Annex to Certificate Of Thorough Examination Annex to Certificate No.: BV.DOA.16.1VS.031.80.CR-ILC-1255 Date of Inspection: 34 January 2016 NO. DESCRIPTION ‘CONDITION / REMARKS RE-INSPECTION 1. | Safe Load indicator In Order ~ EKS 5 2_| Radius indicator In Order EKS 5 3 | Angle indicator In Order ~ ES 5 4 [Main Boom Length indicator In Order — EKS 5 8 [Boom cut out In Order | Hoisting Limiter In Order 1__| Duty Chart in Cab In Order 8_ | Level Indicator In Order | Main Boom Structure 10_| Fly Jib 11__| Boom Lift Cylinder 12 | Tires 13. | Main Hoist Winch 14 | Auxiliary Hoist Winch Not Applicable 416__| Main Hook In Order ~ 32 & 160 18 | Auxiliary Hook Not applicable. 17_| Main hoist winch Brake Holding In Order 18 | Main hoist Wire rope In Order - 22 mm Diameter 19_| Auxiliary Hoist Winch Brake Not applicable 20_| Auxiliary hoist Wire rope Not applicable 20_| Cranes Control In Order 21_| Swing Machinery In Order 22_| Power Unit tn Order 23_ | Hydraulic System In Order 24 | Diesel Engine In Order 25_| Spark arrestor In Order 26_| Fire Extinguisher In Order _| 27_| Hazardous warning lights In Order 28_| Electrical Systems In Order 28 Wire Rope Replacement Date & Certificate Number W100447370 dated:25.10.13 | We ited by Manufacturer in 2013 ‘COMMENTS: Based on Thorough Visual Examination, Functional Test & SWL Test, the Diesel Powered Hydraulic Telescopic Boom All Terrain Mobile Crane was found satisfactory at the time of Inspection. Surveyor's Name: _ Sathls 5 Surveyor's signature: