You are on page 1of 1

CERTIFICATE OF THOROUGH EXAMINATION

Date of Inspection : 12-07-2021


Certificate No. : LTG-IQ/B93585
Client's Name : Maraba Al Iraq Al Khadra'a Job No. : 2616
Address : Oil Operation Street, Near Police Training Reference Standard : BS EN 474-1:2006; BS EN 474-
Center Burjesia Basra : Iraq Basra : Iraq 61006 3:2006+A1:2009
Inspection Method : DOC/EMM/WL-03; ISSUE:01 /
Type Of Inspection : In-Service Inspection
REV 00; 03.08.2015

Site Name : Liftek Facility Sub Location :


Asset Serial Number
Or WHEEL LOADER Quantity CONDITION
Owner's ID
Description: Diesel Powered Hydraulically
CAT0962GP6HW006 Operated Wheel Loader c/w Fork and Pipe
74 Handling Attachment
Make: CATERPILLAR
Type / Model: 962G
Chassis No.: CAT0962GP6HW00674
Mfg. Year: 2010
01 ACCEPTABLE
Reg. No.: A7541- Basra

VALIDITY OF THIS CERTIFICATE CEASES IN THE EVENT THE


Due Date of Next Inspection
EQUIPMENT UNDERGOES A MAJOR REPAIR OR ALTERATION, IN
11-07-2022
WHICH CASE IT MUST BE RETESTED.

Details of Deviations/Omissions from original scope of work (if any): Details of Sub contracted work (if any):
NIL NIL
Equipment Used: Result: PASS

Name and Signature of Inspector :AHMED JIHAD Counter Signature

This is to certify that the above signed competent inspector has visually and functionally examined the equipment as per international standards.The
certificate has been prepared in accordance with requirements of EIAC requirements and shall not be reproduced except in full without the approval of the
inspection body and the client. No detail contained herein shall be deemed to relieve any designer, manufacturer, seller, repairer or operator of any warranty,
express or implied. Liftek Iraq's liability shall be limited to the acts or omissions of its employees, agents and subcontractors. Under no circumstance
whatsoever shall Liftek Iraq be liable for any injury or damage to any person or equipment occurring by negligent, incorrect operation or maintenance, defects
in material, wear and tear damages of machinery or other items related to the items covered by this certificate.

F/7.5/R53 Issue:01/Rev 01 18-12-2016

M1Q3H2Z

This is an electronically generated document and does not


require a stamp. Click/Scan the QR Code to verify

You might also like