Certificate of Compliance

Installation Site Name or School required Installation Site Name or School is required

Suburb required Suburb required

Installation Company Name required Installation Company Name is required

Project Co-Ordination Company Name (If required)

Phone required Phone Number is required

Installation Date required

Date is required

Email for electronic copy (if required) Please enter a valid Email

Name and address for presentational certificate to be sent required Name and address is required

Area No	System Name	Area m²	Shockpad Thickness
1	Please select system	Required	Thickness Required
2
3
4
5
6
7
8

Comments

Name of the Product Used required Please select a product

Quote No or PO or Project Name

Has this installation been installed in accordance with A1 Rubber's install guidelines? required Installation must be installed according to A1 Rubber's install guidelines

Which sub-base was the job installed? required Must be installed on concrete or displaceable sub-base

N.B:

If Australian Standard AS4422:2016 for playground compliance certification is required, please be advised:
If an installation does not contain A1 Rubber factory tested, compliant Aero Shockpad System, then A1 Rubber cannot supply critical fall height certification and the site will need to be independently tested.

Full Name required FullName is required

Date required

Request for Certificate of Compliance AS4422:2016

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