Ahluwalia Contracts (I) Ltd

Eastern Region - Kolkata

Plant & Machinery Department
Rev-1.0, Date - 30.09.2023
REPORT ON EQUIPMENT CONDITION & STATUTORY DOCUMENTS

Name of Vendor : Site Name:

Equipment Description : Receiving Date:
Reg.No / Serial No: HMR / KMR Reading :
Make : Commissioned on:
Model :
Year of Manufacturing :

Feed Back from Receiving site

Sl. No. Name of assembly / component Condition (on receipt) Rating (0 - 5) Remarks

1 E Engine / Electrical Motors

Q
2 U Transmission (Gear box / Torque converter)
I
3 P Steering System
M
4 E Final Drive
N
5 T Under Carriage / Wheels (Tyre condition)

6 C Hydraulic System (If any leakage, Damage)

O
7 N Brake System
D
8 I Structure (Body condition)
T
9 I Controls,Safety Devices, Meters And Gauges
O
10 N Crane SLI (Safe Load Indicator)

11 R Wire rope condition

E
12 P Boom condition
O
13 R Limit switch condition
T
14 Others (Pl. specify)

Sl. No. Statutory Documents List Valid Upto Ref.NO Remarks

S
T
1 Registration Certificate
A
T
2 U Fitness Certificate
T
O Insurance
3
R
Y
4 MV Tax recipt
D
5 O Permit
C
U
6 M Driver License ( HMV-TR, NT, LMV)
E
7 N PUC - Pollution under control
T
S
8 TPI - Third party certificate

Name of P&M In-charge Signature

(Receiver Site)