MET Laboratories

           SAFETY

 Project Amendment Request Form

  Contact MET or Upload Additional Files

Applicant Information    * Denotes Required Data

*Applicant Name:

Date:

Applicant Address:

Requester Name:

*Phone #:

*Email:

Reports/Products Affected by Amendments/Modifications

Listing/File #:

CB or EN Report #:

US/CAN Report #:

ATEX or IECEx Report #:

Other Information:

Description of Product Amendments/Modifications

Please fill in this section with a detailed description of the amendments/modifications.

Amendments/Modifications to Critical Components List or Critical Drawings List

Please complete the below tables listing component changes and/or changes to drawings controlled within the MET Report.

Details of New or Alternate Critical Components

Figure/item No.

Object/ Parts No.

Manufacturer/ Trademark

Type/Model

Technical Data

Mark(s) of Conformity

Certification file # (if known)

Details of Revisions to Critical Drawings

Drawing Number

Previous Revision

New Revision

Description of Revision

Justification for Acceptance (if known)

Example 1:

SCHEMATIC123

A

B

Removed resistor, R1

Not an intrinsically safe critical component.

Example 2:

ASSEMBLY123

A

B

Material change from stainless steel 304 to 316

Similar metals. Physical and mechanical properties remain the same.

Additional Information

Please provide any additional information or references to documents included with the submittal in this section.

 

If this is a medical product for the US market, are the above changes considered significate changes in accordance with the guidance provided by the FDA?

   

Please upload your documentation (documents, images) related to this product, if applicable. (Browse and Ctrl-Click to select multiple files.)
   


        

© 2017 - MET Laboratories, Inc.