Document Reference LEEA-030.

2c2

Certificate Of Thorough Examination

This certificate meets the Lifting Equipment Engineers Association Technical requirements

Company Name & Address: Phone:

Report No: Customer No: Date of Report: Colour code (if required):

Name & Address of the employer for whom the examination was made: Address of the premises at which the examination was made: Status:
ND – No Defect:
SDR – See Defect Report
NF – Not Found
Latest date of
WLL Date of Last Date of this Reason for
Identification the next Status Safe to Use
Description or Thorough Thorough Examination Details of any test
Number through (See above) Yes or No
SWL Examination Examination (See Below)
examination

Reason for
Installation: A 6 Monthly: B 12 Monthly: C Written Scheme: D Exceptional Circumstance: E
Examination
Name & qualifications of the person making this report: Name of the person authenticating this report:

Signature:

Version 1 January 2015 Document Originator K Crilly