8
Gruppe
13
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Test Certificate
No. 8089
Ministry of Labour
FACTORIES ACT 1961
Docks Regulations 1934, Regulations 19(a) and 22(a)
PULLEY BLOCKS: Certificate of test and examination, before being taken into use.
Form prescribed by the Minister of Labour
Particulars:
Were the sheaves and pins of the pulley block or blocks removed after the application of the
Proof load and all parts then examined by a competent person and found to have withstood
The proof load without deformation and be free from cracks, flews or other defects?…………………..
(3) Name and address of makers.
DL Group
(4) Name and address of public service, association,
company, firm or person marking the test and examination.
(5)
Position
in public service, association, company
or firm named above of person who made the test and examination.
Chief of Testing Department
I certify, on be half of the firm or person named in (3) 4)
above, that the above particulars are corect.
Signature……………………………………………………. Date…………….
(6) Name and address of owners or occupier:
Distin-
guishing
Number or
Mark
(a)
Description of Block
Num
ber
Test
ed
(e)
Date of
test
(f)
Proof
Load
Applied
(g)
safe
work-
ing
load
(h)
Outside
Diameter
of
Sheave
(b)
State whether
the
Axel pin and
head
Fitting are of
mind or
High tensile
steel
(c)
Where applica-
ble
State heat
treatment
item in (c)
received
in manufacture
(d)
H5399 8” / 200
m.m
Axelpin
Mild steel
Head fitting
High Ten-
sile Steel
1 11.2005 16,7t 8,5t
This form is based on the standard international form of
certificate approved by the international Labour Organisation
for the test and examination of lifting machinery and gear
used in the loading and unloading of ships
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