CERTIFICATE
Of Test And Thorough Examination Of Lorry Loader
Date Of Inspection : 27-11-2021
Client's Name : Maraba Al Iraq Al Khadra'a : LTG-IQ/A208350
Certificate No.
Address : Oil Operation Street, Near Police Training
Job No. : 2916
Center Burjesia Basra : Iraq Basra : Iraq
61006 Reference Standard : BS 7121-2-1 & 2-3:2012; BS 7121-
4:2010
Type Of Inspection : In-Service Inspection Inspection Method : DOC / MC-016,ISSUE 03 / REV
02;22.02.2017
Site Name : Liftek Facility Sub Location : Basra-Iraq
ASSET DESCRIPTION: Diesel Powered Hydraulically Operated Telescopic Knuckle Boom Lorry Loader Crane.
Serial Number : 0714345 Boom Length : 12.1m
Make : PALFINGER Boom Type : Telescopic Knuckle
Model / Type : PK21000 Date of Last Thorough
: 18/11/2020
Mfg. Year : 2001 Examination
Chassis Number : WDB9302031L470523 Cert. No. of Last Thorough
: LTG-IQ/M22962
Registration No. : 189461-Erbil Examination
Make & Type of Rated Capacity Date Of Last Proof Load Test : NA
: NA
System
(i) (ii) (iii) (iv)
Boom Length(m) Radius(m) Tested Load(Kg) Safe Working Load(Kg)
4.0 2.6 Nil 6950
4.0 4.0 Nil 4580
7.9 7.9 2100 2100
12.1 12.1 Nil 1310
Details of Deviations/Omissions from original scope of work (if any): Details of Sub contracted work (if any):
NIL NIL
VALIDITY OF THIS CERTIFICATE CEASES IN THE EVENT THE
Due Date of Next Inspection
EQUIPMENT UNDERGOES A MAJOR REPAIR OR ALTERATION, IN
26-11-2022
WHICH CASE IT MUST BE RETESTED.
Equipment Used : Result : PASS
Name and Signature of Inspector :AHMED JIHAD Counter Signature
This is to certify that the above signed competent inspector has visually and functionally examined the equipment as per international standards.The
certificate has been prepared in accordance with requirements of EIAC requirements and shall not be reproduced except in full without the approval of the
inspection body and the client. No detail contained herein shall be deemed to relieve any designer, manufacturer, seller, repairer or operator of any warranty,
express or implied. Liftek Iraq's liability shall be limited to the acts or omissions of its employees, agents and subcontractors. Under no circumstance
whatsoever shall Liftek Iraq be liable for any injury or damage to any person or equipment occurring by negligent, incorrect operation or maintenance, defects
in material, wear and tear damages of machinery or other items related to the items covered by this certificate.
F/7.5/R5 - LL Issue : 01 04.05.2013
N1N4L5M
This is an electronically generated document and does not
require a stamp. Click/Scan the QR Code to verify
N1N4L5M
CLICK / SCAN
TO VERIFY
ANNEXURE
Of Test And Thorough Examination Of Lorry Loader
Certificate Number : LTG-IQ/A208350 Job Number : 2916 Date Of Inspection : 27-11-2021
Examination Details
No. EXAMINED ITEMS STATUS COMMENTS / VALUES
CHECK POINTS
1 CRANE DATA PLATE Satisfactory
2 TYRES & WHEELS Satisfactory
3 OUT RIGGER JACKS & THEIR PADS Satisfactory
4 OUTRIGGER BEAMS Satisfactory
5 OUTRIGGER FUNCTIONS Satisfactory
6 LEVEL INDICATOR Satisfactory
7 LIGHTS Satisfactory
8 HORN Satisfactory
9 BATTERY Satisfactory
10 HOOK CONDITION Satisfactory
11 SHEAVES Not Applicable
12 ROPE CONDITION Not Applicable
13 WINCH BRAKE Not Applicable
14 LOAD CHART Satisfactory
15 CONTROLS & MARKINGS Satisfactory
16 BRAKE Satisfactory
17 FIRE EXTINGUISHER Satisfactory
18 SLEWING MACHINERY Satisfactory
19 BOOM TELESCOPING MECHANISM Satisfactory
20 BOOM HOISTING MECHANISM Satisfactory
21 BOOM LOWERING MECHANISM Satisfactory
22 HOISTING CYLINDERS Satisfactory
23 HOISTING LIMITER Not Applicable
COMMENTS
REGULAR MAINTENANCE NEEDS TO BE PERFORMED ON THIS EQUIPMENT.
Hook Serial number: A6953
Client Name: Maraba Al Iraq Al Khadra'a
Certificate No: LTG-IQ/A208350
Name and Signature of Inspector :PRATHEESH KUMAR Counter Signature
This is to certify that the above signed competent inspector has visually and functionally examined the equipment as per international standards.The
certificate has been prepared in accordance with requirements of EIAC requirements and shall not be reproduced except in full without the approval of the
inspection body and the client. No detail contained herein shall be deemed to relieve any designer, manufacturer, seller, repairer or operator of any warranty,
express or implied. Liftek Iraq's liability shall be limited to the acts or omissions of its employees, agents and subcontractors. Under no circumstance whatsoever
shall Liftek Iraq be liable for any injury or damage to any person or equipment occurring by negligent, incorrect operation or maintenance, defects in material,
wear and tear damages of machinery or other items related to the items covered by this certificate.
F/7.5/R59 Issue : 02 01-02-2014