D, K. Engineers
IMOUSTRIAL TESTING, SAFETY UTILITY
COMPETENT PERSON
Office E600, Tas
Ph. No, 079-4005 2583 §
re Vaesnls as per
FORM NO. 10
(Prescribed Under Rule 60)
Prescribed for report of examination of the lifting
REPORT NO. 01
1. Name of Occupier of Factory E
2. Situation & Address of Factory z
3. Distinguishing Number of Mark (if Any) And Description =
Uwe certify that on Dt. 19/01/2022 ‘vive thoroughly examined the above mentioned lift
Ropellifting tackle and that the above is « correct report of th
Issued By:
D.K. Engineers
£ ~ 509, Titanfum City Center,
Nr, Sachin Tower, 100 Ft. Road,
Satellite, Ahmedabad — 380.015
Sufficient to Identify the lifting Machine. chain, Rope or
the Lifting Tacie
Date when the Lifting Machine, Chain Rope of Lifting +
‘Tackles was first used in the factory
Date of Each Ex2mination made under section 29(a) i
(ii) and By whom it was carried out
Date and Number of certificate relating to anytestand
Examination made under sub-rule (1) of Rule 60.together
With The name of the person who issued the certificate
Date of Annealing or other;Heat Treatment if the chain and:
Lifting Tackle carried out under sub-rule (3) of Rule 60 and
By whom it was carried out,
Partulats of any Defects found at any such examination or:
After Annealing and affecting the sef working load and of
‘The Stepstaken to remedy and defact.
si
S earmeng tts h
AQerengtte he
DEVANG KSIATRIV A
Number & Date of Competency
Number: GUI/DISH/CPT/A‘0164/2014
Neat Test Due On.
‘machine, ropes and lifting tackles
DATE: 19/91/2022
Mis. RAJSHREE ENTERPRISE,
Plot No.36. Shivam Park Nana Kapaya.
Adani Portraad, Mundra, Kacheth,
Gujarat, 370815.
Dee Shackles Cap. 3.25 Ton.
11D. Nos RE/DS/3.25 1101
Body Dia.: 16 mm, Fin Dia: 19
New Supply
Dt. 19/01/2022 By D. K.
Report No.0, Dt, 19/01/2022 Thorough
Visual Examination & Load Test @4.88Ton
By D.K.
‘Not Applicable
NO DEFECTS
sult
i
j
jgnature & Name of Competent Person
“ertticate
Dt. 18/012023D. K. Eugincers
INDUSTRIAL TESTING, SAFETY UTILITY
COMPETENT PERSON
- z ee
Tnspection, Testing & Certification of Lif, Hoist, Grane, Lifting Tools & Tackles and Pressure Vessels as per Factories Act
‘Office :£-509, Taniurn Cty Centre, Nr. Sachin Tower, 100 Ft. Roed, Satelite, Aimedabed
Ph. No, O7 Bs 2095 Hh 8280 EB864' eral a Kenppyenso cen kate deveng uma con
FORM NO. 10
(Prescribed Under Rule 60)
Prescribed for report of examination of the lifting machine, ropes and lifling tackles
REPORT NO. 02 DATE: 19/01/2022
1. Name of Occupier of Factory : M/s. RAJSHREE/ENTERPRISE
2. Situation & Address of Factory + PlotNo,36, Shivam Park Nana Kapaya,
Adani Portroad, Mundra, Kachehh.
Gujarat, 370418,
3. Distinguishing Number of Mark (if Any) And Description : Dee Shackle; Cap. 3.25 Ton,
Sufficient to Identify the lifting Machine, chain, Rope ot 1D. No,: RE/DS/3.257/02.
the Lifting Tackle Body Dia.: 16 mm, Pin Dia.: 19mm,
4, Date when the Lifting Machine, Chain Rope of Lifting + New Supply
Tackles was first used in the factory
5. Date of Each Examination made under section 29(a) + ‘Dt. 19/01/2022 By D.K.
i) and By whom it was carried out. ]
6. Date and Number of certificate relating to any testand Report No.02, Dt, 19/01/2022 Thorough
Examination made under sub-rule (1) of Rule 6Qtogether Visual Examination & Load Test @ 4.88Ton
With The name of the person who issued theeertificate By D. K.
7. Date of Annealing or oteiHeat Treatment ifthe chain and: Not Applicable
Lifting Tackle carried out under sub-rule (5) of Rule 60 and
By whom it was carried out.
8, Particulars of any Defects found at any such examination or: NO DEFECTS
‘After Annealing and affecting the safe working load and of
‘The Stops taken to remedy and defect.
ove cesify that of, Dt.19/01/2022 I/we thoroughly examined the above mentioned lifting machine/chain/
Ropellifting tackle and that the above is a correct report of the result,
Ade rey) doh. “ye
DEVANG KSHATRIYA
Signature & Name of Competent Person
‘Number & Date of Competency Certificate
‘Number: GUJ/DISH/CPT/A/0164/2014
‘Next Test Due On. : Dt. 18/01/2023
Issued By:
E—509, Titanium City Center,
Nr. Sachin Tower, 100 Ft. Road,
Satelite, Ahmedabad ~ 380 015athe oTmaTy
See cuerrest PERSON
Taian nig & Gaticsio TUR Tonk Gan Tifing Tools & Tackles and Pressure Vessals as per Factories Act
‘Office : E-508, Titanium Cy Centre, Nr. Sachin Tower, 100 FL Road, Satolite, Armedsbad-3800
Ph. No. : 079-4005 2883 Mob. > 9825065864 Emall: ¢_k_engg@yehoo.co.in. kshatrya. devangggrait.com
FORM,
(Prescribed Under Rule 60)
Prescribed for report of examination of the lifting machine. ropes and lifting tackles
‘REPORT NO. 03
1, Name of Occupier of Factory
ion & Address of Factory
DATE; 19/01/2022
: Mls. RAJSHREE ENTERPRISE,
Plot No.36. Shivam Park Nana Kapaya,
‘Adani Portroad, Munda, Kachchh,
Gujarat, 370415
3. Distinguishing Number of Mark (if Any) And Description : Dee Shackle; Cap. 3.25 Ton.
Sufficient to Identify the lifting Machine, chain, Rope or
the Lifting Tackle
4, Date when the Lifting Machine, Chain Rope of Lifting
‘Tackles was first used in the factory
‘5. Date of Each Examination made under section 29(a)
(iii) and By whom it was carried out.
6. Date and Number of certificate relating to any test and
Examination made under sub-rule (1) of Rule 60,together
With The name of the person who issued the certificate
ID. No.: RE/DS/3.2 51/03.
Body Dia.: 16mm, Pin Dia 19 mn.
+ NeW Supply
: Dt. 19/01/2022 By D. K.
+ Report No.03, Dt. 19/01/2022 Thorough
Visual Examination & Load Test @ 4.88Ton
ByD.K.
7. Date of Annealing or other'Heat Treatment if the chain and: Not Applicable
Lifting Tackle carried out under sub-rule (5) of Rule 60 anc!
By whom it was carried out.
8, Particulars of any Defects found at any such examination or: NO DEFECTS
‘Afier Annealing and affecting the safe working load and of
‘The Steps taken to remedy and defect.
Tdwe certify that on Dt.1901/2022 I/we thoroughly examined the above mentioned lifting machine/chain/
Ropeflifting tackle and that the above is a correct report of the result.
Issued By:
D. K. Engineers
E ~ 509, Titanium City Center,
Nr. Sachin Tower, 100 Ft. Road,
Satellite, Ahmedabad — 380 015
Ader tly
DEVANG KSHATRIYA
Signature & Name of Coinpetent Person
Number & Date of Competency Certificate
‘Number: GUI/DISH/CPT/A'0164/2014
‘Next Test Due On. : Dt. 18/01/2023D. K Engencers
INDUSTRIAL TESTING, SAFETY UTILITY
COMPETENT PERSON
a es ae
“Tspection, Testing & Certification of Lif, Holst, Crane, Liting Tools & Tackles and Prossure Vessels as per Factories Act
(Office: €-508, Tlantum City Centro, Nr, Sachin Tower, 100 Fi. Road, Sutllte, Abmedabad-3800 5,
Ph. No. : O79-4005 2693 Mcb, : 99250 65864 Email: _k_ongg®@yahoe co in, kehatriya.cavang@gmail.com
FORM NO. 10
(Prescribed Under Rule 60)
Prescribed for report of examination of the lifting machine, ropes and lifting tackles
REPORT NO. 04 DATE: 19/91/2022
|. Name of Occupier of Factory Ms. RAJSHREE ENTERPRISE,
2. Situation & Address of Factory + Plot No.36, Shivam Park Nana Kapaya.
Adani Portroad, Muindra, Kachehh,
Gujarat, 370415
3. Distinguishing Number of Mark (if Any) And Description : Dee Shackle; Cap. 3.25 Ton
Sufficient to Identify the lifting Machine, chain, Rope or 1D. No.: RE/DS/3.25T/04.
the Lifting Tackle Body Dia.: 16 mm, Pin Dia: 19 mm,
4, Date when the Lifting Machine, Chain Rope of Lifting: New Supply
Tackles was first used in the factory
5, Date of Each Examination made under seetion 29(a) = Dt. 19/01/2022 By D.K.
ii) and By whom it was carried out.
6. Date and Number of certificate relating to unytestand —: Report No. 04, Dt. 19/01/2022 Thorough
Examination made under sub-rule (1) of Rule GOjtogether Visual Examination & Load Test i 4.88Ton
With The name of the person who issued the certificate BY D. K.
7. Date of Annealing or other'Heat Treatment if the chain and: Not Applicable
Lifting Tackle carried out under sub-rule (5) of Rule 60 and
By whom it was carried out,
8. Particulars of any Defects found at any such examination or: NO DEFECTS
‘After Annealing and affecting the safe working load and of
‘The Stepssaken to remedy and defect.
Live certify that on bt.19/01/2022 live thoroughly examined the above mentioned lifting machine!chain/
Rope/lifting tackle‘and that the above is a correct report of the result.
ASjycongite ww tay
Issued By: DEVANG KSHATRIYA
D.K. Engineers Signature & Name of Competent Person
E —509, Titanium City Center, ‘Number & Date of Competency Certificate
‘Number: GUIDISH/CPT/A‘0164/2014
‘Nr. Sachin Tower, 100 Ft. Road,
‘Nest Test Due On. : Dt. 18/01/2023
“Satellite, Ahmedabad — 380 015D. XK. Engineers
INDUSTRIAL TESTING, SAFETY UTILITY
COMPETENT PERSON
Tnspection, Testing & Certification of Lift, Hoist, Crane, Lifting Tools & Tackles and Pressure Vessels as per Faciories Act
Office: E-508, Titanium Cily Centr, Nr. Sachin Tower, 100 Ft. Road, Satelite, Ahmedabad-380015,
Ph. No, : 076-4005 2693 Minb. 68250 65864. Email: d_k_engg@yahoo.co.n, kshaiya davangg@omall com
N
E
10
(Prescribed Under Rule 60)
Prescribed for report of examination of the lifting machine, ropes and lifting tackles
REPORT NO. 05
3.
. Name of Occupier of Factory
Situation & Address of Factory e
Distinguishing Number of Mark (if Any) And Description +
Sufficient to Identify the lifting Machine, chain, Rope of
the Lifting Tackle
Date when the Lifting Machine, Chain Rope of Lifting +
‘Tackles was first used in the factory
Date of Each Examination made under section 29(a),:
and By whom it was carried out,
Date and Number of certificate relating to anyitestiand = +
Examination made under sub-rule (1) of Rule 60 together
With The name of the person who issued the certificate
Date of Annealing or othe#Heat Treatment ifthe chain and:
Lifting Tackle carried out under sub-rule (5) of Rule 60 and
By whom it was carried but.
DATE: 19/01/2022
M/s. RAJSHREE ENTERPRISE
Pot No.36, Shivam Park Nana Kapaya,
dani Portzoad, Mundra, Kachchh, |
Gujarat, 370415
Dee Shielles Cap. 4.75 Ton.
TD. Nos REDSI4,751 01
Body Dia: 19 mm, Pin Dia: 22 mm,
New Supply
Dr. 19/01/2022 By D. K.
Report No. 05, Dt. 19/01/2022 Thorough
Visual Examination & Load Test @ 7.13Ton
By D.K,
‘Not Applicable
Particulars of any Defects found at any such examination or: NO DEFECTS
‘After Annealing and affecting the safé working load and of
‘The Steps taken to remedy and defect.
Uwe certify that on Dt.19/01/2022 Ive thoroughly examined the above mentioned lifting machine/chain/
Ropellifting tackleand that the above is correct report of the res
AQet rg ele As “¥
DEVANG KSHATRIYA
Signature & Name of Competent Person
‘Number & Date of Competency Certificate
Number: GUI/DISH/CPTA/0164/2014
Next Test Due On. : Dt. 18/01/2023
Nr. Sachin Tower, 100 Ft. Road,
Satellite, Ahmedabad — 380 015ene
COMPETENT PERSON
Testing & Certiication of Lif, Hoist, Crane, Lifing Tools & Tackles and Pressure Vessels as per Faciories Act,
‘Office: E-509, Titanium City Contre, Nr. Sachin Tower, 100 Ft. Road, Satalite, Ahmedabed-380015,
Ph. No. : 078-4005 2683 Mob. - 98250 65864 Email: d_ k_engg@yshoa.o in, kshatrya. devangggmail com
10
(Prescribed Under Rute 60)
Prescribed for report of examination of the lifting machine, ropes and lifting tackles
REPORT NO. 06
1. Name of Occupier of Factory
2. Situation & Address of Factory
3. Distinguishing Number of Mark (if Any) And Description
Sufficient to Identify the lifting Machine, chain, Rope or
the Lifting Tackle
4, Date when the Lifting Machine, Chain Rope of Lifting
Tackles was first used in the factory
Gil) and By whom it was carried out.
6. Date and Number of certificate relating to any test and
Examination made under sub-rule (1) of Rule 60 together
With The name of the person who issued the certificate
Date of Each Examination made under section 29(a)
DATE: 19/91/2022
: Mis. RAJSHREE ENTERPRISE
+ Plot No.36, Shivam Park Nana Kapay.
Adani Portroad, Mundra, Kacheh.
Gujarat, 370415
+ Dee Shaclele;Cap. 4.75 Ton,
1D. Noi: REDS/4.75T/02,
Body Dia.: 19 mm, Pin Dias 22 mm,
NeW Supply
Dt. 19/01/2022 By D. K.
+ Report No, 06, Dr. 19/01/2022 Thorough
Visual Examination & Load Test @ 7.13Ton
ByD.K.
7. Date of Annealing or other Heat Treatment ifthe chain and: Not Applicable
Lifting Tackle carried out under sub-rule (5) of Rule 60 and
By whom it was carried out.
8. Particulars of any Defects found at any such examination or: NO DEFECTS
After Annealing and affecting the safe working load and of
‘The Stepstiaken to remedy and defect,
Uwe certify that on Dr.19/01/2022 live thoroughly examined the above mentioned lifLing machineichain’
Rope/lifing tackle and that the above is a correct report of the result.
Issued By:
D. K. Engineers ‘Duk. tnginears
E509, Titanium City Center, [lw { Suv/otsiy )®
Nr. Sachin Tower, 100 Ft. Road, eo
‘Satellite, Ahmedabad — 380 015
iajoies ] ®
DEVANG KSHATRIYA
Signature & Name of Comipetent Person
Number & Date of Competency Certificate
Number: GUI/DISH/CPT/A/0164/2014
Next Test Due On. : Dt. 18/01/2023‘Offes : E-508, Tanium City Centre, Nr. Sachin
Ph. No. : 078-4005,
DX Z
INDUSTRIAL TESTING, SAFETY UTILITY
COMPETENT PERSON
Tnspaction, Testing & Cerification of Lif, Hoist, Crane, Lifting Tools & Tackles and Pressure Vessels as per Factories Act
Tower, 100 Ft. Road, Satelite, Armectabad-3800 15
‘Mob. : 96250 65864 Email: |_<_ engg@tyehoo.co.in, kehatrys.devang@gmail.com
(Prescribed Under Rule 60)
Prescribed for report of examination of the lifting,
REPORT NO. 07
1. Name of Occupier of Factory
2. Situation & Address of Factory
3. Distinguishing Number of Mark (if Any) And Description :
Sufficient to Identify the lifting Machine, chain, Rope or
the Lifting Tackle
4. Date when the Lifting Machine, Chain Rope of Lifting:
‘Tackles was first used in the factory
5. Date of Bach Examination made under section 29(a)) +
(i and By whom it was carried out.
, Date and Number of certificate relating to anytest and
Examination made under sub-rule (1) of Rule 60.fogether
‘With The name of the person who issued the certificate
7. Date of Annealing or othor'Heat Treatment if the chain and:
Lifting Tackle carried out under sub-rule (5) of Rule 60 and
‘By whom it was carried out.
8. Particulars of any Defects found at any such examination or:
After Annealing and affecting the safe working load and of
‘The Steps taken to remedy and defect.
machine, ropes and lifting tackles
DATE: 191912022
M/s. RAJSHREE ENTERPRISE
Plot No,36, Shivam Park Nana Kapaya,
Acdani Portroad, Mundra, Kachchh,
Gujarat, 370415
Dee Shackle; Cap. 4.75 Ton,
1D. No.: RE/DS/4.75T703,
Body Dia: 19 mm, Pin Dia: 22 mm,
‘New Supply
Dx. 19/01/2022 By D. K.
+ Report No. 07, Dt. 19/01/2022 Thorough
Visual Examination & Lond Test @ 7.13Ton
By D.K.
Not Applicable
NO DEFECTS
Ive certify that on Dt.19/01/2022 I/we thoroughly examined the above mentioned lifting machine“chai’
Rope/lifting tackle and that the above is a correct report of the result.
Issued By:
AYecrenyts WA “ye
DEVANG KSHATRIVA
D. K. Engineers
E~ 509, Titanium City Center,
Nr. Sachin Tower, 100 Ft. Road,
Satellite, Ahmedabad — 380 015
Signature & Name of Competent Person
Number & Date of Competency Certificate
Number: GUI/DISHICPT/A(0 (64/2014
Next Test Due On, : Dt. 18/01/2023a
COMPETENT PERSON
lnapection, Testing & Certtcation of Lik, Hoist. Crano,Lifing Tools & Tackles and Prosoure Vessais as Por Fuatres Act
Oca: £508, Tkanium City Centre, Ne. Sechin Tower, 100 Fl. Road, Satelite, Almedabad-80016,
Ph No. 078-4005 2693 Mab, 98250 65864) Emall 6 k_engpM@yahoo.coin, ehatiya.devarythoret oon
FORM NO. 10
| (Prescribed Under Rule 60)
Prescribed for report of examination of the lifting machine, ropes and lifting tackles
REPORT NO. 08 DATE: 19/91/2022
1, Name of Occupier of Factory ‘M/s. RAJSHREE ENTERPRISE
2. Situation & Address of Factory Plot No.36, Shivam Pak
Adani Portroad, Mandra,
Gujarat, 370415
3. Distinguishing Number of Mark (if Any) And Deseription : Dee Shackles Cap. +
Sufficient to Mentify the lifting Machine, chain, Rope or TD. No RE/DS/4.75T/04,
the Lifting Tackle
4. Date when the Lifting Machine, Chain Rope of Lifting =
“Tackles was first used in the factory
5. Date of Each Examination made under section 29(a) : Dt. 19/01/2022 By D. K.
(ii) and By whom it was carried out,
6. Date and Number of certificate relating to ‘any testiand + Report No. 08, Dt. 19/01/2022 Thorough:
Examination made under sub-rule (1) of Rule 60: fogether Visual Examination & Load Vest @ 7.13'Ton
With The name of the person who issued the eettificate By D.K.
7. Date of Annealing or other Heat Treatment if the chain and: Net Applicable
Lifting Tackle carried out under sub-rule (5) of Rule 60 and
By whom it was carried out,
8. Particulars of any Defects found at any such examination or: NO DEFECTS
After Annealing and affecting the safe working load and of
‘The Steps taken to remedy and defect.
Uwe certify that on Dt.19/01/2022 l/ve thoroughly examined the above mentioned lifting machine/chain/
Ropelifting tackle nd that the above is a correct report of the result,
Age mental /igs
DEVANG KSHATRIYA
Signature & Name of Competent Person
Number & Date of Competency Certieate
Number: GUI/DISHICP T/A 01642014
Next Test Due On. : Dt. 18/01/2023
Issued By:
D.K. Engineers
E - 509, Titanium City Center,
Nr. Sachin Tower, 100 Ft. Road,
Satelite, Ahmedabad ~ 380 015COMPETENT PERSON
— ST Sere
Inspection, Testing & Cortifeation of Lif, Hoist, Crane, Lifting Tools & Tackles and Pressure Vessels a: per Factries Ac
Office: E-508, Titanium City Centre, Nr. Sachin Yower, 700 Fi. Road, Satalito, Anmedabai-360015,
+ Ph. No, : 078-4006 2683 Mots. = 98250 86864) Emaild_k snyg@yahoo coin, kahtrya devangigomail com
FORM NO. 10
. (Prescribed Under Rule 60)
Prescribed for report of examination of the lifting machine, ropes and lifling tackles
REPORT NO. 09 DATE: 19/01/2022
1, Name of Occupier of Factory
2. Situation & Address of Factory
Mis. RAJSHREE ENTERPRISE
Plot No,36, Shivam Park Nana Kapaya,
‘Adani Portroad, Muindra, Kachch,
Gujarat, 370415
3. Distinguishing Number of Mark (if Any) And Description : Dee Shackle;Cap. 4.75 Ton.
Sufficient to Identify the lifting Machine, chain, Rope or ID. Now RE/DS/4.75T10
the Lifting Tackle Body Dia.: 19 mm. Pin Dit
4. Date when the Lifting Machine, Chain Rope of Lifting: NeW Supply
Tackles was first used in the factory
5. Date of Each Examination made under section 29(ay' >: Dy. 19/01/2022 By D. K.
(ili) and By whom it was carried out.
6. Date and Number of certificate relating to unytest and: Report No. 09, Dt. 19/01/2022 Thorough
Examination made under sub-rule (1) of Rule 60 together Visual Examination & Load Test @ 7.13Ton
With The name of the person who issued the certificate By D. K.
7. Date of Annealing or othet:Heat Treatment if the chain and: Not Applicable
Lifting Tackle carried out under sub-rule (5) of Rule 60 and
By whom it was carried out,
8, Particulars of any Defects found at any such examination or: NO DEFECTS
After Annealing and affecting the safe working load and of
The Steps taken to remedy and defect.
mm,
Wve certify that on Dt.19/01/2022 l/we thoroughly examined the above mentioned lifting machine/ehainé
Ropeflifting tackle and that the above is a correct report of the result.
Agvereayile he ae
DEVANG KSHATRIYA
Signature & Name of Competent Person
Number & Date of Competency Certificate
‘Number: GUJ/DISH/CP'1/A/0164/2014
Next Test Due On. : Dt. 18/01/2023
Issued By:
D.K. Engineers
E ~509, Titanium City Center,
Nr. Sachin Tower, 100 Ft, Road,
Satellite, Ahmedabad — 380 015D.% Engineers
INDUSTRIAL TESTING, SAFETY UTILITY
COMPETENT PERSON
‘ORM NO. 10
(Prescribed Under Rule 60)
Prescribed for report of examination of the lifting machine, ropes and lifting tackles
REPORT NO. 10 DATE: 19/01/2022
1. Name of Occupier of Factory : MA. RAJSHREE ENTERPRISE
2, Situation & Address of Factory + Plot No,36, Shivam Paik Nana Kapaya,
‘Adani Portroad, Mundra, Kachchh,
Gujarat, 370415
3. Distinguishing Number of Mark (if Any) And Description : Dee Shackle; Cap. 4.75 Ton.
Sufficient to Identify the lifting Machine, chain, Rope ot 1D. No.: RE/DS/4.75106,
the Lifting Tackle Body Dia.: 19 mm, Pin Dia: 22 mm,
4. Date when the Lifting Machine, Chain Rope of Lifting New Supply
Tackles was first used in the factory
5. Date of Each Examination made under section 29(a},
(li) and By whom it was carried out.
6. Date and Number of cetficate relating to anytestiand —: Report No. 10, Dt. 19/01/2022 Thorough
Examination made under sub-rule (1) of Rule 604ogether Visual Examination & Load Test 2 7.13Ton
With The name of the person who issued the oertificate By D. K.
7. Date of Annealing or other Heat Treatment ifthe chain und: Not Applicable
Lifting Tackle carried ou under sub-rule (5) of Rule 60 and
By whom it was carried out,
8. Particulars of any Defects found at any such examination or: NO DEFECTS
After Annealing and affecting the safe working load and of
‘The Steps taken to remedy and defect.
+ Dt. 19/01/2022 By D. K.
{ive cenify that on Dt. 19/01/2022 I/ve thoroughly examined the above mentioned lifting machine/cha
Ropellifing tackleand that the above is a correct report of the result
Ageenyto abiey-
DEVANG KSHATRIYA
Signature & Name of Competent Person
Number & Date of Competency Certificate
Number: GUJ/DISH/CPT/A/0164/2014,
Next Test Due On. : Dt. 18/01/2023
Issued By:
D.K. Engineers
E- 508, Titanium City Center,
Nr, Sachin Tower, 100 Ft. Road,
Satellite, Ahinedsbad — 380 015|
DK Eupincers
COMPETENT PERSON
Testing & Ceritcaton of if, Hole, Grane, Liting Tools & Tackles and Prossure Wesson ae per Factories Act
nium Cy Centra, Nr. Sachin Tower, 100 Ft. Road, Satelite, Ahmedabad 380016
00. 98250 65864 Email’: d_k_ engg@yehoo.co in, kahiauiya devangeBomail. comp
FO) 10
(Prescribed Under Rule 60)
Prescribed for report of examination of the lifting machine, ropes and lifling tackles
REPORT NO. II DATE: 19/01/2022
1. Name of Occupier of Factory M/s. RAJSHREE ENTERPRISE
2. Situation & Address of Factory + Plot No,36, Shivam Park Nana Kapaya,
Adani Portyoad, Munda, Kachchh,
Gujarat, 370415
3. Distinguishing Number of Mark (if Any) And Description : Dee Shackle! ‘Cap. 9.5 Ton,
Sufficient to Identify the lifting Machine, chain, Rope or 1D. No. RE/DS/9.5 1/01,
the Lifting Tackle Rody Dia.; 27 mm, Pin Dia 31 mm,
4. Date when the Lifting Machine, Chain Rope of Lifting: New ‘Supply
Tackles was first used in the factory
5. Date of Each Examination made under section 29(a) + Dt. 19/01/2022 By D. K,
(iii) and By whom it was carried out,
6. Date and Number of certificate relating to afy test and + Report No. 11, Dt. 19/01/2022 Thor rough:
Examination made under sub-rule (1) of Rule 60 together Visual Examination & Load lest a 1428Ton
‘With The name of the person who issued the certificate By D.K.
7. Date of Annealing or othet Heat Treatment if the chain and: Not Applicable
Lifting Tackle carried OG under sub-rule (5) of Rule 60 and
By whom it was carri }
8. Particulars of any Defects found at any such examination or: NO DEFECTS
After Annealing and affecting the safe working load and of
‘The Steps-taken to remedy and defect.
Uwe certify that on Dt.19/01/2022 I/we thoroughly examined the above mentioned
Rope/lifting tackle and that the above is a correct report of the result,
Ae way alli
3
DEVANG KSHATRIYA
Signature & Name of Competent Person
Number & Date of Competency Certificate
Number: GUI/DISH/CPT/A/0164/20 14
Next Test Due On. : Dt, 18/01/2023
ing machine/chain/
Issued By:
D. K. Engineers
E —509, Titanium City Center,
Nr. Sachin Tower, 100 Ft. Road,
Satellite, Ahmedabad — 380 015D.%.
INDUSTRIAL TESTING, SAFETY UTILITY
COMPETENT PERSON
Jnspection, Testing & Ceriifcation of Lif Hoist, Gi
Se
rane, Lifting Tools & Tackles and Prossure Vessels as er Factories Act
Ontce : E-504, ltanrum City Contre, Ne. Sschin Tower, 100 Ft Road, Satelite, Akmedapad 360016,
Ph, No. : 079-4005 2693 Mob, : 98250 65864 Emad -d.
K_ergg@yehoo.ca in, kshaiiva dewang@dmaiicom
Et NO. 10
(Prescribed Under Rule 60)
Prescribed for report of examination of the lifting machine, ropes and lifting tackles
REPORT NO, 12
1, Name of Occupier of Factory
1
Situation & Address of Factory
. Distinguishing Number of Mark (if Any) And Description =
Sufficient to Identify the lifting Machine, chain, Rope or
the Lifting Tackle
Date when the Lifting Machine, Chain Rope of Lifting
‘Tackles was first used in the factory
‘Date of Each Examination made under section 29(a) 0:
(ii) and By whom it was carried out. :
Date and Number of certificate relating to ahytestand =:
Examination made under sub-rule (1) of Rule 604ogether
With The name of the person who issued the eertifiente
Date of Annealing or other'Heat Treatment if the chain and:
Liing Tackle carried out under sub-rule (5) of Rule 60 and
By whom it was carried! out.
Particulars of any Defects found at any such examination or:
After Annealing and affecting the safe working load and of
‘The Steps taken to remedy and defect.
DATE: 19/01/2022
: Mis, RAJSHREE ENTERPRISE
Plot No,36, Shivam Park
Adani Portroad, Mundra.
Gujarat, 370413
Dee Shackle; Cap. 9.5 Ton,
1D. No.: RE/DS!9.5 1:0:
Body Dia: 27 mm, Pin Dia: 31 min,
|New Supply
Dr. 19/01/2022 By D. K.
Report No, 12, Dt. 19/01/2022 Thorough
Visual Examination & Load Test @ 14.25Ton
ByD.K.
Not Applicable
NO DEFECTS
Vive certify that on Dt.19/01/2022 I/ve thoroughly examined the above mentioned lifting machine‘shsin/
Ropellifting tackle and that the above is a correct report of the result,
Issued By:
D. K. Engineers
E~509, Titanium City Center,
Nr. Sachin Tower, 100 Ft. Road,
Satellite, Ahmedabad — 380 015
Ageoregytls ony.
DEVANG KSHATRIVA
Signature & Name of Competent Person
‘Number & Date of Competency Certificate
Number: GUJ/DISH/CPT/A/0164/2014
Next Test Due On. ; Dt. 18/01/2023COMPETENT PERSON
———————— Sessa
Testing & Cortication of Lik. Host, Crane, Ling Tools & Tackles and Pressure Vassels at per Faciones Aa
Ofice : E-508, Thanion City Cantre, Nr. Sachin Tower, 100 FL Road, Satelite, Ahmedabad-280015
Ph-No, : 078-4006 2893 Mob, : 98250 65864’ Email: d_k_ongg@yahoa.co.in, kshalriya davang gmail.com
FORM NO. 10
(Prescribed Under Rule 60)
Prescribed for report of examination of the lifting machine, ropes and lifting tackles
REPORT NO. 13
Name of Occupier of Factory
DATE: 19/01,2022
+ M/s, RAJSHREE ENTERPRISE.
2. Situation & Address of Factory + Plot No,36, Shivam Park Nana Kapaya,
Adani Portroad, Munidra, Kachchh,
Gujarat, 370415
3. Distinguishing Number of Mark (if Any) And Description : Dee StiscklesCap. 9.5 Tion,
Sufficient to Identify the lifting Machine, chain, Rope or 1D. No.: RE/DS/9.51/03,
the Lifting Tackle Body Dia.: 27 mm, Pin Dia: 31 mm,
4. Date when the Lifting Machine, Chain Rope of Lif_ing |; NeW Supply
Tackles was first used in the factory }
5. Date of Each Examination made under section 29(a),: Dt. 19/01/2022 By D. K.
(ii) and By whom it was carried out
6. Date and'Number of certificate relating to anytestand —: Report No. 13, Dt. 19/01/2022 Thorough
Examination made under sub-rule (1) of Rule 6Otogether Visual Examination & Load Test @ 14.25Ton
With The name of the perscn who issued the cettificate By D. K.
7. Date of Annealing or other Heat Treatment ifthe chain and: Not Applicable
Lifting Tackle carried out under sub-rule (5) of Rule 60 and
By whom it was carried Out,
8. Particulars of any Defects found at any such examination or: NO DEFECTS
After Annealing and affecting the safe working load and of
‘The Steps taken to remedy and defect.
we certify tht on Bt.19/01/2022 tive thoroughly examined the above mentioned lifting machine/chain/
Ropellifting tackleand that the above is a correct report of the result.
Agee renga hw Ay hee
Issued By: * DEVANG KSHATRIYA
DK. Engineers Signature & Name of Competent Person
E—509, Titanium City Center, Number & Date of Competency Certificate
‘Nr. Sachin Tower, 100 Ft. Road,
Satellite, Ahmedabad — 380 015
Number: GUI/DISH/CT’T7A‘0164/2014
Next Test Due On, : Dt. 18/01/2023
{
iDd. %
INDUSTRIAL TESTING, SAFETY UTILITY
COMPETENT PERSON
Jnspection, Tasting & Cerlifcation of Lif, Hoist, Crane, Lifting Tools & Tackles and Pressuro Vessels as per Factories Act
ice: £-509, Tkanlum Chy Centre, Nr. Sachin Tower, 100 Ft. Roed, Satolio, Ahmedabed-380015,
Ph. No, : 078-4005 2683 Mob, = 98280 6564) Email: d_k_engg@yehoo.c in, kshaliy devangi@gmall con
FORM NO. 10
(Prescribed Under Rule 60)
Prescribed for report of examination of the lifting machine, ropes and lifting tackles
REPORT NO. 14 DATE: 19/01/2022
1, Name of Occupier of Factory : M/s. RAJSHREE ENTERPRISE,
2. Situation & Address of Factory + Plot No,36, Shivam Park Nana Kapaya,
dani Portrond, Mundra, Kachehh.
Gujarat, 370415
3. Distinguishing Number of Mark (if Any) And Description : Dee Shackle: Cap. 9.5 Ton.
Sufficient to Identify the lifting Machine, chain, Rope or 1D. No.2 RE/DS/9.5T/04,
the Lifting Tackle Body Dis.: 27 mm, Pin
4, Date when the Lifting Machinc, Chain Rope of Lifting: New Supply
Tackles was first used in the factory
5. Date of Bach Examination made under section 29(a)
(iii)and By whom it was carried out.
6. Date and Number of certificate relating to anytestand —; Report No. 14, Dt, 19/01/2022 Thorough
Examination made under sub-rule (1) of Rule 60.together Visual Examination & Load Test @ |
With The name of the person who issued the certificate = By D.K.
7. Date of Annealing or othet-Fieat Treatment if the chain and: Not Applicable
Lifting Tackle carried out under sub-rule (5) of Rule 60 and
By whom it was carried out,
8. Particulars of any Defects found at any such examination
After Annealing and affecting the safe working load and of
‘The Steps taken to remedy and defect.
231mm,
Dt. 19/01/2022 By D. K.
‘Ton
NO DEFECTS
we certify that on D1.19/01/2022 Uwe thoroughly examined the above mentioned lifting machine/ehain
Ropefifting tackle-gnd that the above is a correet report of the result.
RS
DEVANG KSHATRIVA
Signature & Name of Competent Person
Number & Date of Competency Certificate
Number: GUI/DISH/CPTYA0164/2014
Next Test Due On. : Dt. 18/01/2023
ren ite Ww t y
Issued By:
D.K. Engineers
E ~509, Titanium City Center,
Nr. Sachin Tower, 100 Ft. Road,
Satellite, Ahmedabad ~ 380 015COMPETENT PERSON
aa a
Inspection, Testing & Certification of Li, Hoist, Crane, Lifting Tools & Tackles and Pressure Vessels as per Factories Act
‘Office : E-508, Tianlurn City Centr, Nr. Sachin Tower, 100 Fl. Road, Satelite, Anmedabad-380015,
Ph. No, : 079-4008 2863 Mob. : 96260 85864 Emad : d_k engg@yehoo. coin, kahative.devang@gmal. com
EORM NO. 10
(Prescribed Under Rule 60)
Prescribed for report of examination of the lifting machine, ropes and lifting tackles
REPORT NO, 15 DATE: 19/01/2022
1. Name of Occupier of Factory Mls. RAJSHREE ENTERPRISE
2. Situation & Address of Factory + Plot No.36, Shivam Park Nana Kapaya,
dani Portroad, Mandra, Kachehh,
Gujarat, 370415
3. Distinguishing Number of Mark (if Any) And Description : Dee Shackle; Cap. 9.5 Ton.
Sufficient to Identify the lifting Machine, chain, Rope or ID. No.: RE/DS/9.51/05,
the Lifting Tackle Body Dia.: 27 mm, Pin Dia: 31mm,
4, Date when the Lifting Machine, Chain Rope of Lifting: New Supply
Tackles was first used in the factory
5. Date of Each Examination made under section 29(a))"..: Dt. 19/01/2022 By D. K.
(iil) and By whom it was carried out,
6. Date and Number of certificate relating to ony testiand —: Report No. 15, Dt. 19/01/21
Examination made under sub-rule (1) of Rule 60 together Visual Examination & Load
‘With The name of the person who issued the certificate By D.K.
7. Date of Annealing or othet Heat Treatment ifthe chain and: Not Applicable
Lifting Tackle carried out under sub-rule (5) of Rule 60 and
By whom it was carried! out.
8. Particulars of any Defects found at any such examination or: NO DEFECTS
After Annealing and affecting the safe working load and of |
‘The Steps taken to remedy and defect.
jorough
est @ 14.25Ton
Uwe certify that on Dt.19/01/2022 Viwe thoroughly examined the above mentioned lifting muchine/chain/
Rope/lifting tackleand that the above is a correct report of the result.
Ad eee te huis
DEVANG KSHATRIVA
Signature & Name of Competent Person
Number & Date of Competency Cerificate
Number: GUI/DISH/CPT/A.0164/2014
Neat Test Due On, : Dt. 18/01/2023
Issued By:
D. K. Engineers
E~ 509, Titanium City Center,
‘Nr. Sachin Tower, 100 Ft. Road,
Satellite, Ahmedabad — 380 015Oo nme lt
O.%
INDUSTRIAL TESTING, SAFETY UTILITY
COMPETENT PERSON
Inapection, Tsing & Cerlifcation of Lit, Hoist, Grane, Liling Tools & Tackies and Pressure Vessels as por Factores Aa
Oitice: E-b09, Yianium City Centre, Ne. Sachin Tower, 100 Ft. Road, Satelite, Ahmedabad-380075,
Ph. No, 079-4005 2893 Mob. : 8250 65864) Email: d_k_engg@yahoo.cnir, kshatiya dewangi@ gmail com
FORM NO. 10
(Prescribed Under Rule 60)
Prescribed for report of examination of the lifting machine, ropes and lifting tackles
REPORT NO. 16 DATE: 19/01/2022
1. Name of Occupier of Factory : Mis. RAJSHREE ENTERPRISE
2. Situation & Address of Factory + Plot No,36, Shivam Park Nana Kapaya,
‘Adani Portroad, Mundra, Kachehh.
Gujarat, 370418
3. Distinguishing Number of Mark (if Any) And Description : Dee Shackle: Cap. 9.5 Ton,
Sufficient to Identify the lifting Machine, chain, Rope or 1D. Nou: RE/DS/9.5T:06,
the Lifting Tackle Body Dia.: 27 mm.
4, Date when the Lifting Machine, Chain Rope of Lifting : NeW Supply
Tackles was first used in the factory
5. Date of Each Examination made under section 29(a)_:‘ 1. 19/01/2022 By D. K.
(Gli) and By whom it was carried out
6. Date and Number of certificate relating to any testand —: Report No. 16, Dt. 19/01/2022 Thorough
Examination made under sub-rule (1) of Rule 60 together Visual Examination & Load Test «@ 14.25Ton
With The name of the person who issued the certificate By D.K.
7. Date of Annealing or other Heat Treatment ifthe chain and: Not Applicable
Lifting Tackle carried out under sub-rile (5) of Rule 60 and
By whom it was carried out.
8. Particulars of any Defects found at any such examination or: NO DEFECTS
After Annealing and affecting the safe working load and of
‘The Steps taken to remedy and defect.
joned lifting machine“chain:
Uwe certify that onDr.19/01/2022 Vwe thoroughly examined the above met
Rope/lifiing tackle and that the above is a correct report of the result.
SQ erm hte,
DEVANG KSHATRIYA,
Signature & Name of Competent Person
Number & Date of Competency Certificate
Number: GU/DISH/CPT/A/0(64/2014
‘Next Test Due On, : Dt. 18/01/2023
Issued By:
D. K. Engineers
~ 509, Titanium City Center,
Nr. Sachin Tower, 100 Ft. Road,
Satellite, Ahmedabad ~ 380 015D. K Eugincers
INDUSTRIAL TESTING, SAFETY UTILITY
ee COMPETENT PERSON
Inspection, Testing & Certification of Lift, Hoisl, Crang, Lifting Tools & Tackles and Pressure Vessels as per Factories Act
‘Office: E-609, Titanium Cry Centre, Ne, Sachin Tower, 100 Ft Road, Satelite, Anrmedaped-380015,
Ph, Ne. : 079-4005 2653 Mab, 3625) 85884’ Email: dk ongg@yahoo.col, kshatrya.davang@gmail com
FORM NO. 10
(Prescribed Under Rule 60)
«Prescribed for report of examination of the lifting machine, ropes and lifting tackles
REPORT NO. 17 DATE: 19/01/2022
1. Name of Occupier of Factory : Mis, RAJSHREE, ENTERPRISE |
2. Situation & Address of Factory + Plot No.36, Shivam Park Nana Kapaya,
‘Adani Portroad, Mundra, Kachehh,
Gujarat, 370415,
3. Distinguishing Number of Mark (if Any) And Description : Web Belt Sling: Cap. 3 Ton.
Sufficient to Identify the lifting Machine, chain, Rope or» (D,No.: REWBS/3T/01,
the Lifting Tackle ‘Length: 3 Mtr, Make.: Ferreterro
4, Date when the Lifting Machine, Chain Rope of Lifting : New Supply
Tackles was first used in the factory
5. Date of Each Examination made under section 29(@) —:_ Dt. 19/01/2022 By D.
ii) and By whom it was carried out.
6. Date and Number of certificate relating to anytest and = Report No. 17. Dt. 19/01/21
Examination made under sub-rule (1) of Rule 60 together —_Viswal Examination & Lo:
With The name of the person who issued the certificate By D. K.
7. Date of Annealing or other Heat Treatment if the chain and: Not Applicable
Lifting Tackle carried out under sub-rule (5) of Rule 60 and
By whom it was carried out.
8. Particulars ofany Defects found at any such examination or: NO DEFECTS
After Annealing and affecting the safe working load and of
‘The Steps taken to remedy and defect.
Thorough
est @ 4.5 Ton
Vwe certify that on Dt.19/01/2022 Vwe thoroughly examined the above mentioned lifting mac
Rope/lifting tackle and that the above is a correct report of the result
Rtgs he“
Issued By: DEVANG KSHATRIYA
D. K. Engineers Signature & Name of Competent Person
ia fox soaree\ |
E — 509, Titanium City Center, (2 oe =] Number & Date of Competency Certificate
100 Ft. Road, Nr. Sachin Tower ac INN LE) Nuxaber: GUI/DISH/CPT/A/01 64/2014
Satellite, Ahmedabad — 380 015 €EY' ext Test Due Date: 18/01/2023
fsDd. % is
INDUSTRIAL TESTING, SAFETY UTILITY
COMPETENT PERSON
Thepecton, Testing & Carfication of Lit, Hole. Grane, Lifing Toole & Tackles and Pressure Vessels os per Factors Act
(Office : E-500, Tianium Cy Gente, Nr. Sachin Tower, 100 Ft. Road, Satolits, Anmedabad 380015,
Ph. No, : 79-4005 2683 Mob, : 98250 65864 Email: d_k_engp yahoo.co.in, kshatriya devangEgmait.com
FORM NO. 10
(Prescribed Under Rule 60)
Prescribed for report of examination of the lifting machine, ropes and lifting tackles
REPORT NO. 18 DATR: 191012022
1. Name of Occupier of Factory : Mis, RAJSHREE ENTERPRISE
2. Situation & Address of Factory + Plot No,36, Shivam Park Nana Kapaya,
Adani Portroad, Mundra, Kachchh,
Gujarat, 370415
3. Distinguishing Number of Mark (if Any) And Description : Web Belt Sling: Cap. 3 Ton,
Sufficient to Identify the lifting Machine, chain, Rope or 1. No, REWBS/31/02,
the Lifting Tackle erat: 3 Mtr, Make. F
4, Date when the Lifting Machine, Chain Rope of Lifting: New Supply
‘Tackles was first used in the factory
5. Date of Each Examination made under section 29(a)/_ Di. 19/01/2022 By D. Kk.
(ii) and By whom it was carried out
6. Date and Number of certificate relating to anytestand = Report No. 18, Dt. [9/01/2022 Tharough
Examination made under sub-rule (1) of Rule 6Qtogether Visual Examination & (oad Tesi 4.5Ton
With The name of the person who issued the ceftificate By. K.
7. Date of Annealing or other'Heat Treatment ifthe chain and: Not Applicable
Lifting Tackle carried out under sub-rule (5) of Rule 60 and
By whom it was carried out,
8. Particulars of any Defects found at any such examination or: NO DEFECTS
‘After Annealing and affecting the safe working load and of |
‘The Steps taken to remedy and defect.
Uwe certify that on Dt.1$/01/2022 I/we thoroughly examined the above mentioned lifting machine/chain/
Ropellifting tackleand that the above is a correct report of the result.
y ) Aeory? bah ne
DEVANG KSHATRIYA
D.K. Engineers
E~509, Titanium City Center,
Nr. Sachin Tower, 100 Ft. Road;
Satellite, Ahmedabad — 380 015
Signature & Name of Competent Person
‘Number & Date of Competency Certificate
Number: GUJ/DISH/C PTA‘0i64/2014
Next Test Due On. : Dt. 18/01/2023,* Ph.No.
FORMN¢
(078-4005 2695 Mat, : 98280 65864’ Emad 4h
D. K Engineers
INDUSTRI. TESTING, SAFETY UTILITY
COMPETENT PERSON
Inspection, Testing & Certification of Lif, Hoist, Crane, Lifting Tools & Tackies and Pressure Vessels as por Factories Act
Otic :£-509, Titanium Cty Contre, Nr. Sechin Tower, 100 Ft Road, Satelite, Ahmedabad-380015
k_eng9@yahco.co in, kshatriya.davang@omai.
0
(Prescribed Under Rule 60)
Prescribed for report of examination of the
REPORT NO. 19
1
2
Name of Occupier of Factory :
Situation & Address of Factory :
Distinguishing Number of Mark (if Any) And Description :
Sufficient to Identify the lifting Machine, chain, Rope or
the Lifting Tackle
Date when the Lifting Machine, Chain Rope of Li
‘Tackles was fitst used in the factory
Date of Each Examination made under section 29(a)_ =
(Gil) and By whom it was carried out.
Date and Number of certificate relating to any test and
Examination made under sub-rule (1) of Rule 6Dtogether
‘With The name of the person who issued the certificate
Date of Annealing or other Heat Treatment if the chain and:
Lifting Tackle carried out under sub-rule (5) of Rule 60 and
By whom it was carried out.
Particulars of any Defects found at any such cxamination or:
After Annealing and affecting the safe working load and of
‘The Stepstaken to remedy and defect.
ing machine, ropes and lifting tackles
DATE: 19/01/2022
Mis. RAJSHREE ENTERPRISE
Piot No,36, Shivam Park Nana Kapaya,
‘Adani Portroad, Mundra, Kachchh,
Gujarat, 370415
Web Belt Sling: Cap. 3 Ton.
ID. No. REWBS/3T/03.
Length: 3 Mtr, Make.: Feretemo
New Supply
Di, 19/01/2022 By D. K.
+ Report No. 19, Dt. 19/01/2022 Thorough
Visual Examination & Load Test @ 4.5Ton
By D.K,
Not Applicable
NO DEFECTS
we certify that on Dt.19/01/2022 I/we thoroughly examined the above mentioned fitting machine/chains
Ropedlifting tackiéland that the above is a correct report of the result.
Issued By:
B— 509, Titanium City Center,
‘Ne. Sachin Tower, 100 Fe, Road,
Satelite, Ahmedabad ~ 380 015
AQ ernmy ta by ia
DEVANG KSHATRIYA
Signature & Name of Competent Person
Number & Date of Competency Certificate
Number: GU/DISH/CPT/A/0164/2014
Next Test Due On. :
Dt.
8/01/2023D.% Z
INDUSTRIAL TESTING, SAFETY UTILITY
COMPETENT PERSON
Inspection, Testing & Certification of Lif, Hoiai, Crane, Lifting Toots & Tackles and Pressure Vessels as por Factories Act
Office : E-609, Titanium City Cantre, Nr. Sachin Tower, 100 Ft. Road, Satellite, Anmedabad-380015,
Ph. No, : 0784005 2083 Mob, - 98250 85864 Email d_k_onag@yahoo.co n, Kshatrya davenggzamail.com
FORM NO. 10
7 (Prescribed Under Rule 60)
Prescribed for report of examination of the lifting machine, ropes and lifting tackles
REPORT NO. 20 DATE: 19/01/2022
1, Name of Occupier of Factory : Mis. RAJSHREE, ENTERPRIS!
2. Situation & Address of Factory Plot No,36, Shivam Park Nana Kapaya,
Adani Portroad, Munda, Kachehh.
Gujarat, 370415
3. Distinguishing Number of Mark (if Any) And Description : Web Belt Sling: Cap. 3 Ton,
Sufficient to Identify the lifting Machine, chain, Rope or £D. No.t RE/WBS/3T/04.
the Lifting Tackle Langth: 3 Mwr.. Make.: Fereterro
4, Date when the Lifting Machine, Chain Rope of Lifting 3 New Supply
Tackles was first used in the factory
5. Date of Each Examination made under section 29a) :_Di. 19/01/2022 By D. K
ii) and By whom it was carried out,
6. Date and Number of certificate relating to any testand Report No. 20, Dt. 19/01/2022 Thorough
Examination made under sub-rule (1) of Rule 60 together Visuuil Examination & Load Test @4.5Ton
With The name of the person who issued the éertificate By D. K.
7. Date of Annealing or othet Heat Treatment ifthe chain and: Not Applicable
Lifting Tackle carried out under sub-rule (5) of Rule 60 anc
By whom it was carried out,
Particulars of any Defects found at any such examination os NO DEFECTS
‘After Annealing and affecting the safe working load and of
‘The Stepsitaken to remedy and defect.
we certify that on Dt.19/01/2022 tive thoroughly examined the above mentioned lifting machine/chain’
Rope/tifting tackle and that the above is @ correct report of the result.
Agere? whl “ye
Issued By: DEVANG KSHATRIYA
D.K. Engineers oa Signature & Name of Competent Person
E509, Titanium City Center, lw \ prinyoses, Number & Date of Competency Cerificate
Nr. Sachin Tower, 100 Ft. Road, Number: GUIDISH/CP T/A‘ 1042014
‘Satellite, Ahmedabad — 380 015
Next Test (ue On. : 19t, 18/04/2023
i