REPORT OF PERIODIC EXAMINATIONS OF

LIFTING MACHINES, CHAINS, ROPES AND LIFTING TACKLES

[As prescribed under rules 55-C, sub-section (2) of Section 29 of Orissa Factories Rule1950]

1. Name of the occupier of factory: : Ms PBL TRANSPORT CORPORATION PVT.LTD.

2. Address of the factory:
3. Distinguishing number or mark, if any, and
description sufficient to identify the lifting
machine, chain, rope or the lifting tackle:
C/o -M/s. Monomak Engineering India Pvt.Ltd.
: Site – Vedanta Limited Lanjigarh
Material Gate, Lanjigarh, Kalahandi
: TRUCK MOUNTED ALL TERRAIN CRANE
RGN. NO- GJ-16-BS-2840
Capacity – 220 Mt, Max Boom Length – 63.5 Mtrs
Counter weight- 65 MT
Make/ Model – XCMG / QCMG QAY-220
Chassis. No – LXGEPA728KA001282
Engine. No – 54294700705271

4. Date when the lifting machine, chain, rope or : 2019

lifting tackle was first taken into use in the
factory
5. Date and number of the certificate relating to
any test and examination made under Rules
55-A and 55-G together with the name and
address of the person who issued the
certificate:
6. Date of each periodical thorough
examination made under Rule 55-F and the
name of the examiner.
7. Date of annealing or other heat treatment of
the chain and other lifting tackle made under
rule 55-E and by whom it was carried out
8. Particulars of any defects affecting the safe
working load found at any such thorough
examination or after annealing and of the
steps taken to remedy such defects
9. Maximum permissible working load.
: TC.NO: BE/PBL/TMTC220T/23-11-03
Er. Sumanta Sekhar Maharana
: 03.11.2023
: Carried out during the manufacturing period.
Hook & Hook Blocks are found ok.
: Thorough visual examination of all parts and load test
(Load- 18.3 MT, Boom Length-32.1 Mtr, Radius- 26 Mtr
and Boom angle 420) was carried out (as per load
assessment) successfully and no deformation & defects
found.
: 220 MT ( Rated Capacity )
for safe work use 75% load of rated capacity.

10. Remarks. : Advised to:

Adopt all safety rules & regulations before use.
Carry out periodical maintenance & lubrication.

I/we certify that on dated 03.11.2023. I/We thoroughly examined this lifting machine and found that
the above is a correct report of the result.

Counter Signature
M/s. Bisi Engineering
Signature & Name Of Competent Person Bisi House, Subhashree Vihar
Date: 03.11.2023 Ainthapali, Sambalpur –Odisha
Mob-9861237473 Mob - 09438012933

Note: Next due date of examination & testing by competent person is on or before 02.11.2024
The competent person has no direct control over the lifting tackles application and the operation.
The user and the operator are responsible for confirming and ensure of standard safety practices.