#------II&.IATIONAL INSPECTION AND TECHNICAL TESTING CERTIFICATE OF VISUAL INSPECTION CERTIFICATE
AND THOROUGH EXAMINATION
NO.
AMN136022/201218/001/REV.00
OWNER/OCCUPIER
GHADER ALGHAMDI EST. EDDAH KINGDOM OF SAUDI ARABIA
EQUIPMENT
MOBILE CRANE
LOCATION
YANBU CEMENT - YANBU
MANUFACTURE
& DATE
LlEBHERR - LTM 1400
YEAR: 1996
TYPE OF EQUIPMENT
ALL TERRAIN WITH TELESCOPIC BOOM MOBILE CRANE W/STOWED JIB, 3BOOM SCTION, 10 FALLS & 22 mm WIRE ROPE DAI, HOOK CAP. 420 t & AUX HOOK N/A, C.W. 125 t ONLY WITH SPECIAL EQUIPMENT, BOOM LENGTH 15.7 m - 50 m
MOTIVE POWER
DIESEL I HYDRAULIC . PLATE# 5001 DDA
ID NO. SERIAL NO.
014499
CAPACITY OR SAFE WORKING LOAD 4000 t @ 3 m. RADIUS & 15.7 m. BOOM ONLY ON FULLNOUT RIGGER STANDA~D APPLIED ASME: B30.5
On the date of inspection
BOOM
RADIUS
TEST LOAD
SWL
meter
meter
tonne
tonne
15.7
3
---
400
15.7
12
---
118
26.1
16
81
we made a thorough examination of the equipment specified.
As far as ascertainable the equipment complied with the Standard applied. On the date of inspection the equipment was found to be of good construction, of adequate strength, in good working order and free from apparent defects that affect safe operation.
DATE OF INSPECTION ADDITIONAL AUTHORIZED
20-Dec-18
19-Dec-19
STICKER No. 225805
CERTIFICATION INSPECTOR
DATE NEXT INSPECTION
ENG. RIYAD AL-DARAWISH
INSPECTOR
ENG.AMJAD ALHAWSAWI
WARNING: (1) This certificate should not be altered or defaced in any way or it will render the Certificate invalid. (2) This Certificate is not valid unless authenticated by the FAHSS I Inspection Stamp and Inspector's Signatures.
STAMP
NATIONAL JUBAIL:
INSPECTION
AND TECHNICAL
(013) 340 7607/7608/7609
NO.~A~~~L1F7fX'1014)
325 1475
TESTING CO. LTD. (FAHSS 1 TOV NORD SAUDI ARABIA)
FAX: (013) 340 7605 - JEDDAH: EMAIL:
[email protected]
P.O BOX 10771 JUBAIL 31961
(012) 432 8327 1614 3438 FM·IN·122A
REV 01.22/05/05