Katalog - Flipbook - Side 269
Gruppe
13
F 86
This form is based on the standard international form of certificate approved by the
international Labour Organisation for the
Test Certificate
No. 8089
Ministry of Labour
FACTORIES ACT 1961
Docks Regulations 1934, Regulations 19(a) and 22(a)
PULLEY BLOCKS: Certificate of test and examination, before being taken into use.
Form prescribed by the Minister of Labour
Particulars:
Description of Block
Distinguishing
Number or
Mark
(a)
Outside
Diameter
of
Sheave
(b)
H5399
8” / 200
m.m
State
whether the
Axel pin and
head
Fitting are
of mind or
High tensile
steel
(c)
Where
applicable
State heat
treatment
item in
(c) received
in manufacture
(d)
Axelpin Mild
steel
Number
Tested
Date of
test
Proof
Load
Applied
(f)
(g)
11.200
5
16,7t
safe
working
load
(e)
1
(h)
8,5t
Head fitting
High Tensile
Steel
Were the sheaves and pins of the pulley block or blocks removed after the application of the
Proof load and all parts then examined by a competent person and found to have withstood
The proof load without deformation and be free from cracks, flews or other defects?…………………..
DL Group
(3)
Name and address of makers.
(4)
Name and address of public service, association,
company, firm or person marking the test and examination.
(5)
Position
in public service, association, company
or firm named above of person who made the test and examination. Chief of Testing Department
corect.
I certify, on be half of the firm or person named in (3) 4)
above, that the above particulars are
Signature…………………………………………………….
(6)
Date…………….
Name and address of owners or occupier:
www.danloeft.dk
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