1609-f-003 rev. 0 form for pedestal crane report of inspection
DESCRIPTION
ISO Procedure CraneTRANSCRIPT
Nindya Karya Building, 4th Floor, Suite 407
Jl. MT. Haryono, Kav. 22
Cawang Jakarta 13630
Phone : 62 21 8088 3754 Fax : 62 21 8088 [email protected]
www.valarbi.com
REPORT of INSPECTION
No. /P-CR/VL/ /20This is to report that the MOBILE CRANE has been inspected and found satisfactorily in compliance with the applicable Code / Standard and Owner Specification requirements :
OWNER / USER
:
LOCATION
:
SERIAL NO. / TAG. NO.
:
MANUFACTURER
:
MANUFACTURE SERIAL NO.:
TYPE
:
WIRE ROPE CABLE
:
MODEL
:
BOOM
LENGTH M)WORKING
DEGREE (o)WORKING
RADIUS (M)MAXIMUM WORKING LOAD (TON)
MAIN HOISTAUXILIARY HOIST
YEAR of BUILT / USED
:
ACCEPTED DATE
:
Issued at:
Date:
.
Operation Director
Form 1609-F-003 Rev. 0 Form for Pedestal Crane Report of Inspection ____________________________________________________________________________________________________________________________________________________________________________
This Report evidences that the survey reported therein was carried out in compliance with one or more of the Rules, guides, standards or other criteria of PT VALARBI or of a Government Administration of Republic of Indonesia and is issued solely for the Use of the Company, its committees, its clients or other authorized entities. The Validity, applicability and interpretation of the Report is governed by the Rules and standards of PT VALARBI who shall remains the sole judge thereof. Nothing contained in this report issued in publication shall be deemed to relieve any designer, builder, owner, manufacturer, seller, repairer, operator or other entity of any warranty express or implied.