Certificate No MSC/33098/WL/22/05G

INSPECTED ITEMS REMARKS CORRECTIVE ACTIONS RE- INSPECTION

PERFORMANCE TEST
Operator Cabin Acceptable
Tires/ Steering Acceptable
Controls/ Levers/Brakes Satisfactory
Hydraulic Systems Satisfactory
Electrical System & Lights Satisfactory
Outriggers /Stabilizer Satisfactory
SAFETY DEVICES
Warning Beacon Satisfactory
Fire Extinguisher Available
Reverse Alarm/Horns Satisfactory
ATTACHMENTS
Bucket Satisfactory
Booms/Arms Satisfactory
RECORDS
Monthly inspection N/A
Maintenance N/A
Repair & Modification N/A

COMMENTS / REMARKS SATISFACTORY AT THE TIME OF INSPECTION

This is to certify that the above comments are correct & signed by competent inspector who conducted the machine
inspection, testing & examination under normal working conditions & loads.

Inspected By: M FARHAN

Position : Inspection Engineer
 REGISTER CERTIFICATE OF TEST & EXAMINATION OF WHEEL LOADER

Certificate No MSC/33098/WL/22/05G Job No MSCJ22000

Name & Address Of Equipment: Equipment. Maker Manufacturer

AL TAEL GEN. TRANSPORT EST CATERPILLAR BELGIUM
ABU DHABI, U.A.E
Location Type of Inspection Previous test done by Reference Regulations
ABU DHABI, UAE THOROUGH NA BS EN 474-3-2006+A1:2009

Description Registered Empty

Name/Make/Model/Dimensions etc
Remarks
Plate No. Weight

WHEEL LOADER (SHOVEL)

Chassis No. CAT0966HCA6G00276 31.00 tonne Satisfactory at

2 / 87343 A.D
Engine No. RSX02304 the time of
Year Of Mfg. 2006 Examination
Model 966H

GEAR OPERATIONAL
DESCRIPTION TRANSMISSION
BUCKET TYPE
CHECK
TEST RESULT

General type bolt

DETAILS Forward & Reverse
on.
Functional check Pass
Inspection Date Issue Date Expiry Date Validation
04-07-2022 05-07-2022 03-07-2023 One(01) Year
This Certificate Becomes Invalid, If Any Alteration/Repair /Modification Is Made.
THIS IS TO INFORM YOU: that the undersigned a surveyor or representative did attend to examine this machine
(equipment) to assure that it is in safe working condition. Examination indicate that the said equipment has no indigenous
defects or sighted deformation and in safe working condition. The said equipment is found to be satisfactory for further use,
provided there is continues maintenance applied and qualified operators employed.
This certificate is granted subject to the condition that is agreed & understood. Master Safety Consultancy L.L.C liability shall
be limited to the acts or premises of its employees, subcontractors. Under no circumstances whatsoever shall Master Safety
Consultancy L.L.C 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 normally.
We hereby report that the all particulars in this report are correct at the time of test/inspection Daily inspection & operational
maintenance is the sole responsibility of the users.

Inspected by: M FARHAN Approved by: Technical Manager

Position: Inspection Engineer