INNO – TECH SKILLS & EQUIPMENT TESTING, INC.
43 Ma. Elena Street, Carmel Subd., Bahay Toro, Quezon City, Philippines
Tel. No.: (0632) 8928-6626 Telefax: (0632) 8697-7246
Cell number: 09173270580/09228321058 Email address: innotech08@yahoo.com / innotechskills@gmail.com
DOLE Accreditation No. 1410-22011822-0008 SBMA Accreditation No. REG.2010-123
D A T E : January 18, 2025
CERTIFICATE No.: IT-24-002199
CERTIFICATE OF THOROUGH EXAMINATION AND TEST OF
HYDRAULIC EXCAVATOR: CRAWLER TYPE
(As required under the Department of Labor & employment order No.13, Series of 1998 on
Guidelines Governing Occupational Safety and Health in the Construction Industry)
YUVAL TRUCKING
1. Name and address of owner of the Crane PUROK 6 TALIPAPA CABANATUAN CITY
NUEVA ECIJA
2. Location of Equipment PUROK 6 TALIPAPA CABANATUAN CITY
NUEVA ECIJA
3. Brand and Model of the Equipment ZOOMLION ZE150
4. Date of manufacture of the Equipment /
NOT FOUND
Number of hours of operation
5.1 Maker’s Serial
ZE150HQ13023
Number
5. Identification 5.2 Owner’s
Number distinguishing mark
or number (if any)
6. Ditching / Breaking Performance THE DITCHING AND LOADING
Specify the ditching or breaking force PERFORMANCE WAS TESTED AND FOUND
Whether in good condition TO BE IN GOOD WORKING CONDITION.
7. Defects noted and alterations or repairs “NONE”
required before the equipment is put into IN SAFE WORKING CONDITION
service. If none enter “NONE” and state
whether in safe working condition
I hereby certify that on January 18, 2025 the equipment described in this certificate was
tested and thoroughly inspected by me in accordance with the Manufacturer’s Specification and
Standards, and the attached checklist is correct. The Hydraulic Excavator Crawler Type should
be presented for Thorough Examination & Test on or before January 17, 2026.
DOLE Testing Organization Accreditation no.: 1410-22011822-0008
MARCIAL S. SIPAT
( Signature of Equipment Inspector )
Qualification : Equipment Inspector
Attested by:
DENNET C. LINO CARLITO B. PENA
Professional Mechanical Engineer REE-0015038 & DOLE NO. 1030-111720 - OSHC-061
PRC Registration Number: 5158
PTR No.: 4072622 Date Issued: 1/10/2022
Place issued: Batangas City / TIN No.: 130-670-993-000
Name and address of company by whom the INNO-TECH SKILLS & EQUIPMENT TESTING, INC.
person conducting the test and inspection is 43 Ma. Elena Street, Carmel Subd.
employed. Bahay Toro, Quezon City
The ITSET Inc., has no liability for loss or damages caused by its officers, employees or others who act under assignment from the ITSET Inc.
regardless of whether such person has acted intentionally or negligently and irrespective of whether the loss or damage has affected the company or
others who have requested the ITSET’s assistance or any third party who without any contractual relations with the ITSET Inc. has acted or made
arrangements in reliance on decisions made or information given by or on behalf of the ITSET nor can the individual or individuals who have personally
caused the loss or damage be held liable.
INNO-TECH SKILLS & EQUIPMENT TESTING INC.
THOROUGH EXAMINATION AND TEST OF TRUCK MOUNTED CRANE:
HYDRAULIC TYPE
(TECHNICAL INSPECTION CHECKLIST FORM – ITSETI/TMC)
NAME & ADDRESS OF OWNER YUVAL TRUCKING
PUROK 6 TALIPAPA CABANATUAN CITY
NUEVA ECIJA
LOCATION OF CRANE : PUROK 6 TALIPAPA CABANATUAN CITY NUEVA ECIJA
TYPE OF CRANE ZOOMLION ZE150 BRAND & MODEL ZOOMLION ZE150
Crawler Type – Diesel
Engine Driven
YEAR MANUFACTURED/
UNIT SERIAL NO. ZE150HQ13023 Not Found
NO. OF HOURS OF OPERATION
DATE OF OTHER IDENTIFYING
January 18, 2025 None
EXAMINATION MARKS
A. CARRIER (CRAWLER MOUNTED)
1. UNDER CARRIAGE :
A. TRACK SYSTEM Condition: (references: All component parts below must be within
the manufacturer’s wear limit – In addition, 1. No loose track shoe and bolts. 2. No
cracks on track link. 3. No loose pins and bushings. 4. The track and carrier rollers
must have no leaks, missing or loose bolts, 5. No leaks on idler bushings).
1. Track Shoe and Bolts GOOD
2. Track Link GOOD 6. Idlers GOOD
3. Link Pins and Bushings GOOD 7. Sprockets GOOD
4. Rollers, Track GOOD 8. Recoil Spring GOOD
5. Rollers, Carrier GOOD 9. Roller Guards GOOD
B. FINAL DRIVE SYSTEM CONDITION : (references: 1. No oil leaks on final drive
reduction gear cover, 2. No abnormal sound detected during traveling operation,
3. Left and right track must have the same speed during forward / reverse travel
operation and can perform pivot travel direction).
Remarks : IN GOOD CONDITION
2. SLEWING RING CONDITION : (references: 1. Bolts must be complete and
properly tightened, 2. No cracks or chips in the ring gear teeth, 3. Must be well
lubricated).
Remarks : IN GOOD CONDITION
3. SLEWING RING CONDITION :
References: CRAWLER MOUNTED
1. Compression GOOD
2. Engine Blow-by GOOD
3. Exhaust Smoke GOOD
4. Fan Belts GOOD
5. Alternator / Generator GOOD
6. Cooling Fan GOOD
7. Radiator GOOD
8. Fuel Injection Pump GOOD
9. Water Separator / Fuel Filter GOOD
10. Battery and Connection GOOD
11. Engine Oil GOOD
12. Starter Motor GOOD
13. Turbo Charger GOOD
4. OPERATOR’S CAB Condition : (Specify if in Good Order or Out of Order)
1. Dash Board Instruments :
a. Engine oil pressure gauge GOOD 3. Breaker Pedal GOOD
b. Water temperature gauge GOOD 4. Safety Lock GOOD
c. Ampere gauge GOOD 5. Accelerator GOOD
d. Fuel gauge GOOD 6. ROPS GOOD
e. Hydraulic temperature gauge GOOD 7. Light / Signal GOOD
2. Control Levers : 8. Operator’s seat GOOD
a. Boom Up / Down GOOD 9. Entry / Exit Door GOOD
b. Arm In / Out GOOD 10. Load Chart GOOD
c. Bucket Curl / Dump GOOD 11. Windshield GOOD
d. Swing Left / Right GOOD
e. Travel Left / Right GOOD
5. BOOM AND ARM STRUCTURE Condition : (references: 1. Boom and Arm structure
must be made of sound material, good mechanical construction, no cracks or deformations,
2. All pins must be secured with lock, not loose and well lubricated.)
1. Hydraulic Pumps : 3. Hydraulic Cylinders :
a. Main Pump GOOD a. Boom Cylinders GOOD
b. Auxiliary Pump GOOD b. Arm Cylinders GOOD
2. Control Levers : c. Bucket Cylinders GOOD
a. Swing Motor GOOD 4. Hydraulic Hoses & Fittings : GOOD
b. Travel Motor GOOD
6. HYDRAULIC SYSTEM Condition : (references: 1. Hydraulic pumps and hydraulic motors
must have no leaks, no abnormal sound detected and functions properly. 2. Hydraulic hoses
/ pipes must have no leaks, no dented rods and deformed cylinders, 4. Control levers must
operate smoothly, 5. Hydraulic control valves must have no leaks.)
1. Boom Structure : IN GOOD CONDITION
2. Arm Structure: IN GOOD CONDITION
7. BUCKET / HYDRAULIC BREAKER Condition : (references: 1. Bucket or Breaker
structure must be made of sound material, good mechanical construction, no cracks, leaks
or deformation, 2. Bucket teeth must be complete and secured with locking pins, 3. Cutting
edges must be properly installed, 4. All pins must be secured with lock, not loose and
lubricated, 5. Breaker must have no leaks, mole point must be within manufacturer’s
standard and no crack, 6. Hydraulic hoses and pipes on breaker line must have no leaks,
twists or over bended.)
BUCKET BREAKER
1. Bucket Structure GOOD 1. Hydraulic Breaker N/I
2. Bucket Teeth GOOD 2. Mole Point N/I
3. Cutting Edges GOOD 3. Pins and Bushings GOOD
4. Pins and Bushing GOOD
5. Bucket Link GOOD
8. OPERATIONAL TEST & EQUIPMENT EVALUATION :
After Thorough Examination and Test of the Equipment
A-1 FIT FOR OPERATION
described above, the condition of the Hydraulic Excavator is
REMARKS: INSTALL WORKING LIGHTS (CABIN TOP SIDE). INSTALL WARNING
LIGHTS (BEACON LIGHTS).
Note: Specify;
A-1 if the Equipment is FIT FOR OPERATION and has satisfied the
Thorough Examination and Test.
A-2 if the Equipment is FIT FOR OPERATION and has satisfied the
Thorough Examination and Test but needs some minor repair/s (i.e.
on minor leaks or adjustments as specified in the Standard Checklist)
which will not in a way affect or fail the operation of the equipment
but must be repaired immediately after the operation.
R-1 if the Equipment is NOT FIT FOR OPERATION and has failed the
Thorough Examination and Test for the reason that some major
components of the machine needs immediate repair prior to being
made to service again, with a reconfirmation from the component
Equipment Inspector.
R-2 if the Equipment is NOT FIT AND UNSAFE FOR OPERATION and
has failed the Thorough Examination and Test for reasons that two or
more major components are defective or the presence of cracks in
the Leader. Leader attachment or impact machine.
The Hydraulic Excavator with its attachment/s should be presented for Thorough Examination &
Test on or before January 17, 2026.
DOLE Testing Organization Accreditation no.: 1410-22011822-0008
Attested by:
MARCIAL S. SIPAT CARLITO B. PENA
( Signature of Equipment Inspector ) REE-0015038 & DOLE NO. 1030-111720 - OSHC-061
Qualification : Equipment Inspector
Name and address of company by whom the INNO-TECH SKILLS & EQUIPMENT TESTING, INC.
person conducting the test and inspection is 43 Ma. Elena Street, Carmel Subd.
employed. Bahay Toro, Quezon City
The Inno-Tech Skills & Equipment Testing Inc.(ITSET) has no liability for loss or damages caused by its officers, employees or other who act under
assignment from the ITSET regardless of whether such person has acted intentionally or negligently and irrespective of whether the loss or damage
has affected the company or others who have requested the ITSET's assistance or any third party who without any contractual relations with the ITSET
has acted or made arrangements in reliance on decisions made or information given by or on behalf of the ITSET nor can the individual or individuals
who have personally caused the loss or damage be held liable..
