Certificate of inspection

Page 1 of 2 AW-19042096
Certificate Number: AW-19042096 Inspection Date: 11/04/2019
Customer Name: AL-Aaed Engineering CO. Date of Certificate: 12/ 04/2019
Location: Iraq - Basra Due Date of Cert.: 10/ 04 /2020
Name and Address of Owner Equipment Type
AL-Aaed Engineering CO. Mobile Hydraulic Excavator
Manufacturer Chassis Number
KAWASAKI KLD80Z-2288
Serial Number Plate Number
N/A A 5728 Basra
Manufacture Year Model
1991 KLD80Z
Is this the first examination after installation or
assembly at new site or location
YES NO √
If the answer to the above question is YES
YES NO
has the equipment been installed correctly?
Was the examination carried out:
Within an interval of 6 months? YES NO √
Within an interval of 12 months? YES √ NO
In accordance with an examination scheme? YES √ NO
After the occurrence of exceptional circumstances? YES NO √
Identification of any part found to have a defect which or could become danger (None)
IS THIS EQUIPMENT SAFE TO OPERATE? YES √ NO

Inspection Engineer Signature: Equipment Final Results:

1- From Ground
 Certificate of inspection
Page 2 of 2 AW-19042096
Condition Corrective Action Comments
Pass Fail Repair Replace
General √
Axle System √
Tires and Wheels √
Hydraulic System √
Steering System √
Brake System √
Chassis Condition √
Electrical System √
Reverse Alarm √
Signal Light √
Wind Shield √
Glasses & Mirrors √
Cutting Edge and Teeth √
2- Engine compartment
Condition Corrective Action Comments
Pass Fail Repair Replace
Engine Oil √
Engine Coolant √
Engine Pre-cleaner √
Air Filter √
All Hoses √
Radiator √
Engine Oil √
3- Operator cab
Condition Corrective Action Comments
Pass Fail Repair Replace
Seat √
Seat Belt & Mounting √
Horn, backup alarm, lights √
Controls, gauge lenses √
Mechanical connections √
Hydraulic hoses and fittings √