F-OPS-LC.06 /REV-02 te ufo LI eva s001 200 TEST AND THOROUGH EXAMINATION CERTIFICATE (MEWP) ‘The undersigned certificate issued according to LOLER, and International Standards. The test earied out under supervision of competent person, The test results are only assigned tothe particular tested items at the time of test, LUKOIL Mid Fast Ltd. (Basra Iraq) ‘Owner Name& Address Certifieate No LWOS/002-10/22 Exam Location WO2— Accommodation Arca | Examination Date 10 / 03 / 2022 Relevant Reference(s) BSEN 260:2013+A12015 | Examination Due Date 09 / 09 /2022 ‘Type of MEWP& MAN LIFT -TRUCK MOUNTED TELESCOPIC BOOM MEWP- Nature of Power DIFSFL/ HYDRAULIC POWER OPERATED i Rated Capacity 450 KG Serial Number 9785 Manufacturer Name CTE, ITALY MEWP Model BLIFTHR Date of Manufacture 2015 Chassis Number WMA39WZZ9FM669959- Platform Max Height 49.0m Reg. Plate/ID No A94516 IRAQ ‘Platform Max Reach: 34.6m Positioning of Horizontal SWL ‘Test Load Outriggers Reach (rm) 6) (KG) Load Test Table Fully extended 29.0 450 450 L ‘Applied Test 10096 of SWI (lad test), tobe Repeated afer Major Repair, Re Installation or Moeificatio. {ast Through Examination Date Sep021 Tan Prof ond TestDate Wipr 2006 Company Cer Pearl / 002-09°21 Company Cot Fetrlit/002.0136 Defects noted and alterations or repairs required before equipment A revert to the service. (If none enter “None”) aot cribed in this certificate was tested and thoroughly examined, ment found SAFE for use at time of examination. THIS IS TO CERTIFY THAT the above item de: the above particulars are correct, and Equi Examiner Name, Authenticating Person- Dats Of hese) Qualifications Signature QAIQC Name & Signature 10 Mar 2022 (SL ASNT LI Page (Tof 2) “ise mai li ee, anf norkigopeing contin ht ergot pectin maces si bein dw ay Kin major “wg mo akan new cvs we ote ere ny IRAQ - Basra - Al Tuwaisa - Tel : 00964 07807666675 @f@, apc kee eae me oS (isla) eH a info@petrolipatie cfo LIFE ‘ovat 10013120 Saat TE: ROU! \TION CER’ \TE ANI Tan ERTS rion ESN) [ Winn neratot oman? [Wes [Witiner esere Pa [ho a = scheme? 10 | circumstances? 10 | installed conectly? head Sanaa SO et in DoE ATO Fobee ot vin oe aE Woe Tiss GaN TTT nt a PONT A a ac ee key ro [Paseo era or atwen eau ody ne aoe dou sre Tere DESCRIPTION CONDITION COMMENTS tificatons (ID plate, safety, waming and information decals (legible) | SATISFACTORY king (SWI, max. wind speed, max. number of persons) SATISFACTORY, | Lights beacons, warning devies SATISFACTORY Alarms (il, deseent and tavel) Moment sensing tem —__[satisractory Limit switches (eg descent, load outreach, roaton)Load ensing tem | SATISFACTORY Lifting funetons (raise, lower, slew, ele-ou,telein) SATISFACTORY Travel funetons (Forward, reverse, ser, brakes) WA All switches, funtion conto (move Feely, do not sek) SATISFACTORY PLATFORM eps for accessgress Handrails, Tov board, non-slip and Saf Draining | SATISFACTORY, Seif-Closing, latching, inward opening gate o drop bar SATISFACTORY Anchoring points for Safety Harmess SATISFACTORY Platform control/emergency stop foot control _ SATISFACTORY Controls leary lal directional arows SATISFACTORY ‘Dead-man type controls that retum to neutral (off) position ‘SATISFACTORY Pe Ground controls (with emergency stop) switch that overide platform controls | SATISFACTORY ENGINE AND POWER SOURCE/HYDRAULICS. Fluid levels (engine oil coolant fue) SATISFACTORY uid Feakage on grown and around engine SATISFACTORY, Baty (electrolyte, seurity and charging plug conden) SATISFACTORY, Hydraulic fu evel AND Leaks (ose, pipe sonnetions, rams, inde) SATISFACTORY, SLEW RING, CHASSIS, BOOM AND SCISSOR BACK | s General condition (damage, miseligrment, corrosion), Cracks in wed SATISFACTORY Pins, tunes and chains (seer, sans of wear) SATISFACTORY ‘Canopies, guards, engine covers (security and condition) - ‘SATISFACTORY Slewing Mechanism, bolts condition and greasing SATISFACTORY WHEELS AND TIRES. ‘Whee security (nuts retainers: Tose, damaged missing) SATISFACTORY “Tyre pressure (pneumatic, foam filled or solid) ‘SATISFACTORY | _ Ee Cuts, splits, exposed braiding, damaged rims : ‘SATISFACTORY | OUTRIGGERS, STABILIZERS General coniton, pinsstines, fea SATISFACTORY Spreader plates (present, condition, sere Fore SATISFACTORY Tntriocks (functioning engeped) SATISFACTORY Date Of Issue Examiner Name, ‘Authenticating Person- fications Signature QAIQC Name & Signature 10 Mar 2022 “This Cees emala ai fr reser 2 ovine psaingcntion. sje to omens inspection mimensce util he estas dt wit ay Kr of mor Mlngs epi s orfuru ules tere we emits the alee de tan Von == Ba ay