RC & Tpi
RC & Tpi
SDM HISAR
Issuing Authority Signature Of Issuing Authority
,organizatianfor
(ii) Distinguishing number of mark, if Telescopic IHydraulic Boom Mobile Crane(ModelNo: QY55V),
any, and description sufficient to SWL: 49,5Ton,(l0%Derated From Capacity: 55Ton) on Basic
identify tle lifting machine, chain, Boom Length: 11.IMtr. & Radius: 3Mtr.
Tope, or the lifting tackle. Wire Rope Dia: 18mm in 6Falls, Make: Zoomlion,
RC No: HR 20AS 1621. Chassis No: LSESH4DA008988,
Location: Onsite
(iv) Date when the lifting machinc,
chain, rope or lifting tackle was first As per site record
taken into use in the factory.
(vüi) Particulars of any defects effecting the safe No dcfects observed.Load test done at 11Ton on Boom
working load found at any such thorough exam Length: 24.6mtr. &Radius: 11Mtr. Over all safe working
ination or after annealing and the steps taken to condition. ASLI Fitted on M/c &Working
remedy such defects.
Icertify that on 21-10-2024 this Lifting Machine/Tackle was
Enginee
thoroughly examined and the above is a correct report of the result.
Next Inspection Due: 20-10-2025 PAWANKUMAR NAGPAL
B.E: (MECH.)
COMPETENT PERSON"
Counter Sinature CC No. 2958 dt. 27/06/19
Haryana Regd. Add:SFl. FF, Near GurudwaraShahidane Gujrat Train Above Juzz Boutique Main 5 No Road NIT FaridabadHR )121001.
DISCLAIMER: This Report of exomibnation reflects the condition of the machine/ equipment as on date. We acept no liablity / responsibility whatsoever in cose of
ony qccident /mishap on/with/ due to this machine / equipment