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LOVAG WRTR
Witnessed IEC/EN 61439-2
Valid from: 2016-10-13
Routine Tests Ed. 2.0a
report 2016-04
Form sheet Author: ACAE
Chairman of
Technical Committee
Saverio MANGANARO
Page .... / ....
Applicant : ................................................................................
: ................................................................................
: ................................................................................
: ................................................................................
Apparatus : ................................................................................
: ................................................................................
This WRT Report consists of: All the measurement uncertainties are
.... pages LOVAG forms and within the limits of LOVAG General
.... other pages Instruction G2 – Measurement Uncertainties
Date of issue: .........
Name: ........................................
Name: ........................................
Function: ........................................
Function: ........................................
Signature: ……………………………
Signature: ……………………………
WRT report No. ……….
Page …. / ….
Note: The test result relates only to the items tested. The test WRT report
report shall not be reproduced except in full without the written IEC/EN 61439-2
approval of LOVAG Certification Body Ed. 2.0a form 1
General informations
(data available for the report but not necessary for the final result decision)
WRT report
Verification premises address : ........................................
: ........................................ - ........................................ - ......... IEC/EN 61439-2
Ed. 2.0a form 2
WRT report
Verification premises address : ........................................
: ........................................ - ........................................ - ......... IEC/EN 61439-2
Ed. 2.0a form 3
Routine test according to IEC/EN 61439-2 Clause 11 – referred to IEC/EN 61439-1 Clause 11
WRT report No. ……….
Page …. / ….
Sub Not
Kind of tests, kind of verification and requirements (if any) Checked
Clause appplicable
WRT report
Verification premises address : ........................................
: ........................................ - ........................................ - ......... IEC/EN 61439-2
Ed. 2.0a form 4
Check list according to: ISO/IEC 17025 specified clauses – partial quality process verification
WRT report No. ……….
Page …. / ….
Sub
Kind of tests and requirements Yes No
Clause
5.5 Equipment
Remarks :
WRT report
Verification premises address : ........................................
: ........................................ - ........................................ - ......... IEC/EN 61439-2
Ed. 2.0a form 5
WRT report No. ……….
Page …. / ….
Additional page
WRT report
Verification premises address : ........................................
: ........................................ - ........................................ - ......... IEC/EN 61439-2
Ed. 2.0a form 6