CARSURIN 1968 , Cert, No. : 220308.0015D Date of Cert. JULY 28, 2022 Page : lofi CERTIFICATE OF THROUGH AND TESTEXAMINATION OF LIFTING GEARS, LIFTING APPLIANCES AND CONTAINERS Pe iiies crcwunorsoinrerr | “AME4Anpnuissor wesTAtL OR UIEOF PT. KOTAMINYAK INTERNUSA PT. KOTAMINYAK INTERNUSA DESCRIPTION ao oT (MAKE/NAME, MODEL, TYPE, DIMENSIONS, DATE OF MANUFACTURE, BTC) sl FOUR LEGS WIRE ROPE SLING( 3x36) IWRC with M-Link, Link. See ‘Thimble Eyes attachment Inspection Date : JULY 15, 2022 Location of Insp. _: PT. Kotaminyak Internusa Workshop - Balikpapan | Scope of # Visual Inspection Inspection © Dimensional Check «NDT Conclusion : Based on inspection and result obtained, we conclude this Four Leg Wire rope Sling can be use for operation with SWL not exceed from the table. Remarks : Satifactory Examined : ASME 30.9 accordance with ‘THIS I8 TO CERTIFY THAT the undersigned, competent represeaative, fond and the exmination indicated thatthe sald equipment has no indigenous ijury or Cuipment as either identified tes proof loaded is shown. The equipment is DATE OF EXAMINATION: JULY 15, 2022 ‘onauous meinlenanceeppied and qualified operators employed ‘NEXT EXAMINATION DUE ON: JANUARY 15, 2023 i stn oon ng epipme to ase tml vig Sa canes ho ul wet aaa FF sea ae ns species oad “Tie ropotraflacts our Findings at the ine anc place of ngnectaieting nya hi ereyaiven "Secordng to crprefecsona standard tothe Dest of our ekonledgeut without prejudice towade sry questionf rights and/or ably oF any party concemed. Our esponsovs ied to the exec of reasonabe care. The company shall ot be responsible any parties on any busines, rancial and/or legal consequences fr any transactondy using his repotvanaiss. ‘This cocurentcannate reproduced except in ful, without prior approval of the compen. batkpapan@cersurin.com(ff CARSURIN LIST OF WIRE ROPE SLING no] Tao, ESoRITION oa mT wes Rii-SL-07 | FOUR LEGS WIRE ROPE SLING cw Shackle 3/4” |@ 18mm x 1500mm (L)| 9.1 | Accepted KMi-SL-02 | FOUR LEGS WIRE ROPE SLING ciw Shackle 6/8" | @ 14mm x 1500mm (L)| 5.3 ‘The reat refeets our fndnas atthe time ad place of nspecinltesting ony end this herebyaiven batlesapangiarsurn.com ‘according to ourprofessiona tandartsand to thebestof our aknowledgelut wou prejuice towacs ary questionaf rights andr lablty or any party concerned. Our esponsbivs mec to the exercise of reasonable cae. The compen shall not be rezporsible t any parties on any snes, anda anc/or legal corsequences for any trancactonby using this repot/analyss. “This document cennotbe reproduced except In ul without prior aporoal of the company.foes 2 0 noice 4d OKA IF UI 3d0D% peonpoudas BqoUsED WOUNDED SL “ssteveyundas nn Bush Aquonaescea hue 10 souenibesuco ye 2 fePUeUy SSG ‘ue wo spqiee Je q]Su0cSa1 94304 yu AvedoD au, “aD LOSER! Jo EBDIOND HA pavtn syanlsveesa: no “pauranuc> Avec Aue ao Age o/pue SweX JoveR=eNb Axe speNoS Sopnaud sno Jgaspaynouye sn J 809 tn 0 PUESEPUES eUOSsayaud0 0 GupI0I7e ‘TonoAalay sa pue Avo Sunsayuonpedsa yo obey pe eu xe SetpAy she eyes Hodes oo usneseo@uededneg LYOd3Y NOILOAdSNI ONITS 3dOw SYM = 5 toe Ta oe HNN — [a er ‘wal 25n1 70] ojaeideooe Bue opps POOB Te BT BUS 8vG7 Bil SBUis SLL: NOISTTTONOD Wy 78a HO WON “iwNoIsNaATG| 7 soarau[] oov[E] ms conte] saa] Pox tensa) 2 Twas on[x] saat] meLaen| 1 oa) para] 56 tins3el on[x] 82 steueg oumnen! 6 on[x] saa] povonal @ one] saa una conf] saat] wossiay] ¢ on[e] saa] ween S onte] saa] wosan0o| F onte) 53} ‘un ‘onfe] s3AL_] sue pal 2 ‘onty) saa) ‘ean usnoug| TOUSEaeA SAT av] _ avi] oon vais] 1 SAVE ase Sms owatwossO_—_[ “ON zoz'skAine : — NOWORESNI4O ava NvelWebiIT¥a ~ dOHSSRIOM VSNNUSINI HYANINVLOW “Ld: NoLWo01 166 7™ ww 99st Buy x MBL @ BaAL IN ‘usunovanNvl 10-718- Wot “ON GI LYSNNUGINIMYANINVLOD “Ld Anan eer Niunsav>=P CARSURIN toes WIRE ROPE SLING INSPECTION REPORT ueNT PT. KOTAMINYAK INTERNUSA IDNo. KNil- SL - 02 MANUFACTURER NA TYPE 2 44mm x Length 1500 mm wu 5aT Locanion PT, KOTAMIINYAK INTERNUSA WORKSOP - BALIKPAPAN DATE OFINSPECTION JULY 15,2022 NO_[ DESCRIPTION satus REMARK DRAWING 1 [MASTER LINK Dw Dw 7 WSUALINSPECTION 7 [Broken wre Cis ino 2 [Bird Cage Loves Tino 3 [kinking | Loves Lijxo 2 |eoxroston Loves [Jno 5 [Wear Loves Gijno 6 |atrasen ves []No. 7 [Burt Lyyes INO @ [Flattened Eves [ino | Mechanical Damage Lives [a]xo. Resur [ice Cyresect Nor 7 [Magnetic Test Loves Lijno VISUAL, 2 |Penevant Test Cves Pino IResuLr Tice Eyreiecr [7 [oMENSTONA: NOH OR PREV RCTWAL ‘CONCLUSION: _Thls Single Wr rope Sling ie stil good onion ‘end acceptable foruse 7pm 72 77m = {LENGTH — 1500 men 500m E c “hie rport rafts aur findings a the tima ad placa of Inenectioeestina only and ths herebwaven botkpapan@careurin.com "ncong to ourprofessional standard tote Dest of our akcowledgebut without prexicice towed any questonot rights andjor lab or ay party concerned. ue respersitys ited ta the exercise of reasonabl care. The camrary shall not be responsible to any partis onary ‘business, nancial and/r laa consequences fr ar ansactionby using ths reporVanaiss “Ths document cannathe reproduced except nfl without prior approval ofthe company.a CARSURIN MAGNETIC PARTICLE INSPECTION REPORT ‘Owner PT. KOTAMINYAK INTERNUSA Location PT. KOTAMINYAK INTERNUSA WORKSHOP, BALIKPAPAN - EAST KALIMANTAN Report No. 220308.0015D Date JULY 18, 2022 EQUIPMENT AND TECHNIQUE USED MPI Equipment :_ Permanent Yoke, Model # PM-6, Serial No. 905 Lifting Power: 40 Ibs Magnetic Flux Prepared Black Ink - Magnaflux 7HF Background Paint : White Contrast Paint - Magnaflux WCP-2 Scanning Technique In two direction at 90° with 4” to 6" Pole Spacing Method + Wet magnetic particle method Surface Condition ‘AS welded, Cleaned to base metal Code /Acceptance Criteria: AWSD1.1 TemNno. | ITEM DESCRIPTION OBSERVATION REMARKS batkpapandicarsurin.com Four Legs Wire Rope Sling Magnetic particle ACCEPTED ‘inspection was carried out of al the plate welded and HAZ area No erack or crack tke indication was detected at the time of inspection “Tie rapot reflects our findings atthe ne and lace of | ‘coring to ourprofessona tandartsand tothe O towacs ary questonot rights andor laity oF any to the exercise of reasonable care. The compery shall ot be resporsble to any parison ay sins nancial and/or legal censeauerces for any transationby using this repo/analrs “This document cannotbe reproduced except in fl, without prior eppreal ofthe company.CARSURIN 1980 MAGNETIC PARTICLE INSPECTION REPORT ‘Owner : _PT. KOTAMINYAK INTERNUSA ‘Location : PT. KOTAMINYAK INTERNUSA WORKSHOP, BALIKPAPAN - EAST KALIMANTAN. Report No. : 220308,0015D Date : JULY 15, 2022 EQUIPMENT AND TECHNIQUE USED MPI Equipment :_ Permanent Yoke, Model # PM6, Serial No. 805 Lifting Power 2 0 Ibs Magnetic Flux {Prepared Black Ink - Magnaflux THF Background Paint + White Contrast Paint - Magnafiux WOP-2 ‘Scanning Technique 7 In two direction at 90° with 4" to 6" Pole Spacing Method Wet magnetic particle method Surface Condition 7 AS welded, Cleaned to base metal 9 Code / Acceptance Griteria—: AWSDI.1 ITEM DESCRIPTION OBSERVATION REMARKS ACCEPTED ITEM NO. KMISL.02 | Four Legs Wire Rope Sling Magnetic particle inspection was carried out of all the plate welded and HAZ area No erack or crack like Indication was detected at ‘the time of inspection “The report rafecte ove findinge atthe time and lacs of Jalkpapan@corsurn.com "ecoting to ourprofesional sanders to the best of our aknowledzebut witout presi toweds any cuesiont rights andr lablty or any party concemed. Our espana tnted to the exercise of reasonable are. Tha company shall ot be response t any partes on ey business, nancial ander lagal consequences fr any ransactonby using this repervanaiss. “This document cannotbe reproduced except in Fl without prior appraval ofthe company.