Seratno COTW First Philippine Skills & Equipment Testing Corp. (Consultant for Inspection & Test of Construction Heavy Equipment) DOLE/BWC Accreditation Certificate No. 1410-19102419-0004 ‘This is to certify that the EQUIPMENT described herein had passed the actual testing and thorough examination conducted by F PS T Corp,, and is recommended to be safe for operation. Detailed technical and testing inspection report is hereby attached. Equipment Owner/User_C.B.B.E., INCORP! RATED. Equipment Description_ROUGH TERRAIN CRAN = Telescopic Type, Diesel Driven Brand_TADANO Model_TRS00M-3__ Cap. _50.0 MT Mfn. Ser. No,__ 582284 Owner's Markings _ None Signed on (year/mm/dd)__ 2021/01/09 Validity. 2022/01/08 ‘Samara eee 0573 Ba AONE 10 VERIFY THE AUTHENTICIT/VALIDITY OF THIS CERTIFICATE PLEASE EMATL abmanci@Sisphi cour rasormaaeINSPECTION REPORT NO. NAME & ADDRESS OF OWNER: CB) FIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CORP. TECHNICAL INSPECTION CHECKLIST AS PER ANSVASME STANDARD ROUGH TERRAIN CRANE - TELESCOPIC BOOM LOCATION OF CRANE: _A, Bonifa cio, Balintawak, Quezon City See F21-00165 — eS INCORPORATED 1305 G. Araneta Avenue, Quezon City Rough Terrain Crane — TADANO TRS500M-3 TYPE OF CRANE: Tel. Type, Diesel Driven BRAND & MODEL: (50.0 MT) UNIT SERIAL NO.: 582281 YEAR MANUFACTURED: 2005 OTHER IDENTIFYING DATE OF INSPECTION: January 9,2021 MARKS: None | 1. Safe working load or loads i) @ @) @) Incase of a crane with variable operating radius | Length | Radius | Testlond | Safe (including a crane with a derricking jib or with | of jib (meters) | (tons) | Working interchangeable jibs of different lengths) the | (meters) oad safe working load at various radii should be (tons) given in column (4) and in the case of a safe| 33.9 =f | as 165 working load which has been calculated without the application of a test load “NIL” should be entered in that column, In case of a crane with a derricking jib or jibs, the maximum radius at which the jib or jibs may | be worked or operated (in meters). Defects noted and alterations or repairs required before the crane is put into service. If none enter “NONE” and enter whether in safe working order. In the case of cranes, state whether the Automatic Safe Load Indicator is in good working order, Gafe Working Load @ 90% of Load Chart) FIT FOR OPERATION 34,0 meters None, In good safe working order In good working order Inspection chet Rough Terra Crane eva Desh 2008 Page ota Pz. ONESceRE ONDEFIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CORP. A. SUPER STRUCTURE MAIN HOIST: & PULLEY Condition: (references: 1. No chips or cracks on the sheaves 2. No wobble or worn- out bearings 3. Must have an equal sheave diameter, depth, properly matched rope and sheave Broove, 4. No loose/worn-out pin. (Remark fin good or bad condition) MAIN HOOK BLOCK: BOOM END PULLEY: PalleyNo( 1): OK Pulley No. (1 ): OK Pulley No. (2): OK PulleyNo.(2): OK Pulley No. ( 3): OK Pulley No. ( 3 ): OK PulleyNo.(4): OK PulleyNo.( 4): OK Pulley No. ( 5 Pulley No. ( 5 ): Pulley No. ( 6 Pulley No. ( 6 Cable Keepers: Main Guide Pulley: Othe: Aux. Guide Pulleys: NOTE: Cable Keepers: b, HOOK Condition: MAIN HOOK AUXILIARY HOOK References: 1. Swivel-free wheeling OK ase ) 2. Check for hook end “opening up” OK a OK 3. Check for cracks, twists and wear OK OK 4. Safety latch condition eC pe NOTE: ¢. WIRE ROPE / CABLE Condition: References: MAIN HOIST AUX HOIST 4. Cable diameter must not be more than 7% smaller than the designated size OK (18mm) OK (18mm) 2. No six randomly distributed broken wires in one Tope lay or three broken wires in one strand in one rope lay 3. Must have no kinks, unraveled or un-oiled 4. Wire rope end dead line on wedge socket must be 6” - ” long with bulldog grip clamp. 5. Other remarks on Boomv/Jib Guy line OK 6. Remarks on Boom derricking cable NIA NOTE: Legend: OK- In good condition N/A- Not Applicable NAL Not Installed 0/0- Out of Order 'mspection check Rough Yvan Gre ov. Decent, 2018 Page 2otaraL ones cnet anosFIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CORP. ‘Wire rope conversion equivalents: ‘Wear limit: Inches - Millimeter Millimeter 5/16 - 3/8 - 8-10mm 0.56 -0.70 TMG - 172 - 11-13 mm 0.77- 0,91 96 - 5/8 - 14-16 mm 0.98 - 1.12 3/4- 7/8 - 19-22 mm 1.33 -1.54 1-118 - 26-29 mm 1.82 - 2.03 114-138 - 32-35 mm 2.24 ~ 2.45 4. HOIST DRUMS Condition: (references- 1. Minimum of 3 cable windings left on drum, 2. Cable-end well secured ant flange socket. 3. No abnormal sound detected ond coble misalignments, during winding and unwinding, 4. Brake system must be in good working condition. 5. Brake band clearance at max 3 mm.) MAIN HOIST DRUM AUXILIARY HOIST DRUM In good condition In good condition ‘Main Guide Roller: OK Auxiliary Guide Roller: OK NOTE: # (references — I. Must be free from dents and deformations, 2. Must not be twisted, 3. No cracks on frames and weld joinis, 4. Main pin must be well nbricated and not loose, 5. Bolted joints property tightened, and 6. No loose pins) LATTICE BOOM TELESCOPIC BOOM Segment No. (1): NA Main Boom: oK Segment No. (2): NIA Telescope No. (1): OK Segment No. (3): N/A Telescope No. (2 k OK Segment No. (4): NA Telescope No. (3 ): ok ‘Segment No. (5): NA Telescope No. (4): OK Boom Angle Indicator: N/A Telescope No. ( OK Boom Stopper: N/A Boom Angle Indicat OK Boom Limit Switch: N/A Boom Sliding Plat. OK. NOTE: £ CABIN CONTROL ROOM: 1. Load Chart: Tabulated/Graphical pre tteee 2. Swing Lock OK 3. Parking brakes OK Imspecton chet -Rough Train Grane Rew Decebar 2018 Page 3 ory Pax-oones came NoeFIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CORP. 4. Control levers: a. Slewing left/right OK b. Boom Up/Down OK ©. Hoist Up/Down OK 4. Telescoping -Extend/Retract OK 5. Hoist speed control — High/Low OK 6. Dash Board instruments: a. Engine oil pressure gauge b. Fuel gauge c. Water Temperature gauge d. Ampere gauge ©. Air pressure gauge f. Hyd. Oil pressure gauge 7. Power Take-Off control(PTO) OK 8. Operator’s seat; Adjustable/Recline OK 9. Accelerator control OK 10. Brake control eG LL. Lights/ Signal lights a OK. 12, Entry/ Exit door OK 13, Windshield OK a 14, Others: NOTE: g. ENGINE SYSTEM Condition CARRIER ENGINE CRANE ENGINE 1. Compressions OK NIA 2. Engine Blow-by OK 3. Exhaust Smoke OK 4. Fan Belts OK 5. Alternator/Generator OK 6. Cooling Fan OK 7. Radiator OK 8 Fuel Injection Pump ____oK 9. Battery & connections OK N/A 10. Engine Oil OK N/A 11, Starter Motor eign 12. Others Cee ee eae NOTE: Inspection Chectie Rough Fein Crane ev. December 2018 Page of 21 0865 cee ONOFIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CORP. h. COMPUTER & SAFETY DEVICE Condition: (references — 1. Alarms and signals must be roperly fnctioning when the condition reaches its safe limits 2. Digital figures in the computer must be clear and property calibrated against load chart,) 1, Over Hoisting Device 2. Automatic Crane Stopper (ACS) 3. Load Moment Indicator (LMI) 4, Boom Length Indicator 5. Working Radius Indicator 6. By-Pass Switch 7, Load Meter / Rigging Lights NOTE: i HYDRAULIC SYSTEM Condition: (references. Hydraulic pups and hydraulic motors must have no leaks, no abnormal sound detected and functions properly, 2. Hydraulic hoses/pipes must have no leaks, no peal offs, not twisted nor over bended 3. Hydraulic control levers must operate smoothly 4. Control vatves must have no leaks 5. Cylinders must have no leaks, no dented rods and deformed cylinders.) 1. Hydraulic Pumps: ‘a. Main Hoist Pump OK : b. Auxiliary Hoist Pump OK ¢. Swing Pump OK d. Telescoping Pump OK . Travel Pump Na oe £ Control & Aux. Equipt. (Counterweight) Nia ot 2. Hydraulic Motors: a. Main Hoist Motor _—__ som b. Auxiliary Hoist Motor OK ¢. Swing Motor OK d. Travel Motor NAL 3. Hydraulic Cylinders: a. Boom Cylinders OK te b. Telescopic Cylinders OK ©. Stabilizer Bar Cylinders OK d, Outrigger Cylinders Cee ere ¢. Pivot Cylinders OK NOTE: __ 4. Counterweight Cylinders Na Inspection chet Rough Train rane Rev, December 2018 Pages ots RaLoonss coer OID8FIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CORP. 5. Hydraulic Hoses: a. Boom OK b. Telescope OK © Swing 10K, 4. Stabilizer : OK ¢. Outrigger OK f. Suction Lines OK 8. Power Steering OK NOTE: SEE ecee rn recreate et 6. Control Levers (Operational Mode) a. Boom up / Boom down OK b. Hoist up / Hoist down 7 OK ¢. Telescope Extend /Retract fk aD 4. Slewing Left / Right OK ¢. Travel Forward / Reverse N/A £. Pivot Left/Right 7) NOTE: i: SLEWING RING Condition: (references - 1. Bolts must be complete and properly tightened, 2. No cracks or chips in the ring gear teeth, 3. Must be well lubricated). Remarks: In good condition B. SUB-STRUCTURE (UNDER CHASSIS) 1. Tire Condition: (references 1. Tires must be properly inflated with full tread contact on the road, 2. Traction treads must not be worn-out beyond wear limit 3. Tire walls must not lane deep cut Right Side Tires: Left Side Tires: Tire No. ( 1 ): TireNo.( 1): __ Worn-out Tire No. ( 2 ); Tire No. ( 2 OK Tire No. (3 TireNo.( 3): NIA ie Tire No. ( 4 ): Tire No. (4 N/A Tire No.( § ): Tire No. ( 5 ): Tire No. (6 NAT Tike NL Ca Tire No. (7): N/A Tire No. (7): NOTE: Inspection Chchis-Rough Tecan crane ov, Decerbey 2018 Page Sots raLoniesceet IOSFIRST PHILIPPINES SKILLS & E. 'QUIPMENT TESTING CORP. 2. Underchassis Condition: (references — 1. Clutch pedal must have proper free play clearance, 2. The Cluich and Torque Converter must have sufficient power to tranwmit to the transmission withou slippage, 3. Transmissions must be able to operate on sequential gear shifts or speeds Jorward and reverse direction and the lever should not voluntarily disengage while on iravel, 4. Differential axle locks must function when engaged, 5. In addition to all above component paris, inspections for leaks and abnormal sounds should be made, 6. The leaf springs must be inspected for breaks or cracks including wear on leaf sliding pad, 7. Inspect the boogie axle rods and bushings for cracks or damages). a. Clutch Clearance N/A b. Clutch Power N/A ¢. Torque Converter Power OK ee OK 4. Transmission: 1, High speed 7. Forward 5" speed 2. Low speed 8. Forward 6" speed 3. Forward 1* speed 9. Forward 7-8" speed 4, Forward 2" speed 10, Reverse 1" speed 5. Forward 3" speed OK 11. Reverse 2" speed 6. Forward 4" speed ___ a. 12, Reverse 3"6" speed NOTE: ¢. Brake System Condition: 1, Air Compressor 6. Hydro Vac OK 2. Air Tanks & Air Gauge 7. Chambers & Fittings OK 3. Tubes/Hoses & Fittings 8. Pedal & Linkage 0K 4, Fluid Reservoir 9. Parking Brake/Maxi OK 5, Air Charging Rate NOTE: NO’ = arm f. Steering System Conditios 1, Steering Cylinder OK __—_5, Steering Wheel OK 2. Steering Pump OK 6. Fluid Reservoir OK 3. Hoses & Tubings OK 7. Articulation —, 4. Power Steering Box OK g.AxlesCondition; In good condition ———Ingeodcondidest NOTE: eee eee ©. LOAD TESTING: Use Certificate and follow the Guidelines for Load Testing. ‘The Cranewas set with a boom length of 38.0 meters and lifted a test Joad of 8.5 fons up toa S.0 meter radius and was sewed 45 degrees over the rear and was hanged at one point for 10 minutes fo-check the drum brake system of the hoist if it could hold. The crane was found stable and Fit For Operation, Inspection Checkin Rough Fan Crane age 7 of F-22-00165,CHBE M108FIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CoRP. D. EQUIPMENT EVALUATION & GENERAL COMMENTS: After Thorough Examination & Test of the Equipment described above, the condition of the Rough Terrain Crane is: FIT FOR OPERATION. REMARKS: NOTE: Note: Specifys Ack The Equipment is Fit for operation and has passed the Thorough Examination & Test 4:2 The Eanipment is Et for operation and has passed the Thorough Examination & Test but needs some Tea SCaS® Ge. on minor leaks or adjustments as specified in the Standard Checklist) which wll notin ny Mey affect oF fal the operation ofthe crane but must be repaired immediately afer the operation. BEeL~ The Kguipment is No Bit for operation and has failed the Thorough Examination & Testor the reason’ ‘hat some major component's ofthe machine needs immediate repair prior to being made to service again, with ‘a reconfirmation from the competent Equipment Inspector. The Crane should be presented for Thorough Examination & Test on or before January 8, 2022, DOLE TESTING ORGANIZATION DOLE TESTING ORGANIZATION ACCREDITATION NO. 1410-19102419-0004 Attested by: EMIL M. ALBERTO Asst. Vice-President for Operations (Signature of Equipment Inspector) DOLE-OSHP No. 1033-180614-0287 Name & Qualification: [YAN B. TEMPLADO EQUIPMENT INSPECTOR REE-0059559 ARH Thies Inyetton cheese Rough Yen Crane ‘ev, Decnber, 2015 Page wot as omnes ce8eeu09Serial no; F-CO-21-00163 First Philippine Skills & Equipment Testing Corp. (Consultant for Inspection & Test of Construction Heavy Equipment) DOLE/BWC Accreditation Certificate No. 1410-19102419-0004 ‘This ts to certify that the EQUIPMENT described herein had ‘passed the actual testing and thorough examination conducted | by FPS ET Comp, and is recommended to be safe for operation. Detailed technical and testing inspection report is hereby attached. Equipment Owner/User_C.B.B.E., INCORPORATED Equipment Description _ROUGH TERRAIN CRANE - Telescopic Type, Diesel Driven Brand_TADANO Mode!_GR-600- Cap. _60.0 MT Mfn. Ser. No__FE0304 Owner's Markings _None Signed on (year/mmidd)__ 2021/01/08 Validity___ 2022/01/07 POST Bah MB ETFIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CORP. TECHNICAL INSPECTION CHECKLIST AS PER ANSVASME STANDARD ROUGH TERRAIN CRANE- TELESCOPIC BOOM INSPECTION REPORT NO. _F-21-00163 ee NAME & ADDRESS OF OWNER: C.B.B.E., INCORPORATED 1305 G. Araneta Avenue, Quezon City LOCATION OF CRANE: _ Beata Pandacan, Manila a eh Rough Terrain Crane~ ‘TADANO GR-600-2 TYPE OF CRANE: _ Tel Type, Diesel Driven BRAND & MODEL: (60.0 MT) UNIT SERIAL NO.: FE0304 YEAR MANUFACTURED: 2011-10 OTHER IDENTIFYING DATE OF INSPECTION: January 8,2021_ MARKS: None 1. Safe working load or loads [ @ @ @ @ In case of a crane with variable operating radius | Length | Radius | Testload| Safe Gncluding a crane with a derricking jib or with| off (meters) | (fons) | Working interchangeable jibs of different lengths) the safe | (meters) load working load at various radii should be given in = (tons) column (4) and in the case of a safe working load Which has been calculated without the application of | a test load “NIL” should be entered in that column. 44.0 290 8.0 72 I : (Safe Working Load @ 90% of Load Chart) | EITFOR OPER. ATION 2. Incase of a crane with a derricking jib orjibs, ‘The maximum radius at which the jib or jibs may be | 36.0 meters worked or operated (in meters). | 3. Defects noted and alterations or repairs required before the crane is put into service. If none | None, enter “NONE” and enter whether in safe working | In safe working condition. order. 4. In the case of cranes, state whether the Automatic Safe Load Indicator is in good working | In Good Working Order. order. Inspection Chess Rough erin Cane —Telesopie Boom Page 10f8F.21-00163 cent 0108FIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CORP. A. SUPER STRUCTURE MAIN HOIST: 8) PULLEY Condition: (references: 1. No chips or eracks on the sheaves 2. No wobble or worn out Bearings, 3, Must have an equal sheave diameter, depth, properly matched rope and sheave groove, 4. No loose/worn-out pin. (Remark ifn good or bad condition) MAIN HOOK BLOCK: BOOM END PULLEY: Pulley No. (1): Pulley No. (1 OK Pulley No. (2): Pulley No. (2) OK Pulley No. @) Pulley No. (3): OK Pulley No. (4) OK Pulley No. (5) OK Pulley No. (6-7): Pulley No. (6): OK Cable Keepers: Main Guide Pulley: OK Others: Day Aux. Guide Pulleys: OK ee NOTE: Cable Keepers: OK b, HOOK Condition: MAIN HOOK AUXILIARY HOOK References: 1. Swivel-free wheeling OK sat OR 2. Check for hook end “opening up” OK OK 3. Check for cracks, twists and wear OK 5 OK 4. Safety latch condition OK 7 NOTE: é C. WIRE ROPE / CABLE Condition: References: MAIN HOIST AUX HOIST 1. Cable diameter must not be more than 7% smaller than the designated size OK, (22mm) ___OK, (22mm) 2. Severed strand in full turn must beless than 10% = OK OK 3. Must have no kinks, unraveled or un-oiled 4. Wire rope end dead line on wedge socket must be 6” 9” long with bulldog grip clamp. 5. Other remarks on Boom/Jib Guy line 6, Remarks on Boom derricking cable NOTE: | Legend: (OK. In good condition N/A- Not Applicable N/E Not Installed 0/0- Out of Order ‘mspecton Chest Rough Tern rane Telescope Boom ev December, 2015 Page ofB 2-009 e808FIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CORP. Wire rope conversion equivalents: Inches - Millimeter 5/16 - 3/8 - 8-10mm 76 - 1/2 - 11-13 mm 9/16 - 5/8 - 14-16 mm 3/4-7/8 - 19-22 mm 1-118 - 26-29 mm 1WA-138 = -32-35mm Wear limit: Millimeter 0.56 - 0.70 0.77 -0,91 0,98 - 1,12 1.33 - 1.54 1.82 - 2.03 2.24- 2.45 MAIN HOIST DRUM. In good condition Main Guide Pulley: ok NOTE: AUXILIARY HOIST DRUM. In good condition Auxiliary Guide Pulley: oK ¢. BOOM SECTION Conditions: (references — 1. Must be free from dents and deformations, 2. ‘Must not be twisted, 3. No cracks on frames and weld joints, 4. Main pin must be well lubrieaged and not loose, 5. Bolted joints properly tightened, and 6. No loose pins) LATTICE BOOM TELESCOPIC BOOM Segment No. (1): NIA Main Boom: OK Segment No. (2): N/A ‘Telescope No. (1): OK Segment No. (3): N/A Telescope No. (2): OK Segment No. ( 4): NA Telescope No. (3): OK Segment No. (8): N/A Telescope No. (4): OK Boom Angle Indicator: N/A Telescope No. (6-6): OK Boom Stopper: NA Boom Angle Indicator OK N/A Boom Sliding Plat. OK f. CABIN CONTROL ROOM: 1, Load Chart: Tabulated/Graphical 2. Swing Lock 3. Parking brakes Inspection Chechisouph Torin rane —Telexope Boon evo, Dcaribay 2095 Pooe sofas ontescoat toeFIRST PHILIPPINES SKILLS & Et ‘QUIPMENT TESTING CORP. 4. Control levers: a, Slewing left/right b. Boom Up/Down ©. Hoist Up/Down a. Telescoping ~Extend/Retract 5, Hoist speed control — High/Low 6. Dash Board instruments: a, Engine oil pressure gauge b. Fuel gauge ¢. Water Temperature gauge d. Ampere gauge ¢. Air pressure gauge f. Hyd. Oil pressure gauge 7. Power Take-Off control (PTO) OK 8. Operator's seat; Adjustable/Recline 9, Accelerator control 10, Brake control 11. Lights/ Signal lights 12. Entry/ Exit door 13, Windshield 14, Others: NOTE: g. ENGINE SYSTEM Condition CARRIER ENGINE ‘CRANE ENGINE 1. Compressions NA OK 2. Engine Blow-by Sou ik, 3. Exhaust Smoke OK 4, Fan Belts N/A OK 5. Alternator/Generator Nhe pr oe ree 6. Cooling Fan Cy aaa 7. Radiator N/A OK 8. Fuel Injection Pump N/A OK 9. Battery & connections ____NA as OK 10. Engine Oil ee LL ee 11. Starter Motor N/A OK 12, Others NOTE: InepctonChechit.tough Terrain rane Telescope Boom, Decrher2015 Page ofa 2u 0464 ce9C 108FIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CORP. h. COMPUTER & SAFETY DEVICE Condition: (references — 1. Alarms and signals must be properly functioning when the condition reaches its safe ints 2. Digital figures in the computer must be clear and property calibrated against load chart.) 1, Over Hoisting Device ___Ingood order 2, Automatic Crane Stopper (ACS) In good order 3. Load Moment Indicator (LMI) ‘In good order 4, Boom Length Indicator In good order 5. Working Radius Indicator ____Im good order 6. By-Pass Switch In good order 7. Load Meter/Rigging Light In good order ion: (references ~ J. Hydraulic pumps and hydraulic motors ‘must have no leaks, no abnormal sound detected and functions properly, 2. Hydraulic hoses/pipes must have no leaks, no peal offs, not twisted nor over bended 3. Hydraulic control levers meat operate smoothly 4, Control valves must have no leaks 5. Cylinders must have no leaks, no dented rods and deformed cylinders.) 1.Hydraulic Pumps: a. Main Hoist Pump b. Auxiliary Hoist Pump ¢. Swing Pump 4, Telescoping Pump e. Travel Pump £ Control & Aux. Equipt. (Counterweight) 2. Hydraulic Motors: a. Main Hoist Motor |_____ ae a b. Auxiliary Hoist Motor ak 2GR. ¢. Swing Motor org 4. Travel Motor N/A 3. Hydraulic Cylinders: a, Boom Cylinders b. Telescopic Cylinders . Stabilizer Bar Cylinders 4d. Outrigger Cylinders NOTE: 4. Counterweight Cylinders ‘nopecton chet Rough Tern rane Teese Beom ev, Deca, 2015, Pages ora RaLooes ce aIaRFIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CORP. 5. Hydraulic Hoses: a. Boom b, Telescope ©. Swing 4. Stabilizer ¢. Outrigger £ Suction Lines g. Power Steering NOTE: ee ee 6. Control Levers (Operational Mode) a. Boom up/ Boom down fom eee b. Hoist up/ Hoist down OK ©. Telescope Extend/Retract OK d. Slewing Left/Right ee OK ¢. Travel Forward/ Reverse i. OK f, Pivot left/ right OK NOTE: ae 4, SLEWING RING Condition: (references - ). Bolts must be complete and properly tightened, 2. No cracks or chips in the ring gear teeth, 3. Must be well lubricated). Remarks: In good condition B. SUB-STRUCTURE (UNDER CHASSIS) 4. Tire Condition: (references ~ 1. Tires must be properly inflated with full tread contact on the road, 2. Traction treads must not be worn-out Beyond wear limit 3. Tire walls must not have deep cuts). Right Side Tires: Left Side Tires: TireNo.(1)} OK Tire No. (1): Tire No. (2): OK _ Tire No. (2): Tire No. (3): OK Tire No. (3): Tire No. (4): OK Tire No. (4): TireNo.(5): N/A Tire No. (5): Tire No. (6): N/A Tire No. (6): NA TireNo.(7): Inspection chai Rough Terran Crane Teese Boom ov. Decor 2018 Pogo 6 of8F-0153,c88 C108FIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CORP, } Underehassis Condition: (references ~ 1. Clutch pedal must have proper free play clearance, 2. The Clutch and Torque Converter must have sufficient power to transmit to the transmiwn, without slippage, 3. Transmissions must be able to operate on sequential gear shifts or speeds Sorward and reverse direction and the lever should not voluntarily disengage while on treed! 4 Differential axle lacks must function when engaged, 5. In addition 10 all above component parts, a, Cluteh Clearance NA —~ b. Clutch Power ee NAL ©. Torque Converter Power OK Sanne ec 4. Transmission: 1. High speed OK 7. Forward 5" speed 2. Low speed Ae OK 2 8. Forward 6" speed 3. Forward 1" speed ____oK 9. Forward 7 speed 4, Forward 2™ speed OK 10. Reverse 1* speed 5. Forward 3" speed OK 11, Reverse 2" speed 6. Forward 4" speed NA 12, Reverse 3"' speed NOTE: €. Brake System Condition: 1. Air Compressor oK 6. Hydro Vac OK 2. Air Tanks & AirGauge "OK 7. Chambers & Fittings. WA 3. Tubes/Hoses & Fittings OK __—_—8, Pedal & Linkage ox 4. Fluid Reservoir OK 9, Parking Brake OK 5. Air Charging Rate OK NOTE: NOTE: _ > at £. Steering System Conditio: 1, Steering Cylinder OK 5. Steering Wheel OK 2. Steering Pump OK 6. Fluid Reservoir ___0K 3. Hoses & Tubings (OK 7. Articulation N/A 4. Power Steering Box OK g- Axles Condition: In good condition NOTE: Sree C-LOAD TESTING: Use Certificate and follow the Guidelines for Load Testing. ‘The crane was set a 17.0 meters boom length and lifted a test load of 8.0 tons up toa radius of 12.0 meters and was slewed 45 degrees over the rear and was hanged at one point for 10 minutes to check the drum brake system of the hoist if if could hold. The erane was found stable and Fit For o; 7 Ingestion chchise tough Train rane -Taleseope Boom "ey 0, Dace 2003 Page ofa ea1-0163,H04 108FIRST PHILIPPINES SKILLS & EQUIPMENT TESTING CORP. D. EQUIPMENT EVALUATION & GENERAL COMMENTS; After Thorough Examination & Test of the Rough Terrain Crane, the condition of the Crane is A~1: FIT FOR OPERATION. REMARKS: None. Note: Specify; AcL- The Crane is Fit for operation and has passed the Thorough Examination & Test Ae ihe Crave is Fit_for operation and has passed the Thorough Examination d Test but needs some minor repairs’s (2. on minor leas or adjustments as specified in the Sandond Checklist) witch will nO im any way affect or fll the operation of the crane but must be repaired immediatly afer the ‘operation. ‘BeL~ The Crane is Not Rit for operation and has filed the Thorough Examination & Test for the reasons that some major component's of the machine needs immediate repair prior to being made to service again, with a reconfirmation from the competent Equipment Inspector, jee Equipment should be presented for Thorough Examination & Test on or before January 7.2022, DOLE TESTING ORGANIZATION ACCREDITATION NO. 1410-19102419-0004 Attested by: ‘President for Operations DOLE-OSHP No. 1033-180614-0287 frit Inspector) Name d Qualification: TYAN B, TEMPL, EQUIPMENT INSPECTOR REE-0059559, ARH This document isan inspection eels Not yall ax am tft cert Inspection Chis ough Tesi re Teleco Room evo Decarber, 2903, Page Ror 821 00163 ce0E D108