CERTIFICATE OF TEST AND THOROUGH EXAMINATION PP334170-23-101 OF MOBILE CRANE Date of Inspection: 30-November-2023 Name and Address of the Owner: Place of Inspection: Ref. Standard: M/S GOLDEN EQUIPMENT Co. - KUWAIT kuwait BS 7121-2-1 of 2012 Maker & Date of Manufacture: DNV NPS No.: N/A SANY , 2016 DNV Order No.: N/A Reg. No.: Owner No.: Model No.: Serial No.: 29553 B-07 STC500 LFCNNF5P7F2001273
Crane Details: DIESEL POWERED TRUCK MOUNTED CRANE , HYDRAULIC OPERATION, TELESCOPIC BOOM Maximum Capacity: Boom Length: 50 ton /3.0 m /11.5 m With Fully reeved, and out riggers fully extended.
Description of Test: Test Load
Boom Length Radius SWL Applied GL Inspector Attended To Carry Out Visual Inspection, (Metre) (Metre) (Tonne) (Tonne) Witness The Performance test & Load Test of:- Mobile Crane 27.25 16 6.25 5.0 Present Configuration: 18 ton/3.0 m/11.5 m with 4 falls and outriggers fully extended.
43 22 3.25 2.6
Date of Next Proof Load
Date of Last Examination Date of Next Examination Date of Last Proof Load Test Test
Gad Surveyor’s Signature: Authorized 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
