CERTIFICATE OF THOROUGH EXAMINATION

This report complies with the requirements of

Provision and Use of Work Equipment Regulations 1998 and Lifting Operations and Lifting Equipment Regulation 1998

Examination Date: 02 Feb., 2020 Next Date of examination: 02 Feb., 2020 Certificate No:
Owner’s Name: Location: Order No:

Description of the equipment ID Number SWL

Caravan
All welded steel constriction
c/w four top corner lifting points
Tare Weight:
Gross Weight:
Dim: M LX M W X M H

Load test certificate number Load test date Last examination date

Was the examination carried out:

Is this the first examination after YES Within an interval of 6 months? YES
installation?
Within an interval of 12 months? NO
If YES, has the equipment been In accordance with an examination
YES NO
installed correctly? scheme?
After the occurrence of exceptional
NO
circumstances?
Particulars of any repair, renewal or alteration required to remedy the defect identified above:
NONE

Identification of any part found to have a defect

NONE

Particulars of any tests carried out as part of the examination:

Visual Inspection according to BS

IS THIS EQUIPMENT FIT FOR PURPOSE? YES Stamp

Name & Signature of person Issuing Name of Signature of person
this Certificate authenticating this Certificate