FIFTH SCHEDULE

GOVERNMENT OF MALAYSIA
FACTORIES AND MACHINERY ACT, 1967
FACTORIES AND MACHINERY (STEAM BOILER AND UNFIRED
PRESSURE VESSEL), REGULATIONS, 1970
Regulation 7 (3)
CERTIFICATE OF INSPECTING AUTHORITY

I ,....................................................................................being a Member /Surveyor of The

Hartford Steam Boiler Inspection and Insurance Company, an Inspecting Authority named in the
Fourth Schedule to the Factories and Machinery (Steam Boiler and Unfired Pressure Vessel),
Regulations, 1970. Malaysia, hereby certify that Steam Boiler/Unfired Pressure Vessel Serial
No. ..................... was constructed by Messrs.........................................................................
for .................................................................. in accordance with their drawing
number ............................................... .

It was surveyed during construction by me and the scantlings are in accordance

with ................................................................................................. (being a code named in the
Second / Third Schedule to the aforementioned Regulations) for a design pressure
of .............................pounds per square inch. The workmanship is good.

On completion the Steam Boiler/Unfired Pressure Vessel was tested hydrostatically

to .............................pounds per square inch for a period of .....................minutes in my presence
on .......................................... . It showed no signs of weakness and was found tight and sound
in every respect at that pressure. It was stamped by me as follows:

..................................................................................................
..................................................................................................
..................................................................................................

Dated this ......................... day of 20 ............

(Signed) ..................................................
Member/Surveyor

.................................................................
Chief Engineer to Inspecting Authority