CERTIFICATE OF THOROUGH EXAMINATION
This Certificate complies with the requirements of the Lifting Operations & Lifting Equipment Regulations 1998
DGAT/FM001 Rev 00 Dated 19Jun2022
Date of Inspection
14-Sep-2022
Certificate No:
Date of Certification
Customer order No:
00117
Name and Address of the Owner:
Voith Saudi Arabia Services
Identification Number
Report No:
Sticker No:
Shackle
Equipment ID:
Manufacturer Name and Year:
Location of Examination:
N/A
Carl Stahl
Dutest Work shop
Description of Equipment
This should include size, grade, and any other particular
type
(i)
CSN-5038
CSN-5039
CSN-5040
CSN-5041
DGA-YAS-2022-08-21-013
14-Sep-2022
Name of the Equipment:
(ii)
1/2" Dia Screw pin Dee Shackle
Quantity
(iii)
10001
N/A
Safe working Load
(SWL) of each Item /
Capacity
(Specify Units)
(iv)
Proof Load
Applied
2t
N/A
4
Particular of any test carried out as part
of examination:
Visual
Applicable Standards: ASME.B30.26
Date of last thorough examination:
Unknown
Date of next thorough examination:
1)
2)
3)
4)
5)
6)
Is this the first examination after installation or assembly at a new site or location?
Is the examination carried after any exceptional circumstance/alteration?
Identification of any part found to have a defect which is or could become a danger to persons
and a description of the defect
Is the above defect of any danger immediately or at any date (specify)?
Particulars of renewal/repair/rectification/replacement required to remedy the above affect
Is the examination carried out within an interval of 6 months/12 months?
(Each item)
(v)
13-Mar-2023
Yes☐ No☒
Yes☐ No☒
Yes☐ No☒
Yes☐ No☒
Yes☐ No☒
6 months 12 months☐
The equipment tested and examined in accordance with the standards ASME / ANSI / BS EN / API / LOLER and at the time of inspection, herein were
found to be free from cracks or damages or flaws or any other defects which could become a danger to person. This Equipment is 'SAFE TO USE' at
the time of Inspection. This inspection certificate shall not be reproduced in part / in full without approval of Inspection body.
Name & position of the person who carried
out the Test and Thorough Examination
Signature:
Mohamed Yasir
Lifting Inspector
Name of the Person
Authenticating this Certificate
Signature:
Jayachandran Nair
Technical Manager
CERTIFICATE OF THOROUGH EXAMINATION
This Certificate complies with the requirements of the Lifting Operations & Lifting Equipment Regulations 1998
DGAT/FM001 Rev 00 Dated 19Jun2022
Date of Inspection
14-Sep-2022
Certificate No:
Date of Certification
Customer order No:
00117
Name and Address of the Owner:
Voith Saudi Arabia Services
Identification Number
Report No:
Sticker No:
Shackle
Equipment ID:
Manufacturer Name and Year:
Location of Examination:
N/A
Carl Stahl
Dutest Work shop
Description of Equipment
This should include size, grade, and any other particular
type
(i)
CSN-5042
CSN-5043
CSN-5044
CSN-5045
DGA-YAS-2022-08-21-014
14-Sep-2022
Name of the Equipment:
(ii)
3/4" Dia Screw pin Dee Shackle
Quantity
(iii)
10001
N/A
Safe working Load
(SWL) of each Item /
Capacity
(Specify Units)
(iv)
Proof Load
Applied
4.75 t
N/A
4
Particular of any test carried out as part
of examination:
Visual
Applicable Standards: ASME.B30.26
Date of last thorough examination:
Unknown
Date of next thorough examination:
1)
2)
3)
4)
5)
6)
Is this the first examination after installation or assembly at a new site or location?
Is the examination carried after any exceptional circumstance/alteration?
Identification of any part found to have a defect which is or could become a danger to persons
and a description of the defect
Is the above defect of any danger immediately or at any date (specify)?
Particulars of renewal/repair/rectification/replacement required to remedy the above affect
Is the examination carried out within an interval of 6 months/12 months?
(Each item)
(v)
13-Mar-2023
Yes☐ No☒
Yes☐ No☒
Yes☐ No☒
Yes☐ No☒
Yes☐ No☒
6 months 12 months☐
The equipment tested and examined in accordance with the standards ASME / ANSI / BS EN / API / LOLER and at the time of inspection, herein were
found to be free from cracks or damages or flaws or any other defects which could become a danger to person. This Equipment is 'SAFE TO USE' at
the time of Inspection. This inspection certificate shall not be reproduced in part / in full without approval of Inspection body.
Name & position of the person who carried
out the Test and Thorough Examination
Signature:
Mohamed Yasir
Lifting Inspector
Name of the Person
Authenticating this Certificate
Signature:
Jayachandran Nair
Technical Manager
CERTIFICATE OF THOROUGH EXAMINATION
This Certificate complies with the requirements of the Lifting Operations & Lifting Equipment Regulations 1998
DGAT/FM001 Rev 00 Dated 19Jun2022
Date of Inspection
14-Sep-2022
Certificate No:
Date of Certification
Customer order No:
00117
Name and Address of the Owner:
Voith Saudi Arabia Services
Identification Number
Report No:
Sticker No:
Shackle
Equipment ID:
Manufacturer Name and Year:
Location of Examination:
N/A
Carl Stahl
Dutest Work shop
Description of Equipment
This should include size, grade, and any other particular
type
(i)
CSN-5046
CSN-5047
CSN-5048
CSN-5049
DGA-YAS-2022-08-21-015
14-Sep-2022
Name of the Equipment:
(ii)
1" Dia Screw pin Dee Shackle
Quantity
(iii)
10001
N/A
Safe working Load
(SWL) of each Item /
Capacity
(Specify Units)
(iv)
Proof Load
Applied
8.5 t
N/A
4
Particular of any test carried out as part
of examination:
Visual
Applicable Standards: ASME.B30.26
Date of last thorough examination:
Unknown
Date of next thorough examination:
1)
2)
3)
4)
5)
6)
Is this the first examination after installation or assembly at a new site or location?
Is the examination carried after any exceptional circumstance/alteration?
Identification of any part found to have a defect which is or could become a danger to persons
and a description of the defect
Is the above defect of any danger immediately or at any date (specify)?
Particulars of renewal/repair/rectification/replacement required to remedy the above affect
Is the examination carried out within an interval of 6 months/12 months?
(Each item)
(v)
13-Mar-2023
Yes☐ No☒
Yes☐ No☒
Yes☐ No☒
Yes☐ No☒
Yes☐ No☒
6 months 12 months☐
The equipment tested and examined in accordance with the standards ASME / ANSI / BS EN / API / LOLER and at the time of inspection, herein were
found to be free from cracks or damages or flaws or any other defects which could become a danger to person. This Equipment is 'SAFE TO USE' at
the time of Inspection. This inspection certificate shall not be reproduced in part / in full without approval of Inspection body.
Name & position of the person who carried
out the Test and Thorough Examination
Signature:
Mohamed Yasir
Lifting Inspector
Name of the Person
Authenticating this Certificate
Signature:
Jayachandran Nair
Technical Manager