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Asas – أساس

Inspection & Training – للفحص & التدريب

CERTIFICATE OF THOROUGH EXAMINATION

This report complies with the Lifting Equipment Engineers Association Technical requirements

Certificate code:

cert code

Sticker number:

sticker num

Owner name:

Owner address:

Inspection location:

location

Type / Model:

type

model

Manufacturer:

manufacturer

Identification number:

id no

Plate number:

plate

Engine power:

engine power

Capacity/SWL:

capacity – details

manufacture date:

manufacture date

Is this the first examination after installation or assembly at a new site or location?

Yes No

Was the examination carried out within an interval of 6 months?

Yes No

If the answer to the above question is YES has the equipment been installed correctly?

Yes No

Was the examination carried out within an interval of 12 months?

Yes No

In accordance with an examination scheme?

Yes No

After the occurrence of exceptional circumstances?

Yes No

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)

None

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 Examination, Functional Tests & Safety Tests as per the standard BS 474-4.

IS THIS EQUIPMENT FIT FOR PURPOSE?

Yes No

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Inspection Date:

01/01/2020

Expiry Date:

01/01/2021

DIGITALLY SIGNED. To verify please visit www.AsasTuv.com/verify, or scan the QR code, or mail us at verify@AsasTuv.com

Disclaimer: This certificate is issued subject to the observation made at the time of our inspection. The Inspection Company will not be held liable for any damages or losses occasioned to the equipment subsequent to the inspection.