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CERTIFICATE OF THOROUGH EXAMINATION OF

EARTH MOVING EQUIPMENT

CERTIFICATE NUMBER: STICKER NUMBER: SAG-INS-2023-469-MS

CLIENT NAME: AL ASFAR TECHNICAL SERVICES LLC, SULTANATE OF


OMAN

DATE OF INSPECTION: 08.06.2023

NEXT INSPECTION DATE 07.12.2023

DETAILS OF PREVIOUS INSPECTION: SAG-INS-2022-724-5-MS dt 12.12.2022

PLACE OF INSPECTION: JAFNAIN

CODE / STANDARD: BSEN474-4 / SP 2275

DESCRIPTION OF MATERIAL/EQUIPMENT DIESEL POWERED SKID STEER LOADER


INSPECTED:
ITEM SR/NO/ID NO/REG NO: CHASIS NO 524 BK
MODEL AND SERIAL NUMBER 160 / JCB160WSV01604910

MAKE AND YEAR OF MANUFACTURING: JCB / 2011

ENGINE SERIAL NUMBER: 917698U

INSPECTION DETAILS: THOROUGH VISUAL AND FUNCTIONAL TEST CARRIED


OUT AND EQUIPMENT FOUND FIT FOR USE.
This is to certify that the under signed, a competent representative did attend to examine this equipment to ascertain
the safe working condition of the equipment. At the time of examination indicated, the said equipment has no
indigenous injury or sighted deformation. The equipment is safe for its intended use within the limits specified, provided
there is a continuous maintenance applied and qualified operators employed

Name and Qualification of the Name and Qualification of


Inspector: Authorized person

Marwan Al Busaidi Rajendra Jambukar

M/s SAG ALSAHRA TRADING AND CONTRACTING, Zaid building, Off No:403, Ghala Industrial, PO BOX No:124, PC:418, Muscat
Sultanate of Oman Tel:+968 24033282, Email inspection@sag-alsahra.com Web: www.alsahra.com
ANNEXURE
DESCRIPTION CONDITION
TYRE, RIM, WHEEL BOLTS AND AXELS/CRAWLER TRACK SATISFACTORY
ATTACHEMENTS SATISFACTORY
SAFETY DEVICES SATISFACTORY
BATTERY AND ITS CONNECTION SATISFACTORY
HUDRAULIC SYSTEM AND ITS HOSES WITH END FITTINGS SATISFACTORY
ELECTRICAL SYSTEM AND ITS CABLE SATISFACTORY
ENGINE CONDITION SATISFACTORY
STEARING FUNCTION SATISFACTORY
ALL CONTROL LEVER FUNCTION AND SYMBOLES LEGIBLE SATISFACTORY
CAPACITY PLATE IN PLATE AND LIGIBLE SATISFACTORY
ALL GAUGES IN CAB SATISFACTORY
OVERHEAR AND FOOT GUARD SATISFACTORY
EXAUST SYSTEM SATISFACTORY
HORN REVERSE HORN, BEACON LIGHT SATISFACTORY
LIGHT AND INDICATOR SATISFACTORY
SEAT AND SEAT BELT SATISFACTORY
PARKING BRAKES AND FOOT BREAK FUNCTION SATISFACTORY
FIRE EXTINGUSHER SATISFACTORY
GENERAL ACONDITION SATISFACTORY
DISPLAY MARKINGS (SWL, TYREPRESSURE, DATE AND DUE DATE) SATISFACTORY
DETAILS OF OMISSION FROM ORIGINAL SCOPE OF WORK (IF ANY) NOT APPLICABLE

Name and Qualification of the Name and Qualification of Authorized


Inspector: person

Marwan Al Busaidi Rajendra Jambukar

M/s SAG ALSAHRA TRADING AND CONTRACTING, Zaid building, Off No:403, Ghala Industrial, PO BOX No:124, PC:418, Muscat
Sultanate of Oman Tel:+968 24033282, Email inspection@sag-alsahra.com Web: www.alsahra.com

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