Engines: shown below:
(1) EC-Type Examination ib – Intrinsically Safe
(1 fault)
Plus: d – Flame-proof
e – Increased Safety
(2) Product Quality p – Pressurized
Assessment; or Unit m – Encapsulated
Gas: Zone 1
Verification o – Oil Immersed
q – Powder Filled
Dust: Zone 21
For non-electrical: ibD – Intrinsically Safe
(1 fault)
(1) Internal Control of mbD – Encapsulated
production pD – Pressurization
tD – Protection by
Or: enclosures
(2) Unit Verification
All Equipment: Any category 1 or 2
method of protection or
(1) Internal control of specific type shown below:
Gas: Zone 2 production
n – Limited energy
Dust: Zone 22 Or:
tD – Protection by
(2) Unit Verification enclosures
Rev B– 06/27/2007