SUNIL KUMAR

COMPETENT PERSON UNDER THE FACTORY ACT 1948

(UNDER SECTION 21(2), 28, 29, 31)
REPORT OF TESTING/EXAMINATION OF LIFTING EQUIPMENT
(Under Section 29 of Factories Act 1948, Rule 60-A of Haryana Factory Rules, 1952)

1. Name of Factory. : M/S Classic Civil Engineers

Private Limited
2. Address of the Factory : IMT Rothak Haryana

3. Distinguishing No. or mark if any and description Mobile Crane

sufficient to identify the lifting machine, chain, rope, : Item ID. No.:- CCEPL/MC-01
of the lifting tackle Model No. Ace MTC 2418
Chassis No 1913327, Engine no S433A18949
Capacity:- 1.6 Ton
Reg. No.HR 55K6476
Location: -MSIL Plant Rothak

4. Date when the lifting machine chain, rope : As per factory record
or lifting tackle was taken into use in
The factory.
5. Date and No. the certificate relating to : As per manufacturer T.C.
rules (1) & (7) together with the name and
address of the person who issued the
Certificate.
6. Date of each periodical thorough examination
made under clause (iii) of clause ‘a’ of sub : D.N.A
section (1) of section 29 of the Act and sub
Rule (6) and by whom it was carried out.
7. Date of annealing and other heat treatment : Not Applicable
of the chain other lifting tackle, made under
Sub rule (5) and by whom it was carried out.
8. Particulars of any defects affecting safe : No defects observed.
working load found at any such thorough Found OK.
examination or after annealing and steps
Taken to remedy such defects.

I certify that on 05.04.2023 thoroughly examined the above-mentioned lifting machine and that the
above is a correct report of the result.
Next test Date 04.10.2023

Sunil Kumar
Competent Person
(Memo No. 3449-89, Dated 17.08.2021)

OFFICE- HSIIDC SHOPPING COMPLEX, SHOP NO.88, SECTOR-53, PHASE-1,

HSIIDC KUNDLI-131028, SONIPAT (HARYANA), Mobile: 9828017851, 9982377770, 9996331837 |
Email: qms.india@qmsil.co.in, qms.india@hotmail.com