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smal admningstandorderabiacom, Wabue: wenstendardoabla.com wetandordarabiacom: | adnin@tandardarelacem 30 ay
Standard Arabia Inspection Co Ltd. > penal! dyysll jos ays
CERTIFICATE OF THOROUGH EXAMINATION
SCISSOR LIFT INSPECTION REPORT
CCERTIRCATE/REPORT NO: CT-45254 STICKER NO 44573, 08 No: wo.12649
‘ERUIPMENT OWNER “HPE OF RSPECTION
[ARABIAN INTERNATIONAL COMPANY FOR TRANSPORTATION & HEAVY | PERIODIC VISUAL & FUNCTIONAL INSPECTION,
EQUIPMENT
‘ocaTion: ‘DATE OF INSPECTION: DURATION: ‘VAUD TL:
DAMMAM 01-Sep-2021, Simonth 2a-Feb-2022
EQUIPMENT DESCRIPTION:
ELECTRICALLY OPERATED ScISSOR UF.
MANUFACTURER: "MODEL/ TPE OF EQUIPMENT: ‘MANUFACTURED YEAR
Gente 633206 2015
‘SERALWNO ‘OWNERID /PLATENO= ‘WORK PROCEDURE NO:
ANSIA 92 o2-Mar202: SAICL CERTIFICATE NUMBER -CRT-40911
(MAXIMUM PLATFORM HEIGHT [MAXIMUM HORZONTAL REACH:
950M NA
‘SOURCE OF POWE ‘OuTweceR TPE
oc NA
‘SAFE WORKING LOAD (W): ‘TESTLOADAPPLED: PERSONS ALLOWED:
218KG. No. a
WORK PLATFORM DIMENSIONS: [EXPLOSION PROOFING:
RESULT: ‘HECRLST NO:
Pass 1528580,
REMARKS/RECOMMENDATION
[AT THE TIME OF INSPECTION SCISSOR LIFT WERE INSPECTED VISUALLY AND FUNCTIONALLY CHECKED FOR ITS WORKING OPERATION AND FOUND
SATISFACTORY is FOUND IN GOOD CONDITION,
[ALUELECTRICAL SYSTEM AND LEVER 1S WORKING PROPERLY.
AUTHORIZED BY; ALOIN MATHEW INSPECTOR: ASHOK PAUL VARKEY
Abela
[THIS CERTIFICATE BECOMES INVALID, IF ANY ALTERATIONIREPAIR OR MODIFICATION IS ADE TO THE EQUIPMENT
Bor $ @ @ ®@ isi om om 2.