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JC International Limited

RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION AND MPI


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination

Examiner

Qualifications

99786 Identification Number Qty

10/02/2013 Description of Equipment

SUNDAY ANYEBE TARE WT SWL

LEEA, SNT LEVEL II MT, PT & UT GROSS WT Proof Load Applied Date of next
Examination

MCU
11045205
1

A Steel construction MCU in dimension 6.4m X 2.45m X 3m (Length X Width X Height) c/w 4 lifting Points

7950kg

9050kg

17000kg

N/A

09-08-13

LOCATION: MCU DECK


SPECIFICATION : MPI METHOD:

DNV 2.7-1 Wet Visible

TEST PROCEDURE: CONTRAST MEDIA: INDICATOR:

JOP-020 White Contrast Aid Black Magnetic Ink

PARTS EXAMINED: Four lifting points and Entire Body RESULTS: No defect as at the time of inspection. Fit for use

Name and address of equipment owner:

Address of premises where Test / Examination was held:

Cameron
We hereby certify that on inspection. Fit for use Signature of Inspector: Conducting Examination Revision No: 01

JACKRYAN
10/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of

Name of Inspector: SUNDAY ANYEBE Conducting: Examination only Doc No: JCI-C-VMPI-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination

Examiner

Qualifications

99787 Identification Number Qty

10/02/2013 Description of Equipment

SUNDAY ANYEBE TARE WT SWL

LEEA, SNT LEVEL II MT, PT & UT GROSS WT Proof Load Applied Date of next
Examination

SHACKLE SET FOR MCU (11045205)


Shackle ID: 12A, 12B, 12C, 12D 4pcs Bow Safety pin shackle N/A 9.5 t N/A N/A 09-08-13

LOCATION: MCU DECK


SPECIFICATION : MPI METHOD:

BS EN 13889 N/A

TEST PROCEDURE: CONTRAST MEDIA: INDICATOR:

JOP-010 N/A N/A

PARTS EXAMINED: Entire Body RESULTS: No defect as at the time of inspection. Fit for use

Name and address of equipment owner:

Address of premises where Test / Examination was held:

Cameron
We hereby certify that on inspection. Fit for use Signature of Inspector: Conducting Examination Revision No: 01

JACKRYAN
10/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of

Name of Inspector: SUNDAY ANYEBE Conducting: Examination only Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination

Examiner

Qualifications

99788 Identification Number Qty

10/02/2013 Description of Equipment

SUNDAY ANYEBE TARE WT SWL

LEEA, SNT LEVEL II MT, PT & UT GROSS WT Proof Load Applied Date of next
Examination

W/O REEL
110464729
1

A Steel construction W/O Reel in dimension 5.8m X 3.9m X 3.7m (Length X Width X Height) c/w 4 lifting Points

7000kg

32000kg

39000kg

N/A

09-08-13

LOCATION: PORT SIDE MOON POOL LOAD TEST DETAILS


Tested By: DETAGULF GLOBAL SERVICES
SPECIFICATION : MPI METHOD:

Date of Test: 15/11/2010

Cert No. Not seen

SWL:
N/A

Proof Load Applied: Not Seen


JOP-010 N/A N/A

Name of Inspector: Not seen

DNV 2.7-1 N/A

TEST PROCEDURE: CONTRAST MEDIA: INDICATOR:

PARTS EXAMINED: Four lifting points and Entire Body RESULTS: No defect as at the time of inspection. Fit for use

Name and address of equipment owner:

Address of premises where Test / Examination was held:

Cameron
We hereby certify that on inspection. Fit for use Signature of Inspector: Conducting Examination Revision No: 01

JACKRYAN
10/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of

Name of Inspector: SUNDAY ANYEBE Conducting: Examination only Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination

Examiner

Qualifications

99789 Identification Number Qty

10/02/2013 Description of Equipment

SUNDAY ANYEBE TARE WT SWL

LEEA, SNT LEVEL II MT, PT & UT GROSS WT Proof Load Applied Date of next
Examination

AA REEL
110464576
1

A Steel construction AA Reel in dimension 3.63m X 3.27m X 3.9m (Length X Width X Height) c/w 4 lifting Points

10300kg

7200kg

17500kg

N/A

09-08-13

LOCATION: STBD MOON POOL LOAD TEST DETAILS


Tested By: DETAGULF GLOBAL SERVICES
SPECIFICATION : MPI METHOD:

Date of Test: 11/01/2011

Cert No. Not seen

SWL:
N/A

Proof Load Applied: Not Seen


JOP-010 N/A N/A

Name of Inspector: Not seen

DNV 2.7-1 N/A

TEST PROCEDURE: CONTRAST MEDIA: INDICATOR:

PARTS EXAMINED: Four lifting points and Entire Body RESULTS: No defect as at the time of inspection. Fit for use

Name and address of equipment owner:

Address of premises where Test / Examination was held:

Cameron
We hereby certify that on inspection. Fit for use Signature of Inspector: Conducting Examination Revision No: 01

JACKRYAN
10/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of

Name of Inspector: SUNDAY ANYEBE Conducting: Examination only Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

REPORT FOR VISUAL EXAMINATION AND DYE PENETRANT INSPECTION

Report No.: 99790

Equipment Description:

DECK JUMPER

Equipment ID: Location:

14500677508-10-06 PORT SIDE MOON POOL (JACKRYAN)

Specification:

BS EN 571-1

Defect Found:

None

Part Examine:

One Lifting Point

Name of Client:

CAMERON

Inspectors Name/Qualification
SUNDAY ANYEBE
LEEA, SNT LEVEL II MT, PT, UT Lifting Equipment Insp.

Signature/Date

10/02/2013

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 14/02/2013 Qty

Examiner SUNDAY ANYEBE TARE WT SWL


GROSS WT

Qualifications LEEA, SNT LEVEL II MT, PT, & UT Proof Load Applied Date of next
Examination

99217
Identification Number

Description of Equipment

SHACKLE Shackle ID: JR 11531/Y10CC16

1pc

Bow Safety pin shackle

N/A

2 tonnes

N/A

N/A

13-08-13

LOCATION : MCU Deck


SPECIFICATION : BS EN 13889 MPI METHOD: N/A TEST PROCEDURE: CONTRAST MEDIA: INDICATOR: JOP-010 N/A N/A

PARTS EXAMINED: Entire Body RESULTS: No defect as at the time of inspection .Fit
Name and address of equipment owner:

for use
Address of premises where Test / Examination was held:

Cameron

Jack Ryan

We hereby certify that on 14/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use. Signature of Inspector: Conducting Examination Revision No: 01 Name of Inspector SUNDAY ANYEBE Conducting: Exam only Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

VISUAL EXAMINATION AND DPI REPORT FOR DECK JUMPER REPORT No: 99178

Equipment Name: Equipment ID: Specification: Parts Examined:

Deck Jumper 4500677568-10-03 BS EN 571-1 One Lifting Point

Defect Found:

None

Recommendation: Name of Client: Place of Inspection: Location:

Fit for Use CAMERON Jack Ryan MCU Area Signature/Date

Inspectors Name/Qualification
SUNDAY ANYEBE

LEEA,SNT Level II MT, PT, UT Lifting Equipment Insp.

09/02/2013

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

VISUAL EXAMINATION AND DPI REPORT FOR DECK JUMPER REPORT No: 99179

Equipment Name: Equipment ID: Specification: Parts Examined:

Deck Jumper 4500677568-10-04 BS EN 571-1 One Lifting Point

Defect Found:

None

Recommendation: Name of Client: Place of Inspection: Location:

Fit for Use CAMERON Jack Ryan MCU Area Signature/Date

Inspectors Name/Qualification
SUNDAY ANYEBE

LEEA,SNT Level II MT, PT, UT Lifting Equipment Insp.

09/02/2013

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION AND MPI


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 09/02/2013 Qty

Examiner SUNDAY ANYEBE TARE WT

Qualifications LEEA, SNT LEVEL II MT, PT & UT SWL GROSS WT Proof Load Applied Date of next
Examination

99180
Identification Number

Description of Equipment

TH REEL

110463939

A steel construction TH Reel in dimensions 6.20m X 3.90m X 5.70m (Length X Width X Height) c/w 4 lifting points

7 tonnes

32 tonnes

39 tonnes

N/A

08/08/13

Location: Cement Roof


SPECIFICATION : BS 7072 MPI METHOD: Wet Visible TEST PROCEDURE: CONTRAST MEDIA: INDICATOR: JOP-010 White Contrast Aid Black Magnetic Ink

PARTS EXAMINED: Four lifting points and Entire body structure RESULTS: No defect as at the time of inspection. Fit for use

Name and address of equipment owner: CAMERON

Address of premises where Test / Examination was held:

Jack Ryan. We hereby certify that on 09/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use Signature of Inspector: Conducting Examination Name of Inspector: SUNDAY ANYEBE Conducting: Examination only

Revision No: 01

Doc No: JCI-C-VMPI-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION AND MPI


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 09/02/2013 Qty

Examiner SUNDAY ANYEBE TARE WT

Qualifications LEEA, SNT LEVEL II MT, PT & UT SWL GROSS WT Proof Load Applied Date of next
Examination

99182
Identification Number

Description of Equipment

TH REEL

110463939

A steel construction TH Reel in dimensions 6.20m X 3.90m X 5.70m (Length X Width X Height) c/w 4 lifting points

7 tonnes

32 tonnes

39 tonnes

N/A

08/08/13

Location: Cement Roof


SPECIFICATION : BS 7072 MPI METHOD: Wet Visible TEST PROCEDURE: CONTRAST MEDIA: INDICATOR: JOP-010 White Contrast Aid Black Magnetic Ink

PARTS EXAMINED: Four lifting points and Entire body structure RESULTS: No defect as at the time of inspection. Fit for use

Name and address of equipment owner: CAMERON

Address of premises where Test / Examination was held:

Jack Ryan. We hereby certify that on 09/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use Signature of Inspector: Conducting Examination Name of Inspector: SUNDAY ANYEBE Conducting: Examination only

Revision No: 01

Doc No: JCI-C-VMPI-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 08/02/2013 Qty

Examiner SUNDAY ANYEBE TARE WT

Qualifications LEEA, SNT LEVEL II MT, PT & UT SWL GROSS WT 4500 kg 10000 kg Proof Load Applied Date of next
Examination

99183
Identification Number

Description of Equipment

4500695651-01-01

WORKSHOP A steel construction Workshop in dimensions 6.15m X 2.45m X 2.75m (Length X Width X Height) c/w 4 lifting points

5500 kg

N/A

07/08/13

Sling ID: 2175420-33-002/1

1set

Shackle ID: 02/2, 02/3, 02/4, 02/5

Top Leg: 36mm X 1.35m Single leg sling Bottom Leg: 26mm X 4.6m X 4 legged Sling c/w Quad Master Link Assembly with ferrule secured thimble eyes at all end and fifth part.
Bow Safety Pin Shackle

10t @ 0 0-45

4pcs

6.5 tonnes

Location: Port FWD Load Tested By: DETAGULF GLOBAL


MPI METHOD: N/A

Date of Test: 08/12/2010

LOAD TEST DETAILS Cert No. SWL: Not Seen


4500kg
TEST PROCEDURE: CONTRAST MEDIA: INDICATOR:

Proof Load Applied: Not Seen


JOP-010 N/A N/A

Name of Inspector: Not Seen

SPECIFICATION : DNV 2.7-1, BS EN 13414-2, BS EN 13889

PARTS EXAMINED: Four lifting points and Entire body structure RESULTS: No defect as at the time of inspection. Fit for use

Name and address of equipment owner: CAMERON

Address of premises where Test / Examination was held:

Jack Ryan. We hereby certify that on 08/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use Signature of Inspector: Name of Inspector: SUNDAY ANYEBE Conducting Examination Conducting: Examination only

Revision No: 01

Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 08/02/2013 Qty

Examiner SUNDAY ANYEBE TARE WT SWL


GROSS WT

Qualifications LEEA, SNT LEVEL II MT, PT, & UT Proof Load Applied Date of next
Examination

99218
Identification Number

Description of Equipment

WIRE ROPE SLING

OSL/TSS 7868

1pc

19mm X 5ft X Single leg sling c/w soft eye both ends

N/A

4.6 tonnes

N/A

N/A

07-08-13

LOCATION : MCU AREA


SPECIFICATION : BS EN 13414-2 MPI METHOD: N/A TEST PROCEDURE: CONTRAST MEDIA: INDICATOR: JOP-010 N/A N/A

PARTS EXAMINED: Entire Body RESULTS: No defect as at the time of inspection .Fit
Name and address of equipment owner:

for use
Address of premises where Test / Examination was held:

CAMERON

Jack Ryan

We hereby certify that on 08/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use. Signature of Inspector: Conducting Examination Revision No: 01 Name of Inspector SUNDAY ANYEBE Conducting: Exam only Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

DEFECT / NON COMPLIANCE REPORT


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 08/02/2013 Qty

Examiner

Qualifications LEEA, SNT LEVEL II MT, PT, & UT

99196
Identification Number

SUNDAY ANYEBE

Description of Equipment

SWL

LEVER HOIST
10061060 1 8mm X 1.5m Lever Hoist 1.5 Tonnes

LOCATION: MCU AREA


Particulars of defects found which are, or could, become a danger to persons or none Particulars of any repair, alteration to remedy defect or none

Weak Bottom Safety Latch (Not fit for Use)


Name and address of equipment owner:

Remove from service


Address of premises where Test / Examination was held:

CAMERON

Jack Ryan

We hereby certify that on 08/02/2013 (date) defect was found on the item/s described on this Certificate as at the time of inspection. Signature of Inspector: Conducting Examination Name of Inspector: SUNDAY ANYEBE Conducting: Examination only

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

DEFECT / NON COMPLIANCE REPORT


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 08/02/2013 Qty

Examiner

Qualifications LEEA, SNT LEVEL II MT, PT, & UT

99197
Identification Number

SUNDAY ANYEBE

Description of Equipment SHACKLE

SWL

62/10

Bow safety pin shackle

6.5 Tonnes

LOCATION: MCU AREA


Particulars of defects found which are, or could, become a danger to persons or none Particulars of any repair, alteration to remedy defect or none To be Tested Remove from service
Address of premises where Test / Examination was held:

No Test Certificate (Not fit for Use)


Name and address of equipment owner:

CAMERON

Jack Ryan

We hereby certify that on 08/02/2013 (date) defect was found on the item/s described on this Certificate as at the time of inspection. Signature of Inspector: Conducting Examination Name of Inspector: SUNDAY ANYEBE Conducting: Examination only

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

DEFECT / NON COMPLIANCE REPORT


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 08/02/2013 Qty

Examiner

Qualifications LEEA, SNT LEVEL II MT, PT, & UT

99198
Identification Number

SUNDAY ANYEBE

Description of Equipment

SWL

WIRE ROPE SLING


OSL/TSS 414 1 10mm X 1.5m X Single leg sling c/w soft eye both end 1.3 Tonnes

LOCATION: MCU AREA


Particulars of defects found which are, or could, become a danger to persons or none Particulars of any repair, alteration to remedy defect or none

Kink , Permanent bend (Not fit for Use)


Name and address of equipment owner:

Remove from service


Address of premises where Test / Examination was held:

CAMERON

Jack Ryan

We hereby certify that on 08/02/2013 (date) defect was found on the item/s described on this Certificate as at the time of inspection. Signature of Inspector: Conducting Examination Name of Inspector: SUNDAY ANYEBE Conducting: Examination only

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 08/02/2013 Qty

Examiner SUNDAY ANYEBE TARE WT SWL


GROSS WT

Qualifications LEEA, SNT LEVEL II MT, PT, & UT Proof Load Applied Date of next
Examination

99208
Identification Number

Description of Equipment

SHACKLE Shackle ID: JR 10431 K9P147

1pc

Bow Safety pin shackle

N/A

6.5 tonnes

N/A

N/A

07-08-13

LOCATION : MCU AREA


SPECIFICATION : BS EN 13889 MPI METHOD: N/A TEST PROCEDURE: CONTRAST MEDIA: INDICATOR: JOP-010 N/A N/A

PARTS EXAMINED: Entire Body RESULTS: No defect as at the time of inspection .Fit

for

use
Name and address of equipment owner: Address of premises where Test / Examination was held:

Cameron

Jack Ryan

We hereby certify that on 08/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use. Signature of Inspector: Conducting Examination Revision No: 01 Name of Inspector SUNDAY ANYEBE Conducting: Exam only Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 08/02/2013 Qty

Examiner SUNDAY ANYEBE TARE WT SWL


GROSS WT

Qualifications LEEA, SNT LEVEL II MT, PT, & UT Proof Load Applied Date of next
Examination

99209
Identification Number

Description of Equipment

SHACKLE Shackle ID: JR 12445

1pc

Bow Safety pin shackle

N/A

6.5 tonnes

N/A

N/A

07-08-13

LOCATION : MCU AREA


SPECIFICATION : BS EN 13889 MPI METHOD: N/A TEST PROCEDURE: CONTRAST MEDIA: INDICATOR: JOP-010 N/A N/A

PARTS EXAMINED: Entire Body RESULTS: No defect as at the time of inspection .Fit
Name and address of equipment owner:

for use
Address of premises where Test / Examination was held:

Cameron

Jack Ryan

We hereby certify that on 08/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use. Signature of Inspector: Conducting Examination Revision No: 01 Name of Inspector SUNDAY ANYEBE Conducting: Exam only Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 08/02/2013 Qty

Examiner SUNDAY ANYEBE TARE WT SWL


GROSS WT

Qualifications LEEA, SNT LEVEL II MT, PT, & UT Proof Load Applied Date of next
Examination

99210
Identification Number

Description of Equipment

SHACKLE Shackle ID: Y12E59 JR 10990

1pc

Bow Safety pin shackle

N/A

3.25 tonnes

N/A

N/A

07-08-13

LOCATION : MCU AREA


SPECIFICATION : BS EN 13889 MPI METHOD: N/A TEST PROCEDURE: CONTRAST MEDIA: INDICATOR: JOP-010 N/A N/A

PARTS EXAMINED: Entire Body RESULTS: No defect as at the time of inspection .Fit
Name and address of equipment owner:

for use
Address of premises where Test / Examination was held:

Cameron

Jack Ryan

We hereby certify that on 08/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use. Signature of Inspector: Conducting Examination Revision No: 01 Name of Inspector SUNDAY ANYEBE Conducting: Exam only Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 08/02/2013 Qty

Examiner SUNDAY ANYEBE TARE WT SWL


GROSS WT

Qualifications LEEA, SNT LEVEL II MT, PT, & UT Proof Load Applied Date of next
Examination

99211
Identification Number

Description of Equipment

SHACKLE Shackle ID: JR 10710

1pc

Bow Safety pin shackle

N/A

12 tonnes

N/A

N/A

07-08-13

LOCATION : MCU AREA


SPECIFICATION : BS EN 13889 MPI METHOD: N/A TEST PROCEDURE: CONTRAST MEDIA: INDICATOR: JOP-010 N/A N/A

PARTS EXAMINED: Entire Body RESULTS: No defect as at the time of inspection .Fit
Name and address of equipment owner:

for use
Address of premises where Test / Examination was held:

Cameron

Jack Ryan

We hereby certify that on 08/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use. Signature of Inspector: Conducting Examination Revision No: 01 Name of Inspector SUNDAY ANYEBE Conducting: Exam only Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 08/02/2013 Qty

Examiner SUNDAY ANYEBE TARE WT SWL


GROSS WT

Qualifications LEEA, SNT LEVEL II MT, PT, & UT Proof Load Applied Date of next
Examination

99212
Identification Number

Description of Equipment

SHACKLE Shackle ID: TSS 4175

1pc

Bow Safety pin shackle

N/A

4.75 tonnes

N/A

N/A

07-08-13

LOCATION : MCU AREA


SPECIFICATION : BS EN 13889 MPI METHOD: N/A TEST PROCEDURE: CONTRAST MEDIA: INDICATOR: JOP-010 N/A N/A

PARTS EXAMINED: Entire Body RESULTS: No defect as at the time of inspection .Fit
Name and address of equipment owner:

for use
Address of premises where Test / Examination was held:

Cameron

Jack Ryan

We hereby certify that on 08/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use. Signature of Inspector: Conducting Examination Revision No: 01 Name of Inspector SUNDAY ANYEBE Conducting: Exam only Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 08/02/2013 Qty

Examiner SUNDAY ANYEBE TARE WT SWL


GROSS WT

Qualifications LEEA, SNT LEVEL II MT, PT, & UT Proof Load Applied Date of next
Examination

99213
Identification Number

Description of Equipment

SHACKLE Shackle ID: TSS 4167

1pc

Bow Safety pin shackle

N/A

4.75 tonnes

N/A

N/A

07-08-13

LOCATION : MCU AREA


SPECIFICATION : BS EN 13889 MPI METHOD: N/A TEST PROCEDURE: CONTRAST MEDIA: INDICATOR: JOP-010 N/A N/A

PARTS EXAMINED: Entire Body RESULTS: No defect as at the time of inspection .Fit
Name and address of equipment owner:

for use
Address of premises where Test / Examination was held:

Cameron

Jack Ryan

We hereby certify that on 08/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use. Signature of Inspector: Conducting Examination Revision No: 01 Name of Inspector SUNDAY ANYEBE Conducting: Exam only Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 08/02/2013 Qty

Examiner SUNDAY ANYEBE TARE WT SWL


GROSS WT

Qualifications LEEA, SNT LEVEL II MT, PT, & UT Proof Load Applied Date of next
Examination

99214
Identification Number

Description of Equipment

SHACKLE Shackle ID: C7

1pc

Bow Safety pin shackle

N/A

2 tonnes

N/A

N/A

07-08-13

LOCATION : MCU AREA


SPECIFICATION : BS EN 13889 MPI METHOD: N/A TEST PROCEDURE: CONTRAST MEDIA: INDICATOR: JOP-010 N/A N/A

PARTS EXAMINED: Entire Body RESULTS: No defect as at the time of inspection .Fit
Name and address of equipment owner:

for use
Address of premises where Test / Examination was held:

Cameron

Jack Ryan

We hereby certify that on 08/02/2013 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use. Signature of Inspector: Conducting Examination Revision No: 01 Name of Inspector SUNDAY ANYEBE Conducting: Exam only Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com RC. 413243

JC International Limited

Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

REMEDIAL ACTION REPORT


CLIENT / OWNER CAMERON Equipment S/N: Report No:

99181
Equipment Description Points Requiring Attention

LOCATION JACK RYAN Recommended Action

0350-0206-001

Improv Workshop

Corrosion on the door of the unit No Safety Marking No Identification Marking on the top roof

Carry out thorough maintenance on the unit Ensure all markings are marked

Location: Port FWD Deck

The faults or flaws detailed above have been identified during the examination or test of the items. Notification in accordance with BS 2573-1 is hereby given to the owner / operator of the equipment.

Signed:________________________________ Client Representative

NAME OF INSPECTOR: SUNDAY ANYEBE

DATE:

08/02/2013

SIGNATURE:

JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com

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