JC International

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

CHECKLIST FOR OVERHEAD CRANE INSPECTION

Name & Address of the Owner of the Crane

NIGERDOCK NIG. PLC FZE Name & Address of the maker of the Crane FABRIYKA URZADZEN

Date 27/08/2013

Date of Manufacture

1997 (a) Maker Serial number 010383 Date of last previous test of Crane 27/08/2013 Location:
FABRICATION EAST

(b) Owners distinguishing mark or number (if any) 090615 Date of last thorough examination of the Crane 27/08/2013 Proof Load 6.4T

Deflection (SWL) N/A NONE

Rated Load
5.12T

S.W.L 5T

Lifting Height 14.41mtrs Travelling Length

Span 22 mtrs Lifting Cable/Chain Pitch

10mm with 4 falls 150.63mtrs Comment noted and alterations or repairs required before Crane is put into service (if none enter NONE)

. 1. Due to safety reasons, the bell should be installed before use

Serving the Lifting, Rigging and Load Securement Industries

JC International Ltd.

Page 1 of 3

CONDITION OR INSPT REQUIREMENT Structural Frame/Beams Access Walkways Railways/Rollers Anchoring/End Stops Use Visibility Brake Systems Parking Counterweights Wind Anchoring Motor Train/Controls Electric Power Supply Operational Protections Warning Devices Hydraulic lines/ Air Lines Hooks/Tackles Wire Rope Pulleys & Drum Speed Limit Switches Transverse Limit Switches Longitudinal Limit Switches High & Low Lift Switch Limit Load Devices Fire Extinguisher(s) Safety Markings Maintenance Cleanliness/Up-Keep

NEEDED CORRECTIONS(IF ANY) OR DEFECTS NOTED Ok Ok Ok Ok Ok Ok N/A Ok 415V,good N/A Ok Ok N/A Ok Ok Ok OK Ok Ok Ok Ok Ok Ok Needs maintenance Poor

Inspector Signature:.
KELVIN OSUIJI

Inspectors Name:

LEEA Qualified Lifting Equipment Tester and Inspectors Qualification: SNT LEVEL 11 MT, PT & UT IN COMPLIANCE WITH SNT-TC-1A

27/08/2013 Date:.

Revision No: DOC No: JCIR 0

Serving the Lifting, Rigging and Load Securement Industries

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JC International Ltd.

Deficiency/ Recommendation Report

KELVIN OSUIJI

Job No: Inspection date: Model number:

5657 27/08/2013

Inspector:

Manufacturer: Fabryka Urzadzen Serial Number: 010383

D
D/R

Deficiency
ITEM#

R=

Recommendation

EXPLANATION/RECOMMENDATION

Serving the Lifting, Rigging and Load Securement Industries

JC International Ltd.

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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

CERTIFICATE OF TEST
STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Equipment Description: Client: Inspection Location: Crane Manufacture: Date of Manufacture: Owner Mark Number: Serial Number: SWL: Proof Load Applied: Certificate Number: Inspection Date: Next Date of Examination:

OVERHEAD CRANE NIGERDOCK NIG.PLC FZE FABRICATION WEST

FABRIKYA URZADEN

1997 CRANE 010383 5t 6.4t 5657 27/08/2013 26/08/2014

This is to certify that I did, Test / Examination on the Overhead Crane in accordance with BS 7121-2 and all Statutory requirement as above. The records of examination are true without prejudice for the purpose it was designed for. Fit for use
Inspectors Name/Qualification KELVIN OSUJI LEEA Qualified Lifting Equipment Tester and SNT LEVEL 11 MT, PT & UT IN COMPLIANCE WITH SNT-TC-1A 27/08/2013 Signature/Date

Cert No.227173