FORM 8 MINISTRY OF MANPOWER, SINGAPORE LE Registration No. NAOONPAG | WORKPLACE SAFETY AND HEALTH ACT 2006 UEN of Owner. : 2010021172 WORKPLACE SAFETY AND HEALTH (REGISTRATION AND OTHER — | Workplace No. _: SERVICES FEES AND FORMS) REGULATIONS CERTIFICATE OF TEST/THOROUGH VISUAL EXAMINATION OF LIFTING EQUIPMENT (LE)* Owner of Lifting Equipment Factory Occupier and Location of Lifiing Equipment HSL GROUND ENGINEERING PTE. LTD. 42D PENJURU ROAD HSL WATERFRONT @ PENJURU SINGAPORE 609162 ‘At various locations Paniculars of Lifting Equipment ‘Type and Description 12 Mobile Crane - Crawler Mounted Fixed lassificaion Code 612 Lining Equipment oom Length V9 Brand Name “" SANYSCC85OA Distinctive No 73 Country of Orga Date of Manufacture Source of Power: Diesel Engine First Registration Date Max. Safe Working Load = 4800 Kg ~_____ Max. Boom LengthiSpan Owners" Length of Fly Referenceivehice iby xtension Registration No. Particulars of Last Load Test Sate oft Test OTR Hs Teitsad 000 a) (2) (3) (4) (5) (6) Fai a Teatood al 2308 [ 16508 oon 000 Sete Werkng ood bg) sano | a200 [soon [00 Comments/Observations 1. Inspected at Certis Centre 20 Jalan Afi 2. Current configuration; boom length 30m, main block with 4 part lines and aux hook, 3.Col. 1 & 2: main block; Col. 3 & 4: Aux hook. 4, Data logger installed and in working condition with safety devices. | cetity thet on 26/0912022 the liting equipment described inthis certificate was examined thoroughly by me, as far as is ‘constriction permits, and this is @ true report of my examinations. further criy thatthe iting euipment compli inal respects withthe requirements pertsning toting equipment 2s "pulatod the Workplace Safely and Fath (ceneral Provision) Regulations, and af he egultions made tereunde! nats sate for ose Expiy daleof | Dale of Pivot Sahicte Certcate «Ling Eaimantmears Liling Gear, iting Agplane, Lig Machine Lt an Hoist at dened unter te Wevtace Sa Progeans) Repulions, ENStncie amber rte oe lentfeaton NumbedSeril Number ated othe eau byt manure“S= WSE PROFESSIONAL ENGINEERS PTE LTD on Owners Name 5 HSL GROUND ENGINEERING PTE LTD [ CHECKLIST FOR TESTING AND INSPECT Site Location “kt Various locations Name of Appraved Crane Contractor/Erector + AS per Owner See + BON NOR Enea: | SNRSRT | RI [FS TY SN Tame — sources lusmto017464 | SANY'SCCBSOA | 26:09.2022 | Signature wen EC TAN, 402 saeiese Signe 3H Tem YUNA] Rear | Th Soigaraon aera wih Te man TS RSTO ¥ 2 | Boom sections inducing ie fy A) Have donation markings 8) __A a the same lace ype 3 | Boom aectons stetual neg Boom sections incding ihe fy jb shaw no ign of Signicant thinning hai may care haem | Y to undergo tickese 2099 5 | Pins or connecting ‘osteners used are ted wih Safety pins or locking pins y 8 thee fom any defects tat affect their serviceable use. ¥ y ¥ (eeving companenis afd seated nealy on the dium 3] Rope guards o ober stable davies are Wied Wo preven the Topas om elpag Oikos steaves ad are om ay detec {0° | We portance deg toe Ro eS a ono al ay NOSIS ¥ situa neg. 1 | Boom angle cisions proved ala suite ocaion ¥ Y ¥ 12 | Self safe working load chars or ebes is povided forthe use f the cane opera: Hydraulic system's ree fom any oilieaks Brake and clich mechanisms are in ood working order % “TB. | Wachine base is tree Fom deiecls and corrosion tal may affec We eivctual iniepriy ¥ " 16 | Balesis and counterweiahis are properly secured WA | 48. | Outriggers ere fre from defects and corrosion thei may affect their etucturelinlegry NA “Zo | Wire ropes are rae fom wear, damaga, corrosion and patent detects ¥ Meee eee nie ae uae: Email: wse@wse.comsg Tel: +65 64416998Yi cons 16 archos era sealed sete x [Slewing system s capable of smooth slate and slop various operating conditons, y ‘Siewing system is provided wih a postive mechanical lock to keep the crane eueture fy | -Y | Hl In postion wen weveling 26" | Dericking limiter provided fo Siopiwara Boom Ge | “| maximum allowable angle Pete 27_| Aniicwo block deviee is provided and in good working condition y 28] LRIwith warning signals installed and in good working condition and the ealibration y cerca is st vals, ‘Valid copy of LM certificate i displayed inside the cabin. oad tet camied out atthe maximum and minimum radus indicated in the load chert and sith the correc tes! weights (Otherwise specity actual radi and test weights usec) Operators cabin sin serviceable condition ‘32° | Contals ate checked tor covreel Senifiction and function. ‘35 | Appreved fre extingulghér ie provided ate location accessible tothe operat. Refer Owner 34° | Operators io is keptin the operators cabin and has been duly updated eter Owner 38 | The cian is win ts maximum allowable cenvice ie as flows 2022 Design Safe Working Load” Max_Senice Lie panasain: = sono 20 car 5000 g« 10,0009 25yenr > 00 00% soyeare ‘36le'N’ please complete fem 95 —41.The Authorised Examiner shal roll the Misty of Manpower any em Below ie Tu with “Approval as been granied io extend the use of ie ane by the approving Body (iarhe oF | approving body), “a7 | Expiry date (inrlyyyy oT he exiension has Been granted by the approving basy (provide the | date of extension). pectin reg ‘Amaintonanoe erthe Grane, : ‘Operators log hes been duly recorded by the crane operator ater each oparaton and Includes at least the folowing details ‘AY Opafator Nama: 8) Ost of Operation: C) Stat and end tie of operation ané 0) Worn loa ted (tors) and numberof fs per eed Mies. 7] Malitanance or repair forthe mobile cre nas been duiy recorded in a malnienaines log and Includes at least the folowing deta: 1) Date of maintenance reat, 8) Type of maintenance or rena, C) Name of maetonance or re personnel (ther Remar: ile Te Zn hailed ad ged a nobing ch hi eames aye adhe op oa ‘ore operat son tr © wanany esptsed orp apa checking fete! oneal vl eramiaton a sccei pei) |e) cent Fae ety ed cessor simran aera apn alte hoo aon Peer Ue I ceo R RE eter co a ee eee Ce one eau Rk