CERTIFICATE OF TEST AND THOROUGH EXAMINATION

FOR LIFTING GEARS

Visual and Proof Load Test Certification

Project Reference No. : 1063-Prop-19-SAS Certificate Reference No. : PM-10

Location of Testing :

Abu Hafs Ibn Burd St Al Khalidiyah Al Janubiyah Inspection Date : 20-05-2019

Dammam, Saudi Arabia

Client Name : Score Arabia Services Last Test Date and Reference :
Inspection Code : BSEN ISO 3266:2010 Next Inspection Date: 20-11-2019
Color Code : N/A Site Representative : Mukesh Narayanankutty
EYEBOLT SPECIFICATION
Type : Collard
Manufacture : N/A Serial No. / ID : SAS-0093, SAS-0094

Size : 12M Safe Working Load : 0.34 t

Status Safe Working Load

Eyebolt Test Parameters:

Visual Inspection OK
0.34 t
Non Destructive Examination N/A

Test Statement :

This is to certify that above mentioned Eyebolt given has been tested. Visual, Dimensional as per code requirement
and set procedures as given above At the time of inspection the result was acceptable & no discrepancy was found.

INSPECTION PERFORMED BY: Irfan Ali Lashari

PREPARED BY : VALIDATED BY :

Irfan Ali Lashari Dilip Gaikwad

LEEA Engineer Department Manager

Note: Note: Petromaster, its employees, & inspectors are not liable for any financial risks associated with this Lifting Gear and its operation.