FORM NO.
: 10
(Prescribed under rule 60)
Prescribed for report Examination of the lifting machines, ropes and lifting tackles.
Report No.: RCIPL/AMNS/MECPL/DEC-24/001 Date : 06/12/2024
1. Name of occupier of factory : Mesuka Eng. Co. Pvt Ltd.
2. Address of factory : Site : 27 KM Surat-Hazira Road, Hazira, Surat.
3. Distinguishing number of mark (if any) and : Lifting Hook
description sufficient to identify the lifting Id No.: LH/15
machine, chain, rope or the lifting tackle. SWL Capacity: 6 Ton
Length of Plate : 555mm, Hook Eye Inside Dia :
54mm, Hook Thickness : 32mm, Height : 300mm,
Plate Eye Inside Dia : 40mm
Location: CRM-2 (AM / NS)
4. Date when the lifting machine, chain, rope or : Not Known
lifting tackle was first used in the factory.
5. Date of each examination made under section : Thorough inspection carried out on 06/12/2024 by
29(1)(a)(iii) and by whom it was carried out. BRIJESH NAIK Competent Person. (Load test at
1.25 Times of SWL)
6. Date and number of the certificate relating to : Not Available
any test 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 : Not Applicable as per sub rule 6 of rule 60.
chain and lifing 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 : No defects noticed. Safe to use at SWL Capacity.
examination or after annealing and affecting
the safe working load and the steps taken to
remady such defect.
I certify that on 06/12/2024 , I have thoroughly examined the above mentioned lifting Machine/Chain/
Rope/Lifting tackle and that the above is correct report of the result.
Signature __________________
Name of the Competent Person : BRIJESH NAIK
Qualification : BE MECHANICAL
ANST LEVEL II IN UT, RT, PT, MPT
Competency Certificate No. : GUJ/DISH/CPT/A/1166/2023 VALID UP TO 28/04/2025.
Issued By : Director, Industrial Safety & Health, Gujarat State, Ahmedabad
Next Inspection Due on : 05/12/2025
FORM NO. : 10
(Prescribed under rule 60)
Prescribed for report Examination of the lifting machines, ropes and lifting tackles.
Report No.: RCIPL/AMNS/MECPL/DEC-24/002 Date : 06/12/2024
1. Name of occupier of factory : Mesuka Eng. Co. Pvt Ltd.
2. Address of factory : Site : 27 KM Surat-Hazira Road, Hazira, Surat.
3. Distinguishing number of mark (if any) and : Lifting Hook
description sufficient to identify the lifting Id No.: LH/16
machine, chain, rope or the lifting tackle. SWL Capacity: 6 Ton
Length of Plate : 555mm, Hook Eye Inside Dia :
54mm, Hook Thickness : 32mm, Height : 300mm,
Plate Eye Inside Dia : 40mm
Location: CRM-2 (AM / NS)
4. Date when the lifting machine, chain, rope or : Not Known
lifting tackle was first used in the factory.
5. Date of each examination made under section : Thorough inspection carried out on 06/12/2024 by
29(1)(a)(iii) and by whom it was carried out. BRIJESH NAIK Competent Person. (Load test at
1.25 Times of SWL)
6. Date and number of the certificate relating to : Not Available
any test 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 : Not Applicable as per sub rule 6 of rule 60.
chain and lifing 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 : No defects noticed. Safe to use at SWL Capacity.
examination or after annealing and affecting
the safe working load and the steps taken to
remady such defect.
I certify that on 06/12/2024 , I have thoroughly examined the above mentioned lifting Machine/Chain/
Rope/Lifting tackle and that the above is correct report of the result.
Signature __________________
Name of the Competent Person : BRIJESH NAIK
Qualification : BE MECHANICAL
ANST LEVEL II IN UT, RT, PT, MPT
Competency Certificate No. : GUJ/DISH/CPT/A/1166/2023 VALID UP TO 28/04/2025.
Issued By : Director, Industrial Safety & Health, Gujarat State, Ahmedabad
Next Inspection Due on : 05/12/2025
