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IB-085

CERTIFICATE OF EXAMINATION AND TEST OF AIR COMPRESSOR WITH


AIR RECEIVER
CERTIFICATE NO: AC/C3 JOB NO: ASC-18-0873

CLIENT NAME & ADDRESS:


LUXURY CARTS ARABIA AUTO GENERAL REPAIRING, DUBAI, UNITED ARAB EMIRATES

LOCATION: ALQUOZ - INDUSTRIAL AREA, DUBAI, UNITED ARAB EMIRATES

MAKER OR SUPPLIER OF EQUIPMENT SURVEY REQUESTED BY: TYPE OF INSPECTION:


AIR COMPRESSOR : BLACK & DECKER MR. MAHFOOZ PERIODIC
AIR RECEIVER : BLACK & DECKER

Serial No: Design Pressure: Drive:


Year of Installation: ELECTRIC MOTOR
AIR COMPRESSOR :3155510319 AIR RECEIVER:
AIR RECEIVER :9101509008-3
2015 10.0 bar
Maximum Set Working Pressure: Model/ Type: Test Pressure: Automatic Pressure
7.5 bar RECIPROCATING TYPE 15.0 bar Load/Switch On: 5.5 bar
Capacity: Pressure Gauge Range: Test Duration: Automatic Pressure
AIR RECEIVER : 24 L 0-16.0 bar 30 Min Load/Switch Off: 7.5 bar
Working
Safety Valve Set Pressure: Safety Valve Type: Shell Thickness:
Temperature:
8.0 bar SPRING LOADED 2.8 mm
-10̊ C To + 90̊ C
Temperature Gauge:
Equipment Description : AIR COMPRESSOR WITH HORIZONTAL AIR RECEIVER
NOT FITTED
ASC Test Method No: ASC/ITP/11 ASC Test Equipment No: ASC/EQ/12

Standard Reference& Regulation: BPVC SEC VIII,DIV 1

Date Of Previous Inspection: 16/09/2016 Previous Inspection Done By:


Mirdif Security & Safety Consultants
Date Of Inspection & Test: 30/04/2018 Next Inspection & Test Due On: 30/04/2019*
*NOTE: THE CERTIFICATE BECOMES INVALID, IF ANY ALTERATION & MODIFICATION IS BEING DONE

INSPECTED BY: APPROVED BY:

JAYAKRISHNAN
THIS IS TO CERTIFY THAT THE UNDERSIGNED, A COMPETENT REPRESENTATIVE, DID, ATTEND TO EXAMINE THIS EQUIPMENT IN ACCORDANCE TO THE AFOREMENTIONED STANDARD
TO ASCERTAIN ITS SAFE WORKING LOAD/MAX. WORKING PRESSURE AND THAT THE EXAMINATION INDICATED THAT THE SAID EQUIPMENT HAS NO INDIGENOUS INJURY OR SIGHTED
DEFORMATION AND THE SAFE WORKING LOAD/MAX. WORKING PRESSURE OF THE SAID EQUIPMENT AS EITHER IDENTIFIED OR TEST PROOF LOADED /HYDRAULIC PRESSURE TESTED IS
SHOWN. THE EQUIPMENT IS SATISFACTORY FOR ITS INTENDED USE WITHIN THE LIMITS SPECIFIED AND AT THE TIME OF INSPECTION WAS FOUND TO BE SATISFACTORY FOR FURTHER

USE, PROVIDED THERE IS CONTINUOUS MAINTENANCE APPLIED, IMPLEMENTATION OF OUR REMARKS & RECOMMENDATIONS AND QUALIFIED OPERATORS EMPLOYED.

CERTIFICATE IS GRANTED SUBJECT TO THE CONDITION THAT IS UNDERSTOOD AND AGREED THAT NOTHING HERE CONTAINED SHALL BE DEEMED TO RELIEVE ANY
DESIGNER,MANUFACTURER,SELLER SUPPLIER,REPAIRER OR OPERATOR OF ANY WARRANTY,EXPRESS OR IMPLIED.THIS INSPECTION IS NOT INTENDED AS GUARANTEE AGAINST FAILURE
OR MALFUNCTION.NO LIABILITY FOR USE,OPERATION AND FOR ANY HIDDEN DEFECTS OR INFORMATION RELATED TO THE EQUIPMENT AND INSPECTION DONE IS ASSURED BY THE
INSPECTOR OR TEAM ADMIRAL SAFETY CONSULTANTS FOR ANY LIABILITY ARISING OUT OF ERRORS OR OMISSIONS WHICH MAY BE CONTAINED IN SAID DOCUMENT AND IN
CONNECTION WITH ANY ACTIVITIES FOR WHICH IT MAY PROVIDE. THIS CERTIFICATE SHALL NOT BE REPRODUCED EXCEPT IN THE FULL WITHOUT WRITTEN APPROVAL OF THE ADMIRAL
SAFETY CONSULTANTS AND THE RECEIVING CLIENT.

Office No.M06 Sara Building – Algarhoud – Deira – Dubai - UAE, Tel: +971 4 2899389, Fax: +971 4 2840557, P.O.Box:125218
admin@admiralsafetyconsultants.com , www.admiralsafetyconsultants.com

1|Page Doc.No.ASC-ACR-C-52E (Rev.0) (04/04/2017)


CERTIFICATE NO: AC/C3 JOB NO: ASC-18-0873

DOCUMENTATION A B C REMARKS
EQUIPMENT MANUFACTURER’S INSTRUCTION &
OPERATIONAL MANUAL & LAST TEST REPORT/ 
CERTIFICATE/ MANUFACTURING DETAILS AVAILABLE.3
VISUAL &FUNCTIONAL TEST
PRESSURE GAUGES 
CORROSION 
LUBRICATION 
SUPPORT 
PAINT/ STRUCTURE & SURFACE 
PIPE CONNECTIONS (SUPPORTS) 
WORKING ENVIRONMENT 
FOUNDATION /FOOTING & ANCHORAGE 
SAFETY VALVE SET PRESSURE 
VALVES 
AIR FILTER /AIR DRYER 
CASING / WELDING 
ATTACHMENT 
FITTINGS 
OIL LEVEL 
AREA HOUSE KEEPING 
EARTH GROUNDING CONTINUITY 
POWER CABLE & WIRING CONDITION 
GENERAL CONDITION 
PRESSURE/ HYDRO STATIC TEST
PRESSURE TEST 
AUTOMATIC PRESSURE LOAD SWITCH ON/ OFF 

A-SATISFACTORY B-NOT SATISFACTORY C-NOT APPLICABLE

RECOMMENDATION/ REMARKS

 SATISFACTORY AT THE TIME OF INSPECTION

Office No.M06 Sara Building – Algarhoud – Deira – Dubai - UAE, Tel: +971 4 2899389, Fax: +971 4 2840557, P.O.Box:125218
admin@admiralsafetyconsultants.com , www.admiralsafetyconsultants.com

2|Page Doc.No.ASC-ACR-C-52E (Rev.0) (04/04/2017)

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