NOTIFICATION FORM FOR THE NOTIFICATION OF DANGEROUS ...

NOTIFICATION FORM FOR THE NOTIFICATION OF DANGEROUS PRODUCTS 

TO THE AUTHORITIES BY PRODUCERS OR DISTRIBUTORS 

Section 1: Details of AUTHORITIES/COMPANIES receiving the notification form 

Authority/Contact 

name/Address/Telephone/Fax/ 

E-mail/Website 

AUSTRIA: 

Bundesministerium főr soziale Sicherheit, Generationen und 

Konsumentenschutz 

produktsicherheit@bmsg.gv.at 

Magistrat der Stadt Wien 

post@m59.magwien.gv.at 

Amt der Burgenländischen Landersregierung 

post.maschinenbau@bgld.gv.at 

Amt der Neiderösterreichischen Landesregierung 

post.wst1@noel.gv.at 

Amt der Oberösterreichischen Landesregierung 

ge.post@ooe.gv.at 

Amt der Steiermärkischen Landesregierung 

a14@stmk.gv.at 

Amt der Salzburger Landesregierung 

konsumentenschutz@salzburg.gv.at 

Amt der Kärntner Landesregierung 

post.abt7@ktn.gv.at 

Amt der Vorarlberger Landesregierung 

amtdvlr@vorarlberg.at 

Amt der Tiroler Landesregierung 

gewerberecht@tirol.gv.at 

Mr Helmuth PERZ (GPSD Committee and Rapex Contact Point) 

helmuth.perz@bmsg.gv.at 

CYPRUS: 

Competition and Consumer Protection Service, Ministry of 

Commerce, Industry and Tourism 

rapex@mcit.gov.cy 

CZECH REPUBLIC: 

Ministry of Industry and Trade, Consumer Protection Department 

rapex@mpo.cz 

DENMARK: 

The Danish Safety Technology Authority 

sik@sik.dk 

Mrs Birte HANSEN - Mrs Henriette SORENSEN 

bh@sik.dk 

FINLAND: 

The Finnish Consumer Agency 

notifications @kuluttajavirasto.fi

FRANCE: 

Direction Générale/Regionale de la Concurrence, de la 

Consommation et de la Répression des fraudes (DGCCRF) 

http://www.minefi.gouv.fr/dgccrf 

Mr Yannick BAILBLED 

alertes.dgccrf@dgccrf.finances.gouv.fr 

GERMANY: 

Bundesanstalt főr Arbeitsschutz und Arbeitsmedizin (BAuA) (Federal 

Institute for Occupational Safety and Health) 

eu-rapex@baua.bund.de 

GREECE: 

General Secretariat for Consumers Technical Surveillance 

Directorate 

Safe-prod@gge.gr 

Mr T ALEXIOU 

alexiouf@gge.gr 

ICELAND: 

Product Safety and Market Surveillance Authority (Löggildingarstofa) 

business@ls.is 

Mrs Fjola GUDJONSDOTTIR 

ls@ls.is 

IRELAND: 

Office of the Director of Consumer Affairs 

product_safety@entemp.ie 

ITALY: 

Ministero Attivita Produttive. Direzione Generale Armonizzazione 

Mercato eTutela Consumatori. Ufficio D4 Sicurezza e Conformita 

Prodotti 

antonio.vecchi@minindustria.it 

donatella.melucci@minindustria.it 

Mr Antonio VECCHI - Mrs Donatella MELUCCI 

antonio.vecchi@attivitaproduttive.gov.it 

donatella.melucci@attivitaproduttive.gov.it 

LATVIA: 

Consumer Rights Protection Centre 

rapex@ptac.gov.lv 

THE NETHERLANDS: 

Food and Consumer Product Safety Authority (Voedsel en Waren 

Autoriteit) 

info@vwa.nl 

Mr Jan VAN LEENT 

AltertNF@VWA.nl 

NORWAY: 

Directorate for Civil Protection and Emergency Planning 

postmottak@dsb.no

Mrs Liv-Eli RODLAND 

rapex@dsb.no 

PORTUGAL: 

Instituto do Consumidor 

cs@ic.pt 

Mme. Dra Carla BARATA 

Mme. Dra Filomena BARRELA (Deputy) 

rapex@ic.pt 

SLOVENIA: 

Market Inspectorate of the Republic of Slovenia 

Obvestila.tirs@gov.si 

Health Inspectorate of the Republic of Slovenia 

zdravstveni.inspektorat@gov.si 

Ministry of Health, National Chemicals Bureau 

Urad.kemikalije@gov.si 

Mrs Irena RAZPOTNIK 

rapex.tirs@gov.si 

gp.zrrs@gov.si 

SPAIN: 

Mr Carlos ARNAIZ RONDA 

seguridad@consumo-inc.es 

ANDALUCIA 

Dirección General de Consumo 

alerta-consumo@juntadeandalucia.es 

MURCIA 


alertas.consumo@carm.es 

ISLAS CANARIAS 


dgconstf@gobiernodecanarias.org 

COMUNIDAD VALENCIANA 

Dirección General de Seguridad Industrial y Consumo 

alertas_consum@gva.es 

ISLAS BALEARES 


redalert@dgconsum.caib.es 

EXTREMADURA 

Dirección General de Consumo y Salud Comunitaria 

alertas.consumo@sc.juntaex.es 

CASTILLA LA MANCHA 


direcc_consumo@jccm.es 

MADRID 

Dirección General de Salud Pública, Alimentación y Consumo

consumo.seguridad@madrid.org 

ARAGON 


controlmercado@aragob.es 

CATALUNA 

Subdirectión General de Consumo 

catalert.ctc@gencat.net 

CASTILLA Y LEON 

Dirección General de Salud Pública y Consumo 

redalertaconsumo@jcyl.es 

LA RIOJA 

Dirección General de Ordenación y Desarrollo Económico 

consumo.control@larioja.org 

NAVARRA 

Dirección General de Industria y Comercio 

seccion.consumo@cfnavarra.es 

PAÍS VASCO 


consumo@ej-gv.es 

CANTABRIA 

Dirección General de Comercio y Consumo 

redalertaconsumo@gobcantabria.es 

ASTURIAS 

Agencia de Sanidad Ambiental y Consumo 

alertasp@princast.es 

GALICIA 

Servicio de Protección al Consumidor del Instituto Gallego de 

Consumo 

redes.alerta@xunta.es 

SWEDEN: 

Arbetsmiljöverket 

arbetsmiljoverket@av.se 

Boverket 

registraturen@boverket.se 

Elsäkerhetsverket 

elsak@elsak.se 

Järnvägsinspektionen 

jvs@jvs.se 

Kemikalieinspektionen 

kemi@kemi.se 

Konsumentverket 

konsumentverket@konsumentverket.se 

Luftfartsinspektionen 

luftfartsinpspektionen@lfv.se

Identification of the companies 

notified and their role in the 

marketing of the product 

Producer or Producer 's 

representative/Distributor 

completing the form 

Contact name, responsibility, 

Address/Telephone/Fax/Email/ 

Website 

Läkemedelsverket 

registrator@mpa.se 

Post-och telestyrelsen 

pts@pts.se 

Rikspolisstyrelsen 

rikspolisstyrelsen@rps.police.se 

Sjöfartsverket 

ios@sjofartsverket.se 

Statens Livsmedelsverk 

livsmedelsverk@slv.se 

Statens Raddingsverk 

srv.srv.se 

Statens Naturvardsverk 

nature@naturvardsverket.se 

Statens Stralskyddsinstitut 

ssi@ssi.se 

SWEDAC 

info@swedac.se 

Vägverket HK 

vagverket@vv.se 

Mr Jan SJOGREN 

jan.sjogren@konsumentverket.se 

UNITED KINGDOM: 

Department of Trade and Industry (DTI) 

rapex.unit@dti.gsi.gov.uk 

Section 2: Details of PRODUCER/DISTRIBUTOR 

Manufacturer (US) 

Brookdale International Systems Inc 

1-8755 Ash Street 

Vancouver, British Columbia 

Canada V6P 6T3 

Jonathan Sinclair, Partner 

Eversheds LLP 

Cloth Hall Court 

Infirmary Street 

Leeds LS1 2JB 

Tel: +44 (0) 113 200 4686 

Fax: +44 (0) 113 245 6188 

E-mail: jonathansinclair@eversheds.com 

Website: www.eversheds.com

Category. Brand or trademark. 

Model name(s)or Bar code/CN 

Tariff. Country of origin 

Description/Photograph 

Description of the hazard and 

possible health/safety 

damages and conclusions of 

the risk estimation and 

evaluation carried out 

Section 3: Details of PRODUCTS involved 

EVAC-U8 TM Emergency Escape Smoke Hood 

EVAC+ TM Emergency Escape Smoke Hood 

Universal Product Code: 

EVAC-U8 TM Emergency Escape Smoke Hood (EVAC-U8): 

777264000014 

EVAC+ TM Emergency Escape Smoke Hood (EVAC+): NONE 

These products are not marked with bar codes or universal product 

codes. Readily identifiable markings on these products consist of 

product dates of expiration. 

Country of origin: Canada 

Each of these products is a respiratory protective escape device 

(RPED) designed to filter noxious gases found in structural fires and 

to allow the user a 15-minute time window to escape to a safe source 

of breathing air. 

Section 4: Details of HAZARD 

Brookdale recently undertook testing of EVAC-U8 TM and EVAC+ TM 

samples, one aspect of which focused on carbon monoxide 

“slippage”. Results of the carbon monoxide testing revealed carbon 

monoxide slippage of greater than the test threshold. 

Use of EVAC-U8 TM or EVAC+ TM devices that exhibit carbon 

monoxide slippage levels greater than a certain threshold may not,

Record of accident(s) 

Types/Scope/Duration of 

action(s) and precautions 

taken and identification of the 

company responsible 

depending upon the circumstances in which the devices are used, 

filter intended levels of carbon monoxide. This could potentially 

present a risk of various levels of carbon monoxide inhalation to 

users of these devices when used in circumstances involving the 

presence of carbon monoxide. 

Based on the test results and out of an abundance of caution, the 

company is recalling these devices. 

Brookdale is not aware of incidents where a user of EVAC-U8 TM or 

EVAC+ TM was exposed to harmful levels of carbon monoxide while 

using the device. 

Section 5: Details of corrective ACTIONS already taken 

Based on the test results and out of abundance of caution, the 

company is recalling these devices. Recall notices have been sent 

to the company’s distributors in the relevant Member States, as 

identified in Section 6 below.

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 COMPANIES in the supply chain which hold affected products 

List of Manufacturers/ 

Importers or Authorised 

representatives by 

Member State: 

Name/Address/ 

Tel/Fax/E-mail/Website. 

List of Distributors/Retailers 

by Member State: 

Name/Address/ 

Tel/Fax/E-mail/Website 

EU MEMBER STATES 

BELGIUM 

MSI Marketing of Survival Instruments 

Klokkenlaan 204 

S-Hertogenbosch, Netherlands NL- 5231 BC 

Tel: +31-73-642-0080 

Fax: +31-73-642-2005 

E-mail: info@msi-group.nl 

Web: msi-group.nl 

CZECH REPUBLIC 

EnCe Tex S.R.O. 

Prumyslova 168/II 

Vysoke Myto, Czech Republic CZ-56601 

Tel: 011-420-465-423710 

Fax: 011-420-465-423710 

E-mail: info@encetex.cz 

Web: www.encetex.cz 

FRANCE 

Cordia 

C.A. Tremblay CDG 

33 Av Marcel Paul 

Tremblay en France 

France 93290 

Tel: 011-33-1-48-606566 

Fax: 011-33-1-49-631273 

E-mail: achats@cordia.fr 

Haleco 

1951 avenue d’Orange – BP 303 

Sorgues Cedex, France 84706 

Tel: +33 (0) 4 9039-3873 

Fax: +33 (0) 4 9039 3873 

E-mail: amartin@haleco.fr 

Web: www.haleco.fr 

Wilco International 

25, allee de Berlin

Z.A. Jean Monnet Nord Les Playes 

La Seyne-Sur-Mer, France 83500 

Tel: +33-494-109-410 

Fax: +33-494-109-411 

E-mail: cdo@wilco-international.com 

Web: www. wilco-international.com 

GERMANY 

ABS Lieder GmbH 

Werkstrattstrabe/Geb. 552 

Industriepark Areal A 

Wolfen, Germany 06766 

Tel: 011-43-7229-65089 

Fax: 011-43-7229-74826 

D-Secour European Safety Products GmbH 

Emil-von-Behring-Str. 6 

Bremen, Germany D-28207 

Tel: 011-49-421-432-800 

Fax: 011-49-421-432-8020 

E-mail: bluckey@d-secour.de 

GREECE 

Afoi Yiannopouloi E.P.E. 

(APS Eng E.P.E.) 

23 Agias Lavras 

16672 Vari 

Athens, Attiki, Greece 

Tel: 011-30-210-897-2222 

Fax: 011-20-310-897-2223 

E-mail: apseng@acci.gr 

IRELAND 

Gandon Enterprise Ltd. 

Roslyn Park, Beach Road, Sandymount 

Dublin, Ireland 4 

Tel: +353-12057346 

Fax: +353-12057219 

E-mail: Michael.horgan@gandonenterprises.ie 

ITALY 

Flower Gloves S.r.l. 

Via Monte Fiorino, 13 

San Giovanni Lupatoto, VR, Italy 37057 

Tel: +39-045-8750888 

Fax: +39-045-8750660 

E-mail: flower@flowergloves.it 

Piemme Antincendi s.r.l. 

E2 

Via Bormioli #3 

Brescia, Italy 25135 

Tel: +39-0303-363022 

Fax: +39-0303-363742 

E-mail: info@piemmeantincendi.com

Web: www.piemmeantincendi.com 

LATVIA 

Hubertus Ltd. 

Erglu 2 

Riga, Latvia LV-1012 

Tel: +371-729-5950 

Fax: +371-729-5951 

E-mail: Kristina@multinet.rbis.lv 

Web: www.cope.lv 

LUXEMBOURG 



S-Hertogenbosch, Netherlands NL-5231 BC 

Tel: +31-73-642-0080 

Fax: +31-73-642-2005 



MALTA 

FIPRO Tech AG 

Heiligkreuz 15 

P.O. Box 175 

Vaduz, LI, Liechtenstein FL-9490 

Tel: +423-237-65-98 

Fax: +423-237-65-99/91 

E-mail: info@fiprotech.com 

NETHERLANDS 



S-Hertogenbosch, Netherlands NL-5231 BC 

Tel: +31-73-642-0080 

Fax: +31-73-642-2005 



POLAND 

Eurodis 

131-1 UI. Gdanska 

Bydgoszcz, Poland PO-85-022 

Tel: 011-48-52-3470 

Fax: 011-48-52-328-6524 

E-mail: info@eurodis.pl 

Oxy Toxy S.C. 

Europe 

Ul. Lopianowa 14 

81 595 Gdynia 

Dabrowa, Poland 

Tel: +48-58-6290606 

Fax: +48-58-6296609 

E-mail: palbertin@albertin.com 

Web: www.oxytoxy.com

PORTUGAL 

ET, Lda 

Trav. S. Pedro, n 0 9 – 1 0 Esq. 

Lisboa, Portugal 1200 – 432 

Tel: 011-351-21 324 3560 

Fax: 011-351-21-3243575 

E-mail: Ivo.Pereira@etlad.pt 

SPAIN 

Avantex Services for Europe, S.L. 

(Tavex Group) 

Parque Empresarial Villapark 

Avenida Quitapesares 31, Nave 13 

Villaviciosa de Odon, Madrid, Spain 28670 

Tel: 011-34-91-616-3106 

Fax: 011-34-91-665-8460 

E-mail: dducos@avantex-textiles.com 

Web: www.avantex-textiles.com 

SLOVAKIA 

EnCe Tex S.R.O. 

Prumyslova 168/II 

Vysoke Myto, Czech Republic CZ-56601 

Tel: 011-420-465-423710 

Fax: 011-420-465-423710 

E-mail: info@encetex.cz 

Web: www.encetex.cz 

SPAIN 

Vispro Protection, S.L. 

C/Miquel Marti I Pol, 1 Pol. Ind. Pla Costa 

08182 Sant Feliu De Codines 

Barcelona, Spain 

Tel: +34-938660375 

Fax: +34-938660400 

E-mail: vispro@visproprotection.com 

Web: www.visproprotection.com 

SWEDEN 

CMB Safety and Rescue AB 

Box 47 

Nacka, Sweden SE-13106 

Tel: 011-46-8-448-2891 

Fax: 011-46-8-716-8063 

E-mail: chris.floden@cbm.se 

PORTUGAL 

Contra Fogo – Equipamentos de Seguranca, Lda. 

Quinta di Conde de Mascarenhas, Lote 8 

Vale Fetal, Charneca da Caparica 

Portugal 2815-512 

Tel: 011-351-21-253-5706 

Fax: 011-351-21-253-2077 

E-mail: contrafogo@contrafogo.pt

Web: www.contrafogo.pt 

Socimarpe, Lda. 

Rua Marcos Portugal, 4 – 3’ Dto 

ALGES, Portugal 1495-091 

Tel: +351-21-410-2180 

Fax: +351-21-410-6515 

E-mail: nuno.mesquite@socimarpe.com 

Vianas Lda. 

Rua Dos Bombeiros Voluntarios 

No. 383 – Apartado 1020 

Valbom GDM, Portugal 4420-386 

Tel: +351-22-4830635 

Fax: +351-22-4641831 

E-mail: compras@vianas.pt 

SLOVENIA 

Unisafe Group – Lokatrade d.o.o. 

Travcarjeva 6 

Skofja Loka, Slovenia SI-4220 

Tel: +386-41665442 

Fax: +386-45134655 

E-mail: info@unisafegroup.com 

Web: www.unisafegroup.com 

UK 

EVAC+ Chair International Ltd. 

Paraid House, Weston Lane 

Birmingham, UK B11 3RS 

Tel: 011-44-121-706-6744 

Fax: 011-44-1221-706-6746 

E-mail: info@paraid.co.uk 

FIREgard Safety Services Ltd. 

Souterford Drive 

Inverurie Business Park, Inverurie 

Aberdeenshire, Scotland, UK AB51 0ZH 

Tel: +44-1467-626055 

Fax: +44-1467-622721 

E-mail: alan@firegard.co.uk 

Web: www.firegard.co.uk 

Fuser Limited 

Unit 9, Indescon Court 

20 Millharbour 

London, UK E14 9TN 

Tel: +44-20-7510-4060 

Fax: +44-20-7510-4051 

E-mail: khowe@fuser.ltd.uk 

Web: www.fuser.ltd.uk 

SafeTShield (UK) Ltd. 

Suite 29, 111 West George Street 

Glasgow, UK G2 1Qx 

Tel: +44- 7879-817108 

Fax: +44-141-620-1873 

E-mail: dovcohen@aol.com

Thameside Fire Protection Co. Ltd. 

Unit 4, Sovereign Park 

Cranes Farm Road 

Basildon, Essex, UK SS14 3JD 

Tel: +44-1268-597999 

Fax: +44-1268-597998 

E-mail: johnallen@thamesidefire.co.uk 

Web: www.thamesidefire.co.uk 

UniTrust Protection Services 

Unitrust House, Heather Park Drive 

Wembley, Middlesex, UK HA0 1SS 

Tel: +44-2089038303 

Fax: +44-2089035526 

E-mail: info@unitrust.co.uk 

Web: www.unitrust.co.uk 

NON-EU MEMBER STATES 

BOSNIA 


Travcarjeva 6 


Tel: +386-41665442 

Fax: +386-45134655 



CROATIA 


Travcarjeva 6 


Tel: +386-41665442 

Fax: +386-45134655 



ICELAND 

Olafur Gislason & Co. h.f. 

Europe 

Sundaborg 22 

104 Reykjavik, Iceland IS-104 

Tel: +354-568-4800 

Fax: +354-568-5056 

E-mail: ogeld@islandia.is 

LIECHTENSTEIN 

FIPRO Tech AG 


P.O. Box 175 

Vaduz, LI, Liechtenstein FL-9490

Tel: +423-237-65-98 

Fax: +423-237-65-99/91 


MONTENEGRO 


Travcarjeva 6 


Tel: +386-41665442 

Fax: +386-45134655 



SERBIA 


Travcarjeva 6 


Tel: +386-41665442 

Fax: +386-45134655 



SWITZERLAND 

FIPRO Tech AG 


P.O. Box 175 

Vaduz, LI, Liechtenstein FL-9490 

Tel: +423-237-65-98 

Fax: +423-237-65-99/91 



(Tavex Group) 

Parque Empresarial Villapark 



Tel: 011-34-91-616-3106 

Fax: 011-34-91-665-8460 



NORWAY 

PE – Development AS 

Madserud alle 24 

Oslo, Norway 0274 

Tel: 011-47-22438680 

Fax: 011-47 22438681 

E-mail: paekt@online.no 

Web: www.caretaker.no 


(Tavex Group) 

Parque Empresarial Villapark

Number of products 

(serial numbers or date 

codes) held by 

producer/importer/ 

distributor/retailer/consumers 

by Member State 



Tel: 011-34-91-616-3106 

Fax: 011-34-91-665-8460 



Distributors/importers maintain no or very small inventories. Essentially all 

product is in the possession of various end users in each member state. 

BROOKDALE INTERNATIONAL EVAC+ UNIT SALES TO 

EU MEMBER STATES 

MEMBER STATE TOTAL UNITS OF EVAC+ 

UK 5,365 

Czech. Rep. 3,901 

Spain 3,107 

Netherlands 2,207 

Sweden 1,180 

Germany 1,144 

France 807 

Portugal 592 

Italy 476 

Denmark 404 

Greece 261 

Ireland 251 

Slovenia 250 

Italy 161 

Latvia 50 

Austria 6 

Finland 5 

Cyprus 2

NOTIFICATION FORM FOR THE NOTIFICATION OF DANGEROUS ...

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