CERTIFICATE OF EXAMINATION AND TEST OF ENGINE GENERATOR
Certificate No.:DG/C1 Job No.: ASC-18N-0262
Name & Address of the Owner of the Equipment: Name & Address of the Manufacturer of the Equipment:
GRAND EXCELSIOR HOTEL, DUBAI, UNITED ARAB PERKINS
EMIRATES
Location: Survey Requested by: Type of Inspection:
AL BARSHA,PO BOX:214343,DUBAI, UNITED ARAB MR.RAJESH INITIAL
EMIRATES.
Model: Serial No: Year of Manufacture / Installation:
JGP400P3 FGDF3020U15367S NA
Manufacturer / Owner Identification No: Drive: Power Rating.:
DG-01 DIESEL ENGINE 400KVA
Voltage Rating: Current Rating: Frequency:
220/380 V 606 A 50 HZ
Dimensions: RPM: ENGINE TYPE
(L×W×H) – (3500 X1100X1500)mm 1500 PERKINS 2306A-E14TAG-3
ASC Test Method No.: ASC Test Equipment No.: Reference Regulation:
ASC/ITP/N/01 ASC/EQ/02/07 NFPA 70 B
Date of Previous Test: Previous Test Done By:
NIL NIL
Date of Test: Date of next Inspection:
16-08-2018 15-08-2019*
Inspector's Name: Authorized name:
JAYAKRISHNAN
Inspector's Signature: Authorized Signature:
*This Certificate becomes invalid, if any Alteration / Repair & Modification are done.
This is to certify that the Undersigned, a competent representative, did, attend to examine this equipment in accordance to the aforementioned standard to ascertain
its safe working load / max. working pressure and that the examination indicated that the said equipment has no indigenous injury or sighted deformation and the
safe working load / max. working pressure of the said equipment as either identified or test proof loaded / hydraulic pressure tested is shown. The equipment is
satisfactoty for its intended use within the limits specified and at the time of inspection was found to be satisfactory for further use, provided there is continuous
maintenance applied, implementation of our remarks & recommendations and qualified operators employed.
This certificate is granted subject to the condition that is understood and agreed that nothing herein contained shall be deemed to relieve any designer,
manufacturer, seller, supplier, repairer or operator of any warranty, express or implied, and Admiral Safety Consultants liability shall be limited to the acts or
omissions of its employees, agents and subcontractors. Under no circumstances whatsoever shall Admiral Safety Consultants be liable for any injury or damage to any
person or occurring by reason of negligent operation or any defect in materials, machinery, equipment or other items other than such defects ascertainable by
normally accepted standards and only those items actually inspected by Admiral Safety Consultants and which are covered by this certificate. This certificate shall not
be reproduced except in the full without the approval of Admiral Safety Consultant and receiving Client.
ADMIRAL SAFETY CONSULTANTS, TRADE LICENCE NO. 741090, AL GARHOUD, P.O.BOX 125218, DUBAI -UAE, TEL: 04-2899389, FAX: 054-2840557
Doc No. ASC/C/EG/52G (Rev.0) (27/04/2016) Page 1 of 2
Certificate No.:DG/C1 Job No.: ASC-18N-0262
COMPONENTS REMARKS
Equipment Manufacturer’s Instruction & Operational
OK
Manual & Last Test Report/Certificate Details Available
Controllers OK
Panel Board OK
Wiring Insulation OK
Proper Grounding OK
Meter OK
Vibrations OK
Emergency Stop Button OK
Safety Switch OK
Engine Lubrication OK
Caution/Warning Sign NOT OK
Name Plate OK
Automatic Sensors OK
General Condition Satisfactory
RECOMMENDATION / REMARKS
SATISFACTORYAT THE TIME OF INSPECTION
REMARKS
1) Exhaust smoke leakage issue needs to be rectified .
2) Electrical Danger/Warning Signages to be pasted.
3) Maintanace checklist/Tracker needs to be pasted at the engine room.
Doc No. ASC/C/EG/52G (Rev.0) (27/04/2016) Page 2 of 2