RC: 627731
* Independent Rig Inspections & Surveys*Rig Condition Surveys & Acceptance Testing*DROPS Survey
and Management *Consultancy, Calibration and Certification*Commissioning and Project Management
*Lifting Equipment NDT/MPI/OCTG Inspections *Equipment in Hazardous Area
Classification/Inspections* QHSETraining *Thermal Imaging and Noise Mapping*
321, PH/Aba Expressway, Port Harcourt, Rivers State.
mailto:contact@westenddiamond.com
Your Ref……………
Our Ref……………..
STATUTORY INSPECTION OF 7 TON
FORK LIFT
13TH DECEMBER, 2017
Inspected by: OROK JOHN E.
POSITION: INSPECTOR
LOCATION: OMEGA 4
Client: OMEGA MARITIME AND ENERGY LIMITED
* Independent Rig Inspections & Surveys*Rig Condition Surveys & Acceptance Testing*DROPS Survey
and Management *Consultancy, Calibration and Certification*Commissioning and Project Management
*Lifting Equipment NDT/MPI/OCTG Inspections *Equipment in Hazardous Area
Classification/Inspections* QHSETraining *Thermal Imaging and Noise Mapping*
321, PH/Aba Expressway, Port Harcourt, Rivers State.
mailto:contact@westenddiamond.com
SURVEY CERTIFICATE
This is to certify that the undersigned inspector visited OMEGA 4 of OMEGA MARITIME, at OB-OB
Omorku on 13/12/2017 with a bid to inspect and ascertain the suitability of the under-mentioned equipment as
stated thus:
EQUIPMENT:
MAKE:
MODEL:
SWL:
PLATE NUMBER:
DATE INSPECTED:
NEXT DUE DATE:
LOCATION OF INSPECTION:
TYPE OF INSPECTION:
USAGE:
7 TON FORK LIFT.
HYSTER
H700XL
5.5 TONS
DEG – 514XA
13/12/2017
12/12/2018
OMEGA 4
VISUAL/FUNCTIONAL TEST
FOR LIFTING/LOADING JOBS
VISUAL INSPECTION
Carried out: See attached observation sheet.
FUNCTIONAL TEST
Carried out while the equipment was in use. Satisfactory
GENERAL REMARKS: (State all defects noticed during inspection) Physical checking should take place
before each operation.
RECOMMENDATIONS: I hereby certify that the above equipment was thoroughly examined/tested in
accordance with statutory requirements of ANSI/ASME B30.5, LOLER 1998, BS466, BS2799, OSHA
1926.550(B) and the Factory Act of 1990.
GIVEN UNDER MY HANDS THIS 13TH DAY OF DECEMBER, 2017
THIS CERTIFICATE IS VALID FOR SIX MONTHS ONLY EFFECTIVE FROM THE DAY OF
INSPECTION FROM 13/12/2017 TO 12/06/2018
NAME OF INSPECTOR: OROK JOHN E. (ASNT LII, LEEA II)
* Independent Rig Inspections & Surveys*Rig Condition Surveys & Acceptance Testing*DROPS Survey
and Management *Consultancy, Calibration and Certification*Commissioning and Project Management
*Lifting Equipment NDT/MPI/OCTG Inspections *Equipment in Hazardous Area
Classification/Inspections* QHSETraining *Thermal Imaging and Noise Mapping*
321, PH/Aba Expressway, Port Harcourt, Rivers State.
mailto:contact@westenddiamond.com
OBSERVATION SHEET
EQUIPMENT DETAILS:
CLIENT
DESCRIPTION
MANUFACTURER
MODEL
MAXIMUM CAPACITY
REGISTRATION NUMBER
SERIAL NUMBER
YEAR OF MANUFACTURE
SAFE WORKING LOAD
DATE OF TEST
NEXT INSPECTION DATE
LOCATION OF SURVEY
OMEGA MARITIME
FORK LIFT
HYSTER
H700XL
6.62T
DEG514XA
N/A
2006
5.5 TONS
13/12/2017
12/06/2018
OMEGA 4
Visual/ Functional Test
Tyres
Horn
Lights
Battery
Controls and Gear shifts
Lift System (Chains, cables, forks)
Brake and radiator Fluids
Hydraulic System (for leaks)
Fuel system (for leaks)
Seat belt
Operators manual
Name plates, labels, and markings
Capacity plates
CONCLUSION: FIT FOR PURPOSE
TESTED BY: OROK JOHN E.
Observation
Ok
Functional
Functional
No defect
Satisfactory
Functional
Functional/No Leakages
No Leakages
No Leakages
Sighted
Not sighted
Sighted
Capacity written on the body
Remarks
Ok
N/A
Ok
Ok
Ok
N/A
Ok
Ok
Ok
Ok
To be provided
Ok
Ok
Westend Diamond Nigeria Limited
321, PH/Aba Expressway, Port Harcourt, Rivers
State Rivers State- Nigeria
Tel: + 234(0) 8035762443
Fax:
Email:contact@westenddiamond.com
Internet; www.westenddiamond.com
MAGNETIC PARTICLE INSPECTION REPORT
Customer
Location
Rig Name & No.
OMEGA MARITIME
OMORKU
OMEGA 4
TESTING PARAMETERS
Procedure Ref.
Current Type
Magnetizing By
Technique
Method
Equipment Serial No.
Equip Calibration On
Equip Calibration Due
Lifting Capacity
De-magnetization
AC
HALF
DC
YOKE
PERMAG COIL
Continuous
Wet Visible
WDNL/AYK/001
9TH Nov 201
8th Nov 2018
10lbs
40lbs
YES
NO
EQUIPMENT SERIAL NO.
H700XL
Date of Inspection
Report No.
Due Inspection
Acceptance Criteria
Consumables
White Contrast Paint
Black Magnetic Ink
Fluorescent
Dry Powder
Black light Intensity
Magnetic Field Indicator
Temperature
Surface Condition
DESCRIPTION OF INSPECTED ITEM
FORK LIFT FORKS
8/12/17
OML/FL/12/17/001
9/06/18
BS 3243:1990
Product Name
WCP 712
ARDROX 800/3
NA
NA
1000 µ Watts/cm2
Pie Gauge
Ambient
Satisfactory
REMARK
Inspected Area
Marked as Above
Inspection Result
Free From Surface Discontinuity or Crack, Inspection Satisfactory
Inspected By
Qualification
Signature
Date & Seal
OROK JOHN E.
ASNT II, RT, UT, MT, PT
MPI OK