‫الــفـــريــــق الســتــشــــارات الســـالمــــة‬

TEAM SAFETY CONSULTANTS

EXAMINATION AND TEST OF ENGINE GENERATOR

Job No.: Certificate/Report No.:

Client Name & Address Name & Address of Maker or Supplier of Equipment:

Location: Survey Requested By: Type of Inspection

Model: Serial No.: Year of Manufacture / Installation:

Manufacturer / Owner Identification No: Drive: Power Rating:

Voltage Rating: Current Rating: Frequency:

DC Voltage: R.P.M: Power Factor:

TSC Test Method No.: TSC Test Equip. No.: Reference Regulations:

Date of Previous Test: Previous Test Done By:

Date of Test: Date of Issue: Date of Expiry:

Name and position of person who EQUIPMENT STATUS:

Carried out the inspection and test:
SATISFACTORY

NOT SATISFACTORY

_____________

Inspection Engineer

TSC-F-90F (Rev.05) (20/04/2019) Page 1 of 2

 TSC Approved by:
Labor Ministry, Dubai Municipality
Civil Defense – Dubai & Jebal Ali Free Zone Authority (Trakhees)
Member of Lifting Equipment Engineers Association (LEEA),
ISO 9001:2015 (QMS) Certified Company
Member of Scaffold & Access Industry Association (SAIA)
Institution of Occupational Safety and Health (IOSH)
Emirates International Accreditation Center ( EIAC- Dubai Municipality)
Accreditation Certificate No – 004 IB

TEAM SAFETY CONSULTANTS, TRADE LICENSE NO.500714, AL – GARHOUD, P.O.BOX: 112349, DUBAI – UAE, TEL: 042828868, FAX: 04-2865265

Continuation of Job No.: Certificate/Report No.

COMPONENTS A B C REMARKS
Equipment manufacturer’s instruction & operational
manual & last test report/certificate details available
Proper Grounding
Wiring Insulation
Vibrations
Panel Board
Automatic Sensors
Controllers
Meter
Emergency Stop Button
Safety Switch
Engine Lubrication
Caution / Warning Signs
Name Plate
General Condition
A – Satisfactory B- Not Satisfactory C- Not Applicable
RECOMMENDATION / REMARKS

TSC-F-90F (Rev.05) (20/04/2019) Page 2 of 2