You are on page 1of 1
Box 6668, Fist Support Industil Area, Road 175, Sest 1208 POM AEA Yank g-WO Gu Gata eal io Tg ‘dob 35717-9068, KSA Tk: 96619-26700, Fax +96-19-9670002 PHVA ITT HAHEI c - dpa Ayal Saat 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.

You might also like