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LIGHTNING PROTECTION SYSTEMS FRANCE BP 80055 - France -33460 MARGAUX Analysis - Prevention - Protection – Lightning INSTRUCTIONS PROTECTION AGAINST LIGHTNING STUDY APPLICATION (DPF01+DPF01-A) Before its implementation, a protection against lightning system must be the object of an in-depth study. The information requested in this form will enable us to answer you at your earliest convenience and to propose you a quoted study matching your expectations, while meeting these standards. By calling on LPS France, you are certain that this study will be carried out according to the standards the references of which follow : - NF - C 17100 - NF - C 17102 - IEC 62305 - UTE 15 – 443 For an optimal security and the preservation of your warranties, this system must also be installed and its follow-up ensured in accordance with the already mentioned standards as well as the manufacturer's instructions. In the interest of the preservation of your security and your warranties, it is highly recommanded to have the installation, the checkings and maintenance of your system done by a LPS France licensed company. Therefore, please take the time to fill it at best. Do not hesitate to enclose all types of documents, sketches or plans that would enable us to detail your request. (1) : The title and reference of the project are assigned at the time of creation of the herein study and risk assessment file and must be mentioned in the layout and carrying out files, as well as in all the follow-up documents of the Outside Protection against Lightning (O.P.L.I.) of the site. (3) : Rewrite the references of the different buildings and structures on the plan on the following page, in order to be able to locate them relative to each other. (4) : Examples of purposes : workshop, office, equipment room, locker-room, etc... (5) : These documents allow the carried out study to be more precise. Whatever the enclosed documents, draw the plan of the site remains essential. (2) : The DPF01 form concerns the site in general, each building and structure shall be the objet of a detailed DPF01-A form. (6) : The plan must imperatively include the following elements : - The représentation of each building/structure respecting their location relative to each other, the reference of each building/structure assigned on page 1 must be rewritten on them. - The separation distance between each building/structure, - The network paths (gas, water, electricity, phone, etc...) (7) : Examples : elevator shaft, trap door, etc... (8) : Examples : T.V., Radio, beep, etc... (9) : Example : zinc gutter, etc... (10) : Examples : electrical grounding, vat, etc... (11) : Examples : buried, column, etc... Notes of the form :

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LIGHTNING PROTECTION SYSTEMS FRANCEBP 80055 - France -33460 MARGAUX

Analysis - Prevention - Protection – Lightning

INSTRUCTIONSPROTECTION AGAINST LIGHTNING STUDY APPLICATION

(DPF01+DPF01-A)

Before its implementation, a protection against lightning system must be the object of an in-depth study.

The information requested in this form will enable us to answer you at your earliest convenience and to propose you a quoted study matching your expectations, while meeting these standards.

By calling on LPS France, you are certain that this study will be carried out according to the standards the references of which follow :

- NF - C 17100- NF - C 17102- IEC 62305- UTE 15 – 443

For an optimal security and the preservation of your warranties, this system must also be installed and its follow-up ensured in accordance with the already mentioned standards as well as the manufacturer's instructions.

In the interest of the preservation of your security and your warranties, it is highly recommanded to have the installation, the checkings and maintenance of your system done by a LPS France licensed company.

Therefore, please take the time to fill it at best. Do not hesitate to enclose all types of documents, sketches or plans that would enable us to detail your request.

(1) : The title and reference of the project are assigned at the time of creation of the herein study and risk assessment file and must be mentioned in the layout and carrying out files, as well as in all the follow-up documents of the Outside Protection against Lightning (O.P.L.I.) of the site.

(3) : Rewrite the references of the different buildings and structures on the plan on the following page, in order to be able to locate them relative to each other.

(4) : Examples of purposes : workshop, office, equipment room, locker-room, etc...

(5) : These documents allow the carried out study to be more precise. Whatever the enclosed documents, draw the plan of the site remains essential.

(2) : The DPF01 form concerns the site in general, each building and structure shall be the objet of a detailed DPF01-A form.

(6) : The plan must imperatively include the following elements :- The représentation of each building/structure respecting their location relative to each other, the reference of each building/structure assigned on page 1 must be rewritten on them.- The separation distance between each building/structure,- The network paths (gas, water, electricity, phone, etc...)

(7) : Examples : elevator shaft, trap door, etc...

(8) : Examples : T.V., Radio, beep, etc...

(9) : Example : zinc gutter, etc...

(10) : Examples : electrical grounding, vat, etc...

(11) : Examples : buried, column, etc...

Notes of the form :

LIGHTNING PROTECTION SYSTEMS FRANCE

BP 80055 - France -33460 MARGAUX

Analysis - Prevention - Protection – Lightning

Protection against lightning study application

Site to protect(1) :

Buildings and/or structures of the site to protect :

Situation

Name of the site :

Reference of the project :

Company :

Address 1 :

Address 2 :

ZIP code :

Town :

Country :

Contact

Name :

Position :

Phone :

Email :

DPF01

File

Application dispatch date :Reception date : (do not fill)Date of response: (do not fill)

List of buildings and/or structures

Total number of buildings and structures the site consists of (2) :

Reference (3) Purpose (4)ABCDEFGH

I

J

Company

Company name :

LPS France licence number:

Address 1 :

Address 2 :

ZIP code :

Town :

Country :

LPS France representative:

Contact

Name :

Position :

Phone :

Email :

Page 1/2

}

LIGHTNING PROTECTION SYSTEMS FRANCE

BP 80055 - France -33460 MARGAUX

Analysis - Prevention - Protection – Lightning

Page 2/2

Layout of site:

DPF01

Documents enclosed with study (5)

Block plan : Else :

Wiring diagram : Specify :

Picture :

Plan of the site (6)Caption :

A, B, C...

Buildings/structures and their references

Separation distance

between each element of the plan in meter

(xm) Buried network (water, gas,

electricity, phone, etc...)

Scale of the plan (1cm = … m)D, E...

LIGHTNING PROTECTION SYSTEMS FRANCE

BP 80055 - France -33460 MARGAUX

Analysis - Prevention - Protection – Lightning

Protection against lightning study application

Building/structure reference :...... N°...../.....

DPF01-A

h1

h2

h3

L5

L1L2

L6 L4

L3

Measures in meters

h1

h2

h3

L1

L2

L3

L4

L5

L6

Dimensions of the building :

Elements and materials

Purpose (4) :

Access to the roof : Yes No Type (7) :

Aerial on the roof (8) : Yes No Hauteur :

Metallic elements :

On roof : Yes No Nature (9):

On the ground : Yes No Nature (10):

Overhead power supply cable : Yes No Remarks

Buried power supply cable : Yes No Remarks

Belting at the bottom of excavation : Yes No Remarks

Overhead phone cables : Yes No Remarks

Buried phone cable : Yes No Remarks

Gas networks : Yes No Type (11) :

Main Low Voltage Board

Number of poles : Protected poles :

Un :

Electrical grounding at ... in meters :

IΔn :

Characteristics of the building :

LIGHTNING PROTECTION SYSTEMS FRANCE

BP 80055 - France -33460 MARGAUX

Analysis - Prevention - Protection – Lightning

Protection against lightning study application

Building/structure reference :...... N°...../.....

DPF01-A

Building

Surrounded by higher trees or structures : Yes No

Surrounded by lower trees or structures : Yes No

Surrounded by strutures farther than 3 H : Yes No

Remarks :

The building and its environment :

Roof

Metallic Common Flammable

Remarks :

Structure

Metallic Current Flammable

Remarks :

Content

Of no value and non-flammable

Of current value or normally flammable

Of high value or particularly flammable

Of exceptional value, irreplaceable or explosive

Remarks :

Occupation

Unoccupied Normallyt occupied Difficult evacuation or risks of panic

Remarks :

Consequences

No continuity of service necessity

Continuity of service necessity

Consequences for the environment

Remarks :

Frame

Metallic American Traditional

Else :

Roofing

Slate Tile Everite

Else :

Nature of the soil on surface

Tarred Cobbled Limestone

Else :

Nature of the subsurface soil

Soil Clay Limy

Else :

Distance from the wall in meters:

Observations :