‫ماسترالســتــشــــارات الســـالمــــة‬

MASTER SAFETY CONSULTANCY

CERTIFICATE FOR EXAMINATION AND TESTING OF CHAIN BLOCK

Job Number :MSCJ 22420 Report number: MSC/CB/33743/22/08H

Date of Through Examination: 08-08-2022 Type of Inspection : Thorough Examination

Name and Address of employer for whom the thorough examination was Address of premises at which the
ARMOUR ROCK CONTRACTING examination was made:
UAE.
AL REEM ISLAND , ABU DHABI, UAE
Inspection Procedure.:MSC/TM/10 Standard Ref.: BS EN13157:2004+A1:2009

Rope/ Chain Dia.:7 mm No of Falls.:1

Description and identification of the equipment: Safe Test Load Date of Date of last
CHAIN BLOCK Qty. Working Applied(t) manufacture thorough
Load(t): if known: examination:
Serial No:
Make: NA
473116
Length : 3.0 mtr 473117 Visual &
05 1.5 ton N/A NA
473118 Functional
Chain Dia : 8 mm
473119
473120

Was the examination carried out:

Is this the first examination after installation YES NO  Within an interval of 6 months? YES  NO
or assembly at a new site or location?
Within an interval of 12 months? YES NO 
If the answer to the above question is YES In accordance with an examination
YES NO 
scheme?
YES  NO
has the equipment been installed correctly?
After the occurrence of exceptional
YES NO 
circumstances?

Identification of any part found to have a defect which is or could become a danger to persons and a description of the defect::
(If none state NONE)
NONE
Is the above a defect which is of immediate danger to persons
YES NO 
Is the above a defect which is not yet but could become a danger to persons:
(If YES state the date by when) YES by:

Particulars of any repair, renewal or alteration required to remedy the defect identified above:
NONE
Particulars of any tests carried out as part of the examination: (If none state NONE)
Visual & Functional Examination
Equipment’s / tools used : MSC-E-02 , MSC-E-07
IS THIS EQUIPMENT FIT FOR PURPOSE? YES  NO

Name & Qualifications of person making Name of person authenticating this report: Latest date by which next thorough
this report: Sahat Nawaz Signature: examination must be carried out:

07-02-2023

MASTER SAFETY CONSULTANCY LLC, P. O. BOX 92198, MUSSAFAH M-10, ABU DHABI –UAE, TEL: 02-5535560, FAX: 02-5535562

Doc. No. QF-07/03-10 Rev. No. : 00 Issue Date: 21-08-2014

 ‫ماسترالســتــشــــارات الســـالمــــة‬

MASTER SAFETY CONSULTANCY

Continuation of Certificate No.: MSC/CB/33743/22/08H

EXAMINATION CHECKLIST
Inspection Details of Lifting Gear Chain Block
Status : S = Satisfactory X = Deficiency R = Recommendation N = Not Applicable
Sr. No. Inspection Item Status Sr. No. Inspection Item Status
1 General Condition S 15 Chain wheel in one piece S
2 Guarding Cover S 16 Hook cracks/ deformities S
3 Hook S 17 Hook latches crack/ deformities S
4 Chain Wheel S 18 Sharpness around the welds S
5 Link Chain S 19 Hook throat opening S
6 Load chain S 20 Chain wear S
7 Load chain wheel S 21 Chain twist S
8 Anchorage of the Load Chain S 22 Handling, Installation & Fastening S
10 Safety latches S 23 Load sprocket wear S
11 Top hook swivelling for correct positioning S 24 Hand chain wheel wear S
12 Automatic breaking function of lever hoist S 26 Spring ratchet S
13 Regular descent of breaking device S 27 Spring S
14 Breaking function when operating force S 28 S
ceases Shafts

Remarks

SATISFACTORY AT THE TIME OF INSPECTION

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 : SAHAT NAWAZ

Position : Inspection Engineer

Doc. No. QF-07/03-10 Rev. No. : 00 Issue Date: 21-08-2014