LAXMI ENGINEERS

#101 PratapNilayam, Pragathi Nagar, Hyderabad-5000905, Telangana State, INDIA.

Email Id: laxmiengineers62@gmail.com, laxmiengineers62@yahoo.com
Mobile Number:8019983405,9948130043,

FORM NO - 38
(Prescribed under Rule 55 & 55A)
(Report of Examination of Hoist or Lift or Lifting Machinery / Tackle)
Ref. No.PC300/PPM/4200
Name of the Occupier ( or Factory) : M/S. PROGRESSIVE AND POPULAR MINERALS
Situation address of Factory PVT LTD
Khwaja bagh, Sawa Chittorgarh.
1 (a) Type of Hoist or Lift or Lifting Machinery/ : Hydraulic Excavator attached with Bucket Cap:0.93 m3,
Tackle and identification number or description. Make: L&T Komatsu,
Model:PC-300LC-7,Cap: 20 Ton,

(b) Date of Construction or Reconstruction( if ascertainable) : -

2 Design and Construction( Are all parts of the The Hydraulic Excavator is of standard design
Hoist or Lift or Lifting Machinery / Tackle of good mechanical
construction, sound material :
and adequate strength as far as ascertainable.)
3 Distinguished Number of mark (if any) and : Serial No: X861004200, Engine No: 20485099M,
Description sufficient to Indentify the Lifting Machine, Chain Location: Vasavi Atlantis, Nanakramguda, Hyderabad.
ropes or the Lifting Tackle.
4 Maintenance: Are the following parts of the Hoist or Lift Nil
properly maintained and in good working order? If not, state :
what defects have been found
a) Enclosure of Hoist way or Lift way : Not Applicable
b) Landing gates and cage gate(s) : Not Applicable
c) Interlocks on the landing gate(s) and cage gate(s) : Not Applicable
d) Other gates, fastenings : Not Applicable
e) Cage and Platform and fittings, guiders, : Not Applicable
buffers, interior of the Hoist way or Lift way
f) Over-running devices : Not Applicable
g) Suspension ropes or chain and their attachments : Not Applicable
h) Safety gear i.e. arrangements for prevention fall of platform : Not Applicable
or cage brakes
i) Brakes : Satisfactory
j) Worm or spur gearing : Working Satisfactorily
k) Other electrical equipment : Working Satisfactorily
l) Other parts : All Hydraulic, Mechanical, Electrical, Track Condition &,
Brake Systems are found Ok.
5 What parts (if any) were inaccessible : Nil
6 (a)Repairs renewals or alternations (if any) required and the Nil(Fire Extinguisher & First Aid box need to provide in the cabin)
period within which they Should be executed. :
(b) Particulars of the parts of Hoists or Lifts or Lifting : Nil
Machinery / Tackle rejected after the examination.
7 Maximum safe working load subject to repairs, renewals or Nil
alterations (if any) specified in Column(6) :
8 Others : The Equipment is found satisfactory and Fit to use its rated
capacity
I/We certify that on 25/07/2022. I/We thoroughly examined this Hoist / Lift /Lifting Machine/ Tackle and the above is a correct report of
the result .This certificate is Valid Up to: 24/01/2023.

Name of the Competent Person: B.Venkatesh

Regn No: L. Dis B2 /1604/2022, Valid : 19-05-2023 Signature