Supplier Declaration Of Conformity Form PDF Details

In the realm of manufacturing and importing, ensuring the safety and compliance of products is of paramount importance. The Supplier Declaration of Conformity (SDoC) serves as a critical document in this process, particularly within the domains governed by international standards such as ISO/IEC 17050-1:2004. This document, exemplified by a form filled out for a line of Philips Lighting products in New Zealand, acts as a formal attestation by suppliers that their products meet the necessary safety standards and regulations. It includes detailed information ranging from the issuer's details, product specifics such as name, type, and serial numbers, to the standards the product complies with, and evidence of such compliance through references to test reports or certification. This declaration not only outlines the product's compliance with cited standards but also details the issuer's commitment to ongoing conformity through internal procedures addressing potential design changes, alterations in standards, or organizational modifications. Furthermore, it highlights the legal implications of failing to provide such a declaration when selling medium risk articles, alongside specifying the penalties for non-compliance. This form, integral for both the assurance of product safety and the mitigation of legal risks, is thus fundamental for suppliers within New Zealand's regulated supply chain, ensuring transparency and accountability in the commercial realm.

QuestionAnswer
Form NameSupplier Declaration Of Conformity Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesiso iec 17050 1 no download needed, en iso iec 17050 1 pdf, iso iec 17050 2 template, iso 17050

Form Preview Example

Supplier Declaration of Conformity (SDoC)

In accordance with ISO/IEC 17050-1:2004

SDoC identification Number1 - 110330/PHILIPS LIGHTING NZ/1

Issuer details

 

Name2 (of New Zealand manufacturer or importer)

Contact Address

 

 

 

P O BOX 1041

PHILIPS LIGHTING NEW ZEALAND

AUCKLAND – 1140

LTD

 

NEW ZEALAND

 

New Zealand Company Number (if applicable)

 

1723

 

 

 

Telephone

Fax

Email address

09-3554700

Medium Risk Article – Details3 (Product name, type, rating, brand, model, batch numbers, and serial numbers, as applicable)

FIXED LUMINAIRE :PHILIPS, TWG & TCH SERIES

The Medium Risk Article, listed above, fully complies with the cited standard(s), as listed:-

Standard number & issue year:-

 

Standard number & issue year:-

 

AS/NZS 60598.2.1:1998

 

AS/NZS 60598.1:2003

 

 

 

 

 

 

Standard Title:- Luminaires-Particular requirements-Fixed

Standard Title:-Luminaires-General requirements and tests

general purpose luminaires

 

 

 

 

 

 

 

 

Edition Amendment status:-

AS/NZS ZZ modified

Edition / Amendment status:-

AS/NZS ZZ modified

 

 

Y / N / NA

 

Y / N / NA

 

 

 

 

 

Or complies with the Conformity Cooperation Agreement - Yes / No (Delete as applicable)

 

 

Names and addresses of any testing organisation or body

 

 

 

Name(s)

 

Address(es)

 

UL International New Zealand Ltd

21 Tarndale Grove , Albany, Auckland 0632, New Zealand

Reference to relevant test reports/certification, and issue date of the reports/certification, that show how compliance is achieved:-

 

Standard(s) or document(s) used, to show how compliance with

Report/Certification or Document reference

Issue date(s)

 

cited standard is achieved:-

N°(s):-

 

UL Approval Certificate(CERTIFICATE OF COMPLIANCE)

U20174EA

4-April-2011

Reference to any management systems involved:- NA

Additional4 information NIL

Declaration

I hereby declare that the above specified fittings or electrical

Signed for and on behalf of:

 

appliances comply with the requirements of Regulation 83 of the

 

Electricity (Safety) Regulations 2010

 

 

Name5 & position, as authorized by the issuer

Issuer Identification:

 

Signature

Date

PHILIPS

 

 

(as affixed to the article).

CHRISTINE JOHNSTON

 

 

 

1Every declaration of conformity should be uniquely identified.

2The responsible issuer must be unequivocally specified.

3The “Article” must be unequivocally described so that the declaration of conformity may be related to the article in question. For mass- produced products, it is not necessary to give individual serial numbers. Where variants of an article are to be covered, these must be detailed.

4Text should appear here only if any limitation on the validity of the declaration of conformity and/or any additional information are given.

5Full name and function of the signing person(s) authorised by the issuer's management to sign on its behalf should be given. The number of signatures, or equivalent, included will be the minimum determined by the legal form of the issuer’s organization.

SDoC.doc

CONTINUED OVERLEAF

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Continuing validity of the declaration of conformity

The issuer of the declaration of conformity shall have procedures in place to ensure the continued conformity of the medium risk article, as delivered or accepted, with the stated requirements of the declaration of conformity.

The issuer of the declaration of conformity shall have procedures in place to re-evaluate the validity of the declaration of conformity, in the event of:-

a)changes significantly affecting the article design or specification,

b)changes to the standards which conformity of the article is stated,

c)changes in the ownership or structure of management of the supplier,

d)if relevant, or relevant information indicating that the article may no longer conform to the specified requirements.

Additional information regarding the declaration

“Issuer Identification” as affixed to the article:- this marking should identify the issuer of the SDoC and may be for example in the form of a NZ GST N°, NZ Company N°, Unique NZ brand name or trademark, or SCN issued by Radio Spectrum Management (this number can be used, even if a C-tick is not required for the article), etc. Failure to mark a product with such unique identification may result in the issuer being held responsible for compliance of an article that may not have been supplied by the issuer, unless the issuer can prove otherwise! This is particularly relevant where the same or very similar model is or may be imported or manufactured, by other NZ suppliers.

A copy of the SDoC and test report(s) (certification) and/or other supporting compliance documentation must be available, if the supporting compliance documentation is not available directly from issuer, the name and address of from where it can be obtained from, must be provided by any supplier within the New Zealand supply chain. (Note: A copy of the SDoC and supporting documentation must be available within 10 working days after being asked to do so, by Energy Safety, a purchaser, or other consumer, of the article declared).

A person who sells or offers for sale, a declared medium risk article commits an offence, if at the time of sale or offer to sell, a valid declaration of conformity for the article has not been made, or the person cannot provide a copy of the declaration of conformity, along with the required supporting documentation, within the timeframe allowed. Penalties associated with a grade A offence are fines, not exceeding $10,000 for an individual or $50,000 for a body corporate (company) if successfully prosecuted, or a fixed infringement fee, of $1,000 for an individual or $3,000 for a body corporate (company).

Listings of the current regulatory definitions for electrical equipment deemed to be medium risk articles, can be found at: http://www.energysafety.govt.nz/templates/MultipageDocumentTOC____24889.aspx within the

Energy Safety website: http://www.energysafety.govt.nz

This form can be edited to increase any text box size, in order to insert more detail, than the current space allows, if required.

This is an example ISO/IEC 17050-1 form for a recognised declaration of conformity; any other form complying with the requirements of ISO/IEC 17050-1:2004, may be used instead, for the purpose of Electricity Regulation 83.

Nothing prevents this form being extended to act as an SDoC, for other regulatory purposes.

THIS COMPLETED FORM REMAINS WITH THE ISSUER AS PART OF THE DOCUMENTATION

REQUIRED AS EVIDENCE OF COMPLIANCE

DO NOT SUBMIT A COPY OF THIS FORM TO ENERGY SAFETY, UNLESS SPECIFICALLY

REQUESTED TO DO SO

SDoC.doc

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