REPORT OF THOROUGH EXAMINATION & TEST

Date of Through Examination:

02/05/2016

Date of Report:
02/05/2016

Name and Address of the Owner of the Equipment

Report number:
A/31591/16/05/2

Job no:
31591

Address of premises at which the examination was

made:
Premier Production Fabricators L.L.C, Rusayl
Industrial Estate

Premier Production Fabricators L.L.C,

Rusayl Industrial Estate

Test Load

Description and identification of the equipment:

S.W.L

Concrete Block
Serial no;
Dimensions:
Pad eye: th:
SWL:
Color : Blue

hole dia:

Is this the first examination after

installation or assembly at a new site or

Was the examination carried out:

YES

NO

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

YES

NO

correctly?

Within an interval of 6 months?

YES

Within an interval of 12 months?

YES

In accordance with an examination

scheme?

YES

After the occurrence of exceptional

circumstances?

YES

NO
NO

NO
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:
YES by:
(If YES state the date by when)
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 INSPECTION CARRIED OUT

IS THIS EQUIPMENT FIT FOR PURPOSE?

Name & Qualifications of person
making this report:

Name of person authenticating this

report:

ANAZ
Name and address of employer of persons making and authenticating this
report:
SAFETY TECHNICAL SERVICES PO BOX 3288. SEEB. PC 111 MUSCAT.
lifting@safetyoman.com

YES

NO

Latest date by which next thorough

examination must be carried out:
01/11/2016