Sample CERTIFICATE

The Academy Division´s Certification Body for Persons of

TÜV SÜD South Asia Pvt. Ltd. hereby certifies that

«Participants_Name»
from «Company__Client_Name»
has been awarded the title of

"Functional Safety Engineer (FSEr) : Level 01"

in accordance with IEC 61508:2010 and IEC 61511:2016
The candidate successfully passed the written exam
on: <<Date>>
at: <<Location>>

The candidate has proved the ability to apply, analyse and evaluate the following topics
according to Functional safety scheme code FSCP01-S3-23 (level 01):
- Basics of functional safety in accordance IEC 61508 and IEC 61511
- Hazard and Risk Analysis
- Planning the safety instrumented systems
- Hardware design
- Software design
- Reliability Data
- Using the safety instrumented systems
- Certification, Proven use and Data
TSA-AC-CP-FSC01-S3-22 | Rev : 02 | 14.05.2019

Certificate No.: «Certificate_No»

Valid until : <<Date>>

Vishal Nerurkar Controller of Examinations

Vice President Certification Body for Persons
Academy Academy
TÜV SÜD South Asia TÜV SÜD South Asia

Date of certificate release: <<Date>>

Place of printing: Ahemadabad

TÜV SÜD South Asia Pvt. Ltd. • TÜV SÜD Group • Off. Saki Vihar Road • Saki Naka • Andheri (East) • Mumbai – 400 072 • India