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Approved by The Director of Industrial Safety & Health, Chennai. No. H1/25103/ 2022 Dt.13/02/2023

M.K.ARAVINDAN
Competent Person

Test Certificate for Lifting Machines or Tackles Prescribed Under Sec.29 of Factories Act 1948 and Rules 55 A of Tamil Nadu Factories Rules 1950 Cert. No.:

1. Name of the Occupier of Factory

2. Address of the Factory

3. Distinctive number of make if any and description sufficient to lifting machine, chain, rope and lifting tackle

Capacity

Sl. No

Make

Height of Lift

Crane No

Id. No

4. Date when lifting machine, rope or tackle was used in factory and Location

5. Date and number of certificate related to any test and examination made under Sub Rule (1) and (8) together with the name and address of person who issued the Certificate

6. Date of each periodical through examination Made under Clause (a) (iii) or Sub-Section (1) of Section 29 of the Act and Sub Rule (7) and by whom it was carried out

7. Date of annealing or other heat treatment of the chain and other lifting tackles made under rule 6 and by whom it was carried out

8. Particulars of any defects found at any such time of thorough examination of after annealing and affecting the safe working load and the steps taken to remedy such defects

9. Safe working load (SWL) as marked on the Name plate of the unit

10. Condition of over running devices such as Ratchets, Limit Switches, Gears, Ropes etc

11. Visual Inspe

12. Remarks if any

13. Tested on: 02.03.2024

I certify that I have thoroughly examined the above lifting machine & tackle and the above is a true report of examination.

COMPETENT PERSON

This certificate is issued based on the current conditions of the equipment at the time of inspection. User is the responsible for the proper maintenance and safe operation of all equipment.