FORM 11

( See Rule 62 and 64 )

Report of examination of hoist, Lift, lifting machine, chains , ropes, and lifting tackles .
(Maharashtra Factories Rules - 1963 ) Certificate No. : Y – 007/ 2023/ AG / L – 01
1 Name of the occupier M/s. AVION GROUP
C/O : PARIVARTAN
2 Name and address of the Factory Site Address :Oberoi Commerz -III , Oberoi Reality
Limited International Business Park. Oberoi Garden City
Off Western Express Highway Goregaon ( East ),
Mumbai - 400 063.
3 1.Type Identification number and description of hoist, lift, lifting
machine, chains , ropes, and lifting tackles. THREADING MACHINE :

Sr. No. : TI 2303010

RPM : 31
Motor : 0.7 Kw
Voltage : 220 V
Speed : 31 rpm
Frequency : 50 Hz
Threading Capacity : 1-2 Inch (50 mm)
Make : Tuwei
Location : At the Site
2. Date of construction or reconstruction and the
date when the hoist, lift, lifting machine, chains , ropes, and lifting 2023
tackles were first taken into use in factory. 2023
4 Date of last examination made under section 28 (1) ( a) First time tested by us
( ii ) and 29 (1) ( a) ( iii ) and by whom it was carried out .
5 Maintenance : ( List of parts, if any, which were inaccessible) Are the
following parts of the hoist or lift properly maintained and in good working
order? if not, state what defect has been found :-
a) Enclosures of hoist way or lift way
b) Landing gates and cage gate/s Not Applicable
c) Interlocks on the landing gates & cage gate/s -
d) Other gates fastening -
e) Cage and platform and fittings cage guides, buffers interior of -
the hoist way or lift way
f) Over running devices
-
g) Suspension ropes, chains and their attachments -
h) Safety gear, i.e., arrangements for preventing fall of platform or -
cage brakes -
i) Brakes -
j) Work of spur gearing -
k) Other electrical equipment -
l) Other Parts
*( B ) Date and the number of the certificate relating to any test and examination
made under sub rule ( 1 ) of rule 64 together with the name of the person Load Test Carried Out, Found Ok.
who issued the certificate .
(C) (i) Date of annealing or other heat treatment of the chain and lifting tackle N/A
carried out under sub rule ( 5 ) of rule 64 and by whom it was carried out .
(ii) Particulars of any defect found at any such examination or after annealing Disclaimer : This Certificate Neither Gives Any Performance Guarantee Nor Ensure Against
and affecting the safe working load and of the steps taken to remedy such Any Failure of the equipment in future it indicates only the present status of the equipment on
the day of inspection based on the test carried out.. Daily check the above equipment and all its
defect .
safety devices for its proper functioning and safe operation & favorable Weather condition
Before its use. , Maintenance & Safety of above equipment is in Occupier’s scope follow
manufacturer’s instructions for safe operation and maintenance
6. Repairs, renewals or alterations ( if any ) required and the period within N/ A
which they should be executed and maximum safe working load subject to
repairs, renewals or alternations ( if any ) .
I/we certify that on 18. 05. 2023, I/We thoroughly examined the above mentioned Lifting machine/chain/rope
/lifting tackle and that the above is a correct report of the result .

Certificate Valid Up to : 17. 11 . 2023

NDT SERVICES R B YADAV

1203 / B Wing Silver Dunes Apartment MBA, PGDESc., PDIS, DME, AIII ,
Hatiskar Marg Prabhadevi Mumbai - 25 eMOSIF ( IIT Bom. )
Mobile No. 09822010321/ 07620247851. CPC No. : MS / DISH / CPC/ Y–007/ 2023
E-mail : rbyadav12@rediffmail.com
 FORM 11
( See Rule 62 and 64 )
Report of examination of hoist, Lift, lifting machine, chains , ropes, and lifting tackles .
(Maharashtra Factories Rules - 1963 ) Certificate No. : Y – 007/ 2023/ AG / L – 02
1 Name of the occupier M/s. AVION GROUP
C/O : PARIVARTAN
2 Name and address of the Factory Site Address :Oberoi Commerz -III , Oberoi Reality
Limited International Business Park. Oberoi Garden City
Off Western Express Highway Goregaon ( East ),
Mumbai - 400 063.
3 1.Type Identification number and description of hoist, lift, lifting
machine, chains , ropes, and lifting tackles. GROOVING MACHINE :

Sr. No. : G5R1512040A

Speed : 2.0 rpm
Well Thickness : 3.5 mm- 6.0 mm
Pipe Dia : 33- 168 mm
Make : Tuwei
Location : At the site

2. Date of construction or reconstruction and the 2015

date when the hoist, lift, lifting machine, chains , ropes, and lifting
tackles were first taken into use in factory. 2015
4 Date of last examination made under section 28 (1) ( a) First time tested by us
( ii ) and 29 (1) ( a) ( iii ) and by whom it was carried out .
5 Maintenance : ( List of parts, if any, which were inaccessible) Are the
following parts of the hoist or lift properly maintained and in good working
order? if not, state what defect has been found :-
a) Enclosures of hoist way or lift way
b) Landing gates and cage gate/s Not Applicable
c) Interlocks on the landing gates & cage gate/s -
d) Other gates fastening -
e) Cage and platform and fittings cage guides, buffers interior of -
the hoist way or lift way
f) Over running devices
-
g) Suspension ropes, chains and their attachments -
h) Safety gear, i.e., arrangements for preventing fall of platform -
or cage brakes -
i) Brakes -
j) Work of spur gearing -
k) Other electrical equipment -
l) Other Parts
*( B ) Date and the number of the certificate relating to any test and examination
made under sub rule ( 1 ) of rule 64 together with the name of the person Load Test Carried Out, Found Ok.
who issued the certificate .
(C) (i) Date of annealing or other heat treatment of the chain and lifting tackle N/A
carried out under sub rule ( 5 ) of rule 64 and by whom it was carried out .
(ii) Particulars of any defect found at any such examination or after Disclaimer : This Certificate Neither Gives Any Performance Guarantee Nor
annealing and affecting the safe working load and of the steps taken to Ensure Against Any Failure of the equipment in future it indicates only the
remedy such defect . present status of the equipment on the day of inspection based on the test
carried out.. Daily check the above equipment and all its safety devices for its
proper functioning and safe operation & favorable Weather condition Before its
use. , Maintenance & Safety of above equipment is in Occupier’s scope follow
manufacturer’s instructions for safe operation and maintenance
6. Repairs, renewals or alterations ( if any ) required and the period within N/ A
which they should be executed and maximum safe working load subject to
repairs, renewals or alternations ( if any ) .
I/we certify that on 18. 05. 2023, I/We thoroughly examined the above mentioned Lifting machine/chain/rope /lifting
tackle and that the above is a correct report of the result .

Certificate Valid Up to : 17. 11 . 2023

NDT SERVICES R B YADAV

1203 / B Wing Silver Dunes Apartment MBA, PGDESc., PDIS, DME, AIII ,
Hatiskar Marg Prabhadevi Mumbai - 25 eMOSIF ( IIT Bom. )
Mobile No. 09822010321/ 07620247851. CPC No. : MS / DISH / CPC/ Y–007/ 2023
E-mail : rbyadav12@rediffmail.com