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CERTIFICATE
Of Thorough Examination of Lifting Equipment
Certificate No.: QAT/C/0000/00/xx/xx Project No.: 566-0000-00 Date of Inspection: 00/00/0000
Name and Address of the Owner: Place of Inspection: Ref. Standard:

DOHA BS EN 81-1:1998
DOHA - QATAR Maker & Date of Manufacture:

KONE 2014
Registration No.: Owner No.: Model No.: Serial No.:

NIL NIL

Equipment Details: Capacity:

ELEVATOR
 RATED SPEED : m/s
 ROPES / SUSPENSION RATIO : 1600 Kg. / 18 PERSONS
 FLOORS SERVED / No. OF STOPS:
 TYPE OF USE : PASSENGER
 DRIVING MACHINE TYPE : GEARLESS TRACTION / MRL S
Description of Test: (i) (ii)
Test Load S.W.L.
A THOROUGH VISUAL INSPECTION WAS CARRIED OUT & FUNCTIONAL TEST WAS
SATISFACTORY

FALL ARREST DEVICE WITH 100% SWL WAS DROP TESTED AND FOUND SATISFACTORY

SWL OF 1600 Kg. WAS APPLIED AND MOTOR BRAKES & EMERGENCY LOWERING WERE 1600 Kg. 1600 Kg.
FOUND SATISFACTORY. OR
18 PERSONS
A THOROUGH EXAMINATION OF THE EQUIPMENT WAS CARRIED OUT AFTER THE
APPLICATION OF LOAD AND FOUND SATISFACTORY AT THE TIME OF INSPECTION.

Date of Last Examination Date of Next Examination Date of Last Proof Load Test Date of Next Proof Load Test
6 months 4 years

Authorized Name:
Surveyor’s Name:

Surveyor’s Signature:
Authorized Signature:

THIS IS TO CERTIFY THAT the above competent surveyor thoroughly examined the lifting equipment in the above-
mentioned place as per the Ref. Standard mentioned above. The liabilities and insurance is as per ABS Group Inc.
General Conditions of Services.