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LOADING PLATFORM

Date of thorough examination: Date of report: Report No.: Date of last


09/04/2022 09/04/2022 HSEI-QE-15-1/1419 thorough
Date of Expiry: Certificate No.: Work order No.: examination:
08/10/2022 HSEI-GIN-09-04-2022-SM-0001 7503 NA
Name and address of hirer/user: Name and address of owner:
GINCO CONTRACTING COMPANY LLC GINCO CONTRACTING COMPANY LLC
Site No-GS-332, MARYAM ISLAND, SHARJAH- UAE Site No-GS-332, MARYAM ISLAND, SHARJAH- UAE
Contact Person / Contact Number
Mr.Ajikumar
Distinguishing Description and Identification of the Equipment Safe Working Proof Load Date of Date of Last
Mark Load manufacture Thorough
Examination
MATERIAL LOADING PLATFORM
Construction of two projected steel
beams with steel decking, hand and mid
rail provided, supported with 24 props
support to the slab.
LP-03 Length : 2.40m 1000kg 1250kg NA NA
Width : 2.00m
Height : .1.20m
Elevation : Grid (2-3)(F-2G)
A-1 Building
Floor : 5th
Examination after installation/assembly at new location: NO State if any parts were inaccessible:
Periodic Examination 6-monthly: YES
Periodic examination of 12-monthly: NONE
Examination following alteration/repair Particulars of other tests carried out during this thorough
or exceptional circumstances: NO examination:
Is the equipment installed correctly: YES Is the equipment safe to operate: YES
Particulars of any defects for which repair, renewal or alteration is required, Date (time) the defect must be rectified:
which are, or could become a danger to persons:
I hereby declare that the equipment described in this report was thoroughly examined and was found to be free from any defect likely to
affect safety. (unless otherwise stated above) and that the particulars are correct.
Name of competent person: Signature: Job title/qualification
Eng. Subhin M.P. TEST ENGINEER
Name of authenticating person: Signature Job title:
Eng. Soby Thampy TECHNICAL MANAGER

The next thorough examination will be due on or before: 08/10/2022


This inspection is carried out in accordance to: DM COCSP, PUWER, LOLER

At the time of inspection this equipment was deemed to be fit or it’s intended use. However, HSEI MIDDLE EAST accepts no liability, whatsoever, for any
damage, loss or injury form the misuse or potential failure of the above equipment. or occurring by reason of negligent operation or any defect in materials,
machinery, equipment or other items other than such defects ascertainable normally
HSEI Middle East
Checklist for the Inspection of Loading platform

S/ Inspected Components Condition Remarks


N (P) (F)
1 any cracks visible
P
2 all connection points and bolts in place and good
condition P

3 Jack condition
P
4 Platform in general good and safe condition
P

5 Structure sound and platform to be free of residue


P

Legend : P=PASSED F= FAILED

Verified:

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