Form I

The Factories Ordinance, No.45 of 1942 (Section 27)

Report of the Results of Examination of Hoist*/Lift

Access Engineering PLC,

I . Name and address of fhctorv Mechanical Workshop,
Kaduwela

2. Name of occr-Lpiet' .. i, Wor ks)rop Manager

C lrarn Rope
3. (a) Ty'pe of hoist*ilift and identification number and
MSWL 5.tl tones
description
[iii;Li i] t, ii 1.,1, \,,. ( LDI{ f;,/r'1
(b) Date of construction or reconstructiott (if asceftainable)
4. Design and construction:
Ale all parts olthe hoist*i lifi olgood mechanical Made oLtt of souncl material u illt
construction, sound matefial and adequate strength adeqrLate str-ength
(so far as ascertainable)?
5 Maintenance:-
Are the tbltowing parls olthe hoist*,/lift properli' nraintainecl
and in uood r.rorking order. lf not spectlf in each the def-ects Sal.isfactorl'
discovered?
EnclosLue of hoistway",iliitwal'
'{a)
(b) Landing gate and cage gates
(c) lnterlocks on the landing gates and cage gates
(d) Other gate i)stenings ., .,
(e) Cage or platform and fittings. cage guides. bufltrs.
interi or of the hoistrvay*r I i ftw ay'
(f) Over-running devices
(g) Suspension ropes or chains and their attachments
(h) Safety gear (i.e. arrarlgenrents for preventing fall of
platforr-n or cage) ,, ,
j) Brakes r: ,,
k1 orrn or spur gearing
W
l) Other electrical equipment .

n-r) Other parls

6. \\'hat paits (if an"v-) u,ete inaccessible'? No re

1. Repairs, renewals or alterations (if an1,) nece ssary. and the

Maintaired satisfaclor ilv
period within which they should be execrtted

8. Maxirnum sale working load subject to repairs. renewals or

5.0 [oncs
alterations (ifany). speciited in cage 7

9. Other observations

10. Date befbre i,vhich the next thorough e.rarnination of the

lt)l) \)l t()
hoist*ilift should carried out
I certifl,v that on ..? 9 .'..9.'..'..1.1 ... t thoroLrghly eranrined the hoistxr'lift above-describeci and that the
above is a con'ect report of the result of the examinatron.

If emplo,ved by a companl, or association. give the name and address of the conrpan),or association

Signature: -.
-r......
a
Qualifications: .-. osH)

(Space fbr continuation of entlies.)

e
Note- This reporl should attached to the general register kept Lrncler section 92 of the ordinance and a
duplicate or certitied copy should be sent to the District Factory'Inspecting Engineer of Factories and the
Chief Inspector ofthe Factoties.

*Delete what is inapplicable

 Form 1
The Factories Ordinance, No.45 of 1942 (Section 27)
Report of the Results of Examination of lloist*/Lift

Acccss Lnvineet'ltg PLC

I . Name and address ol f-actory \,{ccl ratricai Workshop,
Kaduu,ela

2. Name oi occr-Lpier \.\-olkshop Manager'

Chain Rope
3. (a) T.vpe of hoist*rlift and identification nurnber and
N4SWL 5 [t lonc,'
description
ldcn ii['icai ir:ir No.: C ED/t R /0li
(b) Date of construction or reconstruction (if ascertainable)
4. Design and constluction:
Are al I parls of the hoist*ilift olgood nrechanical Niacle or-Lt of sorLnd tlal erial rvrth
constluction, sound material and adequate strength adecluate stlengllr
(so far as ascerlainable)?
5. Maintenance:-
Are the follorving pafis of the hoist*ilift properly' maintained
and in rvood rvolking order. llnot specilr in each the defects Satis lactor-r'
discovered?
Ja) Enclosure of hoistr,vay*i liftrvalr
(b) Landin-e gate and ca-se gates
(c) Interlocks on the landing gates and cage sates
(d) Othet gate t-astenings
(e) Ca-ee or platforrn and fittings. ca-ue guides- brlf-fers.
interior of the hoistu,ay'*/liftway' c,
(fl Over-r'unning devices ., 1,

(g) Suspension ropes or chains and their attachments

(h) Safety gear (i.e. arrangernents fbr preventing fall of
platfonr or ca,qe)
j) Brakes ., i1

k) Worrn or spur gearing

l) Other electrical eqrriprnent .

nr) Other parls

6. What parts (if an1,) were inaccessible? Nore

'7. Repairs. renewats or alterations (if ani,)necessary. and ihe

Mai ntaurerj sal isf actorih,
period u'ithjn which the1,' should be executed

8. Maximurn sat-e working load sub.iect to repairs. renewals or

5 0 tones
alterations (if an,r'), specitied irr cage 7

9. Other observations

10. Date befbre rvhich the next thorough erarnination olthe

2t)i9- ()7 t6
hoist*/lift should carried out
I cefiif1,'uthat on (1:.9 !."..17... I thoroLighly examined the hoist*i lift above-described and that the
9
above is a correct report olthe result of the examjnatlon.

lf errplol'ed b1'acompany or association. give the narne and address of the conrpany or association

(Space tbr continuation of entries.)

e
.,\,'olc:- This repoft should attached to the general register kept under section 92 of the ordinance and a
duplicate or certified copy should be sent to the District Factor-v lnspecting Engineer of Factories and the
Chief lnspector of the Factories.

*Delete r,vhat is inapplicable

 Form I
The Factories Ordinance. No.,l5 of 1912 (Section 27)
Report of the Results of Eramination of Hoist*/Lift

Access Ergineerng PL(.

1. Narne and address of f-actorl, ,. ,. Nlechanical Wor kshop.
Kaclinl e la

2. Name of occr-tpier \Uorkshcp N4anager

('hain Rope
3. (a) T,vpe of hoist*1lift and identitlcation nunrber and
MS\YL 5.0 tortes
descript iorr 1I..,.r,1,...r,^.. N- al l\lf l) /t\')
l\lCllllllLdll\lll \(/. \ LUl! li/l7Z
(b) Date of construction ol reconstruction (ilascerlainable)
4. Design and construction:
Are all parts olthe hoist*,'lift of good rnechanicai Nladc or-rt oI sorLnr] rlaterral t,rth
construction. sound material and adequate strength arlequale sl rclgl h
(so t-ar as ascertainable)'l
) Maintenance:-
Are the fblloiving parls of the hoist*i lift properl,'" maintained
and in wood rvorking order. Ilnot specifl.in each the defects Sati sfactory
discovered'?
Enclosure of hoistrval'*/l iftwav
'Ja)
(b) Landing gate and cage gates ,i ri
(c) Interlochs on the landing gates and cage gates
(d) Other sate thsteriiiigs
(e) Cage or platfbrm and tittings. cage guides. [rtLtfers.
interi or of the hoi stu,av *i I i ftwa\/
/fl C)ver-r un n i ng devic.es
(c) Suspension ropes or chains and their attachments
(h) Saf-ety gear (i.e. alrangements for preventing tall of
platform or cage)
j) Brakes
k) Worm or spur gearing
l) Other electrical equipment .i ,,
m) Other parts

6. What parls (if any') lrere inaccessible? None

1. Repairs, rener.lals or alterations (if ani') necessarv, and the

Mainl.aincd sat islactolr lr
period lvithin rvhich the;, shor"rld be executed

8. MaxirnLrrn saf'e rvorking load subject to repairs, renewals or

5.0 tones
alterations (ifany). specified in cage 7

9. Other observations 1r ?1

I 0. Date before which the next thorough eramination ol the

/\)lY \)l Itl
hoist*ilift should carried oLrt
 that on ...?e i1:.Qt.l.lA.. I thoroughly examined the hoist*/lift above-describecl and that the
I certify-(J
above is a correct repofi ofthe result olthe erarninatron.

If ernployed b), a conrpany or association. give the narne and address of the cornpanv or association

(Space for continuation of entries.)

a,
l',iote'.- This report should attached to the general register kept under section 92 of the ordinance and a
duplicate or cerlif'led copy should be sent to the District Factor,r'lnspecting Engineer of Factories and the
Chief Inspector of the Factories.

*Delete rvhat is irapplicable

 Form I
The Factories Ordinance, No..l5 of 1912 (Section 27)
Repofi of the Results of Eramination of Hoist+/Lift

Access Engineering PLC,

[ . Name and address of lhctorv Mechanlcal Workshop,
Kaduwela

2. Name of occupier \\,'orkshop Managet'

Chain Ropc
3. (a) Type of hoist*ilift and identification nurrber and
MSWL 5.0 torrcs
description
ldcrriilicaiioir Nc; : C[D/CR/0 I
(b) Date of construction or reconstruction (if ascerlainable)
1. Design and construction:
Are a.[ pams of the i1si51*'lift olgood mechanical Macle or-Lt of sound nraler ial rvith
construction. sound material and adequate strength adeqr-Late sIt'ength
(so lar as ascertainable)'?
5. N4aintenance:-
Are the follor,i,ing parts of the hoist*ilift properly maintained
and in r,r,ood rvorkin-{ order. If not specify'in each the defects Sati sfactory'
discovered?
*,'liftr,ray .!
Ja) Enclosure of hoistlr,ay ,i
(b) Lanciing gate and ca-se gates .. ,,
(c) Interlocl<s on the landing gates and cage gates
, I \ nr1----
(oi uriler gaie iasielrings
----- 1-^^+^,-: ,, ,.
(e) Cage or platfom and fittings, cage -euides. buff-ers.
interior of the hoistrvar *,litlrlav
/fr Over'-r'unni ng det'ices ,, ))
(g) Suspension ropes or chains and their attachments
G) Safety gear (i.e. arrargernents for prer enting fall of
platf-ornr ol eagc)
jt Brakes
k) [ olrrr or spur gearirrg
l) Other electrical equipment
m) Other parts

6. What parts (if an;-) rvere inaccessible? Noner

1. Repairs, renewals or alterations (if any) necessar)'. and tlie

Mai ntai ned is{'actor iir.
period within which the,v should be executed :1
-sat

8. Maximurr saf-e rvorking load subject to repairs, renewals or

5.ll tones
alter-ations (if any), specified in cage 7

9. Other observations

10. Date before rvhich the next thorough eramination olthe

hoist*,ilifi should carried out
2Or9- 0i 16
I ceftify that on . .: " 9!. .. !1. . . I thoroughl-v eramined the hoist*i lift above-described and that the
above is a correct reporl of the result olthe exatninatton.

If er-nployed by a companl'or association. -ci\,e

the name and address of tlre conrpany or association

(Space for continuation of entries.)

,,
j',tr.tte:- This repofi should attached to the register kept under section 92 of the ordinance and a
-seneral
duplicateorcertifiedcopyshouldbesenttotheDistrictFactorl InspectingEngineerof Factoriesandthe
Chief lnspector ofthe Factories.

*Delete r'vhat is inapplicable