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: 5010024376-BL-001 Date of Report: 21-May-2020

Job Allocation No: 5010024376 Type of Inspection: Visual & MPI
Name and Address of Owner Place of Inspection Sub location
KCA Deutag Gulf Drilling Co. T907 MC Store
Due Date of Next Date of Last Proof Due Date of Date of Last
Date of Inspection
Inspection Load Test Next Proof Load Test Inspection
30-Nov-2018
21-May-2020 20-Nov-2020 N/A 16-Jan-2020
Cert: 1118-001-100
Safe Working Proof Load
Owner ID Description of Lifting Equipment Qty. Load Applied
(Specify Units) (Specify Units)

1000 lbs N/A

Barrel Lifter.
1118-014 1 Manufacture Year of
Model: 86 Name Manufacturing

Morse 2018

Applicable Reference Standards : ASME B30.20

Applicable Reference Regulations: N/A
Colour Code: Green till the end of September, then Orange
NDT Details (if Any): MPI Acceptable (Report No: 5010024376-MPI-001)
Test Equipment Details: AC Yoke: ACY-0059
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:
Particulars of any tests carried out as part of the examination(If none state NONE) Visual & MPI
IS THIS EQUIPMENT SAFE TO USE? Yes☒ No☐
Remarks (if Any) :
Inspected By Stamp QA/QC Stamp
Name: Mohamed Yasir
Qualification: LEEA &NDT Level II

Signature:
Name and address of employer of persons making and authenticating this report:
AlMansoori Inspection Services ,P.O.Box: 109442 ,Abu Dhabi,UAE, 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 wilful 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
LIFTING EQUIPMENT THOROUGH EXAMINATION REPORT
This report complies with the requirements of the Lifting Operations and Lifting Equipment Regulations 1998

Report Number: 5010024376-BL-002 Date of Report: 21-May-2020

Job Allocation No: 5010024376 Type of Inspection: Visual & MPI
Name and Address of Owner Place of Inspection Sub location
KCA Deutag Gulf Drilling Co. T907 Rig Site
Due Date of Next Date of Last Proof Due Date of Date of Last
Date of Inspection
Inspection Load Test Next Proof Load Test Inspection
18-May-2018
21-May-2020 20-Nov-2020 N/A 16-Jan-2020
Cert: 0518-37-001-100
Safe Working Proof Load
Owner ID Description of Lifting Equipment Qty. Load Applied
(Specify Units) (Specify Units)

1000 lbs N/A

Barrel Lifter.
0518-37 1 Manufacture Year of
Model: 86 Name Manufacturing
Morse 2018n
Applicable Reference Standards : ASME B30.20
Applicable Reference Regulations: N/A
Colour Code: Green till the end of September, then Orange
NDT Details (if Any): MPI Acceptable (Report No: 5010024376-MPI-006)
Test Equipment Details: AC Yoke: ACY-0059
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:
Particulars of any tests carried out as part of the examination(If none state NONE) Visual
IS THIS EQUIPMENT SAFE TO USE? Yes☒ No☐
Remarks (if Any) :
Inspected By Stamp QA/QC Stamp
Name: Mohamed Yasir
Qualification: LEEA &NDT Level II

Signature:
Name and address of employer of persons making and authenticating this report:
AlMansoori Inspection Services ,P.O.Box: 109442 ,Abu Dhabi,UAE, 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 wilful 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