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ALMANSOORI INSPECTION SERVICES

LIFTING EQUIPMENT THOROUGH EXAMINATION REPORT


This report complies with the requirements of the Lifting Operations and Lifting Equipment Regulations 1998

Report Number: 5010051897-WH-001 Date of Report: 20-Mar-2022


Job Allocation No: 5010051897 Type of Inspection: Visual & Function Test
Name and Address of Owner Place of Inspection Sub location
ADVANCED ENERGY SYSTEMS ADES-157 Rig Floor Driller Side
Due Date of Next Date of Last Load Due Date of Date of Last
Date of Inspection
Inspection Test Next Load Test Inspection
20-Mar-2022 19-Jun-2022 04-Jan-2022 03-Jan-2023 04-Jan-2022
Safe Working
Owner ID Description of Lifting Equipment Load Applied
Qty. Load (Specify Units)
(Specify Units)
Air Winch and Foundation (DS)
White Sticker No: 20515 10000 lbs N/A
Motive Power: Pneumatic
Model: FA5A-24MK1GJ1235P Manufacture Year of
MW030538 1
Wire Rope Details: Single leg wire rope sling terminated Name Manufacturing
with closed spelter, other end plain.
Dim: 19 mm x 400 ft. Ingersoll Rand 2010
SN: SL-12516, SWL: 5 t.
Applicable Reference Standards : ASME B30.7
Applicable Reference Regulations: SWIM Sec.39
Colour Code: White till the end of March, then Green
NDT Details (if Any): MPI valid up to 03-Jan-2023.
Test Equipment Details: N/A
Is this the first examination after installation or assembly at a new site or location? : Yes☐ No☒
If the answer to the above question is YES, has the equipment been installed correctly? Yes☐ No☐ N/A ☒
Was the examination carried out Within an interval of 6 months? Yes☒ No☐
Was the examination carried out Within an interval of 12 months? Yes☐ No☒
Was the examination carried out In accordance with an examination scheme? Yes☒ No☐
Was the examination carried out After the occurrence of exceptional circumstances? Yes☐ No☒
Identification and description of defect ,if any of any part found to have a defect which is or
None
could become a danger to persons : (If none, state NONE)
Is the above an existing or imminent danger to persons? Note-This is a reportable defect Yes☐ No☒
Is the above a defect which is not yet but could become a danger to persons? Yes☐ No☒
(If YES State the day by) Date:
Particulars of any repair, renewal or alteration required to remedy the defect identified above: None
Particulars of any tests carried out as part of the examination(If none state NONE) Visual & Function Test
IS THIS EQUIPMENT SAFE TO USE? YES☒ NO☐
Remarks (if Any) :
Inspected By Inspector Stamp QA/QC Stamp
Name: Mohamed Yasir
Qualification: LEEA & NDT LEVEL II

Signature:
Name and address of employer of persons making and reviewing this report:
AlMansoori Inspection Services ,P.O.Box: 3599 ,Al Khobar 31952 ,KSA, Email:mis@almansoori.biz, Web: www.almansoori.biz

This certificate is granted subject to the condition that is understood and agreed that nothing herein contained shall be deemed to relieve any designer,
manufacturer, seller, repairer or operator of any warranty, expressed or implied and AlMansoori liability shall be limited to the willful negligence or deliberate
omissions of its employees. Under no circumstances whatsoever, shall AlMansoori be liable for any injury or damage to any person occurring by reason of
negligent operation or any defect in materials, machinery, equipment or other items other than those defects ascertainable by normally accepted testing standards
and only those items actually inspected by AlMansoori and which are covered by this certificate.

F. 836
Rev. 03
28.11.2018
ALMANSOORI INSPECTION SERVICES
PNEUMATIC POWER OPERATED WINCHES CHECKLIST
Identification No : MW030538 Report Number : 5010051897-WH-001 Date of Inspection : 20-Mar-2022
Client name : ADVANCED ENERGY CL No : 38 WI No : 43
SYSTEMS
Inspection shall be compliance with ASME B 30.7 and Aramco SWIM and General Safety features
SR# Inspection check points Status Remarks
Certification information
1. Proof load test certificate Yes
2. Recent periodic inspection record condition of the winch. Yes
3. Last thorough visual examination & NDT report Yes
4. Declaration of conformity Yes
5. Other (specify)
Physical markings
6. Winch rating Yes
7. Drum size consisting of barrel diameter, barrel length, and flange diameter Yes
8. Rope diameter(s) Yes
9. Rope speed in feet per minute (mtr/sec) at rated load on specified layer Yes
10. Power requirement Yes
Aramco SWIM design requirement
11. Hoist operating lever which will come neutral from any operating position Yes
12. Air hoist is equipped with a quick action air supply isolation valve Yes
13. SWL on hoisting lines, slings, and fittings not exceeding SWL recommended by OEM Yes
Air hoist cable not terminated with "Flemish Eye,” "Farmer's Eye,” or "Rig Operator's Standby,” Yes
14.
or any other knot.
15. Air hoist cable not entangled with the derrick structure attachments and the TDS System Yes
16. Provision of brake. Yes
17. A clutch capable of disengaging the drum shall not be fitted. Yes
18. Air hoists equipped with line guards/guides. Yes
19. The hoist shall be fitted with an emergency stop device. Yes
20. Specific written instructions Yes
21. Welded name on winches frames “Air hoist” Yes
Inspection & test
22. Control mechanisms for proper operation OK
23. Limit devices for proper operation OK
24. Deterioration or leakage in air or hydraulic systems OK
25. Ropes for excessive wear, damage, or distortion (Refer ASME 30.7 Sec 7-2.4.2) OK
26. Ropes shall be away from mast structure OK
27. Rope end securement and fittings at the working end OK
28. Indication of loose, damaged, or missing structural components OK
29. Indication of loose, damaged, or missing supports and anchorages OK
30. Any additional items specified by the manufacturer OK
31. Any adjustments and repairs by unauthorized person N/A
32. Replacement parts from different manufacturers N/A
33. Control and drive mechanisms for improper adjustment N/A
34. Control and drive mechanisms for excessive wear N/A
35. Tubing, piping, electrical cables, or hoses and their fittings for damage N/A
36. Fluids for adequate condition and supply N/A
37. Gearboxes and lubrication systems for oil level N/A
38. Gearboxes and lubrication systems for clogged filters N/A
39. Hydraulic oil reservoir for proper level(s) N/A
Operational Tests in no load conditions
40. Drum rotation , Clutches, brakes, and pawls, Limit devices and all other aids OK
Load test
41. Minimum of five wraps of rope on the drum during the load test. N/A
42. The load shall be applied to the winch and held by the winch brake(s). N/A
43. Load test for 100% SWL (Periodic load test ) N/A
44. Proof test for 110-125% SWL (New, repaired or altered Winches) N/A
45. Photo of the load cell with reading (if load test conducted) N/A
Comments & Observations (that could become a potential hazard and/or danger to personnel)

Inspector name and signature: Mohamed Yasir


ALMANSOORI INSPECTION SERVICES
LIFTING EQUIPMENT THOROUGH EXAMINATION REPORT
This report complies with the requirements of the Lifting Operations and Lifting Equipment Regulations 1998

Report Number: 5010051897-WH-002 Date of Report: 20-Mar-2022


Job Allocation No: 5010051897 Type of Inspection: Visual & Function Test
Name and Address of Owner Place of Inspection Sub location
ADVANCED ENERGY SYSTEMS ADES-157 Rig Floor Off Driller Side
Due Date of Next Date of Last Load Due Date of Date of Last
Date of Inspection
Inspection Test Next Load Test Inspection
20-Mar-2022 19-Jun-2022 04-Jan-2022 03-Jan-2023 04-Jan-2022
Safe Working
Owner ID Description of Lifting Equipment Load Applied
Qty. Load (Specify Units)
(Specify Units)
Air Winch and Foundation (ODS)
White Sticker No: 20516 10000 lbs N/A
Motive Power: Pneumatic
Model: FA51-MR24MK1J12P-E Manufacture Year of
A022559 1
Wire Rope Details: Single leg wire rope sling terminated Name Manufacturing
with closed spelter, other end plain.
Dim: 19 mm x 400 ft. Ingersoll Rand 2013
SN: SL-12141, SWL: 5 t.
Applicable Reference Standards : ASME B30.7
Applicable Reference Regulations: SWIM Sec.39
Colour Code: White till the end of March, then Green
NDT Details (if Any): MPI valid up to 03-Jan-2023.
Test Equipment Details: N/A
Is this the first examination after installation or assembly at a new site or location? : Yes☐ No☒
If the answer to the above question is YES, has the equipment been installed correctly? Yes☐ No☐ N/A ☒
Was the examination carried out Within an interval of 6 months? Yes☒ No☐
Was the examination carried out Within an interval of 12 months? Yes☐ No☒
Was the examination carried out In accordance with an examination scheme? Yes☒ No☐
Was the examination carried out After the occurrence of exceptional circumstances? Yes☐ No☒
Identification and description of defect ,if any of any part found to have a defect which is or
None
could become a danger to persons : (If none, state NONE)
Is the above an existing or imminent danger to persons? Note-This is a reportable defect Yes☐ No☒
Is the above a defect which is not yet but could become a danger to persons? Yes☐ No☒
(If YES State the day by) Date:
Particulars of any repair, renewal or alteration required to remedy the defect identified above: None
Particulars of any tests carried out as part of the examination(If none state NONE) Visual & Function Test
IS THIS EQUIPMENT SAFE TO USE? YES☒ NO☐
Remarks (if Any) :
Inspected By Inspector Stamp QA/QC Stamp
Name: Mohamed Yasir
Qualification: LEEA & NDT LEVEL II

Signature:
Name and address of employer of persons making and reviewing this report:
AlMansoori Inspection Services ,P.O.Box: 3599 ,Al Khobar 31952 ,KSA, Email:mis@almansoori.biz, Web: www.almansoori.biz

This certificate is granted subject to the condition that is understood and agreed that nothing herein contained shall be deemed to relieve any designer,
manufacturer, seller, repairer or operator of any warranty, expressed or implied and AlMansoori liability shall be limited to the willful negligence or deliberate
omissions of its employees. Under no circumstances whatsoever, shall AlMansoori be liable for any injury or damage to any person occurring by reason of
negligent operation or any defect in materials, machinery, equipment or other items other than those defects ascertainable by normally accepted testing standards
and only those items actually inspected by AlMansoori and which are covered by this certificate.

F. 836
Rev. 03
28.11.2018
ALMANSOORI INSPECTION SERVICES
PNEUMATIC POWER OPERATED WINCHES CHECKLIST
Identification No : A022559 Report Number : 5010051897-WH-002 Date of Inspection : 20-Mar-2022
Client name : ADVANCED ENERGY CL No : 38 WI No : 43
SYSTEMS
Inspection shall be compliance with ASME B 30.7 and Aramco SWIM and General Safety features
SR# Inspection check points Status Remarks
Certification information
1. Proof load test certificate Yes
2. Recent periodic inspection record condition of the winch. Yes
3. Last thorough visual examination & NDT report Yes
4. Declaration of conformity Yes
5. Other (specify)
Physical markings
6. Winch rating Yes
7. Drum size consisting of barrel diameter, barrel length, and flange diameter Yes
8. Rope diameter(s) Yes
9. Rope speed in feet per minute (mtr/sec) at rated load on specified layer Yes
10. Power requirement Yes
Aramco SWIM design requirement
11. Hoist operating lever which will come neutral from any operating position Yes
12. Air hoist is equipped with a quick action air supply isolation valve Yes
13. SWL on hoisting lines, slings, and fittings not exceeding SWL recommended by OEM Yes
Air hoist cable not terminated with "Flemish Eye,” "Farmer's Eye,” or "Rig Operator's Standby,” Yes
14.
or any other knot.
15. Air hoist cable not entangled with the derrick structure attachments and the TDS System Yes
16. Provision of brake. Yes
17. A clutch capable of disengaging the drum shall not be fitted. Yes
18. Air hoists equipped with line guards/guides. Yes
19. The hoist shall be fitted with an emergency stop device. Yes
20. Specific written instructions Yes
21. Welded name on winches frames “Air hoist” Yes
Inspection & test
22. Control mechanisms for proper operation OK
23. Limit devices for proper operation OK
24. Deterioration or leakage in air or hydraulic systems OK
25. Ropes for excessive wear, damage, or distortion (Refer ASME 30.7 Sec 7-2.4.2) OK
26. Ropes shall be away from mast structure OK
27. Rope end securement and fittings at the working end OK
28. Indication of loose, damaged, or missing structural components OK
29. Indication of loose, damaged, or missing supports and anchorages OK
30. Any additional items specified by the manufacturer OK
31. Any adjustments and repairs by unauthorized person N/A
32. Replacement parts from different manufacturers N/A
33. Control and drive mechanisms for improper adjustment N/A
34. Control and drive mechanisms for excessive wear N/A
35. Tubing, piping, electrical cables, or hoses and their fittings for damage N/A
36. Fluids for adequate condition and supply N/A
37. Gearboxes and lubrication systems for oil level N/A
38. Gearboxes and lubrication systems for clogged filters N/A
39. Hydraulic oil reservoir for proper level(s) N/A
Operational Tests in no load conditions
40. Drum rotation , Clutches, brakes, and pawls, Limit devices and all other aids OK
Load test
41. Minimum of five wraps of rope on the drum during the load test. N/A
42. The load shall be applied to the winch and held by the winch brake(s). N/A
43. Load test for 100% SWL (Periodic load test ) N/A
44. Proof test for 110-125% SWL (New, repaired or altered Winches) N/A
45. Photo of the load cell with reading (if load test conducted) N/A
Comments & Observations (that could become a potential hazard and/or danger to personnel)

Inspector name and signature: Mohamed Yasir


ALMANSOORI INSPECTION SERVICES
LIFTING EQUIPMENT THOROUGH EXAMINATION REPORT
This report complies with the requirements of the Lifting Operations and Lifting Equipment Regulations 1998

Report Number: 5010051897-WH-003 Date of Report: 20-Mar-2022


Job Allocation No: 5010051897 Type of Inspection: Visual & Function Test
Name and Address of Owner Place of Inspection Sub location
ADVANCED ENERGY SYSTEMS ADES-157 Monkey Board
Due Date of Next Date of Last Load Due Date of Date of Last
Date of Inspection
Inspection Test Next Load Test Inspection
20-Mar-2022 19-Jun-2022 09-Jan-2022 08-Jan-2023 04-Jan-2022
Safe Working
Owner ID Description of Lifting Equipment Load Applied
Qty. Load (Specify Units)
(Specify Units)
Air Winch and Foundation (Monkey board) 1000 lbs
White Sticker No: 20517 N/A
(450 kg)
Motive Power: Pneumatic
BU 031795 Model: PU7APTAB15GJ1235 1 Manufacture Year of
Wire Rope Details: Single leg wire rope sling terminated Name Manufacturing
with hard eye on one end, other end plain.
Dim: 6.4 mm x 30 ft.r SWL: 450 kg. Ingersoll Rand 2020
Applicable Reference Standards : ASME B30.7
Applicable Reference Regulations: SWIM Sec.39
Colour Code: White till the end of March, then Green
NDT Details (if Any): MPI valid up to 03-Jan-2023.
Test Equipment Details: N/A
Is this the first examination after installation or assembly at a new site or location? : Yes☐ No☒
If the answer to the above question is YES, has the equipment been installed correctly? Yes☐ No☐ N/A ☒
Was the examination carried out Within an interval of 6 months? Yes☒ No☐
Was the examination carried out Within an interval of 12 months? Yes☐ No☒
Was the examination carried out In accordance with an examination scheme? Yes☒ No☐
Was the examination carried out After the occurrence of exceptional circumstances? Yes☐ No☒
Identification and description of defect ,if any of any part found to have a defect which is or
None
could become a danger to persons : (If none, state NONE)
Is the above an existing or imminent danger to persons? Note-This is a reportable defect Yes☐ No☒
Is the above a defect which is not yet but could become a danger to persons? Yes☐ No☒
(If YES State the day by) Date:
Particulars of any repair, renewal or alteration required to remedy the defect identified above: None
Particulars of any tests carried out as part of the examination(If none state NONE) Visual & Function Test
IS THIS EQUIPMENT SAFE TO USE? YES☒ NO☐
Remarks (if Any) :
Inspected By Inspector Stamp QA/QC Stamp
Name: Mohamed Yasir
Qualification: LEEA & NDT LEVEL II

Signature:
Name and address of employer of persons making and reviewing this report:
AlMansoori Inspection Services ,P.O.Box: 3599 ,Al Khobar 31952 ,KSA, Email:mis@almansoori.biz, Web: www.almansoori.biz

This certificate is granted subject to the condition that is understood and agreed that nothing herein contained shall be deemed to relieve any designer,
manufacturer, seller, repairer or operator of any warranty, expressed or implied and AlMansoori liability shall be limited to the willful negligence or deliberate
omissions of its employees. Under no circumstances whatsoever, shall AlMansoori be liable for any injury or damage to any person occurring by reason of
negligent operation or any defect in materials, machinery, equipment or other items other than those defects ascertainable by normally accepted testing standards
and only those items actually inspected by AlMansoori and which are covered by this certificate.

F. 836
Rev. 03
28.11.2018
ALMANSOORI INSPECTION SERVICES
PNEUMATIC POWER OPERATED WINCHES CHECKLIST
Identification No : BU 031795 Report Number : 5010051897-WH-003 Date of Inspection : 20-Mar-2022
Client name : ADVANCED ENERGY CL No : 38 WI No : 43
SYSTEMS
Inspection shall be compliance with ASME B 30.7 and Aramco SWIM and General Safety features
SR# Inspection check points Status Remarks
Certification information
1. Proof load test certificate Yes
2. Recent periodic inspection record condition of the winch. Yes
3. Last thorough visual examination & NDT report Yes
4. Declaration of conformity Yes
5. Other (specify)
Physical markings
6. Winch rating Yes
7. Drum size consisting of barrel diameter, barrel length, and flange diameter Yes
8. Rope diameter(s) Yes
9. Rope speed in feet per minute (mtr/sec) at rated load on specified layer Yes
10. Power requirement Yes
Aramco SWIM design requirement
11. Hoist operating lever which will come neutral from any operating position Yes
12. Air hoist is equipped with a quick action air supply isolation valve Yes
13. SWL on hoisting lines, slings, and fittings not exceeding SWL recommended by OEM Yes
Air hoist cable not terminated with "Flemish Eye,” "Farmer's Eye,” or "Rig Operator's Standby,” Yes
14.
or any other knot.
15. Air hoist cable not entangled with the derrick structure attachments and the TDS System Yes
16. Provision of brake. Yes
17. A clutch capable of disengaging the drum shall not be fitted. Yes
18. Air hoists equipped with line guards/guides. Yes
19. The hoist shall be fitted with an emergency stop device. Yes
20. Specific written instructions Yes
21. Welded name on winches frames “Air hoist” Yes
Inspection & test
22. Control mechanisms for proper operation OK
23. Limit devices for proper operation OK
24. Deterioration or leakage in air or hydraulic systems OK
25. Ropes for excessive wear, damage, or distortion (Refer ASME 30.7 Sec 7-2.4.2) OK
26. Ropes shall be away from mast structure OK
27. Rope end securement and fittings at the working end OK
28. Indication of loose, damaged, or missing structural components OK
29. Indication of loose, damaged, or missing supports and anchorages OK
30. Any additional items specified by the manufacturer OK
31. Any adjustments and repairs by unauthorized person N/A
32. Replacement parts from different manufacturers N/A
33. Control and drive mechanisms for improper adjustment N/A
34. Control and drive mechanisms for excessive wear N/A
35. Tubing, piping, electrical cables, or hoses and their fittings for damage N/A
36. Fluids for adequate condition and supply N/A
37. Gearboxes and lubrication systems for oil level N/A
38. Gearboxes and lubrication systems for clogged filters N/A
39. Hydraulic oil reservoir for proper level(s) N/A
Operational Tests in no load conditions
40. Drum rotation , Clutches, brakes, and pawls, Limit devices and all other aids OK
Load test
41. Minimum of five wraps of rope on the drum during the load test. N/A
42. The load shall be applied to the winch and held by the winch brake(s). N/A
43. Load test for 100% SWL (Periodic load test ) N/A
44. Proof test for 110-125% SWL (New, repaired or altered Winches) N/A
45. Photo of the load cell with reading (if load test conducted) N/A
Comments & Observations (that could become a potential hazard and/or danger to personnel)

Inspector name and signature: Mohamed Yasir


ALMANSOORI INSPECTION SERVICES
LIFTING EQUIPMENT THOROUGH EXAMINATION REPORT
This report complies with the requirements of the Lifting Operations and Lifting Equipment Regulations 1998

Report Number: 5010051897-WH-006 Date of Report: 20-Mar-2022


Job Allocation No: 5010051897 Type of Inspection: Visual & Function Test
Name and Address of Owner Place of Inspection Sub location
ADVANCED ENERGY SYSTEMS ADES-157 Sub base-ODS
Due Date of Next Date of Last Load Due Date of Date of Last
Date of Inspection
Inspection Test Next Load Test Inspection
20-Mar-2022 19-Jun-2022 05-Jul-2021 04-Jul-2022 04-Jan-2022
Safe Working
Owner ID Description of Lifting Equipment Load Applied
Qty. Load (Specify Units)
(Specify Units)
Sub Base Winch and Foundation (ODS)
White Sticker No: 210636 42770 lbs N/A
Motive Power: Pneumatic
Model: 540 Manufacture Year of
12-2882-00001 1
Wire Rope Details: Single leg wire rope sling terminated Name Manufacturing
with Open spelter one end and other end closed spelter.
Diameter: 56 mm & Length: 145.6 ft. Lantec Unknown
SN: H-3253, SWL: 13.1 t.
Applicable Reference Standards : ASME B30.7
Applicable Reference Regulations: SWIM Sec.39
Colour Code: White till the end of March, then Green
NDT Details (if Any): MPI valid up to 04-Jul-2022.
Test Equipment Details: N/A
Is this the first examination after installation or assembly at a new site or location? : Yes☐ No☒
If the answer to the above question is YES, has the equipment been installed correctly? Yes☐ No☐ N/A ☒
Was the examination carried out Within an interval of 6 months? Yes☒ No☐
Was the examination carried out Within an interval of 12 months? Yes☐ No☒
Was the examination carried out In accordance with an examination scheme? Yes☒ No☐
Was the examination carried out After the occurrence of exceptional circumstances? Yes☐ No☒
Identification and description of defect ,if any of any part found to have a defect which is or
None
could become a danger to persons : (If none, state NONE)
Is the above an existing or imminent danger to persons? Note-This is a reportable defect Yes☐ No☒
Is the above a defect which is not yet but could become a danger to persons? Yes☐ No☒
(If YES State the day by) Date:
Particulars of any repair, renewal or alteration required to remedy the defect identified above: None
Particulars of any tests carried out as part of the examination(If none state NONE) Visual & Function Test
IS THIS EQUIPMENT SAFE TO USE? YES☒ NO☐
Remarks (if Any) :
Inspected By Inspector Stamp QA/QC Stamp
Name: Mohamed Yasir
Qualification: LEEA & NDT LEVEL II

Signature:
Name and address of employer of persons making and reviewing this report:
AlMansoori Inspection Services ,P.O.Box: 3599 ,Al Khobar 31952 ,KSA, Email:mis@almansoori.biz, Web: www.almansoori.biz

This certificate is granted subject to the condition that is understood and agreed that nothing herein contained shall be deemed to relieve any designer,
manufacturer, seller, repairer or operator of any warranty, expressed or implied and AlMansoori liability shall be limited to the willful negligence or deliberate
omissions of its employees. Under no circumstances whatsoever, shall AlMansoori be liable for any injury or damage to any person occurring by reason of
negligent operation or any defect in materials, machinery, equipment or other items other than those defects ascertainable by normally accepted testing standards
and only those items actually inspected by AlMansoori and which are covered by this certificate.

F. 836
Rev. 03
28.11.2018
ALMANSOORI INSPECTION SERVICES
PNEUMATIC POWER OPERATED WINCHES CHECKLIST
Identification No : 12-2882-00001 Report Number : 5010051897-WH-006 Date of Inspection : 20-Mar-2022
Client name : ADVANCED ENERGY CL No : 38 WI No : 43
SYSTEMS
Inspection shall be compliance with ASME B 30.7 and Aramco SWIM and General Safety features
SR# Inspection check points Status Remarks
Certification information
1. Proof load test certificate Yes
2. Recent periodic inspection record condition of the winch. Yes
3. Last thorough visual examination & NDT report Yes
4. Declaration of conformity Yes
5. Other (specify)
Physical markings
6. Winch rating Yes
7. Drum size consisting of barrel diameter, barrel length, and flange diameter Yes
8. Rope diameter(s) Yes
9. Rope speed in feet per minute (mtr/sec) at rated load on specified layer Yes
10. Power requirement Yes
Aramco SWIM design requirement
11. Hoist operating lever which will come neutral from any operating position Yes
12. Air hoist is equipped with a quick action air supply isolation valve Yes
13. SWL on hoisting lines, slings, and fittings not exceeding SWL recommended by OEM Yes
Air hoist cable not terminated with "Flemish Eye,” "Farmer's Eye,” or "Rig Operator's Standby,” Yes
14.
or any other knot.
15. Air hoist cable not entangled with the derrick structure attachments and the TDS System Yes
16. Provision of brake. Yes
17. A clutch capable of disengaging the drum shall not be fitted. Yes
18. Air hoists equipped with line guards/guides. Yes
19. The hoist shall be fitted with an emergency stop device. Yes
20. Specific written instructions Yes
21. Welded name on winches frames “Air hoist” Yes
Inspection & test
22. Control mechanisms for proper operation OK
23. Limit devices for proper operation OK
24. Deterioration or leakage in air or hydraulic systems OK
25. Ropes for excessive wear, damage, or distortion (Refer ASME 30.7 Sec 7-2.4.2) OK
26. Ropes shall be away from mast structure OK
27. Rope end securement and fittings at the working end OK
28. Indication of loose, damaged, or missing structural components OK
29. Indication of loose, damaged, or missing supports and anchorages OK
30. Any additional items specified by the manufacturer OK
31. Any adjustments and repairs by unauthorized person N/A
32. Replacement parts from different manufacturers N/A
33. Control and drive mechanisms for improper adjustment N/A
34. Control and drive mechanisms for excessive wear N/A
35. Tubing, piping, electrical cables, or hoses and their fittings for damage N/A
36. Fluids for adequate condition and supply N/A
37. Gearboxes and lubrication systems for oil level N/A
38. Gearboxes and lubrication systems for clogged filters N/A
39. Hydraulic oil reservoir for proper level(s) N/A
Operational Tests in no load conditions
40. Drum rotation , Clutches, brakes, and pawls, Limit devices and all other aids OK
Load test
41. Minimum of five wraps of rope on the drum during the load test. N/A
42. The load shall be applied to the winch and held by the winch brake(s). N/A
43. Load test for 100% SWL (Periodic load test ) N/A
44. Proof test for 110-125% SWL (New, repaired or altered Winches) N/A
45. Photo of the load cell with reading (if load test conducted) N/A
Comments & Observations (that could become a potential hazard and/or danger to personnel)

Inspector name and signature: Mohamed Yasir


ALMANSOORI INSPECTION SERVICES
LIFTING EQUIPMENT THOROUGH EXAMINATION REPORT
This report complies with the requirements of the Lifting Operations and Lifting Equipment Regulations 1998

Report Number: 5010051897-WH-007 Date of Report: 20-Mar-2022


Job Allocation No: 5010051897 Type of Inspection: Visual & Function Test
Name and Address of Owner Place of Inspection Sub location
ADVANCED ENERGY SYSTEMS ADES-157 Sub base-DS
Due Date of Next Date of Last Load Due Date of Date of Last
Date of Inspection
Inspection Test Next Load Test Inspection
20-Mar-2022 19-Jun-2022 05-Jul-2021 04-Jul-2022 04-Jan-2022
Safe Working
Owner ID Description of Lifting Equipment Load Applied
Qty. Load (Specify Units)
(Specify Units)
Sub Base Winch and Foundation (DS)
White Sticker No: 210637 42770 lbs N/A
Motive Power: Pneumatic
Model: 540 Manufacture Year of
12-2882-00002 1
Wire Rope Details: Single leg wire rope sling terminated Name Manufacturing
with Open spelter one end and other end closed spelter.
Diameter: 56 mm & Length: 145.6 ft. Lantec Unknown
SN: H-3254, SWL: 13.1 t.
Applicable Reference Standards : ASME B30.7
Applicable Reference Regulations: SWIM Sec.39
Colour Code: White till the end of March, then Green
NDT Details (if Any): MPI valid up to 04-Jul-2022.
Test Equipment Details: N/A
Is this the first examination after installation or assembly at a new site or location? : Yes☐ No☒
If the answer to the above question is YES, has the equipment been installed correctly? Yes☐ No☐ N/A ☒
Was the examination carried out Within an interval of 6 months? Yes☒ No☐
Was the examination carried out Within an interval of 12 months? Yes☐ No☒
Was the examination carried out In accordance with an examination scheme? Yes☒ No☐
Was the examination carried out After the occurrence of exceptional circumstances? Yes☐ No☒
Identification and description of defect ,if any of any part found to have a defect which is or
None
could become a danger to persons : (If none, state NONE)
Is the above an existing or imminent danger to persons? Note-This is a reportable defect Yes☐ No☒
Is the above a defect which is not yet but could become a danger to persons? Yes☐ No☒
(If YES State the day by) Date:
Particulars of any repair, renewal or alteration required to remedy the defect identified above: None
Particulars of any tests carried out as part of the examination(If none state NONE) Visual & Function Test
IS THIS EQUIPMENT SAFE TO USE? YES☒ NO☐
Remarks (if Any) :
Inspected By Inspector Stamp QA/QC Stamp
Name: Mohamed Yasir
Qualification: LEEA & NDT LEVEL II

Signature:
Name and address of employer of persons making and reviewing this report:
AlMansoori Inspection Services ,P.O.Box: 3599 ,Al Khobar 31952 ,KSA, Email:mis@almansoori.biz, Web: www.almansoori.biz

This certificate is granted subject to the condition that is understood and agreed that nothing herein contained shall be deemed to relieve any designer,
manufacturer, seller, repairer or operator of any warranty, expressed or implied and AlMansoori liability shall be limited to the willful negligence or deliberate
omissions of its employees. Under no circumstances whatsoever, shall AlMansoori be liable for any injury or damage to any person occurring by reason of
negligent operation or any defect in materials, machinery, equipment or other items other than those defects ascertainable by normally accepted testing standards
and only those items actually inspected by AlMansoori and which are covered by this certificate.

F. 836
Rev. 03
28.11.2018
ALMANSOORI INSPECTION SERVICES
PNEUMATIC POWER OPERATED WINCHES CHECKLIST
Identification No : 12-2882-00002 Report Number : 5010051897-WH-007 Date of Inspection : 20-Mar-2022
Client name : ADVANCED ENERGY CL No : 38 WI No : 43
SYSTEMS
Inspection shall be compliance with ASME B 30.7 and Aramco SWIM and General Safety features
SR# Inspection check points Status Remarks
Certification information
1. Proof load test certificate Yes
2. Recent periodic inspection record condition of the winch. Yes
3. Last thorough visual examination & NDT report Yes
4. Declaration of conformity Yes
5. Other (specify)
Physical markings
6. Winch rating Yes
7. Drum size consisting of barrel diameter, barrel length, and flange diameter Yes
8. Rope diameter(s) Yes
9. Rope speed in feet per minute (mtr/sec) at rated load on specified layer Yes
10. Power requirement Yes
Aramco SWIM design requirement
11. Hoist operating lever which will come neutral from any operating position Yes
12. Air hoist is equipped with a quick action air supply isolation valve Yes
13. SWL on hoisting lines, slings, and fittings not exceeding SWL recommended by OEM Yes
Air hoist cable not terminated with "Flemish Eye,” "Farmer's Eye,” or "Rig Operator's Standby,” Yes
14.
or any other knot.
15. Air hoist cable not entangled with the derrick structure attachments and the TDS System Yes
16. Provision of brake. Yes
17. A clutch capable of disengaging the drum shall not be fitted. Yes
18. Air hoists equipped with line guards/guides. Yes
19. The hoist shall be fitted with an emergency stop device. Yes
20. Specific written instructions Yes
21. Welded name on winches frames “Air hoist” Yes
Inspection & test
22. Control mechanisms for proper operation OK
23. Limit devices for proper operation OK
24. Deterioration or leakage in air or hydraulic systems OK
25. Ropes for excessive wear, damage, or distortion (Refer ASME 30.7 Sec 7-2.4.2) OK
26. Ropes shall be away from mast structure OK
27. Rope end securement and fittings at the working end OK
28. Indication of loose, damaged, or missing structural components OK
29. Indication of loose, damaged, or missing supports and anchorages OK
30. Any additional items specified by the manufacturer OK
31. Any adjustments and repairs by unauthorized person N/A
32. Replacement parts from different manufacturers N/A
33. Control and drive mechanisms for improper adjustment N/A
34. Control and drive mechanisms for excessive wear N/A
35. Tubing, piping, electrical cables, or hoses and their fittings for damage N/A
36. Fluids for adequate condition and supply N/A
37. Gearboxes and lubrication systems for oil level N/A
38. Gearboxes and lubrication systems for clogged filters N/A
39. Hydraulic oil reservoir for proper level(s) N/A
Operational Tests in no load conditions
40. Drum rotation , Clutches, brakes, and pawls, Limit devices and all other aids OK
Load test
41. Minimum of five wraps of rope on the drum during the load test. N/A
42. The load shall be applied to the winch and held by the winch brake(s). N/A
43. Load test for 100% SWL (Periodic load test ) N/A
44. Proof test for 110-125% SWL (New, repaired or altered Winches) N/A
45. Photo of the load cell with reading (if load test conducted) N/A
Comments & Observations (that could become a potential hazard and/or danger to personnel)

Inspector name and signature: Mohamed Yasir

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