FORMB MINISTRY OF MANPOWER, SINGAPORE WORKPLACE SAFETY AND HEALTH ACT 2008 WORKPLACE SAFETY AND HEALTH (REGISTRATION AND OTHER SERVICES FEES AND FORMS) REGULATIONS CERTIFICATE OF TEST/THOROUGH VISUAL EXAMINATION LE Rogistration No. UEN of Owner. = 2010021172 Workplace Ni OF LIFTING EQUIPMENT (LE una af Ring Equipment Faoy Oop and Loca ot Lng Equipment] HSL GROUND ENGINEERING PTE. LTD. AO PENI URUROAE At various locations SL WATERFRONT @ PENJURU SicaPone cosien ees [Paris of fing Egmont rae beseeier | ros puinaFrame- Hydraulic Ping Machine fasion Gedo 708 Brand Name ‘BAUER 8628 Distinctive No. Country of Origin, (GERMANY Date of Manufacture SouraofPoner Dias Engine Frat Region Date Wax Safe Vong Load 11000 Wax. Boom Lena Owner a0 Longin ot Fy Refrononvenie Setnen Particulars of Last Load Test Date ofLoad Test 25/08/2020 Max TestLoad 11500 kg a] @ 8 oO @ Test Load (ka) Safe Working Load eg) I ‘Commenis/Observations: Inspected at Jalan Afi ‘Aux hook SWL 4ion LT Son. Expiry date 6 months. | certiy that on 01/10/2022 the liting equipment described in this certificate was examined thoroughly by me, as far as is ‘consirvetion permits, and this Is a true report of my examinations, | further certify that the iting equipment complies in all respects withthe requitements pertaining to liting equipment as stipulated in the Workplace Safely and Health (General Provisions) Regulations, and al other regulatons made thereunder andis safe for use ONAL By Expiry Date of| Date of Print of Cortficate | __Certincate Hs ariwrnane | Saran ‘ FTE ESCAATORACCESS POR »siinsr2023 ‘osit0r2022 | TAN EE CHING ECTAN 4628 & = AE erase tte tn aL tee Se rae Leaf news nce: gh sey ‘nce Number Teter to he dericaton NunberSial Number aesignee the ogument by he manufacreaan Aaa AN WSE PROFESSIONAL ENGINEERS PTE LTD (CHECKLIST FOR TESTING AND INSPECTION BY AUTHORISED EXAMINER Owner HSL GROUND ENGINEERING PTE, LTD. site ‘At various locations LE Registration No. Inspection Date AE No. Neme 12496318 01.10.2022 Signature Ne : en sm tem stoportof checking | omar 1_| Wire ropes or chains Yes 2. | Lifting hooks eee Yes Zz 3 | Shackles Yes 4. | Rope drum Yes 5 | Ratchet and paw! NA z 6 | Rope pulleys and securing pins Yes 7 [Brat _ - | Yes — 8 fib a 9. | Safety devices including load-and-radius indicator 10 | Weldings or other fastening devices on structure 11_ | Framework (e.g. winch framework, pling framework, etc) 12 | Bearings 13 | shafts and axles 14 | Gears 16 | Safety guards 16 [End stops and limit-switches 17 | Beam 38 | Running Surfaces (as applied to runway) 19 | Driver's protection 20 | Jacking screws 21 | Outriggers Leaders (es applied to piling frame) Rails (as applied to piling Rai-wheels (as applied to piling frame) ‘mechenisms (as applied to piling frame} Pile-hammer Other Yes= tisfactory No = not satisfactory NA= not applicable