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CERTIFICATE OF VISUAL TEST & EXAMINATION OF CUTTING MACHINE

ITEM NAME : BLOCK CUTTING MACHINE


Date Of Examination: 09/03/2020 Job order No.:ASC-20N-0649 Certificate No : CM-001
Client Name: AIROLIONK BUILDING CONTRACTING Location: MUHAISNAH , DUBAI, UNITED ARAB EMIRATES
Inspection Request By: MR.AZIM Previous Inspection Done By: NIL
Reference Standards: NFPA-70B Made Of The Equipment: BATTIPAV
Validity: 12 Months Type of Inspection: INITIAL

Serial Number/ DESCRIPTION


Qty Remarks
Owners ID (Make/Name, Model, Type, Dimensions, Date of Manufacture, etc.)
BLOCK CUTTING MACHINE
Serial Number: 0248087 Satisfactory at The Time of Inspection
Type/Model: EXPERT600 1) Power Supply shall be made as
Dimensions(LXWXH): 1240mm X 900 mm X1530 mm per site requirement.
ABC/BCM/473 2) Necessary waste water
1 Year of Manufacturing: 2016
Drainage system shall be
Maximum Cutting Depth: 285 mm available at the operating
Maximum Cutting Length: 750 mm location
Electrical system Condition: Satisfactory 3) Install the Machine in a Level
Hazard control Measures: See Remarks Surface.
General Condition: Satisfactory 4) Necessary PPE shall be used by
Emergency Button: Satisfactory the operator.

Previous Inspection Date: NIL Date Of Next Examination: 08/03/2021


Testing Equipment: ASC/EQ/02,01 Test Method: ASC/ITP/N/072

*This Certificate becomes invalid, if any substantial Alteration/Repair or Modification is made.

THIS IS TO CERTIFY THAT the Undersigned, a competent representative, did attend to examine this equipment to ascertain its safe working condition and that the examination
indicated that the said equipment has no indigenous injury or sighted deformation and the safe working condition of the said equipment as either identified or tested is shown. The
equipment is safe for its intended use within the limits specified and at the time of inspection was found to be satisfactory for further use, provided there is continuous
maintenance applied and qualified operators employed. This certificate will be valid for 12 months according from date of inspection.

INSPECTED BY: JAYAKRISHNAN TK APPROVED BY:

This 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, and Admiral Safety Consultants liability shall be limited to the acts or omissions of its
employees, agents and subcontractors. Under no circumstances whatsoever shall Admiral Safety Consultants will not be liable for any injury or damage to any
person or occurring by reason of negligent operation or any defect in materials, machinery, equipment or other items other than such defects ascertainable by
normally accepted standards and only those items actually inspected by Admiral Safety Consultants and which are covered by this certificate. This certificate/report
shall not be reproduced except in the full without the approval of the inspection body and the client.

TEL: 04 –2899389 FAX: 04 – 284 0557 P.O. BOX: 125218– E-mail: admiralsafety@yahoo.com website: admiralsafetyconsultants.com Dubai U.A.E
Doc No: ASC/C/LA/52L(REV. 0)(27/04/2016)

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