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ENCYCLOPEDIA OF RADIO ELECTRONICS AND ELECTRICAL ENGINEERING
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Appendix 1. An example of a sample statement of commitment to assign the duties of a person responsible for electrical facilities. Encyclopedia of radio electronics and electrical engineering

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Encyclopedia of radio electronics and electrical engineering / Rules for the technical operation of consumer electrical installations (PTE)

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Sample
Assigning Responsibility to the Head of Department
safe operation of state energy supervision
electrical installations _____
______ signature, initials, surname
______ from __
name of the organization of the owner, head of the organization
______ _____
on ___ full name
FULL NAME. Passport: Series ____ No. _______
Agreed issued
Head of department Registration address
state energy supervision of residence ______
___________
(signature, initials, surname) _____
"__" 20 __ "__" __ 20 _ p>

MP


STATEMENT-COMMITMENT

In accordance with paragraph 1.2.4 of the Rules for the technical operation of electrical installations of Consumers, I ask you to agree on the assignment of responsibility for the safe operation of electrical installations located
name of company
by the address ______
for ______ manager, owner _______
cross out unnecessary
this object ___
FULL NAME. fully
I undertake to maintain and operate the electrical installation of the specified facility in accordance with the requirements of the current rules and other regulatory and technical documents.
I do not have electrical receivers with voltage higher than 380 V.
"__" __________ 20_
_
Signature of the head, owner
Checked:
Inspector of State Energy Supervision
__ //
stamp and signature Surname and initials of the inspector
MP
"__" _ 20 _
Instruction on ensuring the safe operation of the electrical installation received:
_______ //
signature Surname and initials
Conducted training:
_______ //
signature Surname and initials
"__" 20_

See other articles Section Rules for the technical operation of consumer electrical installations (PTE).

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