Reporting by Technical Service. Reporting of the assessment by the Technical Service shall be performed in such a manner that allows traceability, e.g. versions of documents inspected are coded and listed in the records of the Technical Service. An example of a possible layout for the assessment form from the Technical Service to the Type Approval Authority is given in Appendix 1 to this Annex. Test report No: ......................................
1. Identification
1.1. Vehicle make: ...............................................................................................................
1. 2. Type: .............................................................................................................................
Reporting by Technical Service. Reporting of the assessment by the Technical Service shall be performed in such a manner that allows traceability, e.g. versions of documents inspected are coded and listed in the records of the Technical Service. An example of a possible layout for the assessment form from the Technical Service to the Type Approval Authority is given in Appendix 1 to this Annex. Test report No:
1. Identification
1.1. Vehicle make:
Reporting by Technical Service. Reporting of the assessment by the Technical Service shall be performed in such a manner that allows traceability, e.g. versions of documents inspected are coded and listed in the records of the Technical Service. An example of a possible layout for the assessment form from the Technical Service to the Type Approval Authority is given in Appendix 1 to this Annex. Annex 6 - Appendix 1 Model assessment form for electronic systems TEST REPORT NO: .................................................
1. IDENTIFICATION
1.1. Vehicle make:
1.2. Type:
1.3. Means of identification of type if marked on the vehicle:
1.3.1. Location of that marking:
1.4. Manufacturer’s name and address:
1.5. If applicable, name and address of manufacturer’s representative:
1.6. Manufacturer’s formal documentation package: Documentation reference No: .......................................... Date of original issue: ....................................................... Date of latest update: ........................................................
2. TEST VEHICLE(S)/SYSTEM(S) DESCRIPTION
Reporting by Technical Service. Reporting of the assessment by the Technical Service shall be performed in such a manner that allows traceability, e.g. versions of documents inspected are coded and listed in the records of the Technical Service. An example of a possible layout for the assessment form from the Technical Service to the Type Approval Authority is given in Appendix 1 to this Annex. Test report No:
1. Identification Vehicle make: Type: Means of identification of type if marked on the vehicle: Location of that marking: Manufacturer’s name and address: If applicable, name and address of manufacturer’s representative: Manufacturer’s formal documentation package: Documentation reference No: Date of original issue: Date of latest update: Test vehicle(s)/system(s) description General description: Description of all the control functions of "The System", and methods of operation: Description of the components and diagrams of the interconnections within "The System": Manufacturer’s safety concepT Description of signal flow and operating data and their priorities: Manufacturer’s declaration: The manufacturer(s) ............................................................. affirm(s) that the strategy chosen to achieve "The System", objectives will not, under non-fault conditions, prejudice the safe operation of the vehicle. Software outline architecture and the design methods and tools used: Explanation of design provisions built into "The System" under fault conditions: Documented analyses of the behaviour of "The System" under individual hazard or fault conditions: Description of the measures in place for environmental conditions: Provisions for the periodic technical inspection of "The System": Results of "The System" verification test, as per para. 4.1.1. of Annex 6 to UN Regulation No. 79: Results of safety concept verification test, as per para. 4.1.2. of Annex 6 to UN Regulation No. 79: Date of test: This test has been carried out and the results reported in accordance with ….. to UN Regulation No. 79 as last amended by the ..... series of amendments. Technical Service0 carrying out the test Signed: ....................................... Date: ........................................ Type Approval Authority1 Signed: ....................................... Date: ........................................ Comments:
