Form No.

CLARK GLOBAL CITY CGC_PF_PJW_0069

Rev. No. Rev. Date CONTRACTOR
WEST AEROPARK PHASE 2 0 24-Apr-18 LOGO
Page
SUBMITTAL FORM 1 of 1

SUBMITTAL DESCRIPTION : WAP2-CP01-QD-0002 Tower Crane Certification and Checklist

TYPE OF SUBMITTAL : Quality Data SUBMITTAL NUMBER : WAP2_CP01_QD_0002_00

DATE SUBMITTED : 06/13/2018 DUE DATE : 06/20/2018

DISCIPLINE:
ARCHITECTURAL CIVIL/STRUCTURAL MECHANICAL ELECTRICAL PLUMBING AUXILIARY FIRE PRO VTS OTHER

NO. DOCUMENT DESCRIPTION REF. NO. REVISION NO. REMARKS

1 Tower Crane Certification and Checklist WAP2_CP01_QD_0002 0

NOTES:

NOTES FROM SUBMITTAL REVIEWER:

As used herein, the word certify shall mean expression of the Submittal Reviewer's (Consultant) professional opinion to the best of its
information, knowledge and belief, and not constitute a warranty by the Reviewer.

A- Approved B- Reviewed with comment C- Rejected, Resubmit

COMMENTS: (Attach additional sheets as necessary)

ISSUED BY: REVIEWED BY:

Engr. Merelle Docosin PM 06/13/2018

Signature over Printed Name Position Date Signature over Printed Name Position Date

NOTED BY: NOTED BY:

For ARNULFO P. ESTRABINIO SENIOR ASSOCIATE JUNE 22,2018
Engr. Gonzalo David Jr. OM 06/13/2018
Signature over Printed Name Position Date Signature over Printed Name Position Date

Note: Approval of this technical document by either CGC or its Consultants does not constitute authority to proceed if there are changes to the
scope of work herein which will result in additional time or costs being claimed by the Contractor. Refer to the Contract Agreement for
specific instructions on Variation Order procedures.
 DOLE / BWC Accreditation No. 1410-15050815-0018

CERTIFICATION

This is to certify that the Construction Heavy Equipment below meet the
safety standard for operation, having passed the actual testing and thorough
examination conducted by CET Corporation. See attached checklist.

Name of Company : TERP ASIA CONSTRUCTION CORPORATION

WEST AERO PARK PHASE 2
Project / Location : West Aero Park , Clark Pampanga

Heavy Equipment : TOWER CRANE TOPLESS TYPE, FIX MOUNTED, ELECTRIC DRIVEN

Brand : YANGMAO Model : STT293 Capacity : 12 Tons

Serial Number : 2006L39 Property Remarks : TC# 2

Certification No. : CET2018-000758

Validity Period : One (1) Year from the date of Certification

Issued this 8th of May 2018.

22 JUN 2018

Attested by:

Raymond L. Flores Engr. Manuel Paulino

Equipment Inspector Safety Manager – PME
PRC No: 0001964

NOT VALID WITHOUT OFFICIAL DRY SEAL

 THOROUGH EXAMINATION AND TESTING OF TOWER CRANES
(STANDARD TECHNICAL INSPECTION CHECKLIST)

NAME & ADDRESS OF OWNER: TERP ASIA CONSTRUCTION CORPORATION

Unit 306 Burgundy Place Condominium , Loyola Heights , Quezon City

LOCATION OF CRANE: WEST

BAYAERO
SHORE
PARK
PROJECT
PHASE 2 PROJECT
West Aero Park Clark , Pamanga

TYPE OF TOWER CRANE: TOWER CRANE FIX MOUNTED, TOPLESS TYPE, ELECTRIC DRIVEN.
BRAND AND MODEL: YANGMAO STT293
UNIT SERIAL NO.: 2006L39 YEAR MANUFACTURED : 2006-2-26
DATE OF EXAMINATION: May 8, 2018 OTHER IDENTIFYING MARKS: TC#2
..
I. SLEWING PART (JIB AND HOIST SECTION)

A. PULLEY Condition:
(references: 1. No chips or cracks on the sheave/s; 2. No wobble or worn-out
bearing/s; 3.Must have properly matched rope and sheave; and 4. No loose/worn
out pin). Remarks if in good or bad condition.

1 Cat-head Pulley 6 Trolley Pulley (2 falls-4 falls) 4 Falls

( Counter Jib) OK Pulley No. 1 : N/A
2 Tower Head Pulley No.1 Pulley No. 2 : N/A
(Load Weighing) OK Pulley No. 3 : N/A
3 Tower Head Pulley No.2 Pulley No. 4 : N/A
(Biconical Roller) OK 7 Hook Block Pulley (2 falls-4 falls)
4 Trolley pulley (2-falls only) Pulley No. 1 : OK
Pulley No. 1 : N/A Pulley No. 2 : OK
Pulley No. 2 : N/A Pulley No. 3 : N/I
5 Hook Block Pulley (2-falls ) 8 Jib Nose Pulley
Pulley No. 1 : OK Pulley No. 1 : OK
Pulley No. 2 : OK Pulley No. 2 : N/A
9 Locking Device(Trolley & Hook Block): OK

B. HOOK Condition:

References
1 Swivel free turning OK
2 Check for hook end "opening-up" OK
3 Check for cracks, twist and wear OK
4 Safety catch condition OK
Legend:
OK - In good condition N/I - N ot installed
N/A - Not applicable O/O - Out of order

C. WIRE ROPE /CABLE Condition:

References:
1 Cable diameter must not be more than 7% smaller than
the designated size. (16mm)OK
2 Severed strand in full turn must be less than 10% OK

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 3 Must have no kinks, unraveled or un-oiled OK
4 Wire rope end dead line or wedge socket must be OK
6" - 9" long with bulldog grip clamp OK
5 Stopper at nose end must be properly secured OK
6 Jib/counter Jib Guy line must be properly secured,No loose pin OK

Wire rope conversion equivalents: Wear limit:

(Inches) (Millimeter) (Millimeter)
( 5/16 - 3/8 ) ( 8 - 10 mm) ( 0.56 - 0.70)
( 7/16 - 1/2 ) ( 11 - 13 mm) ( 0.77 - 0.91)
( 9/16 - 5/8 ) ( 14 - 16 mm ) ( 0.98 - 1.12)
( 3/4 - 7/8 ) ( 19 - 22 mm ) ( 1.33 - 1.54)
( 1 - 1 1/8 ) ( 26 - 29 mm) ( 1.82 - 2.03)
( 1 1/4 - 1 3/8 ) ( 32 - 35 mm) ( 2.24 - 2.45)

D. HOIST DRUMS Condition:

(references: 1. Minimum of 3 cable windings left on drum; 2. Cable-end well
secured at flange socket; 3. No abnormal sound detected and cable misalignment,
during winding and unwinding; 4. Brake system must be in good working condition;
and, 5. Brake band clearance at max 3 mm)
HOIST DRUM OK
TROLLEY DRUM N/A
BOOM DRUM OK

E. JIB & COUNTERWEIGHT JIB, TOWER HEAD/TURN TABLE & CATHEAD Condition
(references: 1. Segments must be free from dents and deformations; 2. Must not be
twisted; 3. No cracks on frames and welded joints; 4. Pins on connecting joints must be
properly fitted and not loose; 5. Bolted joints must be properly tightened and no joint
clearances; 6. Counterweight must be properly casted according to manufacturer's
standard; 7. Slewing gear must be properly mounted, no chips and cracks, and must be
properly lubricated; and 8. All safety indicators, switches and control levers in the
operator's cab must be in good order.

1. JIB
Segment No. 1: OK Segment No. 7: OK
Segment No. 2: OK Segment No. 8: OK
Segment No. 3: OK Segment No. 9: N/A
Segment No. 4: OK Segment No. 10: N/A
Segment No. 5: OK Segment No. 11: N/A
Segment No. 6: OK Segment No. 12: N/A
Swivel of fixed point at Jib nose OK Boom Length: 60Meters

2. COUNTERWEIGHT JIB & COUNTERWEIGHTS

Remarks: OK

3. TOWERHEAD / TURNTABLE
Remarks: OK

4. CAT-HEAD
Remarks: OK

5. OPERATOR'S CAB
5.1 Indicators: 5.4 Control Levers:
Radius Indicator NONE Hoisting OK
Height Indicator NONE Troll eying OK
Load Indicator NONE Slewing OK
Over-hoisting Device: OK Traveling OK
5.2 Brakes & Weathervanning OK 5.5 Blinking/Warning Light OK
5.3 Load Chart : OK 5.6 Lighting Arrester OK

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 5.7 Portable Fire Extinguisher PROVIDE

II. TOWER SECTION Condition

(Reference: 1. All mast section components must be free from dents, deformation and no twist;
2. No cracks on frames and cracks on welded joints; 3. Pins on the connecting joints must be
properly fitted and not loose; 4. Bolted joints must be properly tightened and no joint clearances;
and 5. No leaks on cylinder jacks and hoses.
A. MASTS
Mast No. 1: OK Mast No. 7: OK
Mast No. 2: OK Mast No 8: OK
Mast No. 3: OK Mast No. 9: OK
Mast No. 4: OK Mast No. 10: OK
Mast No. 5: OK Mast No. 11: OK
Mast No. 6: OK Mast No. 12: N/A
TOTAL MAST HEIGHT: 37.5 Meters
B. LADDERS & FLATFORMS
Remarks OK
C. MAST TELESCOPING JACK
Remarks OK

III. CHASSIS OR BASE MOUNTING

A. RAIL MOUNTED TYPE B. STATIC TYPE
1 Boogie Rollers N/A 1 Fixing Angles OK
2 Travel Motors N/A
3 Gear Boxes N/A 2 Fixing Bolts OK
4 Rails & Clips N/A
5 Limit switch N/A 3 Anchorage: N/A
6 Stoppers N/A (bolts & beams)
7 Mast Unit N/A
8 Base Ballast N/A 4 Base ballasts N/A
9 Turnbuckles N/A
10 Levelness N/A 5 Plumbness OK

IV. LOAD TESTING

The crane at 60meters jib length was tested loaded with 2.2Tons and Trolleyed out
52meters radius and stopped hoisting when increased with 10% load. The crane
was found in FIT FOR OPERATION

V. ADDITIONAL TEST
Aside from Load Testing, Examination and Test must be carried-out on the following
safety devices and remark if in GOOD or BAD order.

A. Moment Cut-out
1 Hoisting moment cut-out : OK
2 Boom Up Boom Down Limit Switch : N/A
3 Trolley in/out limit OK
4 Over hoisting device : OK
B. MSWL Cut - Out (Load Limiter)
1 High speed limiter : GOOD
2 MSWL Cut - out: : GOOD

VI. EQUIPMENT EVALUATION AND GENERAL COMMENTS

After Thorough Examination and Test of the
Tower Crane, the condition of the crane is: A-2 FIT FOR OPERATION

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 REMARKS: PROVIDE FIRE EXTINGUISHER

NOTE:
A-1 - if the crane is FIT FOR OPERATION and has satisfied the Thorough Examination and Test
Thorough Examination and Test.
A-2 - if the crane is FIT FOR OPERATION and has satisfied the Thorough Examination and Test
but needs some minor repair/s (i.e. on minor leaks or adjustments as specified in the
the Standard Checklist) which will not in a way affect or fail the operation of the crane but
repaired immediately after the operation.
R-1 - if the crane is NOT FIT FOR OPERATION and has failed the Thorough Examination and Test
for the reason that some major components of the machine needs immediate repair prior to
being made to service again, with a reconfirmation from the competent Equipment Inspector.

Attested by:

Raymond L. Flores Engr. Manuel Paulino

Equipment Inspector Safety Manger-PME
PRC No: 0001964

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