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Report expires: 09/10/2024 |
| Last Updated | Date of report | Report number |
|---|---|---|
| Oct 09, 2023 | Oct 09, 2023 | q4966-eagle-plant-bury-kubota-excavator-kx085-5-s-n-10786 |
| Name and address of employer | Address of the premesis | ||||||
|---|---|---|---|---|---|---|---|
| Eagle plant bury Quest park BL9 7 JJ | Eagle plant Bury Quest park BL9 7JJ |
| Description of the equipment | Safe working load | Date of exam | Date of manufacture | Date of last examination |
|---|---|---|---|---|
| Q 4966 Kubota Excavator JX085-5 s/n KBCDZ85BCP3G10786 with whites hitch s/n 282576-10 | As per manufacturer specifications lifting chart | Oct 09, 2023 | 2023 | Declation of confirmation |
| 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 12 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: |
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No defects |
| Particulars of any test carried out as part of the examination? |
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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 |
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| Name of person authenticating this report: | Andrew Sands The Loler Man - NN15 6TP |
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