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RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com
Serial No: 136617 Model: H 70D -01 Location: new general store
SWL: 2000kg Date Manufactured: 2013 Place of Test: new general store Date of last test: not seen Date of Next Inspection: 18/11/2014 STATUS: Fit for use
U N/A
CHASIS Steering Axle Hydraulic System Wheels Tyres Brakes Light Indicator Gauges Suspension ok ok ok ok ok ok ok ok ok
NDE
Inspectors Name/Qualification Kelechi Emeribe LEEA Qualified Lifting Equipment Tester and Examiner.
Page 1 of 4
JC International Limited
RC. 413243
Date of thorough examination 19/11/13 Date of last thorough Inspection Not seen
Relevant Standard
Location: New General Store Serial No: 136617 Test Load Applied 2200KG Date of last Proof load Test Not seen
Tilt Cylinder Creep in 5 minutes
18/11/14.
Comments noted and alterations or repairs required before Forklift are put into service (if none enter NONE)
Page 2 of 4
JC International Limited
RC. 413243
SECTION
General: Wheels Tyres Mast and Fork-carrier Load Chain Side Rollers Roll-over cage Forks Horn and Safety Devices Hydraulic System Electrical System Engine Compartment Exhaust System Cooling System Steering Operational Controls Gauges in Cab Fire Extinguisher Maintenance
ok ok ok ok ok ok ok ok ok ok ok ok ok ok ok ok ok Ok Ok
Inspectors Name/Qualification
Signature/Date
KELECHI EMERIBE
19/11/2013 LEEA QUALIFIED LIFTING EQUIPMENT TESTER AND EXAMINER, SNT LEVEL 11 MT, PT & UT IN COMPLIANCE WITH SNT-TC-1A.
Page 3 of 4
JC International Limited
RC. 413243
Section 1
1.1 a) b) c) d) e) f) g) h) i) j) k) l) m) n) o) p) q) r) s) t) u) v) w) x)
Operators Cab
NA
Operators Cab Condition: Access / Handholds/Steps Non-slip surfaces House keeping Door(s) Glass Window Wiper Heater/Air Conditioner Wiring Mirrors Seat/Seats Belts Instruments and gauges Roof access Load Capacity Chart Operators Manual
Warning Decals Power Line Warning Decal Hand Signal Chart Lights Control Linkage Beams float & pad Cylinder Outriggers Operators Seat Fire extinguisher
Page 4 of 4
JC International Limited
RC. 413243
Client: Inspection Location: Inspector: Forklift Type: Forklift Manufacturer: Model Number: Serial Number: SWL Tested to Certificate Number: Inspection Date: Next Date of Examination:
This is to certify that I did Thorough Examination on the forklift in accordance with ASME B 56.6 and all statutory requirements as stated above. The records of examination are true without prejudice for the purpose it was designed for. Fit for use.
Inspectors Name/Qualification Signature/Date
KELECHI EMERIBE LEEA Qualified Lifting Equipment Tester and Examiner. FID, SNT Level 11 MT, PT, VT, ET, UT, in compliance 19
TH
November, 2013
JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com
Serial No: 136618 Model: H 70D -01 Location: new general store
SWL: 2000kg Date Manufactured: 2013 Place of Test: new general store Date of last test: not seen Date of Next Inspection: 18/11/2014 STATUS: Fit for use
U N/A
CHASIS Steering Axle Hydraulic System Wheels Tyres Brakes Light Indicator Gauges Suspension ok ok ok ok ok ok ok ok ok
NDE
Inspectors Name/Qualification Kelechi Emeribe LEEA Qualified Lifting Equipment Tester and Examiner.
Page 1 of 4
JC International Limited
RC. 413243
Date of thorough examination 19/11/13 Date of last thorough Inspection Not seen
Relevant Standard
Location: New General Store Serial No: 136618 Test Load Applied 2200KG Date of last Proof load Test Not seen
Tilt Cylinder Creep in 5 minutes
18/11/14.
Comments noted and alterations or repairs required before Forklift are put into service (if none enter NONE)
Page 2 of 4
JC International Limited
RC. 413243
SECTION
General: Wheels Tyres Mast and Fork-carrier Load Chain Side Rollers Roll-over cage Forks Horn and Safety Devices Hydraulic System Electrical System Engine Compartment Exhaust System Cooling System Steering Operational Controls Gauges in Cab Fire Extinguisher Maintenance
ok ok ok ok ok ok ok ok ok ok ok ok ok ok ok ok ok Ok Ok
Inspectors Name/Qualification
Signature/Date
KELECHI EMERIBE
19/11/2013 LEEA QUALIFIED LIFTING EQUIPMENT TESTER AND EXAMINER, SNT LEVEL 11 MT, PT & UT IN COMPLIANCE WITH SNT-TC-1A.
Page 3 of 4
JC International Limited
RC. 413243
Section 1
1.1 a) b) c) d) e) f) g) h) i) j) k) l) m) n) o) p) q) r) s) t) u) v) w) x)
Operators Cab
NA
Operators Cab Condition: Access / Handholds/Steps Non-slip surfaces House keeping Door(s) Glass Window Wiper Heater/Air Conditioner Wiring Mirrors Seat/Seats Belts Instruments and gauges Roof access Load Capacity Chart Operators Manual
Warning Decals Power Line Warning Decal Hand Signal Chart Lights Control Linkage Beams float & pad Cylinder Outriggers Operators Seat Fire extinguisher
Page 4 of 4
JC International Limited
RC. 413243
Client: Inspection Location: Inspector: Forklift Type: Forklift Manufacturer: Model Number: Serial Number: SWL Tested to Certificate Number: Inspection Date: Next Date of Examination:
This is to certify that I did Thorough Examination on the forklift in accordance with ASME B 56.6 and all statutory requirements as stated above. The records of examination are true without prejudice for the purpose it was designed for. Fit for use.
Inspectors Name/Qualification Signature/Date
KELECHI EMERIBE LEEA Qualified Lifting Equipment Tester and Examiner. FID, SNT Level 11 MT, PT, VT, ET, UT, in compliance 19
TH
November, 2013
JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com
SWL: 7t Date Manufactured: 2012 Place of Test: Rigging Loft Date of last test: 21/11/2012 Date of Next Inspection: 12/11/2014 STATUS: Fit for use
U N/A
FL 15
Date of Inspection: 13/11/2013 Inspector: KELECHI EMERIBE Contract No: Description: VERTICAL MAST FORKLIFT Specification: ASME B56.6
CHASIS Steering Axle Hydraulic System Wheels Tyres Brakes Light Indicator Gauges Suspension ok ok ok ok U ok ok ok ok
NDE
Inspectors Name/Qualification Kelechi Emeribe LEEA Qualified Lifting Equipment Tester and Examiner.
Page 1 of 4
JC International Limited
RC. 413243
Location: RIGGING LOFT Serial No: H2X396C00688 Test Load Applied 7700KG Date of last Proof load Test Not seen
Tilt Cylinder Creep in 5 minutes
Owner ID: FL 15
12/11/14.
Comments noted and alterations or repairs required before Forklift are put into service (if none enter NONE)
Page 2 of 4
JC International Limited
RC. 413243
SECTION
General: Wheels Tyres Mast and Fork-carrier Load Chain Side Rollers Roll-over cage Forks Horn and Safety Devices Hydraulic System Electrical System Engine Compartment Exhaust System Cooling System Steering Operational Controls Gauges in Cab Fire Extinguisher Maintenance
Inspectors Name/Qualification
Signature/Date
KELECHI EMERIBE
13/11/2013 LEEA QUALIFIED LIFTING EQUIPMENT TESTER AND EXAMINER, SNT LEVEL 11 MT, PT & UT IN COMPLIANCE WITH SNT-TC-1A.
Page 3 of 4
JC International Limited
RC. 413243
Section 1
1.1 a) b) c) d) e) f) g) h) i) j) k) l) m) n) o) p) q) r) s) t) u) v) w) x)
Operators Cab
NA
Operators Cab Condition: Access / Handholds/Steps Non-slip surfaces House keeping Door(s) Glass Window Wiper Heater/Air Conditioner Wiring Mirrors Seat/Seats Belts Instruments and gauges Roof access Load Capacity Chart Operators Manual
Warning Decals Power Line Warning Decal Hand Signal Chart Lights Control Linkage Beams float & pad Cylinder Outriggers Operators Seat Fire extinguisher
Page 4 of 4
JC International Limited
RC. 413243
Client: Inspection Location: Inspector: Forklift Type: Forklift Manufacturer: Model Number: Serial Number: SWL Tested to Certificate Number: Inspection Date: Next Date of Examination:
This is to certify that I did Thorough Examination on the forklift in accordance with ASME B 56.6 and all statutory requirements as stated above. The records of examination are true without prejudice for the purpose it was designed for. Fit for use.
Inspectors Name/Qualification Signature/Date
KELECHI EMERIBE LEEA Qualified Lifting Equipment Tester and Examiner. FID, SNT Level 11 MT, PT, VT, ET, UT, in compliance 13
TH
November, 2013
JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com
Owner:
U N/A
TR08
Date of Inspection: 07/11/2013 Inspector: KELECHI EMERIBE Contract No: Description: VERTICAL MAST FORKLIFT Specification: ASME B56.6
Date of last test: NOT SEEN Date of Next Inspection: STATUS: Not Fit for use
CHASIS Steering Axle Hydraulic System Wheels Tyres Brakes Light Indicator Gauges Suspension ok ok ok ok ok ok ok ok ok
FORKS
Forks Blade
Crack
Inspectors Name/Qualification Kelechi Emeribe LEEA Qualified Lifting Equipment Tester and Examiner.
Page 1 of 4
JC International Limited
RC. 413243
Date of thorough examination 07/11/13 Date of last thorough Inspection Not seen
Relevant Standard
Owner ID: TR 08
06/11/14.
Comments noted and alterations or repairs required before Forklift are put into service (if none enter NONE)
Crack found on the fork; it should be replaced or rewelded. NOT FIT FOR USE
Page 2 of 4
JC International Limited
RC. 413243
SECTION
General: Wheels Tyres Mast and Fork-carrier Load Chain Side Rollers Roll-over cage Forks Horn and Safety Devices Hydraulic System Electrical System Engine Compartment Exhaust System Cooling System Steering Operational Controls Gauges in Cab Fire Extinguisher Maintenance
ok ok ok ok ok ok ok ok ok ok ok ok ok ok ok ok ok ok ok
Inspectors Name/Qualification
Signature/Date
KELECHI EMERIBE
7/11/2013 LEEA QUALIFIED LIFTING EQUIPMENT TESTER AND EXAMINER, SNT LEVEL 11 MT, PT & UT IN COMPLIANCE WITH SNT-TC-1A.
Page 3 of 4
JC International Limited
RC. 413243
Section 1
1.1 a) b) c) d) e) f) g) h) i) j) k) l) m) n) o) p) q) r) s) t) u) v) w)
Operators Cab
NA
Operators Cab Condition: Access / Handholds/Steps Non-slip surfaces House keeping Door(s) Glass Window Wiper Heater/Air Conditioner Wiring Mirrors Seat/Seats Belts Instruments and gauges Roof access Load Capacity Chart Operators Manual
Warning Decals Power Line Warning Decal Hand Signal Chart Lights Control Linkage Beams float & pad Cylinder Outriggers Operators Seat
Page 4 of 4
JC International Limited
RC. 413243
Port Harcourt Office: Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office: 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-mail: service@jcinternationalng.com Website: www.jcinternationalng.com
TR09.
Date of Inspection: 08/11/12 Contract No: Description: Vertical mast forklift Specification: ASME B 56.6
STATUS:
CHASIS Steering Axle Hydraulic System Wheels Tyres Brakes Light Indicator Gauges Suspension ok ok ok ok ok ok ok ok ok FORK
Inspectors Name/Qualification Kelechi Emeribe LEEA Qualified Lifting Equipment Tester and Examiner. SNT LEVEL 11 MT, PT & UT IN COMPLIANCE WITH SNT-TC-1A. Page 1 of 4 LOAD TEST
3600kg
JC International Limited
RC. 413243
Test Load Applied 3600kg Date of last Proof load Test Not seen
Tilt Cylinder Creep in 5 minutes
FIT FOR USE Comments noted and alterations or repairs required before Forklift are put into service (if none enter NONE) None.
Page 2 of 4
JC International Limited
RC. 413243
SECTION
General: Wheels Tyres Mast and Fork-carrier Load Chain Side Rollers Roll-over cage Forks Horn and Safety Devices Hydraulic System Electrical System Engine Compartment Exhaust System Cooling System Steering Operational Controls Gauges in Cab Fire Extinguisher Maintenance
ok ok ok ok ok ok ok ok ok ok ok ok ok ok ok ok ok Ok ok
Inspectors Name/Qualification
Signature/Date 08/11/2013
Kelechi Emeribe LEEA Qualified Lifting Equipment Tester and Examiner. SNT LEVEL 11 MT, PT & UT IN COMPLIANCE WITH SNT-TC-1A.
JC International Limited
RC. 413243
Page 3 of 4
Section 1
1.1 a) b) c) d) e) f) g) h) i) j) k) l) m) n) o) p) q) r) s) t) u) v) w) x)
Operators Cab
NA
Operators Cab Condition: Access / Handholds/Steps Non-slip surfaces House keeping Door(s) Glass Window Wiper Heater/Air Conditioner Wiring Emergency Stop Mirrors Seat/Seats Belts Instruments and gauges Roof access Load Capacity Chart Operators Manual
Warning Decals Power Line Warning Decal Hand Signal Chart Lights Trafigator Reverse Light Revolving Light Brake Light Fire Extinguisher
Page 4 of 4