Certificate No MSC/33099/BC/22/05G

INSPECTED ITEMS REMARKS CORRECTIVE ACTIONS RE-INSPECTION

PERFORMANCE TEST
Power Unit Acceptable
Operator Cabin Acceptable
Tires/ Steering Acceptable
Controls/ Levers Satisfactory
Hydraulic Systems Satisfactory
Electrical System & Lights Satisfactory
SAFETY DEVICES
Revolving Beacon Available
Fire Extinguisher Available
Reverse Alarm Available
ATTACHMENTS
Bucket Satisfactory
RECORDS
Monthly inspection N/A
Maintenance N/A
Repair & Modification N/A

SATISFACTORY AT THE TIME OF VISUAL AND

COMMENTS / REMARKS
FUNCTIONAL 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 : SAHAT NAWAZ

Position: Inspection Engineer
 REGISTER CERTIFICATE OF TEST & EXAMINATION OF SKID STEER LOADER

Certificate No MSC/33099/BC/22/05G Job No MSCJ22001

Name & Address Of Owner Of Equipment Equipment. Maker Origin Type of Inspection
TAJVAND GENERAL TRANSPORT & CATERPILLAR INDIA THOROUGH
CONTRACTING
A.D, U.A.E
Location Reference Regulations Previous Test Done By
MAFRAQ, A.D, U.A.E BS 6912 PART 16:1995 NA

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

SKID STEER LOADER

2510 (Kgs)
Chassis No. CAT0226BCDXZ01439 / Satisfactory at the
Engine No. CZ202664 1 / 69402 A.D
time of Inspection
Year Of Mfg. 2018 2.5 Ton Only
Model B 226

Inspection Date Date of Issue Date of Expiry W.L.L/SWL Validation

04-07-2022 05-07-2022 03-07-2023 590 kgs 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 : SAHAT NAWAZ Approved By: Technical Manager

Position: Inspection Engineer