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Form No. 10 (Prescribed Under Rule 60) Prescribed For Report of Examination of The Lifting Machines, Ropes and Lifting Tackles Particulars

This document contains a form for reporting the examination of lifting machines, ropes, and lifting tackles in a factory. The form includes fields to provide the name and address of the occupier, identifying information of the machine or equipment, dates of initial use and subsequent examinations, details of any certificates or heat treatments, any defects found, and certifications of examination results. Examiners must fill out the form to document inspection of lifting equipment and any issues found.

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Satyadip Teraiya
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2K views1 page

Form No. 10 (Prescribed Under Rule 60) Prescribed For Report of Examination of The Lifting Machines, Ropes and Lifting Tackles Particulars

This document contains a form for reporting the examination of lifting machines, ropes, and lifting tackles in a factory. The form includes fields to provide the name and address of the occupier, identifying information of the machine or equipment, dates of initial use and subsequent examinations, details of any certificates or heat treatments, any defects found, and certifications of examination results. Examiners must fill out the form to document inspection of lifting equipment and any issues found.

Uploaded by

Satyadip Teraiya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Form No. 10

(Prescribed Under Rule 60)

Prescribed For Report of Examination of the Lifting Machines, Ropes and Lifting Tackles

Particulars

1. Name of occupier of factory

2. Address of factory

3. Distinguishing number or mark


(if any) and description sufficient
to identify the lifting machine,
chain, rope or the lifting tackle.

4. Date when the lifting machine,


chain, rope or lifting tackle was
first used in the factory.

5. Date of each examination made


under section 29(1)(a)(iii) and by
whom it was carried out.

6. Date and number of the certificate


relating to any test and
examination made under sub-rule
(1) of rule 60 together with the
name of the person who issued
the certificate.

7. Date of annealing or other heat


treatment if the chain and lifting
tackle carried out under sub-rule
(5) of rule 60 and by whom it was
carried out.

8. Particulars of any defect found at


any such examination or after
annealing and affecting the safe
working load and the steps taken
to remedy such defect.

I / We certify that on……………………………………………… …………… I / We thoroughly examined the


above mentioned lifting machine / chain / rope / lifting tackle and that the above is a correct report of
the result.

Signature………………………. Counter signature…………………………..

Qualification………………….. If employed by Company or


Address………………………… Association gives name and Address.
Date……………………………… Date………………………

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