‫م‬.‫م‬.

‫الــفـــريــــق الســتــشــــارات الســـالمــــة ذ‬

TEAM SAFETY CONSULTANTS L.L.C
004-IB

CERTIFICATE OF EXAMINATION AND TEST OF ESCALATOR

Job No.
Type of Inspection
Certificate No.

Client Name

Address

Equipment ID/Manufacturing or
Environment
Serial No.

Manufacturer Degree of Inclination

Year Manufactured/Installed Step Dimension

Main Driving Mechanism &

Rise/Height
Handrail Driving Mechanism
Direction of Travel (Floor
Theoretical Capacity
Served)

Rated Speed Attending Maintenance Co.

Date Of Previous Inspection & Test Date Of Inspection & Test Date of Issue Next Inspection & Test Due On Or Before

TSC Test Method No. TSC Test Equipment No. Standard Reference & Regulation

TSC/ITP/07 TSC/EQ/05, 07, 13, 16, 20, 21, 27 BS EN 115-1:2017

*Certificate becomes invalid, if any alteration/major repair/modernization made on the Escalator in which case it must be re-examined and re-tested.

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 and that the examination indicated that the said equipment has no indigenous injury or sighted deformation and the safe working load of
the said equipment as either identified or test proof loaded is shown. The equipment is satisfactory for its intended use within the limits specified and at the time of re-
inspection was found to be satisfactory for further use, provided there is continuous maintenance applied, implementation of our remarks & recommendations and
qualified operators employed.

Name and position of person who Authorized signatory authenticating

carried out the inspection and test: :this certificate

Eng. Umar Nazurudeen Eng. Kunhi Krishnan

Inspection Engineer Dy. Senior Inspector

CERTIFICATE is granted subject to the condition that is understood and agreed that nothing herein 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. Team Safety Consultants will not be held responsible for any damage to the equipments or parts after examination or accident due to improper
use. No liability for use, operation and for any hidden defects or information related to the equipment and inspection done is assumed by the inspector or Team
Safety Consultants. Any person not a party to the contract pursuant to which this document is delivered may not assert claims against Team 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 Team Safety Consultants and the receiving client.

TEAM SAFETY CONSULTANTS L.L.C, TRADE LICENSE NO. 500714, AL-GARHOUD, P. O. BOX: 112349, DUBAI -UAE,
TEL: 04-2828868,FAX: 04-2865265 EMAIL: info@tsc-uae.ae, WEBSITE: https://www.tsc-uae.ae/

TSC-F-17F (Rev.27) (28/01/2023) Page 1 of 3

Continuation of Job No.: Certificate No.:
ITEMS CHECKED
A- Satisfactory B- See remarks/recommendation C- Not applicable STATUS A- Satisfactory B- See remarks/recommendation C- Not applicable STATUS
Machinery Space (Driving and Return Station) A B C External A B C
Last inspection report/certificate Inclination
Maintenance records Adequate lighting at landings
Manufacturer instruction / operational manual Landing plates condition
Security of inspection covers and floor plates Warning/advisory signs and notices are in placed
Access to machinery spaces (driving and return) is safe and easy Balustrades panel condition
Machinery spaces light intensity sufficient Skirt panel condition
Provision for ventilation of machinery space Deck panel cover fitted properly and secured
Warning/advisory signs and notices are in placed Step/pallets condition
Stop switch function correctly Handrails condition
Main switch function and security condition Comb plate condition
Lighting and socket outlet power supplies arrangement correct. Skirt deflector devices properly installed and in good condition
Protection on openings in machinery provided Step demarcation provided and in good order
Protection guard for moving and rotating parts fitted and effective Dimension and operational clearance in order
Control cabinet components are labeled & protected Anti-climbing devices on outer decking in good condition
Lubrication or lubrication system adequate Protection guards adjacent to handrails/building structure
Cleanliness Barriers to prevent access of carts/luggage fitted and secure
Emergency stop buttons function
Drive Unit and Braking System A B C Alarm function
Driving machine condition Key-switch function and condition
Operational brake in working order
Drive brake condition
Auxiliary brake operation, if any, in working order Electrical Safety Devices A B C
Over-speed protection device Safety contact on access doors/traps/covers function
Protection for motor in condition and in working order Landing plate detection device in working order
Main drive chain condition Skirt Obstruction device
Hand winding device easy and safe to operate Step sagging device
Operating instruction (hand winding) available Step chain safety device
Missing/low step detector device
Electrical Installations and Appliances A B C Handrail entry device
Insulation resistance condition Broken handrail safety device
Earthing continuity Comb plate obstruction safety device
Electrical wiring method of installation and protection Drive chain safety device
Portable inspection control provided and in working order Phase protection device
Flexible cable of portable inspection control in good condition
Dynamic Test A B C
Internal A B C Hand rail speed: Left: m/min Right: m/min
Step chain condition Step Speed: m/min
Chain wheel axles condition Stopping Distance measured @ unloaded condition: mm
Chain wheel tires/roller condition Dubai Municipality Requirement Circular No.1 (2017)
Up thrust track condition Protection guard provided, adequate measurement and gap

Continuation of Job No.: Certificate No.:

TSC-F-17F (Rev.27) (28/01/2023) Page 2 of 3

 FINDINGS SECTION
Findings Target Date:

A. The following items found that needs to be rectified and/or arranged:

1.

B. At the time of installation there was no requirement with reference to a specific standard. For improving the safety of the existing
escalator, referring to the current standard BS EN 115, it is strongly recommended to consider adopting safety measures at least on
the following items below:

1.

Supplementary:
a. Periodic maintenance required as per the manufacturer instruction.
b. If any abnormal condition / sound observed from the equipment during the time of operation, the concerned person should be informed to the maintenance provider, client, building
maintenance and safety personnel.

Note:
a.Certificate becomes invalid in case of any major repair, modification and/or alteration on the design of the equipment; in which case it must be re-inspected and re-tested.
b.It is imperative that action be taken on the items mentioned in the subsequent pages and provides continuous preventive maintenance according to maker’s instruction.
c.In accordance with EIAC-RQ-IB-001, conditional based validity certificate is issued, Certificate become invalid in case of not rectify the finding within target date, in which case it must be
inspection again.
d.Thisis the client responsibility shall be respond / inform to TSC for the Re-inspection or submit the evidence within the target date given in the inspection certificate.
e.Thisis the client responsibility to adhere the supplementary points at all the time but not limited.

TSC-F-17F (Rev.27) (28/01/2023) Page 3 of 3