Report expires:   28/01/2026  

Report of thorough examination of lifting equipment

This report complies with the requirements of the Lifting Operations and Lifting Equipment Regulations 1998


    Last Updated       Date of report         Report number    
Jan 28, 2025 Jan 28, 2025 rwm-midlands-ltd-jcb-926-forklift-s-n-jcb92604c01483435

Client details

   Name and address of employer           Address of the premesis      
RWM midlands Ltd napton road Stockton CV47 8JX Doepke Daventry NN11 8QH

Equipment / Examination

Description of the equipment Safe working load Date of exam Date of manufacture Date of last examination
JCB 926 forklift s/n JCB92604C01483435 Max 2600kg Jan 28, 2025 2011 14-02-2024
Defects
None

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:

Front wiper blade missing

Rear number plate lamp cover missing


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
The Loler Man - NN15 6TP