10
Gruppe
13
www.dantechlogin.com
Test Certificate
No. 8345
DEPARTMENT OF EMPLOYMENT AND PRODUCTIVITY
FACTORIES ACT 1961
Docks Regulations 1934, Regulations 19(a) and 22(a)
PULLEY BLOCKS: Certificate of test and examination, before being taken into use.
(This form may also be used for the purposes of section 26(1)(e) of the Factories Act 1961)
CHAINS, CHAIN SINGS, ROPE SLINGS
(except a fibre rope sling,)
OR SIMILAR GEAR, RINGS, LINKS,
HOOKS, PLATE CLAMPS, SHACKLES, SWIVELS AND EYE-BOLTS.
Form prescribed by the Secretary of State for
CERTIFICATEOF TEST AND EXAMINATION
(1) Particulars
(2) Name and address of maker, supplier or repairer.
(3) Name and address of firm, company, association
or person undertaking the test and examination.
(4) Name, position and qualification of person who
carried out the test and examination.
Chief of Department
(5) I certify on behalf of the firm, company, association or person named in (3) and (4) above thet the ithems
Described herein were tested and thereafter examined and were found to be free from cracks, flows or other
Defects.
Signature………………………………………….
Date.
__________________________________________________________________________________________________
Distinguishing
No or Mark
(i)
Description of item . This should
Include size, material and particulars
of any heat treatment
(ii)
Number
Tested
and
Exam-
ined
(iii)
Date
of test
and
examination
(iv)
Proof Load
Applied
(specify
units)
(v)
Safe
working
load
(specify
units)
(h)
Danløft CE
12.05
WLL.6800kg
Wire Rope Slings 24 mm x 110 mtr.
Soft eyes both ends
2
12.2005 10,2 ton 6,8 ton
F 97
This form is based on the standard international form of
certificate approved
by the international Labour Organisation for the test and