Test Engineer’s Report

Company Name: Chicago Maintenance And Const Co Contact Person Mr. Athinathan Contact Number 0528733034
Llc
Project Name Site:159, Chicago Maint. & Const. - Location Dubai, Impz Inspector name Shareef Palliyattil
Cooling Plant Production City 2
Inspection Item Skid Loader Date of 2021-05-16 Date Of Expiry 2022-05-15
Inspection
Test Report No. BsTS-7625 Status Safe Workorder 4627
Time In 09:06 Time Out 10:11
EMM-Description
Type of Machinery Skid Loader
Manufacture New Holland
Model L150
Owner number BC-002
Serial number N8M466288
Traffic Registration number Dubai N 93880
Safe working load 600 Kg
Additional information Colour: Yellow
Engine No: 129897
Remarks NA
References standard BS EN 474-1 , ISO 20474-1
Sub-contractor NA
NDT (if done) NA
Previous inspection date NA
Inspection equipment's MT 35, LDM 31, DC 24
Environment conditions Good
Defects
Defect Description Nill

B Safe Safety & Security Consultancy shall not be held responsible for any misuse, unauthorized use, lack of maintainance, relocation of the equipment or any incidents/accidents due toclimatic
conditions. Timesheet shall not be used post receiving the final certificate/report.

Customer Acknowledgement
I Hereby confirm all the above mentioned work has been completed on behalf with my satisfaction & certify all the information are accurate & complete.
Please note that Below Signatures are generated & Approved Electronically.

Bsafe Inspection Engineer Client Name:Mr Athinathan

ENG. Shareef Palliyattil Position: Operator
Email: Chicago@gmail.com
Phone: 0528733034

ENG-IT-51/v0/2020.01.18
Tel : +971 4 320 94 94 FAX: +971 4 320 94 95 P.O.BOX : 300465 DUBAI - UAE

E.MAIL : info@bsafesafety.com DUBAI SILICON OASIS - PALACE TOWER 1

www.bsafesafety.com