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Name of the company *
Street, house number *
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Country *
Form of address
Given name, family name *
Department
Email *
Telephone
Fax
Request No. / Reference
Customer No.
Order No.
Given name, family name
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Attention: The information provided in this form is safety-critical. If it is not completed by a qualified person, the operator must ensure that all details are complete and technically correct. Incorrect information can lead to severe accidents.
According to Directive 1999/92/EC, the client or customer is responsible for determining the zone in which the equipment is to be used. This document serves as the basis for the machine design in accordance with the ATEX Directive 2014/34/EU.
Lump breakerLaboratory devicesBag chute cabinetContainer Emptying StationDrum filling systemsDrum emptying systems
Name
granularcoarsepowderypulverulentother
Other properties
Dumping angle (°)
Bulk density (kg / dm³)
Grain size (mm)
Moisture (% H²O)
Temperature (°C)
Viscosity
abrasivealiphaticviscouscakinghygroscopicdustybridge-formingstickytoxicchemically aggressivepourableelectrostatically chargeabletorrentialother
YesNo
Feed rate (kg/h)
Design (dust-tight or other)
Operating pressure (unpressurized or gas/pressure-tight up to ... mbar)
Other information on the task
in the regular production areaon the hall floorin a clean roomon a pedestalother
Length (mm)
Width (mm)
Height (mm)
Upstream
Downstream
Stainless steel (Designation)
Mild steel (Designation)
Other
sandblasted SA 2 ½pickled and passivatedpolished electrolyticallyglass bead blastedother
Max. roughness depth in μm
Coating
sandblasted SA 2 ½pickled and passivatedpolished electrolyticallyother
noneEU2023/2006EU1935/2004FDAEU10/2011GMPother
Other guidelines
In which zone will the installation be deployed?Gas, vapor or mistDust
Our machines are designed for gas and dust explosion hazard zones. Any process-related mixing of these zones (hybrid mixtures) causes deviations in the explosion-relevant characteristics (e.g., minimum ignition temperature, minimum ignition energy). Please note that our machines cannot be used in the presence of hybrid mixtures.
ATEX zone internal (product chamber)210none
ATEX zone external (installation site)21none
Temperature classT1 (≤ 450 °C)T2 (≤ 300 °C)T3 (≤ 200 °C)T4 (≤ 135 °C)T5 (≤ 100 °C)T6 (≤ 85 °C)
Explosion group (applicable for gases, vapors, mists)IIA (e.g. propane)IIB (e.g. ethylene)IIC (e.g. hydrogen)
ATEX zone internal (product chamber)222120none
ATEX zone external (installation site)2221none
Maximum permissible surface temperature (T) at which the product ignites.
Glow temperature (optional)
Ignition temperature (optional)
Explosion groupIIIA (combustible lint and fibers)IIIB (non-conductive dust)IIIC (conductive dust)
Motor ignition protection category (does not apply for vibration motors)Pressure resistant enclosure Ex dIncreased safety Ex enone
Operating voltage (volts)
Frequency (hertz)
If applicable/available
Voltage typeIT network earthing systemTN-S network
Type of control voltageAlternating voltageDirect current voltage
Control voltage (volts)
Compressed air (bar)
Nitrogen (bar)
Protection class (IP)
Additional information
Other (Designation)
Notes on machine and system control
Your cleaning procedure...
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