a Marine & Offshore Division Third Party Inspection Report Page 1 of 4 INSPECTION REPORT Nr: BNE18-AR-094/01 Re yn Nr 5.0 Ciinitiat Cinterim Bx Finat_[) Resident Inspection requested by: Joe Curio Machinery Services Inspection performed as Recognised Authority: Yes. TU No BV Job Nr NIA. Project: Energy absorber lanyard 1PO Ref: nla BV Client: Joe Curio Machinery Services Plo nr: n/a Manufacturer/Vendor: Osprey. Pio nr:n/a ‘Sub-Vendor: v/a Inspection Location: Liftco workshop, Kuala belait Previous inspection: NA Taspection performed on: 25" April 2016 Next Inspection: 24" October 2018 MATERIAL / SUBJECT OF INSPECTION ITEM/TAG ]__ QTY Qiy Nr AsperP/O | Offered for © Refer to attachment section J instead inspection (indicate it separate material list is provided in attachment) ‘*_ Energy absorber lanyard (For Sky lift - SIC-SL-3653 (S-65) | 201800115 | 2sets 2sets 201800107 [A= INSPECTION RESULT |X] Satisfactory [J Satisfactory with comments Not Satisfactory (Without (Any of trailing Punch or Non Conformity (NCR raised during the inspection) comments) items is still open) Inspection Summary: (for details refer to section E) ‘* Based on inspections and tests of the equipment described above was found satisfactory at the time of inspection ‘Open Non TO Yes, details in section G Dd No Conformities: ‘Open Punch Ti Dien, clin ie a a ncemeneeeememael flo eemeneceneoaeananemesncamaajomest Items: Release Note Dd Yes, number(s): (Release note no, 40901) LI No Issued: BVStampings Llves, AB Love, & Surveyor to Bureau Veritas BV Surveyor: Andy Rosmanddy Hj Roslan GM-SI-101 INSPOO2-En Version 5.0 Copyright Bureau Veritas 05/2017 This template is intended exclusively when BV is acting as 3° party inspection body. The use of present template is forbidden in the frame of 2° party services where Client specification and tomplates must be used.Industry & Facilities Division Third Party Inspection Report Page 2 of 4 INSPECTION REPORT Nr: BNE18-AR-094/01 Revision Nr 5.0 BV Office: Bureau Veritas Brunei Inspection Report Date: 25/04/2018 Distribution: ‘Attachments Report: fY CLient 1] BV C] MANUFACTURER C1 Yes, details in section J DX] No LO) OTHER: " ‘Approval T Title Reference n’ Rev. |APPIO Approved by |Date Manufacturers tag = = 2 z Name me Position sales yaoi st ‘Andy Rosmand) Bureau Veritas Surveyor Bureau Veritas Brunel Torahim JCMS Supervisor Joe Curio Machinery Services rUSED peieever es: Equipment Identity n: Expiry Date Last Calibration Date Equipment Type GM-Si-101 INSPO02-En Version 5.0 Copyright Bureau Veritas 05/2017 This template is intended exclusively when BV is acting as 3° party inspection body. The use of present template is forbidden in the trame of 2* party services where Client ‘specification and templates must be used.Industry & Facilities Division Third Party Inspection Report Page 3 of 4 INSPECTION REPORT Nr: BNE18-AR-094/01 Revi in Nr 5.0 Description of the inspections carried out: Description 2 Energy absorber lanyard (for sky lift: SIC-SL-3653 [S-65]) Serial no 201800115, 201800107 (2 sets) Manufacturer 2 Osprey Manufactured date 2 01/2018 Material Polyster Model Type 2, OS 01k Date of last inspection Initial inspection Date of inspection 25/04/2018 Length : 65m Technical referenti BS EN 365 :2004 (_ NSPECTIONS AND TESTS - Reviewed of manufacturer's tag, information markings attached to the equipment + Thorough visual inspection was carried out - No significant defects or damage were found which would affect the safe working condition of the lanyard during inspection REMARKS = Pre-inspection on condition of the above equipment prior to use is compulsory NEXT INSPECTION, Visual 24 October 2018 di separat GM-SI-101 INSPOO2-En Version 5.0 Copyright Bureau Veritas 05/2017 This template is intended exclusively when BV is acting as 3* party inspection body. ‘The uso of present template is forbidden in the frame of 2° party sesvices where Client specification and tomplates must be used,Industry & Facilities Division Third Party Inspection Report Page 4 of 4 INSPECTION REPORT Nr: BNE18-AR-094/01 Revision Nr 5.0 [tem | Deseription stawe [Raised on [RPO [ciosedon | °° | Comments Figure 2. General view of energy absorber lanyard tag_ Figure 3. General view of energy absorber lanyard tag SDATTACHMENTS 1 Item | Attachment Name _| Total Pages Description GM-SI-101 INSPOO2-En Version 5.0 Copyright Bureau Veritas 05/2017 The use of present template is forbidden in the frame of 2 party services where Client ‘specification and templates must be used. This template is intended exclusively when BV is acting as 3° party inspection body.as Marine & Offshore Division Third Party Inspection Report Page 1 of 4 INSPECTION REPORT Nr: BNE18-AR-094/02 Revision Nr 5.0 Oinitial (interim Final _[) Resident Inspection requested by: Joe Curio Machinery Services Inspection performed as Recognised Authority Bai Yes. TNo BV Job Nr: NIA Project: Energy absorber lanyard 1PO Refi nla BV Client: Joe Curio Machinery Services Pio nr: nla Manufacturer/Vendor: Osprey Plo nr: nla ‘Sub-Vendor: n/a Inspection Location: Liftco workshop, Kuala belait Previous Inspection: NA ‘nspection performed on: 25” Apri 2018 Next inspection: 24” October 2078 MATERIAL SUBJECT OF INSPECTION TTEMTTAG Nr ]__ QTY ing AsperPiO | Offered for (0 Refer to attachment section J instead inspection. (Indicate it separate material list is provided in attachment) ‘© Full body harness (For Sky lift - SIG-SL-3653 (S-65) 201800378 2sets 2sets 201800387 A=INSPECTION RESULT 1K Satisfactory [] Satisfactory with comments D0 Not Satisfactory (Without {Any of trailing Punch or Non Conformity (NCR raised during the inspection) comments) items is still open) Inspection Summary: (for details refer to section E) * Based on inspections and tests of the equipment described above was found satisfactory at the time of inspection ‘Open Non 1 Yes, details in section BY No Conformities: Open Punch List [] Yes, details in section H EI No Items: Release Note Yes, number(s): (Release note no. 48992) ___[] No Issued: BVStamping: (Cl Yes, AB Yes, Y BJ No Surveyor to Bureau Ver 3 5) Reviewed by BV Surveyor: Ardy Rosmanddy Hj Roslan. BV Surveyor: GM-SI-101 INSPOO2-En Version 5.0 Copyright Bureau Veritas 05/2017 This template is intended exclusively when BV is acting as 3° party inspection body. The use of present template is orbidden in the frame of 2° party services where Client specification and templates must be used.Industry & Facilities Division Third Party Inspection Report Page 2 of 4 INSPECTION REPORT Nr: BNE18-AR-094/02 Revision Nr 5.0 BV Office: Bureau Veritas Brunei Inspection Report Date: 25/04/2018 Distribution: ‘Attachments Report: & cuient (1) BV [J MANUFACTURER C Yes, details in section J DB No OO oTnt ment section J inst Title Reference n* Rev. | Approval Manufacturer's tag Position ‘Andy Rosmanddy ‘Bureau Veritas Surveyor Ibrahim JCMS Supervisor Equipment Type Equipment Identity n’ GM-SI-101 INSP002-En Version 5.0 Copyright Bureau Veritas 05/2017 This tomplat is intended exclusively when BV is The use of present template is forbidden in the acting 282 party inspection body frame of 2 party services where Cent specification and templates must be used,Industry & Facilities Division Third Party Inspection Report Page 3 of 4 INSPECTION REPORT Nr: BNE18-AR-094/02 Revision Nr 5.0 Description of the inspections carried out: Description Full body harness (for sky lft: SIC-SL-3653 [S-65]) Serial no : 201800378, 201800387 (2 sets) Manufacturer 2 Osprey Manufactured date : 01/2018 Material Polyster Model type Class A, 05 08 Date of lest inspection Initial inspection Date of inspection, 25/04/2018 Technical referential 2 BSEN 365 :2004 (_ NSPECTIONS AND TESTS: - Reviewed of manufacturer's tag, information markings attached to the equipment = Thorough visual inspection was carried out inspection REMARKS = Pre-inspection on condition of the above equipment prior to use is compulsory NEXT INSPECTION Visual cl 24 October 2018 - No significant defects or damage were found which would affect the safe working condition of the harness during item | Description Status | Raised on ‘Comments GM-SI-101 INSPO02-En Version 6.0 This torplato is intondod oxclusivoly when BV is ‘acting as 3° party inspection body. Copyright Bureau Veritas 05/2017 The use of present tomplate is forbidden in the frame of 2* party services where Client ‘specification and templates must be used.Industry & Facilities Division Third Party Inspection Report Page 4 of 4 INSPECTION REPORT Nr: BNE18-AR-094/02 Revision Nr 5.0 tom | Deseription status [Raised on |e?" | closed on | REPO | comments Figure 1. General view of full body hamess Figure 2. General view of full body harness Figure 3. General view of full body hamess Figure 4. General view of full body harness J= ATTACHMENTS i Item | Attachment Name —_| Total Pages Description GM-SI-101 INSP002-En_ Version 5.0 Copyright Bureau Veritas 05/2017 This tomplate is intended exclusively when BV is The use of present template is forbidden in the acting as 3° party inspection body. frame of 2° party services where Client specification and templates must be used.