Electrical Product Safety and EMC Testing

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RFQ safety

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Company Name

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City

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General Product Information

Please provide as much of the following information that you have available. Approximations and draft versions of the documentation is fine.

Does your company have existing safety certifications on this product or other products

Yes

Description / Application

Product Name

Model(s)

# of Configurations to Test

Form factor

Tabletop

Floor standing/ or wall mounted.

Large (test at external facility – “In Situ”)

Dimensions (approximate)

High

Wide

Deep

Are there any special handling or setup needs, e.g., forklift required?

Yes

Approximate device set-up time?

Power requirements and/or product electrical ratings (estimated power consumption is acceptable if unknown)?

Type	Ratings

Highest Generated Frequency (clock, microcontroller, transmitter, data rate, etc.)

Product Documentation

System specifications document

User manual

Block diagram

Photos, exterior and interior

Certification Information:

Does your company have existing safety certifications for similar products?

Yes

Are you familiar with safety compliance process?

Yes

Applicable standard(s) (if known):

Type of Safety Certification(s) Desired (if known):

NRTL/SCC (US and Canada)

CB Certification

CE/EU Technical Construction File (TCF)

European Notified Body Certification

Other

Preferred Safety Agency(ies) (if known):

CSA

TUV Rheinland

Others (specify)

Special Considerations for Safety:

Are all AC/DC mains connected components separately safety certified, e.g., UL, CSA, TUV

Yes

Does the product have lasers?

Yes

Does the product have any special enclosure protection requirements, e.g, drip proof?

Yes

If the product a medical device, do you have a current Risk Management File compliant to ISO 13485 and ISO 14971?

Yes

Does the product have any special support equipment needs, e.g., water, air?

Yes

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Electrical Product Safety and EMC Testing

General Product Information

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Product Documentation

Certification Information:

Special Considerations for Safety:

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