FORMB, MINISTRY OF MANPOWER, SINGAPORE WORKPLACE SAFETY AND HEALTH ACT 2008, WORKPLACE SAFETY AND HEALTH (REGISTRATION AND OTHER SERVICES FEES AND FORMS) REGULATIONS CERTIFICATE OF TEST/THOROUGH VISUAL EXAMINATION OF LIFTING EQUIPMENT (LE)" LE Registration No. : Lw420871P UEN of Owner. : 197602568D Workplace No. (Owner of Lifting Equipment Factory Occupier and Location of Lifting Equipment UMW EQUIPMENT & ENGINEERING PTE LTD 108 INTERNATIONAL ROAD. ‘SINGAPORE 629173 At various locations Particulars of Lifting Equipment Raid Capacity jassifcation Goce | 699 Brand Name earesecd Distinctive No. ‘KoDo0as4 County of Origin JAPAN. Date of Manufacture = 2004 Source of Powor = Diesol Engine First Registration Dato: 19/08/2014 Max. Safe Working Load_: 4800 kg Max. Boom LengthiSpan_: 10.40 m ‘Owners’ Length of Fly Roferenco/Vehiclo JibiExtension Registration No. Particulars of Last Load Test Date ofLoad Test; 19/08/2014 MaxTestLoad : 6000 kg o @ @ @ ©. ©) Radius (mi) 60 30 “Test Load (kg): ‘6000 3400 ‘Safe Working Load (xq) | 4800 2700, ‘Gomments/Observations Excavator fitied with load radius indicator. ‘Advise to have proper maintenance and ensure safe use of LE. | corify that on 27/10/2015 the liting equipment described in this certificate was examined thoroughly by mo, as far as its ‘construction permits, and this isa true report of my examinations. further certify that the lifting equipment complies in all respects wih the requirements pertaining to lfing equipment as stipulated in te Workplace Safety and Health (General Provisions) Regulations, and all other regulations made thereunder and is safe for use. Egy Dacor [| PaeePitot | unoised Examiners Name | Signature of iersed Examiner NG. KM LEANG 2anorao1 nor01s NG KIM LEANG: AUTHORISED EXAMINER 168 + Lute Eaupment means ing Goss, iting Appice, Ling Mschin, Lit and Hoist as dened undor he Wekolace Sale snd Haat (Gaeta rouse) Reguiaons = Pletinahve Rumber ter to he enticaton NumborSeral Number sesged othe equipment by the nutter {MAAN