Appendix ANNEX I
United Kingdom
Notification form for the notification of dangerous products to the authorities by producers or distributors
| Section 1: Details of authority(ies)/company(ies) receiving the notification form | |
|---|---|
| Authority/contact name/address/telephone/fax/e-mail/website | |
| Identification of the companies notified and their role in the marketing of the product | |
| Section 2: Details of producer/distributor | |
| Producer or producer’s representative/distributor completing the form | |
| Contact name/responsibility/address/telephone/fax/e-mail/website | |
| Section 3: Details of products involved | |
| Category. Brand or trademark. Model name(s) or bar code/CN tariff. Country of origin | |
| Description/photograph | |
| Section 4: Details of hazard | |
| Description of the hazard and possible health/safety damages and conclusions of the risk estimation and evaluation carried out | |
| Record of accident(s) | |
| Section 5: Details of corrective actions already taken | |
| Types/scope/duration of action(s) and precautions taken and identification of the company responsible | |
Companies should complete and send Section 6 in case of a serious risk or when the producer/distributor opts to submit the notification only to the authority of the Member State in which they are established
| Section 6: Details of other company(ies) in the supply chain which hold affected products | |
|---|---|
| List of manufacturers, importers or authorised representatives by Member State (name/address/telephone/fax/e-mail/website) | |
| List of distributors or retailers by Member State (name/address/telephone/fax/e-mail/website) | |
| Number of products (serial numbers or date codes) held by producer/importer/distributor/retailer/consumers by Member State | |