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Dumper Truck Front

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Certificate No MSC/33102/D/22/5G

INSPECTED ITEMS REMARKS CORRECTIVE ACTIONS RE- INSPECTION


PERFORMANCE TEST
Overall condition Satisfactory
Tires Acceptable
Steering Satisfactory
Controls/ Levers/Brakes Satisfactory
Hydraulic Systems Satisfactory
Electrical System & Light Satisfactory
SAFETY DEVICES
Warning Beacon Satisfactory
Fire Extinguisher Available
Reverse Alarm/Horns Satisfactory

RECORDS
Monthly inspection N/A
Maintenance N/A
Repair & Modification N/A

COMMENTS / REMARKS SATISFACTORY DURING VISUAL & FUNCTIONAL INSPECTION

This is to certify that the above comments are correct & signed by competent inspector who conducted the machine
inspection, testing & examination under normal working conditions & loads.

Inspected By : M FARHAN
Position : Inspection Engineer
REGISTER CERTIFICATE OF TEST & EXAMINATION OF DUMPER

Certificate No MSC/33102/D/22/8G Job No MSCJ22004

Name & Address Of Equipment


Equipment. Maker Origin
NOOR AL SAHRAA INTERNATIONAL G
IVECO SPAIN
A.D, UAE
Location Reference Regulations Previous Test Done By
AL FAYA, A.D, U.A.E BS 6912 PART 16:1995 MSC

Description Registered
Name/Make/Model/Dimensions etc
Empty Weight Remarks
Plate No.

DUMPER

Chassis No WJME3TSD8MC434375 1 / 97659 A.D 14.0TON Visual &


Eng No 271663 functional are
Year Of Mfg 2021 satisfactory.
Model AD380T4

Validation
Inspection Date Date of Expiry Test Result
One(01) Year
04-07-2022 03-07-2023 Pass

This Certificate Becomes Invalid, If Any Alteration/Repair /Modification Is Made.


THIS IS TO INFORM YOU: that the undersigned a surveyor or representative did attend to examine this machine
(equipment) to assure that it is in safe working condition. Examination indicate that the said equipment has no
indigenous defects or sighted deformation and in safe working condition. The said equipment is found to be
satisfactory for further use, provided there is continues maintenance applied and qualified operators employed.
This certificate is granted subject to the condition that is agreed & understood. Master Safety Consultancy L.L.C
liability shall be limited to the acts or premises of its employees, subcontractors. Under no circumstances whatsoever
shall Master Safety Consultancy L.L.C be liable for any injury or damage to any person or occurring by reason of
negligent operation or any defect in materials, machinery, equipment or other items other than such defects
ascertainable normally.
We hereby report that the all particulars in this report are correct at the time of test/inspection Daily inspection &
operational maintenance is the sole responsibility of the users.

Inspected By: M FARHAN Approved By: Technical Manager

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