1997 tadano 20t rough terrain crane scc04 · crane pack document index scc 04 ☐ operators manual...
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1997 TADANO 20T ROUGH TERRAIN CRANE
SCC04
SERIAL NO: 521869 SPECIFICATION NO: TR200M-4/0019
CHASSIS NO: TR202-0715 ENGINE NO: 6D14881052 QLD PLANT REGO: POO 27352
NSW PLANT REGO: MC6-86127/06/0 CRANE SAFE CERT NO: QLD25424 CRANE REGO: SCC 04
DESIGN NO: QD012S05
JON MORRISH 0421 665 654 DIRECTOR
Jon@surfcitycranes.com.au
CRANE PACK DOCUMENT INDEX
SCC 04 ☐ Operators Manual – (on board the crane) ☐ Log Book – (refer to the Operators Manual) ☐ Load Charts – (on board the crane) ☐ Maintenance Records – (refer to the Operators Manual) ☐ Test Certificates for Main & Auxiliary Hooks and Rope – (refer to the Rigging Register) ☐ SWMS - Safe Work Method Statement – (on board the crane)
Document No. Document Name Expiry Date Document 01. Certificate of Currency 30 September 2019 Document 02. Certificate of Registration of Plant 31 January 2020 Document 03. Vehicle Registration Status 06 February 2020 Document 04. Certificate of Annual Inspection – (Green Sticker) 16 July 2019 Document 05. Scheduled Services Included Document 06. Certificate of Major Inspections (10 yearly) Included Document 07. Lifting Register Fitted Document 08. Fire Extinguisher Fitted Included Document 09. Plant Hazard / Risk Assessment Included Document 10. Business Insurance Certificate 31 March 2019
Certificate of Currency
Page 1 of 1
1. Statement of coverage
The Accident Insurance Policy covers the full amount of the employer's liability under the Workers'Compensation and Rehabilitation Act 2003.
Your workers' compensation insurance policy is due for renewal. Provided you declare your wages, andpay your premium by the due date, your policy will be current to 30 September 2019
This Certificate is valid from: 01 July 2018 to 30 September 2019
The information provided in this Certificate of Currency is correct as at: 03 July 2018
2. Employer's information
Policy number: WAB131030040
Employer name: Crane Hire Pty Ltd
Trading name: Surf City Cranes
ABN: 99151327687
ACN / ARBN: 151327687
For more information, please contact us on 1300 362 128 or visit our website at worksafe.qld.gov.au.
Citilink Business Centre Building 1, Foyer 2, Level 2 153 Campbell Street Bowen Hills Queensland 4006
PO Box 820 Lutwyche Queensland 4030 Australia
Telephone 1300 362 128 Facsimile +61 7 3874 7700 Email whsqlicensing@oir.qld.gov.au Website www.worksafe.qld.gov.au
ABN 94 496 188 983
Surf City Cranes Pty Ltd
PO Box 723
CURRUMBIN QLD 4223
Date: 15 February 2019
Dear Sir / Madam
RE: Registration of items of plant
Records held by this Department indicate that SURF CITY CRANES PTY LTD
( Owner Number 743497 ) has the following items of registrable plant currently registered with
this department in accordance with the Work Health & Safety Regulation 2011.
Plant Registration No. Plant Description
Owner’s Plant No.
P0025769 ALL TERRAIN CRANE SCC 550
P0027352 MOBILE CRANE SCC 04
P0034694 MOBILE CRANE SCC 09
P0037815 MOBILE CRANE SCC 13
P0041234 MOBILE CRANE SCC 14
P0045599 MOBILE CRANE SCC 15
P0055533 MOBILE CRANE SCC 80
P0063454 MOBILE CRANE SCC 55
P0066573 30T LEIBHERR MOBILE CRANE SCC 34
P0067655 C11991 FRANNA 4WD 12T FRAN SCC 16
Page 2 of 2
Plant Registration No. Plant Description
Owner’s Plant No.
P0070810 AT 4X4 CRANE SCC 25
P0074675 MOBILE CRANE SCC 130
P0077951 MAC 25 SCC 253
P0078175 MAC 25 SCC 254
P0078842 KATO MR-130R SHARON MORRISH
P0078843 LTM 1070-4.2 SHARON MORRISH
The items of plant listed above are registered at the given address. Continuation of registration is subject
to the completion of the annual registration process.
If you require any further information please call Workplace Health and Safety on 1300 362 128
regarding your Workplace Health and Safety plant registration.
Yours sincerely,
Samantha Foyle
Manager
Authorisations and Advisory Services
Licensing and Advisory Services
Workplace Health and Safety Queensland
Office of Industrial Relations
15 February 2019
Model: TR200M
1997
SCC04
Issued by: QLD
Issued by: QLD
10 Years 2028
Plant I.D.: SCC04
Sign Sign
Date: Date:
Sign
Date:
Valid Till: 6/07/2019
Date:
QD012S05
Plant Registration No:
Design Registration No:
ABN: 38 098 863 865
Rough Terrain Crane
Manufacturer: Tadano
20
18
/ 2
01
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SA
FE
TY
CO
MP
LIA
NC
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ER
TIF
ICA
TE
Major Assessment:Design Working Period:
Owners Name:
6/07/2018
Plant Serial No: 521869 Build Date:
Address: 21 Hutchinson Street, Burleigh Heads QLD 4220
Phone: 0475 017 825
Periodic (Yearly) Audit
1st Frequency Inspection 2nd Frequency Inspection
3rd Frequency Inspection
This Plant complies with Manufactures Specifications, OHS/WHS Legislation, Codes of Practice &
Australian Standards
P0027352
20000 Kilograms
© Copyright -Plant Safety Audits - Australian Copyright laws 2018
Audit No:
Surf City Cranes Pty Ltd
www.plantsafetyaudits.com
.auType of Plant
Carrier Registration:
Inspection Date: 6th of July 2018
3258Plant Hours:
MC000003/2018
Working Load Limit:
Question Response Details
CERTIFICATE OF COMPLIANCE - MAJOR ASSESSMENT AUDITOF A MOBILE CRANE
Score (21.1/4061) 0.52%
CERTIFICATIONDocument No. MC-MAJ000001 2018
Crane Details Score (21.1/4061) 0.52%
Manufacturer Tadano
Model New
TR200M-4-00109
Serial Number 51869
Build Date 1997
Kilometres 11141
Does the crane have a separate hourmeter for the crane No
Operational Hours 3087
Crane Maximum Rated Capacity - MRC 20,000 Kilograms
Government Design Registration Number QD012S05
Issued by QLD
Government Plant Registration Number P0027352
Issued by QLD
Clients Plant Identifacation Number SCC04
Insert Photo of Crane
Score (21.1/4061) 0.52%Tadano TR200M-4-00109 SCC04 26032018MC-MAJ000001 2018
PLANT HAZARD RISK ASSESSMENT SCC – 7/01/2019
SCC Rough Terrain Cranes - Plant Hazard Risk Assessment Rev 03 07/01/2019 PAGE 1 OF 7
Plant Identification No SCC04, 09, 13,14,15 Plant Type Rough Terrain Cranes Likelihood (L) 1 = Rare, 2 = Unlikely, 3 = Possible, 4 = Likely, 5 = Almost Certain Consequence (C) 1 = Insignificant, 2 = Minor, 3 = Moderate, 4 = Major, 5 = Catastrophic
RISK RATING (R)
LOW [ 1-3 ] Broadly acceptable manage by routine procedures
MODERATE [ 4-6 ] Tolerable – With identified controls fully implemented
HIGH [ 8-12 ] Undesirable - Additional controls required to reduce risk
VERY HIGH [ 15- 25 ] Intolerable – Do not start activity
Potential Hazard Risk YES /NO
Control Methods Currently in Place Initial Risk Additional Control Method Required
Residual Risk Action Date
L C R L C R EntanglementCan anything become entangled in moving parts Y
Licensed Dogman/ Riggers 2 3 M Toolbox meetings Take 5 cards
1 3 L
Crushing/StrikingCan anyone be crushed or stuck by moving objects due to • Material falling off or
onto the plant?
Y
Exclusion zones, correct rigging techniques, licensed and competent riggers and operators.
2 3 M Pre start checks Take 5 cards Ensuring fly jib is mounted and fastened correctly
1 3 L
• Uncontrolled orunexpected movement of the plant or its load?
Y
Licensed and competent operators, riggers/ dogmen. Correct rigging techniques.
3 3 H Correct Use of cranes operators handbook 2 3 M
• Lack of capacity for theplant to be slowed, stopped or immobilised? N
• The plant tipping orrolling over?
Y
Licensed and competent operators, riggers/ dogmen. Correct rigging techniques.
3 4 H Delineated work area, geo tech report. Over sized bog mats.
1 4 M
• Parts of the plantcollapsing N
• Coming into contact withmoving parts of the plant during testing, inspection, operation, maintenance, cleaning Y
Licensed and competent operators, riggers/ dogmen. Correct rigging techniques.
3 2 M Barricading and spotters to prevent unauthorized personnel from entering the work area. Do not stand in Articulation zone of crane.
1 2 L
PLANT HAZARD RISK ASSESSMENT SCC – 7/01/2019
SCC Rough Terrain Cranes - Plant Hazard Risk Assessment Rev 03 07/01/2019 PAGE 2 OF 7
or repair? • Being thrown off or
under the plant? N
• Being trapped between the plant and materials or fixed structures?
Y
Licensed and competent operators, riggers/ dogmen. Correct rigging techniques.
3 4 H Exclusion zones. Barricading. Communication.
1 4 M
• Other factors not mentioned? N
Cutting , Stabbing or Puncturing Can anyone be cut, stabbed or punctured due to
• Coming in contact with sharp or flying objects? N
• Uncontrolled or unexpected movement of the plant?
Y
Licensed and competent operators, riggers/ dogmen. Correct rigging techniques.
3 3 H Delineated work areas. Apply all brakes when exiting the crane. Utilize hold brake when necessary.
2 3 M
• Parts of the plant or work pieces disintegrating? N
• Work pieces being ejected? N
• Coming in contact with moving parts of the plant during testing, inspection, operation, maintenance, cleaning or repair? Y
Licensed and competent operators, riggers/ dogmen. Correct rigging techniques.
3 2 M Barricading and spotters to prevent unauthorised personnel from entering the work area. Exclusion zones.
1 2 L
• Other factors not mentioned? N
Shearing Can anyone’s body parts be sheared between the two parts of the plant, or between a part of the plant and a work piece structure? Y
Maintain good rigging practices. Licensed and competent operators, riggers/ dogmen.
2 4 H Keep hands and feet clear of the load. Scc training and inductions
1 4 M
Slipping or Tripping Can anyone using or near the
PLANT HAZARD RISK ASSESSMENT SCC – 7/01/2019
SCC Rough Terrain Cranes - Plant Hazard Risk Assessment Rev 03 07/01/2019 PAGE 3 OF 7
plant, slip or trip due to • Uneven or slippery work
surfaces?
Y
Take care on civil & construction sites. Use walkways when possible.
3 3 H Plan the route and remove hazards. 3 2 M
• Poor housekeeping, e.g. spillage not cleaned up?
Y
Maintain good housekeep practices. Remove hazards. Report spills to supervision.
3 3 H Take 5 cards Report incident to site supervisor and or foreman
2 2 M
• Obstacles being placed in the vicinity of the plant?
Y
Plan the route for the crane or the load. Remove obstacles or change the lift plan to suit the environment.
3 2 M Lift Plan and pre start meeting. 1 2 L
• Other factors not mentioned? N
Falling Can anyone fall from a height due to
• Lack of proper working platform?
Y
Trucks & Crane booms not to be climbed on without correct fall arrest systems.
2 3 M Working at heights training. & Use the proper platform.
1 2 L
• Lack of proper stairs or ladders? N
• Lack of guardrails or other suitable edge protection? N
• Unprotected holes, penetrations or gaps?
Y
Utilize barricading. Plan the route for the crane and access the surface.
2 3 M Don’t walk where its not safe keep 1 metre clear of holes.
1 2 L
• Poor floor or walking surfaces, such as the lack of a slip-resistant surface? Y
Take care and move carefully. Pay attention to warnings and signage.
1 3 M Don’t walk where it is not safe. 1 3 L
• Step walking surfaces? N • Collapse of the
supporting structure? N
• Other factors not mentioned? N
PLANT HAZARD RISK ASSESSMENT SCC – 7/01/2019
SCC Rough Terrain Cranes - Plant Hazard Risk Assessment Rev 03 07/01/2019 PAGE 4 OF 7
Suffocation Can anyone be suffocated due to lack of oxygen or atmospheric contamination? N
Electrical Can anyone be injured by electrical shock or burnt due to
• The plant contacting live electric conductors? N
• The plant working in close proximity to electric conductors? N
• Overload of electrical circuits? N
• Damaged or poorly maintained electrical leads and cables?
Y
Ensure plant and equipment is maintained and up to date.
2 4 H Keep cables away from outriggers and crane in general.
1 3 M
• Damaged electrical switches?
Y
Ensure plant and equipment is maintained and up to date
2 3 M Carry a tagged and tested fire extinguisher on the crane.
1 2 L
• Water near electrical equipment? N
• Lack of isolation procedures? N
• Other factors not mentioned? N
High/Low Temperature or Fire • Can anyone come into
contact with moving parts or other objects at high temperatures? Y
Always turn off the engine before opening the engine cover. Be aware that engine components will be hot.
3 2 M Competent operators and dogman.
1 2 L
• Can anyone be injured by fire?
Y
Trained and competent operator. Fire extinguisher on the crane.
3 4 H Fire training, prevention. 2 3 M
• Can anyone suffer ill-health due to exposure N
PLANT HAZARD RISK ASSESSMENT SCC – 7/01/2019
SCC Rough Terrain Cranes - Plant Hazard Risk Assessment Rev 03 07/01/2019 PAGE 5 OF 7
to high or low temperatures?
High Pressure Fluid Can anyone come into contact with fluids under high pressure, due to plant failure or misuse of the plant? Y
Well maintained hydraulic lines, pre start inspections.
2
3 M Ensure PPE is worn 1 3 L
Explosion - Can anyone be injured by explosion of gases, vapours, liquids, dusts, etc triggered by the operation of the plant or by material handled by the plant? N
Other Hazards - Can anyone be injured or suffer ill-health from exposure to
• Chemicals? N • Toxic gases or vapours? N • Fumes?
Y
The exhaust of the crane should be positioned away from surrounding works.
2 3 M This needs to be communicated to the workers in the area.
1 2 L
• Dust? N • Noise?
N If yes, noise assessments are mandatory
• Vibration? N • Radiation? N • Other factors not
mentioned? N
Ergonomics - Can anyone be injured due to: • Poorly designed seating? N
• Repetitive body movement? N
• Constrained body posture or the need for excessive effort Y
Correct lifting techniques. 2 2 M Use the cranes. 1 2 L
• Design deficiency N
PLANT HAZARD RISK ASSESSMENT SCC – 7/01/2019
SCC Rough Terrain Cranes - Plant Hazard Risk Assessment Rev 03 07/01/2019 PAGE 6 OF 7
causing mental or psychological stress?
• Inadequate or poorly placed lighting?
N
• Lack of consideration given to human error or human behaviour? N
• Mismatch of the plant with human traits and natural limitations? N
• Other factors not mentioned? N
Other Plant Specific Hazards not covered above: • Plant Maintenance N
• Operator Competency N
PLANT HAZARD RISK ASSESSMENT SCC – 7/01/2019
SCC Rough Terrain Cranes - Plant Hazard Risk Assessment Rev 03 07/01/2019 PAGE 7 OF 7
• Lifting N Risk Assessment carried out by Name Jon Morrish Role Director Date 07/01/2019 Signature
Plant/Project Managers Review Name Role Date Signature
Reference No 767-C600093421-P600943744-39
20/03/2018
To Whom it May Concern,
CONFIRMATION OF INSURANCE CERTIFICATE
This is to certify that undermentioned Insurance Policy has been issued and is current until 4:00pm on31/03/2019.
Insured’s Name: Surf City Cranes Pty Ltd
Interested Parties:
Class: Industrial Special Plant/Liability
Policy Number: 14TI024558ISP
Insurer: Underwriting Agencies of Australia Pty Ltd
Period of Insurance: 31/03/2018 to 31/03/2019 at 4:00pm local standard time
Brief Details of Cover: As per attached schedule
This is to certify that the above policy is current to the expiry date show above unless cancelled in the meantime, subject tothe Terms and Conditions of the policy.
Disclaimer:-The information provided is a summary only and does not amend, extend, alter or set out the full terms of the policy referred to nor do weconfirm or warrant the Insurance cover is in force at the date of this advice. You must always refer to the policy for full details and to theextent of any inconsistency the policy prevails. The policy is also subject to the operation of the Insurance Contracts Act 1984 (cth),including in particular, the insurer’s rights under section 28 in relation to pre contractual non disclosure or misrepresentation. We will notprovide any updates in relation to the policy to any third party unless we specifically agree to do so in writing with the third party.
Scott StewartAuthorised Representative No 238659PO Box 1735BROADBEACH QLD 4218P : 07 55387655E : sstewart@iaa.net.au
SCHEDULE
=======================================================================INDUSTRIAL SPECIAL PLANT=======================================================================
Period of Insurance : 31/03/2018 to 31/03/2019Insured : SURF CITY CRANES PTY LTDPolicy Number : 14TI024558ISPBusiness Description : AS PER POLICY SCHEDULETerritorial Limits - Section 1 to 6 : Anywhere in Australia - Section 7 : Worldwide excluding North America
=======================================================================INSURER=======================================================================QBE Insurance (Australia) LimitedABN 78 003 191 035AFS Licence No. 239545 of Level 5, 2 Park Street Sydney
=======================================================================Section 1 - Damage=======================================================================Sum Insured : $4,616,042 Limit Any One Loss : $4,616,042 Excess % of sum insured : 1%Minimum excess (whichever greater) : $1,000
-----------------------------------------------------------------------ITEMS COVERED BY THIS SECTION-----------------------------------------------------------------------1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,17,18,19,20,21,24,25,26,27
Underwriting Agencies of Australia Pty. Ltd.
-------------------------------------------------------Clauses Applicable:
AIN AMENDED INSURED NAMEAmended Named Insured
It is hereby noted and agreed that the name insured is amendedto read as;SURF CITY CRANES PTY LTDMORRISH INVESTMENTS PTY LTD ATF MORRISH FAMILY TRUSTCRANE HIRE PTY LTDCRANESHIFT PTY LTD
=======================================================================MASTER SCHEDULE OF MACHINES=======================================================================
: 1: TADANO ROUGH TERRAIN CRANE
Item NumberMakeYear : 1997 Registration Number: SCC04Eng / Ser Number : 521869 Sum Insured : $100,000 Cover Basis : Market Value Plus
Item Number : 2Make : TADANO 20T ROUGH TERRAIN CRANEYear : 1995 Registration Number: SCC09Eng / Ser Number : 521784 Sum Insured : $100,000 Cover Basis : Market Value Plus
Item Number : 3Make : TADANO 20T ROUGH TERRAIN CRANEYear : 1997 Registration Number: SCC13Eng / Ser Number : 521871 Sum Insured : $100,000 Cover Basis : Market Value Plus
: 4: TADANO 20T ROUGH TERRAIN CRANE
Item NumberMakeYear : 1993 Registration Number: SCC14Eng / Ser Number : 521639 Sum Insured : $100,000 Cover Basis : Market Value Plus
: 5: MANITOU MT1030 TELEHANDLER
Item NumberMakeYear : 2007 Registration Number: C74945Eng / Ser Number : 233528 Sum Insured : $30,000Cover Basis : Market Value Plus
: 6: TADANO 20T ROUGH TERRAIN CRANE
Item NumberMakeYear : 1998 Registration Number: SCC15Eng / Ser Number : 521900 Sum Insured : $100,000 Cover Basis : Market Value Plus
: 7Item NumberMakeYear
: FRANNA AT20 MOBILE CRANE: 2002 Registration Number: SCC20
Eng / Ser Number : H07CTA44443 Sum Insured : $80,000Cover Basis : Market Value Plus
: 8Item NumberMakeYear
: LIEBHERR LTM 1070 CRANE: 2007 Registration Number: SCC80
Sum InsuredEng / Ser Number : D-936LA6R06L602 : $550,000 Cover Basis : Market Value PlusInterested Parties : WESTPAC BANKING CORPORATION
: 9: TEREX FRANNA MAC25 MOBILE CRA
Item NumberMakeYear : 2002 Registration Number: SCC69Eng / Ser Number : H07CTA44485 Sum Insured : $150,000 Cover Basis : Market Value PlusAttachment Details : S/N: MAC2525062Interested Parties : WESTPAC BANKING CORPORATION
: 10: LIEBHERR LTM ALLTERRAIN CRANE
Item NumberMakeYear : 2003 Registration Number: SCC50
: $380,000 Eng / Ser Number : W0937350003EL05260 Sum InsuredCover Basis : Market Value PlusInterested Parties : NATIONAL AUSTRALIA BANK
LIMITED
Item Number : 11Make : TEREX FRANNA AT12 12T MOBILEYear : 1991 Registration Number: SCC-16Eng / Ser Number : H06CTE / 27704 /1259Sum Insured : $60,000Cover Basis : Market Value PlusInterested Parties : NATIONAL AUSTRALIA BANK
LIMITED
Item NumberMake
: 12: TATRA T815 8X8X4 TABLE TOP TRU
Year : 2006 Registration Number: 000TTFEng / Ser Number : TNU28PR846K040012 Sum Insured : $100,000 Cover Basis : Market Value PlusAttachment Details : EN: T3C92881608002187Interested Parties : WESTPAC BANKING CORPORATION
Item NumberMake
: 13: LIEBHERR LTM 1055-3.1 MOBILE C
Year : 2006 Registration Number: SCC55Eng / Ser Number : 984409108 Sum Insured : $500,000 Cover Basis : Market Value PlusAttachment Details : SN: 056017Interested Parties : WESTPAC BANKING CORPORATION
Item NumberMake
: 14: LIEBHERR LTM 1030/2 CRANE
Year : 1999 Registration Number: SCC34Eng / Ser Number : E/N: 0018250 Sum Insured : $220,000 Cover Basis : Market Value PlusInterested Parties : WESTPAC BANKING COPRATION
Item NumberMake
: 15: 55T LIEBHERR LTM1055-3 CRANE
Year : 2005 Registration Number: SCC550Eng / Ser Number : W093735005EL05562 Sum Insured : $380,000 Cover Basis : Market Value PlusAttachment Details : W093735005EL05562Interested Parties : NATIONAL BANK OF AUSTRALIA
: 16Item NumberMakeYear
: HIRED IN PLANT (BLANKET): 1950 Registration Number: TBA
Eng / Ser Number : TBA Sum Insured : $100,000 Cover Basis : Market ValueAttachment Details : COVERS HIRED IN ITEMS, INCLUDING
ROAD RISK AS NOTED WITHIN THEHPB ENDORSEMENT.
Item Number : 17: FRANNA MC25 4X4 ALL TERRAINMake
Year : 2010 Registration Number: SCC25Eng / Ser Number : 90699100818712 Sum Insured : $225,000 Cover Basis : Market Value PlusAttachment Details : S/N: MAC2525417Interested Parties : NATIONAL AUSTRALIA BANK
: 18: MANITOU MT1030S TELEHANDLER
Item NumberMakeYear : 2012 Registration Number: 42637CEng / Ser Number : 915516 Sum Insured : $70,000Cover Basis : Market Value Plus
Item Number : 19Make : ISUZU NPS300 4X4 MECHANICS TRUYear : 2005 Registration Number: SCC08Eng / Ser Number : JAANPS75L57100331 Sum Insured : $40,000Cover Basis : Market Value PlusAttachment Details : 2006 FASSI MICRO M2DA.13 2T 3SEC 4M CRAN
4.1M BED
Interested Parties : NAB
: 20Item NumberMakeYear
: 130T AT CRANE GMK5130: 2007 Registration Number: SCC130
Eng / Ser Number : 5130-2284 Sum Insured : $750,000 Cover Basis : Market Value PlusAttachment Details : CARRIER EN: 94299200544879
SUPER EN: 90457100687541
Item Number : 21: SCANIA STEER CAB CHASSIS TRUCKMake
Year : 2002 Registration Number: CSH004Eng / Ser Number : 6014130 Sum Insured : $36,000Cover Basis : Market Value PlusAttachment Details : VIN: YS2PBX40001276953Interested Parties : WESTPAC BANKING CORPORATION
: 22Item NumberMakeYear
: LIEBHERR LR1100: 2010 Registration Number: TBA
Eng / Ser Number : TBA Sum Insured : $600,000 Cover Basis : Market Value Plus
: 23Item NumberMakeYear
: MANITOWOC 850: 2010 Registration Number: TBA
Eng / Ser Number : TBA Sum Insured : $450,000 Cover Basis : Market Value Plus
: 24Item NumberMakeYear
: TEREX MAC25: 2012 Registration Number: SCC 53
Eng / Ser Number : MAC25 25693 Sum Insured : $260,000 Cover Basis : Market Value Plus
: 25: MANITOU MH25-4T ROUGH TERRAIN
Item NumberMakeYear : 2017 Registration Number:Eng / Ser Number : 7HN5379 Sum Insured : $70,000Cover Basis : Market Value PlusAttachment Details : S/N: 990849
Item NumberMake
: 26: MAC25 FRANNA PICK & CARRY CRAN
Year : 2009 Registration Number: TBAEng / Ser Number : 906 991 00 785434 Sum Insured : $205,042 Cover Basis : Market Value PlusAttachment Details : SN: 25347
CN: MAC2525347Interested Parties : NATIONAL AUSTRALIA BANK LTD
: 27: SCANIA MODE P82M TRAY TRUCK
Item NumberMakeYear : 1985 Registration Number: Eng / Ser Number : 5029864 Sum Insured : $10,000Cover Basis : Market Value Plus
BLAZETECHA.B.N 51 984 462 510
Box 11 MIAMI. QLD. 4220
TELEPHONE: (07) 55377616
CLIENT LOCATION
QLD 4220info@surfcitycranes.com.au
EQUIPMENT DETAILS COI - ESRAUG36SIZE
Kgs / litres
1 4.50 2017 2022 2
2 4.50 2017 2022 2
3 4.50 2015 2020 2
4 4.50 2014 2019 2
5 4.50 2018 2023 2
6 4.50 2018 2023 2
7 4.50 2018 2023 2
8 4.50 2016 2021 2
9 9.00 2015 2020 2
10 4.50 2016 2021 5
11 4.50 2015 2020 2
12 2.50 2015 2020 2
13 9.00 2018 2023 2
14 4.50 2017 2022 2
15 1.50 2016 2021 2
16 9.00 2014 2019 2
17
18
19
ESR AUG 36
ABE DRYCHEM FLAMEGUARD
ABE DRYCHEM FIREBOX
ABE DRYCHEM GENERIC
01967
Mark S AllredOFFICE USE ONLY
August 25, 2018
DATE NEXT SERVICE DUE
JOB No. INVOICE No. CONTRACT No. February 2019
SIGNED (Technician) SIGNED (Client)
AIR/FOAM WORMALDSPARE
SPARE
SPARE
SPARE
We hereby certify that the listed equipment has been inspected and serviced in accordance withAustralian Standard AS1851 (Latest Revision)
ASSOCIATED DOCUMENTATION
DATE COMPLETED
ABE DRYCHEM GENERIC
SPARE
ABE DRYCHEM GENERIC
SPARE
ABE DRYCHEM PRESTO
SCC253
ABE DRYCHEM FLAMESTOP
SPARE
ABE DRYCHEM AMPAC
SCC070
ABE DRYCHEM FLAMESTOP
SCC550
ABE DRYCHEM WORMALD
191VQU
ABE DRYCHEM CHUBB
SCC80
ABE DRYCHEM FLAMESTOP
SCC130
ABE DRYCHEM WORMALD
SCC15
ABE DRYCHEM BFI
SCC013
ABE DRYCHEM CHUBB
000TTF
CERTIFICATE No.
UNIT TYPE MANUFACTURERYEARMADE
LASTPRESS TEST
NEXTPRESS TEST
SERVICE LEVEL
LOCATION
Certificate of Inspection
SURF CITY CRANES SURF CITY CRANES21 Hutchinson StBURLEIGH HEADS
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