ANNEX II

Templates for statements of conformity U.K.

1. General requirements U.K.

1.1.The statement of conformity shall consist of two sections:U.K.

(a)

section 1 specifying the particular features applying to the engine in accordance with the template set out in Appendix 1;

(b)

section 2 describing the restrictions applicable to the engine in accordance with the information set out in Table 1 of Appendix 2.

1.2.When delivered on paper format, the statement of conformity shall be no bigger than A4 paper format (210 × 297 mm).U.K.

1.3.All information on the statement of conformity shall be provided in ISO 8859 series (Information technology — 8-bit single-byte coded graphic character sets) characters (for statements of conformity issued in Bulgarian language in Cyril characters, for statements of conformity issued in Greek language in Greek characters) and Arabic numerals.U.K.

2. Features for protecting the statement of conformity U.K.

In accordance with Article 31(5) of Regulation (EU) 2016/1628, the statement of conformity shall be made in such a way as to prevent any forgery and allowing verification of the secure electronic file.

2.1.Features to prevent forgery on a paper formatU.K.

The paper used for the statement of conformity shall be protected by a watermark in the form of the registered mark of the manufacturer and by coloured graphics.

2.1.1.As an alternative to the requirements set out in point 2.1, the paper of the statement of conformity may be not protected by a watermark in the form of the registered mark of the manufacturer. In this case, the coloured graphics shall be supplemented with at least one additional security printing feature (e.g. ultraviolet fluorescent ink, inks with viewing angle-dependent colour, inks with temperature-dependent colour, micro printing, guilloche printing, iridescent printing, laser engraving, custom holograms, variable laser images, optical variable images, physically embossed or engraved manufacturer's logo, etc.).U.K.
2.1.2.Manufacturers may provide the statement of conformity with security printing features additional to those set out in points 2.1 and 2.1.1.U.K.
2.1.3.Where the statement of conformity has more than one sheet, each sheet shall state:U.K.
(a)

the title of the statement of conformity;

(b)

the engine identification number set out in point 3.16 of section 1;

(c)

a number with the format ‘x of y’, where ‘x’ is the consecutive number of the sheet and ‘y’ is the total number of sheets of the statement of conformity.

2.2.Features allowing the verification of the secure electronic fileU.K.

The electronic file shall be supplied in a format so that each modification after signing can be easily identified, and it can be incorporated into another document. In addition, it shall be signed by an ‘advanced electronic signature’ according to Regulation (EU) No 910/2014 of the European Parliament and of the Council(1), including the signature verification data.

Appendix 1

Model for the statement of conformity U.K.

STATEMENT OF CONFORMITY ACCOMPANYING EACH ENGINE SUBJECT TO AN EXEMPTION OR A TRANSITIONAL PROVISION (ARTICLE 31(1)(a) AND (b) OF REGULATION (EU) 2016/1628)U.K.

SECTION 1 U.K. EU STATEMENT OF CONFORMITY

The undersigned: [ … (full name and position)]

hereby certifies that the following engine:

1.1.

Make (trade name(s) of manufacturer): …

1.2.

Commercial name(s) (if applicable): …

1.3.

Company name and address of manufacturer: …

1.4.

Name and address of manufacturer's authorised representative (if any): …

1.5.

Name(s) and address(es) of assembly/manufacture plant(s): …

1.6.

Engine type designation/engine family designation/FT (1):

1.7.

Category and sub-category of the engine type/engine family (1) (2): …

3.1.2.

Designation on the statutory marking: engine type designation/engine family designation/FT (1)

3.1.3.

Location of the statutory marking(s): …

3.1.4.

Method of attachment of the statutory marking(s): …

3.16.

Engine identification number: …

conforms in all respects with the requirements of Regulation (EU) 2016/1628 with regard to an exemption or a transitional provision referred to in Article 31(1)(a) and (b) as indicated in Section 2 of this statement of conformity.

(place) (date) …

Signature (or visual representation of an ‘advanced electronic signature’ according to Regulation (EU) No 910/2014, including data for verification): …

NB:U.K.

If this model is used for EU type-approval of an engine as an exemption for new technologies or new concepts, pursuant to Article 35(4) of Regulation (EU) 2016/1628, the heading of the statement shall read ‘PROVISIONAL EU-STATEMENT OF CONFORMITY VALID ONLY ON THE TERRITORY OF … (3)’.U.K.

SECTION 2 U.K.

1.Exemption/transition (1) (4): …U.K.
2.Additional information (5): …U.K.
[F13. Exemption Code (EM)/transition code (TR) ( 6 ): …] U.K.

Textual Amendments

4.Comments (7): …U.K.

Explanatory notes to Appendix 1: U.K.

(Footnote markers, footnotes and explanatory notes not to be stated on the statement of conformity)

(1)Strike out the unused options, or only show the used option(s).U.K.

(2)Indicate the applicable option for the category and sub-category in accordance with entry 1.7 of the information document set out in Part A of Appendix 3 to Annex I.U.K.

(3)Indicate the Member State.U.K.

(4)Indicate the applicable text from column 2 of Table 1 in Appendix 2.U.K.

(5)Indicate the applicable additional information from column 3 of Table 1 in Appendix 2.U.K.

(6)Indicate the applicable code from column 4 of Table 1 in Appendix 2, as shown on the supplementary marking to the statutory marking.U.K.

(7)Additional remarks by the manufacturer to clarify the restrictions on use applicable to the engine.U.K.

Textual Amendments

Appendix 2

Table 1

a

Only applicable to replacement engines of category NRE with a reference power no less than 19 kW and no greater than 560 kW.

b

Directive 2014/34/EU of the European Parliament and of the Council of 26 February 2014 on the harmonisation of the laws of the Member States relating to equipment and protective systems intended for use in potentially explosive atmospheres (OJ L 96, 29.3.2014, p. 309).

c

Directive 2008/57/EC of the European Parliament and of the Council of 17 June 2008 on the interoperability of the rail system within the Community (OJ L 191, 18.7.2008, p. 1).

Article of Regulation (EU) 2016/1628(column 1)Information to be stated in Section 2 of the Statement of ConformitySupplementary information to be stated in the statutory marking in accordance with Annex III Appendix 1 Table 1
Text required for entry 1(column 2)Additional information required for entry 2(column 3) [F1Exemption code (EM) or transition code (TR) (column 4)]Text for supplementary information(column 5)
34(1)Not ApplicableEM-EXP [F1ENGINE NOT FOR USE IN EU NON-ROAD MOBILE MACHINERY]
34(2)

Engine only for use by armed forces in accordance with Article 34(2) of Regulation (EU) 2016/1628.

This engine shall only be placed on the market for installation in non-road mobile machinery that is exclusively to be used by the armed forces.

Fire services, civil defence services, forces responsible for maintaining public order and emergency medical services shall not be considered to be part of the armed forces.

EM-AFEARMED FORCES ENGINE
34(4)

Engine for field testing in accordance with Article 34(4) of Regulation (EU) 2016/1628.

This engine shall only be placed on the market and entry into service as part of a field testing programme.

By the date given the engine shall be either removed from use in the European Union or brought into conformity with the requirements set out in Regulation (EU) 2016/1628.

End date of exemption dd/mm/yyyy

Name and address of the approval authority that has been informed of the testing program

EM-FTEFIELD TEST ENGINE
34(5)

SPE for use in potentially explosive atmospheres in accordance with Article 34(5) of Regulation (EU) 2016/1628.

This engine shall only be placed on the market for installation in non-road mobile machinery to be used in potentially explosive atmospheres, as defined in point (5) of Article 2 of Directive 2014/34/EU of the European Parliament and the Councilb.

Type approval in accordance with Regulation (EU) 2016/1628 number and issue dateEM-ATXATEX ENGINE
34(6)

SPE for launch and recovery of lifeboats operated by a national rescue service in accordance with Article 34(6) of Regulation (EU) 2016/1628.

This engine shall only be placed on the market for installation in non-road mobile machinery exclusively used for the launch and recovery of beach launched lifeboats operated by a national rescue service.

Type approval in accordance with Regulation (EU) 2016/1628 number and issue dateEM-LLVLIFE BOAT LAUNCH ENGINE
34(7) first paragraph

Replacement engine for category RLL or RLR placed on Union market on or before 31 December 2011 in accordance with the first paragraph of Article 34(7) of Regulation (EU) 2016/1628.

This engine shall only be placed on the market to replace a locomotive or railcar engine that was placed on the market before 31 December 2011 where that replacement is authorised by the approval authority of a Member State due to the recognition that the installation of an engine in compliance with the applicable emission limits set out in Tables II-7 and II-8 of Annex II to Regulation (EU) 2016/1628 will involve significant technical difficulties.

This engine shall comply with the emission limits that it would have needed to meet in order to be placed on the Union market on 31 December 2011, or shall comply with more stringent emission limits.

Approval authority that authorised the replacement

Replacement project approval reference

Type approval in accordance with Directive 97/68/EC approval number and issue date

EM-REARAIL REPLACEMENT A ENGINE
34(7) second paragraph

Replacement engine for category RLL or RLR placed on Union market after 31 December 2011 in accordance with the second paragraph of Article 34(7) of Regulation (EU) 2016/1628.

This engine shall only be placed on the market to replace a locomotive or railcar engine that was placed on the market after 31 December 2011 where that replacement is authorised by the approval authority of a Member State and the replacement engine complies with the emission limits that the engine to be replaced had to meet when originally placed on the Union market.

Type approval in accordance with Directive 97/68/EC approval number and issue dateEM-REBRAIL REPLACEMENT B ENGINE
34(8)

RLL or RLR engine to be part of a project at an advanced stage of development as defined by Directive 2008/57/EC of the European Parliament and of the Councilc on 6 October 2016 in accordance with Article 34(8) of Regulation (EU) 2016/1628.

This engine shall only be placed on the market as part of a project at an advanced stage of development as defined by Directive 2008/57/EC of the European Parliament and of the Council where it has been authorised by the approval authority of a Member State due to the disproportionate cost of using engines complying with the emission limits set out in Tables II-7 or II-8 of Annex II to Regulation (EU) 2016/1628.

Member state that has authorised the project

Authorised Project reference.

Type approval in accordance with Directive 97/68/EC approval number and issue date

EM-PRRRAIL PROJECT ENGINE
35(4)

Engine that incorporates new technologies or new concepts and that, as a result of those new technologies or new concepts, is incompatible with one or more requirements of Regulation (EU) 2016/1628.

This engine shall only be placed on the market as an engine incorporating new technologies or new concepts where it holds a provisional type approval certificate granted by the approval authority of a Member State in accordance with Article 35(4) of Regulation (EU) 2016/1628.

Provisional type approval number and issue date

Date at which the provisional EU type-approval ends

Restrictions in accordance with Article 35(3) of Regulation (EU) 2016/1628

EM-NTENEW TECHNOLOGY ENGINE
58(9)

Engines of category RLL with a maximum net power greater than 2 000 kW to be installed in locomotives which only run on a technically isolated 1 520 mm railway network, in accordance with Article 58(9) of Regulation (EU) 2016/1628.

This engine shall only be placed on the market for use on a technically isolated 1 520 mm railway network where it has been authorised by the approval authority of a Member State.

This engine shall, as a minimum, comply with the emission limits that engines had to meet to be placed on the market on 31 December 2011.

Type approval in accordance with Directive 97/68/EC approval number and issue dateTR-RWGBROAD-GAUGE RAIL ENGINE
58(10)

Replacement engine for category NRS with a reference power no less than 19 kW or belonging to a category equivalent to NRG where the replacement engine and the original engine belong to an engine category or power range that was not subject to type-approval at Union level on 31 December 2016 in accordance with Article 58(10) of regulation (EU) 2016/1628.

This engine shall only be placed on the market to replace an engine of category NRS with a reference power no less than 19 kW or category NRG that has no type approval under Directive 97/68/EC.

TR-RESREPLACEMENT ENGINE
58(11)

Replacement engine for category NRE with a reference power no less than 19 kW and no greater than 560 kW, or belonging to a category equivalent to NRE and with a reference power greater than 560 kW, where the replacement engine and the original engine belong to an engine category or power range that was not subject to type-approval at Union level on 31 December 2016 in accordance with Article 58(11) of Regulation (EU) 2016/1628.

This engine shall only be placed on the market to replace an engine of category NRE with a reference power no less than 19 kW and no greater than 560 kW, or

to replace an engine of category NRE with a reference power greater than 560 kW that has no type approval under Directive 97/68/EC

This enginea shall, comply with an emission stage that expired not more than 20 years before the placing on the market of those engines and that is at least as stringent as the emission limits that the engine to be replaced had to meet when it was placed on the market originally.

Where applicable, Type approval in accordance with Directive 97/68/EC approval number and issue dateTR-REEREPLACEMENT ENGINE

Textual Amendments

(1)

Regulation (EU) No 910/2014 of the European Parliament and of the Council of 23 July 2014 on electronic identification and trust services for electronic transactions in the internal market and repealing Directive 1999/93/EC (OJ L 257, 28.8.2014, p. 73).