Certificate of Test and Thorough Examination of Mobile Crane

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GERMANISCHER LLOYD INDUSTRIAL SERVICES GMBH

Local Certificate No:


CERTIFICATE OF TEST AND THOROUGH PP334170-24-007
EXAMINATION OF MOBILE CRANE Date of Inspection:
05-March-2024

Name and Address of the Owner: Place of Inspection: Ref. Standard:


M/s. GOLDEN EQUIOMENT CO. KUWAIT - AMGHARA BS 7121-2-1 of 2012
Kuwait. Maker & Date of Manufacture:
DNV NPS No.: N/A SANY & 2018
DNV Order No.: N/A
Reg. No.: Owner No.: Model No.: Serial No.:
34630 /KWT B-20 STC800S LFCNPG6P0H2013976

Crane Details: Diesel Powered Hydraulic Telescopic Boom Mobile Crane


Maximum Capacity: 80 ton /3 m Radius /12.2 m Boom with full wire falls and outriggers fully extended.
Boom Length: 12.2 m min. Boom length
(See Crane Chart for Details)

Description of Test: Test


Boom
GL Inspector Attended To Carry Out Visual Inspection, Radius Load SWL
Length
Witness The Performance test & Load Test of:- Mobile Crane Applied
(Metre) (Metre) (Tonne) (Tonne)
Current Rigged Condition:
28.0 ton /4.5 m Radius /25.2 m Boom with 6 wire rope falls 25.2 7.4 22.5 18.0
and Outriggers fully extended.
Working Radius: 34 m

40.4 34.0 1.25 1.0

Date of Next Date of Next Proof


Date of Last Examination Date of Last Proof Load Test
Examination Load Test

N/A March.04,2025 N/A March.04,2025

Authorized Name: Eng. M.Fadel Surveyor’s Name: Eng. Abdulrahman Gad

Authorized Signature: Surveyor’s Signature:

LEGAL DISCLAIMER: THIS IS TO CERTIFY THAT the above competent surveyor tested and thoroughly examined the lifting equipment in the above-mentioned
place as per relevant International Standard. Unless otherwise stated in the applicable contract with the holder of this document, or following from mandatory
law, the liability of DNV AS, its parent companies and subsidiaries as well as their officers, directors and employees (“DNV”) arising from or in connection with
the services rendered for the purpose of the issuance of this document or reliance thereon, whether in contract or in tort (including negligence), shall be limited
to direct losses and under any circumstance be limited to the lesser of a sum equal to ten times the remuneration paid to Contractor under this Contract up to a
maximum of 300,000 USD.

Page 1 of 2Page 1 of 2Country Office - KUWAIT, Ahmed Al Jabar Street, Al Sarraf Tower, 3rd Floor 13069 Kuwait City - Kuwait - Tel. +96522251338
The present is based upon the standard international form of certificate approved by the International Labour Organisation for the test and examination of lifting
machinery and complies with LOLER 1998. This Report meets the minimum requirements for LEEA Technical Rules.

Form code: ISI-INSP-5-7-A1-KW Revision: 2021-03 www.dnv.com Page 1 of 2


Copyright © DNV 2021. All rights reserved.
GERMANISCHER LLOYD INDUSTRIAL SERVICES GMBH

Local Certificate No:


PP334170-24-007
Annex to Certificate of Test and Thorough Examination of Mobile Crane
NO. DESCRIPTION CONDITION REMARKS
1 Rated Capacity Indicator / Limiter Satisfactory
2 Radius Indicator Satisfactory
3 Angle Indicator Satisfactory
4 Main Boom Length Indicator Satisfactory
5 Boom Hoist Cut Out Satisfactory
6 Hoisting Limiter / Anti-Two Block Satisfactory
7 Overload Protection / Limiter Satisfactory
8 Duty Chart in Cab Satisfactory
9 Crane Controls, Markings and Gauges Satisfactory
10 Level Indicator Satisfactory
11 Boom Structure Satisfactory
12 Fly Jib Structure N/A
13 Sheaves, Rope Guides and Rollers Satisfactory
14 Main Hoist Winch and Brake Satisfactory
15 Auxiliary Hoist Winch and Brake Satisfactory
16 Main Hook Block Satisfactory 80 ton
17 Auxiliary Hook Block Satisfactory 5 ton
18 Wire Rope – Main Hoist Satisfactory 6 fall 18 mm Dia.
19 Wire Rope – Aux Hoist Satisfactory 1 fall 18 mm Dia.
20 Main Hoist Wire Rope Certificate & Installation Date N/A
21 Aux Hoist Wire Rope Certificate & Installation Date N/A
22 Swing Machinery / Turntable Bearing Satisfactory
23 Power Unit / P.T.O. Satisfactory
24 Hydraulic System Satisfactory
25 Electrical System / Battery Satisfactory
26 Warning Lights, Horn & Reverse Alarm Satisfactory
27 Operator Cabin Structure, Windshield & Seat Belt Satisfactory
28 Carrier Condition Including Engine Satisfactory
29 Emergency Stop Push-Button Switch N/A
30 Air Intake Shut-Off Valve N/A
31 Spark Arrestor Satisfactory
32 Counterweight Satisfactory
33 Outriggers Satisfactory
34 Tyres / Wheels Satisfactory
35 Fire Extinguisher Satisfactory
36 Anemometer Satisfactory
37 Maintenance Records N/A
38 Record of Major Repairs / Alterations / Replacements N/A

Comments: - Automatic Load Indicator and Anti Two Block switch to be checked regularly. - Crane to be operated
with a Competent Operator. - All manufacture procedure to be followed. Hook block, wire rope, cylinders, outriggers
&other essential parts have to be checked regularly by the owner and record to be kept & in case of any abnormal
phenomenon it is to be reported to GL for certificate validation. - Crane capacity is limited to existing number of wire
falls and existing hook block capacity.

for DNV

Eng. Abdulrahman Gad

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