CERTIFICATE OF EXAMINATION AND TEST OF LIFTING GEARS,

LIFTING APPLIANCES & LIFTING EQUIPMENTS

Certificate No: MNB/C22
0653
CLIENT & ADDRESS: AIROLINK BUILDING CONTRACTING,DUBAI, UNITED ARAB EMIRATES
TYPE OF INSPECTION & TEST PERFORMED: INITIAL
LOCATION: PROJECT NO: 17070,ALQUOZ INDUSTRIAL AREA-1
NEAR LULU VILLAGE,ALWASL PROJECT,DUBAI, UNITED ARAB
EMIRATES
INSPECTION STATUS
DATE OF PREVIOUS INSPECTION: NIL
DATE OF INSPECTION & TEST: 19/03/2020
NEXT INSPECTION AND TEST : 18/09/2020*
VALIDITY: 6 MONTHS
INSPECTOR'S NAME: JAYAKRISHNAN TK
INSPECTOR'S SIGNATURE:
Job No: ASC-20N-
SURVEY REQUESTED BY: MR. RAMESH
REFERENCE & REGULATION: BS EN 12079-1
ASC TEST EQUIPMENT NO: ASC/EQ/01,02,15
ASC TEST PROCEDURE NO: ASC/ITP/N/03
MAKER OF SUPPLIER OF EQUIPMENT: NIL
PREVIOUS INSPECTION DONE BY: NIL
AUTHORIZED NAME:
AUTHORIZED SIGNATURE:

DESCRIPTION SAFE
ID/NO QTY (make/name, model, date of manufacture, type, WORKING REMARKS
dimensions, others) LOAD

MAN BASKET
RECTANGULAR SHAPED MAN BASKET SATISFACTORY AT THE TIME OF INSPECTION
WITH ROOF
DIMENSIONS(LXWXH): 1.2MX1. 2MX2.3M 1) Additional Provision for anchoring
01 480KG the harness belt shall be provided.
MNB-01 YEAR OF MANUFACTURE: NIL
OR
PAD EYE THICNESS: 15.5 MM x4NOS
4 PEOPLE
PAD EYE HOLE DIAMETER: 30 mm DIA
GENERAL CONDITION: SATISFACTORY
MAIN MEMBER DIMENSION: 75X75X5 mm
HORIZONTAL ANGLE DIMENSION: 50X50X5 mm

*This Certificate becomes invalid, if any alteration/major repair/ modification made on the equipment. Electronic signature and stamp are not allowed.
THIS IS TO CERTIFY THAT the undersigned competent representative did attend to examine this equipment/machine to assure that it is in safe working condition.
Examination indicates that the said equipment has no indigenous defects and it is in safe working condition at the time of inspection.
The said equipment was found Satisfactory for further use, provided there is continuous maintenance applied and only qualified operators employed.
This certificate will be valid for 6 Months from date of inspection
This certificate is granted subject to the condition that is understood and agreed that nothing herein contained shall be deemed to relieve any designer, manufacturer, seller,
supplier, Repairer or operator of any warranty, express or implied, and admiral safety consultant’s liability shall be limited to the acts or omissions of its employees, agents
and Subcontractors. under no circumstances whatsoever shall Admiral Safety Consultants nor their Engineer be liable for any injury or damage to any person or occurring
by reason of negligent operation or any defect in material, machinery, equipment or other items other than such defects ascertainable by normally accepted standards and
only those items actually inspected by Admiral Safety Consultant and which are covered only by this certificate. Any person not a party to the contract pursuant to which
this document is delivered may not assert claim against Admiral Safety Consultants for any liability arising out of errors or omissions which may be contained in said document and in
connection with any activities for which it may provide. This Certificate shall not be reproduced except in full without the approval of Admiral Safety Consultants and the receiving client.

ADMIRAL SAFETY CONSULTANTS, TRADE LICENCE NO. 741090, AL GARHOUD, P.O.BOX 125218, DUBAI -UAE, TEL: 04-2899389, FAX: 04-2840557

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