E
MANUFACTURER
PROJECT No.
TAG No.
4119
44-PA-0001A-DE
4119
44-PA-0001A-ECB
4119
82-EL-2001-001-EA-001
4119
DESCRIPTION
MODULE / AREA
MODULE / AREA DESCRIPTION
AREA CLASSIFICATION
NAME
COUNTRY
MODEL No.
SERIAL NUMBER
Produced Water Pump Motor A
M10
Inlet Separator Module
Zone 2, IIA, T3
Company A
UK
Type A
M123456
Control Station - Produced Water Pump Motor A
M10
Inlet Separator Module
Zone 2, IIA, T4
Company B
GERMANY
Type B
CS123456
2 x 36W Flourescent Light Fitting
M20
Chemical Injection Module
Zone 2, IIA, T5
Company C
ITALY
Type C
L123456
82-EJ-2001
Lighting Junction Box
M20
Chemical Injection Module
Zone 2, IIA, T6
Company D
FRANCE
Type D
JB1234
4119
70-AB-0001
Gas Detector
M60
LP/MP Export Gas Compressor Module
Zone 2, IIA, T7
Company E
NORWAY
Type E
GD123
4119
23-EC-0001
Control Panel
M60
LP/MP Export Gas Compressor Module
Zone 2, IIA, T8
Company F
USA
Type F
CP1234
DOC No.: 4119-BWO-E-LA-00002_Rev.03
Page 1 of 26
E
MANUFACTURER
PROJECT No.
TAG No.
DESCRIPTION
MODULE / AREA
MODULE / AREA DESCRIPTION
AREA CLASSIFICATION
MODEL No.
NAME
DOC No.: 4119-BWO-E-LA-00002_Rev.03
SERIAL NUMBER
COUNTRY
Page 2 of 26
E
MANUFACTURER
PROJECT No.
TAG No.
DESCRIPTION
MODULE / AREA
MODULE / AREA DESCRIPTION
AREA CLASSIFICATION
MODEL No.
NAME
DOC No.: 4119-BWO-E-LA-00002_Rev.03
SERIAL NUMBER
COUNTRY
Page 3 of 26
EX EQUIPMENT REGISTER (ATEX)
EX EQ
HAZARDOUS AREA MARKINGS
ATEX DOCUMENTATION
TAG No.
EPL
ATEX EQUIP. CAT
Ex RATING
EQUIP. GROUP
TEMP. CLASS
IP RATING
EC-TPYE EXAMINATION
CERTIFICATE NUMBER
EC-DECLARATION OF
CONFORMITY
EC-DECLARATION OF
CONFORMITY DATE
PRODUCTION QA
NOTIFICATION No.
PRODUCTION QA
NOTIFICATION VALIDITY
DATE
TECHNICAL FILE REF. No.
44-PA-0001A-DE
Gb
2G
Ex e
II
T4
IP 56
BAS 05 ATEX 0001
XYZ-1001
01 April 2005
ABC-1001
30 August 2015
DEF-1001
44-PA-0001A-ECB
Gb
2G
Ex ed
IIC
T6
IP 65
PTB 07 ATEX 0002X
XYZ-1002
01 May 2007
ABC-1002
30 July 2017
DEF-1002
82-EL-2001-001-EA-001
Gb
2GD
Ex ed
IIC
T4
IP 66
CESI 04 ATEX 0003
XYZ-1003
01 June 2003
ABC-1003
30 September 2015
DEF-1003
82-EJ-2001
Gb
2G
Ex e
II
T4
IP 66
LCIE 07 ATEX 0004
XYZ-1004
01 July 2007
ABC-1004
15 April 2018
DEF-1004
70-AB-0001
Gc
1G
Ex ia
IIC
T4
IP 66
NEMKO 07 ATEX 0005
XYZ-1005
01 August 2007
ABC-1005
15 February 2017
DEF-1005
23-EC-0001
N/A
N/A
See Remarks
T3
See Remarks
UL 123456
N/A
N/A
N/A
N/A
N/A
DOC No.: 4119-BWO-E-LA-00002_Rev.03
Class 1 Div 2
A,B,C,D
Page 4 of 26
EX EQUIPMENT REGISTER (ATEX)
EX EQ
HAZARDOUS AREA MARKINGS
ATEX DOCUMENTATION
TAG No.
EPL
ATEX EQUIP. CAT
DOC No.: 4119-BWO-E-LA-00002_Rev.03
Ex RATING
EQUIP. GROUP
TEMP. CLASS
IP RATING
EC-TPYE EXAMINATION
CERTIFICATE NUMBER
EC-DECLARATION OF
CONFORMITY
EC-DECLARATION OF
CONFORMITY DATE
PRODUCTION QA
NOTIFICATION No.
PRODUCTION QA
NOTIFICATION VALIDITY
DATE
TECHNICAL FILE REF. No.
Page 5 of 26
EX EQUIPMENT REGISTER (ATEX)
EX EQ
HAZARDOUS AREA MARKINGS
ATEX DOCUMENTATION
TAG No.
EPL
ATEX EQUIP. CAT
DOC No.: 4119-BWO-E-LA-00002_Rev.03
Ex RATING
EQUIP. GROUP
TEMP. CLASS
IP RATING
EC-TPYE EXAMINATION
CERTIFICATE NUMBER
EC-DECLARATION OF
CONFORMITY
EC-DECLARATION OF
CONFORMITY DATE
PRODUCTION QA
NOTIFICATION No.
PRODUCTION QA
NOTIFICATION VALIDITY
DATE
TECHNICAL FILE REF. No.
Page 6 of 26
ATEX DOCUMENTATION
CERTIFICATE
Company DOC. No.
Exe MOTOR
TE TIME
POWER DISSIPATION
CALCULATION
Company DOC. No.
FITNESS FOR PURPOSE
ASSESSMENT
(NON IEC 60079)
Company DOC. No.
N/A
4119-XXX-E-VB-xxxxx
14 sec.
N/A
N/A
PTB 07-12345
YES
4119-XXX-E-VB-xxxxx
N/A
N/A
N/A
82-EL-2001-001-EA-001
CESI 04-12345
N/A
4119-XXX-E-VB-xxxxx
N/A
N/A
N/A
82-EJ-2001
LCIE 07-12345
N/A
4119-XXX-E-VB-xxxxx
N/A
4119-XXX-E-CA-xxxxx
N/A
70-AB-0001
NEMKO 07-12345
N/A
4119-XXX-E-VB-xxxxx
N/A
N/A
N/A
23-EC-0001
N/A
N/A
4119-XXX-E-VB-xxxxx
N/A
N/A
4119-XXX-E-RA-xxxxx
DOC No.: 4119-BWO-E-LA-00002_Rev.03
TAG No.
NOTIFIED BODY'S
ACCEPTANCE OF TECHNICAL
FILE Ref.
SPECIAL CONDITIONS OF
SAFE USE APPLICABLE
44-PA-0001A-DE
BAS 05-12345
44-PA-0001A-ECB
Page 7 of 26
ATEX DOCUMENTATION
TAG No.
DOC No.: 4119-BWO-E-LA-00002_Rev.03
NOTIFIED BODY'S
ACCEPTANCE OF TECHNICAL
FILE Ref.
SPECIAL CONDITIONS OF
SAFE USE APPLICABLE
CERTIFICATE
Company DOC. No.
Exe MOTOR
TE TIME
POWER DISSIPATION
CALCULATION
Company DOC. No.
FITNESS FOR PURPOSE
ASSESSMENT
(NON IEC 60079)
Company DOC. No.
Page 8 of 26
ATEX DOCUMENTATION
TAG No.
DOC No.: 4119-BWO-E-LA-00002_Rev.03
NOTIFIED BODY'S
ACCEPTANCE OF TECHNICAL
FILE Ref.
SPECIAL CONDITIONS OF
SAFE USE APPLICABLE
CERTIFICATE
Company DOC. No.
Exe MOTOR
TE TIME
POWER DISSIPATION
CALCULATION
Company DOC. No.
FITNESS FOR PURPOSE
ASSESSMENT
(NON IEC 60079)
Company DOC. No.
Page 9 of 26
EX EQU
BARRIER DETAILS FOR INTRINSICALLY SAFE EQUIPMENT
TAG No.
POSITION
TAG No.
MODULE / AREA
MODULE / AREA DESCRIPTION
BARRIER MANUFACTURER
BARRIER MODEL No.
BARRIER SERIAL No.
EC-TYPE EXAMINATION
CERTIFICATE NUMBER
EC-DECLARATION OF
CONFORMITY
EC-DECLARATION OF
CONFORMITY DATE
44-PA-0001A-DE
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
44-PA-0001A-ECB
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
82-EL-2001-001-EA-001
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
82-EJ-2001
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
70-AB-0001
F&G Panel
70-IR-0001
M40
E-House
Company G
Type G
IS-12345
KEMA 05 ATEX 0006
XYZ-1006
01 June 2005
23-EC-0001
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
DOC No.: 4119-BWO-E-LA-00002_Rev.03
Page 10 of 26
EX EQU
BARRIER DETAILS FOR INTRINSICALLY SAFE EQUIPMENT
TAG No.
POSITION
DOC No.: 4119-BWO-E-LA-00002_Rev.03
TAG No.
MODULE / AREA
MODULE / AREA DESCRIPTION
BARRIER MANUFACTURER
BARRIER MODEL No.
BARRIER SERIAL No.
EC-TYPE EXAMINATION
CERTIFICATE NUMBER
EC-DECLARATION OF
CONFORMITY
EC-DECLARATION OF
CONFORMITY DATE
Page 11 of 26
EX EQU
BARRIER DETAILS FOR INTRINSICALLY SAFE EQUIPMENT
TAG No.
POSITION
DOC No.: 4119-BWO-E-LA-00002_Rev.03
TAG No.
MODULE / AREA
MODULE / AREA DESCRIPTION
BARRIER MANUFACTURER
BARRIER MODEL No.
BARRIER SERIAL No.
EC-TYPE EXAMINATION
CERTIFICATE NUMBER
EC-DECLARATION OF
CONFORMITY
EC-DECLARATION OF
CONFORMITY DATE
Page 12 of 26
EX EQUIPMENT REGISTER (ATEX)
EX EQU
SAFE EQUIPMENT
INITIAL DETAILED Ex INSPECTION
TAG No.
PRODUCTION QA
NOTIFICATION No.
PRODUCTION QA
NOTIFICATION VALIDITY
DATE
TECHNICAL FILE REF. No.
NOTIFIED BODY'S
ACCEPTANCE OF
TECHNICAL FILE Ref.
SPECIAL CONDITIONS OF
SAFE USE APPLICABLE
CERTIFICATE
Company DOC. No.
IS ENTITY CALC.
Company DOC. No.
INSPECTION DATE
INSPECTOR
CHECK SHEET REF.
RFID No.
44-PA-0001A-DE
N/A
N/A
N/A
N/A
N/A
N/A
N/A
24 April 2014
J. SMITH
00001
A00001
44-PA-0001A-ECB
N/A
N/A
N/A
N/A
N/A
N/A
N/A
24 April 2014
J. SMITH
00002
A00002
82-EL-2001-001-EA-001
N/A
N/A
N/A
N/A
N/A
N/A
N/A
24 April 2014
J. SMITH
00003
A00003
82-EJ-2001
N/A
N/A
N/A
N/A
N/A
N/A
N/A
24 April 2014
J. SMITH
00004
A00004
70-AB-0001
ABC-56789
01 June 2020
DEF-56789
KEMA 05-12345
N/A
4119-XXX-E-VB-xxxxx
4119-XXX-E-CA-xxxxx
24 April 2014
J. SMITH
00005
A00005
23-EC-0001
N/A
N/A
N/A
N/A
N/A
N/A
N/A
24 April 2014
J. SMITH
00006
A00006
DOC No.: 4119-BWO-E-LA-00002_Rev.03
Page 13 of 26
EX EQUIPMENT REGISTER (ATEX)
EX EQU
SAFE EQUIPMENT
INITIAL DETAILED Ex INSPECTION
TAG No.
PRODUCTION QA
NOTIFICATION No.
PRODUCTION QA
NOTIFICATION VALIDITY
DATE
DOC No.: 4119-BWO-E-LA-00002_Rev.03
TECHNICAL FILE REF. No.
NOTIFIED BODY'S
ACCEPTANCE OF
TECHNICAL FILE Ref.
SPECIAL CONDITIONS OF
SAFE USE APPLICABLE
CERTIFICATE
Company DOC. No.
IS ENTITY CALC.
Company DOC. No.
INSPECTION DATE
INSPECTOR
CHECK SHEET REF.
RFID No.
Page 14 of 26
EX EQUIPMENT REGISTER (ATEX)
EX EQU
SAFE EQUIPMENT
INITIAL DETAILED Ex INSPECTION
TAG No.
PRODUCTION QA
NOTIFICATION No.
PRODUCTION QA
NOTIFICATION VALIDITY
DATE
DOC No.: 4119-BWO-E-LA-00002_Rev.03
TECHNICAL FILE REF. No.
NOTIFIED BODY'S
ACCEPTANCE OF
TECHNICAL FILE Ref.
SPECIAL CONDITIONS OF
SAFE USE APPLICABLE
CERTIFICATE
Company DOC. No.
IS ENTITY CALC.
Company DOC. No.
INSPECTION DATE
INSPECTOR
CHECK SHEET REF.
RFID No.
Page 15 of 26
DOC No.: 4119-BWO-E-LA-00002_Rev.03
TAG No.
REFERENCE DRAWING
44-PA-0001A-DE
4119-XXX-E-XT-xxxxx
44-PA-0001A-ECB
4119-XXX-E-XT-xxxxx
82-EL-2001-001-EA-001
4119-XXX-E-XJ-xxxxx
82-EJ-2001
4119-XXX-E-XJ-xxxxx
70-AB-0001
4119-XXX-E-XU-xxxxx
23-EC-0001
4119-XXX-E-XT-xxxxx
REMARKS
SPECIAL CONDITIONS ON CERTIFICATE
REFER TO 4119-XXX-E-VB-xxxxx FOR DETAILS OF
Ex e TERMINALS
FITNESS FOR PURPOSE ASSESMENT FOR NON
IEC60079 EQUIPMENT
STATUS
MODIFIED BY
MODIFIED DATE
ACTIVE
MIBI
07 October 2014
ACTIVE
MIBI
07 October 2014
ACTIVE
MIBI
07 October 2014
ACTIVE
MIBI
07 October 2014
ACTIVE
MIBI
07 October 2014
ACTIVE
MIBI
07 October 2014
Page 16 of 26
TAG No.
DOC No.: 4119-BWO-E-LA-00002_Rev.03
REFERENCE DRAWING
REMARKS
STATUS
MODIFIED BY
MODIFIED DATE
Page 17 of 26
TAG No.
DOC No.: 4119-BWO-E-LA-00002_Rev.03
REFERENCE DRAWING
REMARKS
STATUS
MODIFIED BY
MODIFIED DATE
Page 18 of 26
Ex REGISTER GUIDANCE N
PROJECT No.
TAG No.
DESCRIPTION
MODULE / AREA
MODULE / AREA DESCRIPTION
AREA CLASSIFICATION
MANUFACTURER NAME
MANUFACTURER COUNTRY
MODEL No.
SERIAL NUMBER
EPL
ATEX EQUIPMENT CATEGORY
Ex RATING
EQUIPMENT GROUP
TEMPERATURE CLASS
IP RATING
EC-TYPE EXAMINATION CERTIFICATE
NUMBER
EC-DECLARATION OF CONFORMITY
EC-DECLARATION OF CONFORMITY
DATE
PRODUCTION QA NOTIFICATION No.
PRODUCTION QA NOTIFICATION
VALIDITY DATE
TECHNICAL FILE REF. No.
NOTIFIED BODY'S ACCEPTANCE OF
TECHNICAL FILE REF.
SPECIAL CONDITIONS OF SAFE USE
APPLICABLE
DOC No.: 4119-BWO-E-LA-00002_Rev.03
Page 19 of 26
CERTIFICATE BWO DOC. No.
Exe MOTOR TE TIME
POWER DISSIPATION CALCULATION
BWO DOC. No.
FITNESS FOR PURPOSE ASSESSMENT
(NON IEC60079) BWO DOC. No.
DOC No.: 4119-BWO-E-LA-00002_Rev.03
Page 20 of 26
BARRIER DETAILS:
POSITION
TAG No.
MODULE / AREA
MODULE / AREA
DESCRIPTION
BARRIER MANUFACTURER
BARRIER MODEL No.
BARRIER SERIAL No.
EC-TYPE EXAMINATION
CERTIFICATE NUMBER
EC-DECLARATION OF
CONFORMITY
EC-DECLARATION OF
CONFORMITY DATE
PRODUCTION QA NOTIFICATION
No.
PRODUCTION QA NOTIFICATION
VALIDITY DATE
TECHNICAL FILE REF. No.
NOTIFIED BODY'S ACCEPTANCE
OF TECHNICAL FILE REF.
SPECIAL CONDITIONS OF SAFE
USE APPLICABLE
CERTIFICATE BWO DOC. No.
IS ENTITY CALCULATION BWO
DOC. No.
INITIAL DETAILED Ex INSPECTION
INSPECTION DATE
INSPECTOR
CHECKSHEET REF.
DOC No.: 4119-BWO-E-LA-00002_Rev.03
Page 21 of 26
RFID No.
REFERENCE DRAWING
REMARKS
STATUS
MODIFIED BY
MODIFIED DATE
NOTE:
DOC No.: 4119-BWO-E-LA-00002_Rev.03
Page 22 of 26
Ex REGISTER GUIDANCE NOTES
BWO Project Number.
BWO Tag No. for the Equipment.
Description of the Equipment.
Module / Area Code where the Equipment is installed. Area Code shall be in accordance with project
coding manual.
Module / Area Code Description, as per Project Coding Manual. Automatically entered by default when
importing excel sheet in ProArc Data Base.
Classification of the area in which the Equipment is located.
Note this is not the rating of the Equipment. If area is not Zone 0, 1 or 2, then enter Unclassified.
Name of the Equipment manufacturer, as shown on the EC-Type Examination Certificate.
Location of the factory where the Equipment was manufactured, as shown on the EC-Type
Examination Certificate.
Complete model no. / part no. of the equipment.
Serial number of Equipment. If not available at time of first revision of Ex Register, this can be
confirmed and entered during Initial Ex Inspection.
Explosion Protection Level of the Equipment, as per IEC 60079, i.e. Ga, Gb or Gc. May not be shown
on older EC-Type Examination Certificates.
ATEX Equipment Category, as per ATEX Directive (94/9/EC), e.g. 1G (Zone 0 / Gas), 2G (Zone 1 /
Gas), 2GD (Zone 1 / Gas & Dust) etc.
Type of Ex Protection of the Equipment, as per IEC 60079 and as shown on the EC Type Examination
Certificate, e.g. Ex d, Ex e, Ex ia etc.
Equipment Group of the Equipment, as per IEC 60079 and as shown on the EC Type Examination
Certificate, i.e. II, IIA, IIB or IIC.
Temperature Class of the Equipment, as per IEC 60079 and as shown on the EC Type Examination
Certificate, i.e. T1 to T6.
Ingress Protection of the Equipment, as per IEC 60529.
EC-Type Examination Certificate Number of the Equipment.
Reference number for the Equipment EC-Declaration of Conformity.
Date of the Equipment EC-Declaration of Conformity.
Reference number for the Production QA Notification.
See ATEX guidelines (forth edition - Dec. 2013) page 45, atricle 8.1(b) and page 47, chart showing the
appropriate procedure.
Validity date of the Production QA Notification.
See ATEX guidelines (forth edition - Dec. 2013) page 45, atricle 8.1(b) and page 47, chart showing the
appropriate procedure.
Reference number for the Technical File.
See ATEX guidelines (forth edition - Dec. 2013) page 45, atricle 8.1(b) and page 47, chart showing the
appropriate procedure.
Reference number for the Notified Body's acceptace of the Technical File.
Indicated by "X" at the end of the certificae number, enter "YES" or "N/A".
DOC No.: 4119-BWO-E-LA-00002_Rev.03
Page 23 of 26
BWO document number given to the supplier document which contains the ECType Examination
Certificate and EC-Declaration of Conformity for the Equipment.
Note 1: Document must be submitted to BWO for Approval.
Note 2: Title of document should be Ex Certificate (Equipment Description & Tag No.), where there
are several pieces of identical equipment, include a list of all the Tag Nos. Where more than one
certificate is included in a document, include an index and cross reference Tag Nos. to Certificate No.
Note 3: Junction Boxes and Enclosures will contain Ex Certified components, e.g. a Exe JB will contain
Exe Terminals. When submitting the Ex Certificate for the JB, the Certificates for the Terminals, Cable
Glands, Stopping Plugs etc. must also be included.
This is essential information for the setting the protection of the motor, this information can be found on
the motor nameplate or datasheet (note: Only applicable for Exe Motors).
BWO document number given to the supplier document which contains the Power Dissipation
Calculation.
This is an essential requirement for every Exe / Exn Enclosure and Junction Box. This calculation
must be submitted to BWO for Approval.
BWO document number given to the supplier document which contains the Fitness for Purpose
Assessment.
A conformity assessment must be provided for all equipment that does not comply with IEC 60079 or
does not have an EC-Type Examination Certificate. This document must be submitted to BWO for
Approval.
DOC No.: 4119-BWO-E-LA-00002_Rev.03
Page 24 of 26
The following is applicable to IS circuits only.
Equipment / Panel in which the IS Barrier is installed.
Tag No. of the Equipment / Panel in which the IS Barrier is installed.
Module / Area Code where the Equipment / Panel in which the IS Barrier is installed, e.g. CER, E
House, etc.. Area Code shall be in accordance with project coding manual.
Module / Area Code Description of where the Equipment / Panel in which the IS Barrier is installed, as
per Project Coding Manual. Automatically entered by default when importing excel sheet in ProArc
Data Base.
Name of the equipment manufacturer, as shown on the EC-Type Examination Certificate.
Complete model no. / part no. of the IS Barrier.
Serial number of IS Barrier. If not available at time of first revision of Ex Register, this can be
confirmed and entered during Initial Ex Inspection.
EC-Type Examination Certificate Number for the IS Barrier.
Document number for the IS Barrier EC-Declaration of Conformity.
Date of the Equipment EC-Declaration of Conformity.
Reference number for the Production QA Notification.
See ATEX guidelines (forth edition - Dec. 2013) page 45, atricle 8.1(b) and page 47, chart showing the
appropriate procedure.
Validity date of the Production QA Notification.
See ATEX guidelines (forth edition - Dec. 2013) page 45, atricle 8.1(b) and page 47, chart showing the
appropriate procedure.
Reference number for the Technical File.
See ATEX guidelines (forth edition - Dec. 2013) page 45, atricle 8.1(b) and page 47, chart showing the
appropriate procedure.
Reference number for the Notified Body's acceptace of the Technical File.
Indicated by "X" at the end of the certificae number, enter "YES" or "N/A".
BWO document number given to the supplier document which contains the ECType Examination
Certificate and EC-Declaration of Conformity for the IS Barrier.
Note 1: This document must be submitted to BWO for Approval.
Note 2: Title of document should be Ex Certificate (IS Barriers, Equipment/Panel Description & Tag
No.), include an index.
BWO document number given to the supplier document which contains the IS Entity Calculation.
IS Entity Calculations or Matched Power Dissipation Calculations shall be done for every IS circuit. A
single calculation may be used to cover multiple circuits, provided that the equipment, barrier and cable
type are identical and that the cable lengths used are for the longest circuit of that type. This
calculation must be submitted to BWO for Approval.
Date of the Initial Ex Inspection.
Name of the competent Ex Inspector who conducted the Initial Ex Inspection.
Reference no. for the Initial Ex Inspection Checksheet.
DOC No.: 4119-BWO-E-LA-00002_Rev.03
Page 25 of 26
Serial number of RFID (Radio Frequency Identification Device) tag.
This is part of an electronic system for performing Ex Inspections. All Ex certified equipment shall be
fitted with a RFID tag. Each RFID has a unique identification which, when scanned with a PDA
(Personal Digital Assistant) will call-up all the relevent information for the equipment from the Ex
register, including the Ex Inspection Check Sheet. The Ex Inspection Check Sheet is filled out directly
on the PDA and is electronically signed by the inspector.
Reference drawing for the Equipment. The most useful reference drawing is a Loop Drawing, followed
by a Single Line Diagram and Termination Drawing.
Additional useful information, such as "Note: Special Conditions on Certificate", "Access Requirements,
i.e. Rope Access / Scaffolding", etc.
Status of the entry in the database, enter ACTIVE or VOIDED.
Initials of the person creating / updating the Ex Register.
Date when the details were created / updated.
All fields must be completed, there shall be no blank spaces. If not applicable, enter N/A.
DOC No.: 4119-BWO-E-LA-00002_Rev.03
Page 26 of 26