CERTIFICATE OF THOROUGH EXAMINATION OF LIFTING EQUIPMENT
This report complies with the requirements of the Provision and Use of Work Equipment Regulations 1998
And the Lifting Operations and Lifting Equipment Regulations 1998
Thorough Examination Certificate Date Certificate Number Next Examination Due Order No
Date Date
01-03-2019 01-03-2019 0237912 31-08-2019
Name and address of Customer Examination Address Current Location Previous Location
Ahmed adel company ZHOR FIELD PORT SAID
,,,,,.
Description and identification of the Equipment Equipment ID Manfacturing Date
Loader Forklift 80N1-0600
Type: Kawasaki
Model: 80ZII
Chassiss No.: 80N1-0600
Blades No.: 994645, 134874
Load Test Certificate Number Date of Load Test Safe Working Load Date of Last
thorough
examination
0161205 21-02-2019 7.0 Tonnes 01-03-2019
Is this first examination after installation No Was the examination carried out within 6 months Yes
Has the Equipment been installed correctly Yes Was the examination carried out within 12 months No
In Accordance with examination scheme Yes After the occurence of exceptional circumstances No
Identification of any part found to have defect
Non
Particulars of any repair, renewal or alteration required to remedy the defect identified above
Non
Particulars of any tests carried out as part of thorough examination. And standard applied
The inspection has been was carried out in accordance with:
Petrolift Work Instruction No. 10 and British Standard, BS 4436, BS 5639, BS3726.
MPI welding inspection on blades in according to BSEN ISO 9934-1:2001.
Is The Equipment Safe To Operate Yes Stamp
Name and Signature of the person making this Name and Signature of the person
certificate authenticating this certificate
Mohamed Sayed Usama Saad