ISD-LIC-FRM-004 Overhead Crane

This document is issued TÜV Middle East : P.O.
Box 46030, UAE

as per TÜV Middle East Tel: +97124411146
procedures in accordance Report No. :
with the requirements of Work Order No. : Fax: +97124411147
U.A.E. Federal Law No. 8 Date of Issue : Email: abudhabi@tuv-nord.com
(1980), Article 20 of Order
Place of Inspection : www.tuv-nord.com / www.tuvme.com
No. 32 / 1982
EXAMINATION REPORT OF
OVERHEAD CRANES, HOIST, UNDERSLUNGES
Name and Address of the Owner :

Type of Inspection : INITIAL / PERIODIC / THOROUGH / MAJOR
Location :
Description :
Name of Manufacturer :
Serial Number/Model Number :
Capacity :
Year of Build :
Owner ID No :
List No. Item Description Defective Condition Recommendation
The above Overhead Crane was examined and the detected defect(s) may affect its safe use. The
recommendations should be implemented and done prior to the issuance of the Examination Certificate.
TÜV Middle East WLL Reviewed By
Inspector Name On Behalf of TÜV Middle East

Inspector (Member of TÜV NORD)
EXAMINATION CHECKLIST OF
“This document is issued subject to the condition that nothing herein contained shall be deemed to relieve any designer, manufacturer, seller, repairer or operator of any warranty, express
or implied and TUV Middle East WLL liability shall be limited to the acts or omissions of its employees, agents and sub contractors. TUV Middle East WLL shall in no event be liable for any
injury or damage to any person or property occurring by reason of negligent operation or lack of proper maintenance or any defect in materials, machinery, equipment or other items other
than such defects ascertainable by normally accepted testing standards and only upon those items actually inspected by TUV Middle East WLL and which are covered under this
document.”
ISD-LIC-FRM-004 Rev. 4 Date: 11-11-2018 Page 1 of 3

Owner I.D. No. : Date: :

Maker Serial No. : Report No. :
No Examination Items S NS O NA Remark
01 Appearance & Cleanliness
02 Marking & Identification
03 Controllers / Pendants
04 Motor Trains
05 Long Travel Rail / Rollers
06 Anchor / Ends – Stops / Buffer
07 Brake System
08 Parking System
09 Beam Girder / End Carriage
10 Electric Power Supply
11 Hydraulic System
12 Electrical Cables / Earthing
13 Crab Trolley
14 Wire Ropes
15 Hooks
16 Chains
17 Pulley and Sheaves
18 Drums
19 Direction Limit Switches
20 High / Low Lifting Switches
21 Anti – Collision Device
22 Operations / Functions
23 Safety System
24 Warning Devices
25 Fire Extinguisher
26 Lighting System
27 Maintenance
28 Supporting Structures
29 Associated Equipment
30 Over Load Limit
31 Load Test
Note:
S = Satisfactory / Accepted.
N.S. = Not Satisfactory; Examination Condition and Recommendations are stated in the Examination Report
O = Observation; minor defects which do not affect the safe operation of the equipment.
N.A. = Not Applicable or Available

This document is issued TÜV Middle East : P.O. Box 46030, UAE
document.”

as per TÜV Middle East Report No. : Tel: +97124411146
procedures in accordance Fax: +97124411147
with the requirements of Work Order No. :
U.A.E. Federal Law No. 8 Date of Issue : Email: abudhabi@tuv-nord.com
(1980), Article 20 of Order www.tuv-nord.com / www.tuvme.com
No. 32 / 1982 Place of Inspection :
CERTIFICATE OF TEST & EXAMINATION OF

Name and Address of the :
Owner
Type of Inspection : INITIAL / PERIODIC / THOROUGH / MAJOR
Location :
Description :
Manufacturer Name :
Serial Number/Model Number :
Capacity :
Year of Build :
Owner ID No :
Spam Length :
Lifting Height :
Traveling Distance :
Mounting System :
Operating System :
Rope/Chain Pitch :
Proof Load Testing Test Load (Tons) Maximum Beam Deflection Safe Working Load
Applicable (mm/Span Length) (Tons)
Reference Standard:
Details of latest Inspection / Tests previously
performed including any NDT if possible,
Measuring Equipment ID:
Remarks Where applicable, any reservations or restrictions (limitation) on the use or maximum capacity of
the equipment/item, information on what has been omitted from the original scope of work
This is to certify that the above Overhead Crane was tested and thoroughly examined and no defect affecting its safe use was found at the time of inspection.
The equipment is safe to operate up to its SWL and for its intended use within the design limits specified, provided there is continuous maintenance applied
and a qualified operator is employed. This document is valid until the date of next inspection or the date of expiry of thorough examination or the date from
which any major repair / alteration is done to the equipment; whichever occurs earlier.
Inspection Date Next inspection Date Ref. and Date of Last Ref. and Date of Last Next Proof Load Test
Thorough Examination Proof Load Test Date

document.”

ISD-LIC-FRM-004 Overhead Crane

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This document is issued TÜV Middle East : P.O.

Box 46030, UAE

Name and Address of the Owner :

List No. Item Description Defective Condition Recommendation

TÜV Middle East WLL Reviewed By

Inspector Name On Behalf of TÜV Middle East

ISD-LIC-FRM-004 Rev. 4 Date: 11-11-2018 Page 1 of 3

Owner I.D. No. : Date: :

Inspector Name On Behalf of TÜV Middle East

ISD-LIC-FRM-004 Rev. 4 Date: 11-11-2018 Page 2 of 3

CERTIFICATE OF TEST & EXAMINATION OF

TÜV Middle East WLL Reviewed By

Inspector Name On Behalf of TÜV Middle East

ISD-LIC-FRM-004 Rev. 4 Date: 11-11-2018 Page 3 of 3

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