CERTIFICATE OF EXAMINATION AND TEST OF LIFTING GEARS,

LIFTING APPLIANCES & LIFTING EQUIPMENTS

Certificate No: LP/C13
CLIENT & ADDRESS: AIROLINK BUILDING CONTRACTING,DUBAI, UNITED ARAB EMIRATES
TYPE OF INSPECTION & TEST PERFORMED: INITIAL INSPECTION
LOCATION: PROJECT NO: 17070,ALQUOZ INDUSTRIAL AREA-1 NEAR
LULU VILLAGE,ALWASL PROJECT,DUBAI, UNITED ARAB EMIRATES
INSPECTION STATUS
DATE OF PREVIOUS INSPECTION: NIL
DATE OF INSPECTION & TEST: 21/03/2020
NEXT INSPECTION AND TEST : 20/09/2020*
VALIDITY: 6 MONTHS
INSPECTOR'S NAME: JAYAKRISHNAN TK
INSPECTOR'S SIGNATURE:
Job No: ASC-20N-0653
SURVEY REQUESTED BY: MR. RAMESH
REFERENCE & REGULATION: ILO TABLE OF FORMULA BS EN
12079-3.2006
ASC TEST EQUIPMENT NO: ASC/EQ/1,10,15
ASC TEST PROCEDURE NO: ASC/ITP/N/06
MAKER OF SUPPLIER OF EQUIPMENT: EGL GULF
PREVIOUS INSPECTION DONE BY: NIL
AUTHORIZED NAME:

DESCRIPTION SAFE
ID/NO QTY (make/name, model, date of manufacture, type, TEST LOAD WORKING REMARKS
dimensions, others) LOAD
SATISFACTORY AT THE TIME O
LOADING PLATFORM INSPECTION.
REMARKS
Rectangular shaped temporary suspended 1) Supporting horizontal
loading platform with 22 probs & jack rods shall be tied with
support with 4 l beams with no door couplers and Probs sh
be in linear and straig
openings.
LP-01 01 2500 KG 2000 KG 2) People are not allowe
LOCATION: Building No: 11, 6TH Floor, to work above the
Elevation 1 platform guard rails.
PLATFORM DIMENSIONS 3) The Probs & Jack Base
Plate support shall no
LENGTH OF THE BEAM: 6.0 M
less than 5 cm thick a
WIDTH: 2.0 M not less than 25 cm
HEIGHT: 1.15 M wide to distribute the
BEAM THICKNESS: 12 MM load on bigger area.
*This Certificate becomes invalid, if any alteration/major repair/ modification made on the equipment. Electronic signature and stamp are not allowed.
THIS IS TO CERTIFY THAT the undersigned competent representative did attend to examine this equipment/machine to assure that it is in safe working condition.
Examination indicates that the said equipment has no indigenous defects and it is in safe working condition at the time of inspection.
The said equipment was found Satisfactory for further use, provided there is continuous maintenance applied and only qualified operators employed.
This certificate will be valid for 6 Months from date of inspection
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 consultant’s liability shall be limited to the acts or omissions of its employees, agents
and Subcontractors. under no circumstances whatsoever shall Admiral Safety Consultants nor their Engineer be liable for any injury or damage to any person or occurring
by reason of negligent operation or any defect in material, machinery, equipment or other items other than such defects ascertainable by normally accepted standards and
only those items actually inspected by Admiral Safety Consultant and which are covered only by this certificate. Any person not a party to the contract pursuant to which
this document is delivered may not assert claim against Admiral Safety Consultants for any liability arising out of errors or omissions which may be contained
in said document and in connection with any activities for which it may provide. This Certificate shall not be reproduced except in full without the approval of
Admiral Safety Consultants and the receiving client.

ADMIRAL SAFETY CONSULTANTS, TRADE LICENCE NO. 741090, AL GARHOUD, P.O.BOX 125218, DUBAI -UAE, TEL: 04-2899389, FAX: 04-2840557

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