FORMB MINISTRY OF MANPOWER, SINGAPORE LE Registration No. : LM914251K WORKPLACE SAFETY AND HEALTH ACT 2008 UEN of Owner. : 201202298N WORKPLACE SAFETY AND HEALTH (REGISTRATION AND OTHER | Workplace No. ‘SERVICES FEES AND FORMS) REGULATIONS CERTIFICATE OF TEST/THOROUGH VISUAL EXAMINATION OF LIFTING EQUIPMENT (LE)* Sana aig Ee sey Osi onl ea Leg Ene Se pe deg Avs ean oenaeuere ‘Type and Description 612 Mobile Crane - Crawler Mounted Fixed [Classification Code : 612 Teac” | SMBS a TTA SORT ORS SSG) Daa ta =a Se oe Cae — Se ee oe Sahai ae ee = ia eam ret Registration No. Particulars of Last Load Test Date of Load Test: 15/02/2023 MaxTestLoad : 38800 kg a @) @) @ ©) (6) Radius (m) 70 16.0 ‘Test Load (kg) 38800 12800 ‘Safe Working Load (kg): | 31050 10300 ‘Comments/Observations: Col. 1 & 2 refer to the Main Hoist with four part lines. Current configuration; 18.0m boom with main & Aux hook. Hoist Load Radius Meter in proper working order. Crane equipped with Data Logger. Hoisting wires are in usable condition Crane equipped with Data Logger. Crane inspected at J101. Operator to ensure load radius indicator and safety devices in working order before lifting operation. Stake holders to ensure proper machine maintenance and machine to be operated on firm and level ground condition with steel plates. | certify that on 04/04/2023 the lifting equipment described in this certificate was examined thoroughly by me, as far as its Construction permits, and this is a true report of my examinations, | further certify that the liting equipment complies in all respects with the requirements pertaining to lifting equipment as Stipulated in the Workplace Safety and Health (General Provisions) Regulations, and all other regulations made thereunder and is safe for use. Exp Delgo [Date Pinto | autnoised Examiners Name | Sioa oajoazoze oaroraeas LUM YUN KHEUN +, is Eadgment mean ing Ger Ling Asp, iting Machin, and Holt a8 dene ude te Wace Eragon Regus Eee ae oe Wnifcoton Nunes Number esgnedo he equpmort by he mentee.Appendix B CHECKLIST FOR TESTING AND INSPECTION OF MOBILE & CRAWLER CRANES owner: § TFS sit "77D Ferny cae Sen Tw Inspection No. Inspection Date ‘Authorised Examiner FI4ZElE oul Ps LUNE YUN KHEUN SiN tem Report | Remarks (any) 1 [The configurations in accordance with manufacturer's instruction Pa 2 00m section + fyb have identification markings & ofthe same lattice type | —— |] py « 3 ]boom sections + fv are free of defects & corrosion ST tae 'Boom sections + fiy-jib show no sign of significant thinning that may require = i 4 Ry them to undergo thickness gauging 5 iAll pin or connecting fasteners used are fitted with safety pins or locking pins Pa Brow" 6 __[Allsheaves are fre from defects = 7 |All wire ropes are properly reeved and seated neatly on the drum: a 'g [Rope gues or other suitable devices ae ited to prevent the rope fom = slipping out of the sheaves and are free from defects > [The hooks with safety latch, hook block and associated atachments are free | |from defects 10 ‘The swing table is free from defects and corrosion — 1 (A boom angle indicator is provided a 12 |A set of Safe Working Load Charts is provided for the operator —. 13 __ [Hydraulic system is free from any oil leakage EB | 14 [Brakes are in good working order = 15 [Machine base is free from defects and corrosion a 16 Each ballast and counter-weight is properly secured < | 17___ [Boom stop isin working order ea | 18 [Outriggers are in working order Ka | 19___|Wire ropes are in servcable condition za | 20 |Wedge and sockets used are of the right size & matching pairs 2a [Wire ropes are secured and anchored property a | 22 \The slewing system is smooth in operation & mechanical lock is provided — | 23___[Derrcking limit switches In good working order a | 24 __|Anti-two-block devices is in place and in good working order aa | 25 [Operator's cabin isin sercable condition = | 26 [load / radius indicator is fitted and in good working order =e | 27___ [Fie extinguisher > 28 Data logger system FE 29. Reminded operator nat to bypass or overide safety switches / devices <= 3782 KS) oo main hook & aux hook blocks fitted IM YUN KHEUN { \ “accesdip ateoaM t CRANE. Remarks: 1. Load Chart and angle Indicator ited. To comply with load chart up tomaxSWL, So BLOG 6 by MOM Singapo® ‘Report of Checking v ‘comply X Not Comply NA Not Applicable