Certificate of Thorough Examination of Heavy Equipment: Germanischer Lloyd Industrial Services GMBH

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GERMANISCHER LLOYD INDUSTRIAL SERVICES GMBH

Local Certificate No:


CERTIFICATE OF THOROUGH EXAMINATION OF HEAVY PP334170-24-026
EQUIPMENT Date of Inspection:
10-June-2024

Name and Address of the Owner: Place of Inspection: Ref. Standard:


KUWAIT BS 8460:2017
M/S GOLDEN EQUIPMENT Co. - KUWAIT
Maker & Date of Manufacture:

DNV NPS No.: A1306100 XCMG, 2022


DNV Order No.: N142H358
Registration Number: Owner No.: Model No.: Loader Serial No.
38552 WL-10 LW500KV XUG0500KPNCB01484
Equipment Description: DIESEL DRIVEN, HYDRAULIC WHEEL LOADER ATTACHED WITH FORK
Maximum Lifting Capacity: 5000 Kg
Test Load
SWL
Description of Test: Applied
(Kilogram) (Kilogram)
Load test @ 100 % SWL

Overload test @ 125% SWL


5000
6250

Date of Next Date of Next Proof


Date of Last Examination Date of Last Proof Load Test
Examination Load Test
Date N/A Date N/A
June 09. 2025 June 09. 2025
CERT. No. N/A CERT. No. N/A

Authorized Name: Eng. Mohamed Fadel Surveyor’s Name: Eng. Abdulrahman


Gad

Authorized Signature: Surveyor’s Signature:


LEGAL DISCLAIMER: THIS IS TO CERTIFY THAT the above competent surveyor 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


Copyright © DNV 2021. All rights reserved.
GERMANISCHER LLOYD INDUSTRIAL SERVICES GMBH

Local Certificate No:


PP334170-24-026
Annex to Certificate of Thorough Examination of Heavy Equipment
NO DESCRIPTION CONDITION REMARKS
.
1 Personnel Basket / Platform Structure / Door Lock N/A
2 Level Indicator Satisfactory
3 Stabilizers / Outriggers N/A
4 Emergency Descent System Satisfactory
5 Overload Protection / Warning System Satisfactory
6 Level Safety Device N/A
7 Boom Structure Satisfactory
8 Boom Hoisting Cut-off Satisfactory
9 Platform Extension / Rollers / Locks Satisfactory
10 Scissors Connecting Pin & Locks N/A
11 Side-Out Engine / Battery Tray Satisfactory
12 Pothole Protection Limit Switch Satisfactory
13 Hydraulic Cylinder(s) Satisfactory
14 Hydraulic System / Hoses / Connections Satisfactory
15 Electrical System / Battery Satisfactory
16 Load Holding Satisfactory
17 Speed Control (High / Low) Satisfactory
18 Swing Machinery / Turntable Bearing Satisfactory
19 Controls / Indicators / Gauges Satisfactory
20 Emergency Stop Switch(es) Satisfactory
21 Carrier Including Engine Satisfactory
22 Tyres / Wheels / Axles Satisfactory
23 Steering System / Steering Cylinder(s) Satisfactory
24 Service Brake / Manual Slew Lock Satisfactory
25 Foot Pedal Satisfactory
26 Lights / Horn / Reverse Alarm / Rotating Beacon Satisfactory
27 Motion Warning / Tilting Buzzer / Safety Decals Satisfactory
28 Spark Arrestor Satisfactory
29 Air Intake Shut-Off Valve Satisfactory
30 Fire Extinguisher Satisfactory
31 Coating and General Condition Satisfactory
32 Maintenance Records Satisfactory
33 Records of Major Repair / Alteration / Replacement Satisfactory

Comments: N/A

for DNV

Eng. Abdulrahman Gad

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