CERTIFICATE OF THOROUGH EXAMINATION

This report complies with the Lifting Equipment Engineers Association Technical requirement

Date of Thorough Examination: 02/01/2023 Date of Report: 02/01/2023 Report Number: CR A0101/01
Name and Address of employer for whom the thorough examination Address of premises at which the examination was made:
was made:
‫شركة محمد عبد المحسن الخرافي واوﻻده ) محطة معالجة الصرف الصحي‬ ‫الشرقية – القصاصين‬
(‫بقصاصين اﻻزهار‬
identification Description of the equipment: Date of last
of the SWL thorough
equipment : examination:

Tripod
Manufacturer Name: CAMP
1228391 Wire Diam. 4 mm 180 KG
Rope Length: 30 m N/A
Winch & Legs with Same Serial Number
Date of Manufacture: 03.2021
Was the examination carried out:
Is this the first examination after
YES NO Within an interval of 6 months? YES NO
installation or assembly at a new
site or location? Within an interval of 12 months? YES NO

In accordance with an
If the answer to the above question YES NO YES NO
examination scheme?
is YES has the equipment been
After the occurrence of
installed correctly? exceptional circumstances?
YES √ NO

Applicable Reference Standard. :- BS EN 795:2012

Identification of any part found to have a defect which is or could become a danger to persons and a description of the defect:
(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 by: ----
(If YES state the date by when)
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 INSPECTION & FUNCTION TEST

Observations / additional comments relative to this thorough examination

NONE
IS THIS EQUIPMENT SAFE TO OPERATE? YES √ NO
Name & Qualifications of person Name of person signing or Latest date by which next thorough
making this report: authenticating this report on behalf of examination must be carried out:
the author:
MOHAMED H. ELSHAZLY GAMAL SALEM 01/07/2023
Name and address of employer of persons making and authenticating this report:

Creative Services Company

H. Office: 28 St. Nabil Khatab –Haram District- Giza, Egypt
Web Site: www. my-creative.com - Email: mohamed.creative20@gmail.com - Mob: +2 01090957931