Certificate of Thorough Examination of Heavy Equipment

Date of Through Examination: 19/06/2018 Date of Report:18/06/2018 Report number: PE-4202/10/16

Name and Address of employer for whom the thorough examination Address of premises at which the examination was made:
was made:
Ahmed Muhsen Sweilim Al- Khalifi MAREB
Description and identification of the equipment: Year: Date of last
thorough
Dump Truck examination:

Make. ISUZU

Model JALP7A13
2009 28-06-2017
PWR/SIZE. 11000 kg

Fuel Diesel

Was the examination carried out:

Is this the first examination after
YES - NO  Within an interval of 6 months? YES - NO 
installation or assembly at a new 
site or location? Within an interval of 12 months? YES  NO -
If the answer to the above question In accordance with an YES  NO -
YES - NO -
is YES has the equipment been examination scheme?
After the occurrence of
installed correctly? YES - NO 
exceptional circumstances?

Identification of any part found to have a defect which is or could become a danger to persons and a description of the defect::
(If none state NONE)
25.

Is the above a defect which is of immediate danger to persons YES - NO 


YES by: NO 
(If YES state the date by when) 

Particulars of any repair, renewal or alteration required to remedy the defect identified above: NONE

Particulars of any tests carried out as part of the examination: (If none state NONE) NONE

IS THIS EQUIPMENT SAFE TO OPERATE? YES  NO -

The equipment was found to be in good condition at the time of inspection of adequate strength in good working order
and free from apparent defects that affects safe operation.

Name of person making Name of person authenticating Approved by : Latest date by which next thorough
this report: this report: examination must be carried out:
Ali Aishan
MARWA MOHAMMED SINU.S.PILLAI General Manager 19/06/2019
Signature: