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Health & Safety at Work Act 1974. Docks Regulations 1934, regulations 18(a) & 22(a)
SR & O 1934 No 279. Form prescribed by the Secretary of State for
CERTIFICATE OF TEST AND EXAMINATION OF CRANES OR HOISTS AND THEIR
ACCESSORY GEAR, BEFORE BEING TAKEN INTO USE.
MODEL NUMBER
DESCRIPTION OF CRANE OR
HOIST AND SERIAL NO (IF ANY).
FOLDING CRANE FOR VEHICLE ENGINE
REMOVAL PURPOSES
MODEL NUMBER: NC10.V2
SERIAL NUMBER:
FOLDING CRANE FOR VEHICLE ENGINE
REMOVAL PURPOSES
MODEL NUMBER: NC20
SERIAL NUMBER:
Company conducting the test:
This test was commissioned by National Automotive Machinery Ltd. and was undertaken by the manufacturer and
holder of the construction file. This certificate is signed by the Chief Engineer for the manufacturer.
We hereby certify that the Crane or Hoist and accessory gear covered by this test certificate has been tested to 25%
overload and the safety valve has been set at the rated working capacity. Product liability insurance is in effect within
the U.K. through the Axa Insurance Company, Policy Number NHCOM 1193182.
E
ngineer Conducting Test:.......................................................................Chief Engineer
Date:...................................
HEALTH AND SAFETY EXECUTIVE
FOR JIB CRANES,
RADIUS AT WHICH
THE PROOF LOAD
WAS APPLIED
SAFE WORKING
LOAD (FOR JIB
CRANES AT
RADIUS SHOWN)
MM
880
970
1060
1150
MM
970
1150
1330
1510
PROOF
LOAD
APPLIED
KG
1000
1250
750
500
250
KG
2000
2500
1500
1875
1000
1250
500
NC10.V2 & NC20 - 2 - 210104
KG
938
625
313
KG
625
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