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Report expires: 12/11/2026 |
| Last Updated | Date of report | Report number |
|---|---|---|
| May 12, 2026 | May 12, 2026 | mida-civils-afk-0075-excavator-pallet-forks-s-n-cq204017 |
| Name and address of employer | Address of the premesis | ||||||
|---|---|---|---|---|---|---|---|
| Mida Civils, Mida House, Maulden, Bedfordshire, MK45 2BG | Irthlingborough Road, Stanton Cross, NN8 1RG |
| Description of the equipment | Safe working load | Date of exam | Date of manufacture | Date of last examination |
|---|---|---|---|---|
| AFK-0075 Conquip EA010AS-02500 Excavator Pallet Forks s/n CQ204017 | Max 2500kg | May 12, 2026 | 2026 | Declaration of conformity |
| Defects None |
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| Is this the first examination after installation? | Has the equipment been installed correctly? |
|---|---|
| no | yes |
| Was the examination carried out? | In accordance of the examination scheme? | In exceptional circumstances? |
|---|---|---|
| In an interval of 6 months | yes | no |
| Identification of any part found to have a defect which is or could become a danger to persons and a description of this defect: |
|---|
No defects |
| Particulars of any test carried out as part of the examination? |
|---|
Full test carried out |
| Is the above a defect which is immediate danger to persons | no |
|---|---|
| Is the above a defect which is not yet but could become an immediate danger to persons | no |
| Is this equipment safe to operate? | Yes |
|---|
| Name of person authenticating this report: | Andrew Sands BAGMA Approved Thorough Examiner BAGMA ID: 210011893 The Loler Man - NN15 6TP |
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