Certificate No.
-IEC/CIL/AG-25-31
REPORT OF EXAMINATION OF LIFTING MACHINE/TACKLE
1. Name of Owner A.N. Construction c/o M/s Ceigall India Ltd.
2. Address of Site SITE: Agra Metro Project, AGCC-05, Sikandra Station, Agra.
ROTARY DRILLING RIG - Make: XCMG, Model XR210J - Max. Torque output
3.Distinguishing number or mark if 210KN - Max. push force 180 KN. Max. pull force 190 kn- max. drilling depth 60
any and description sufficient to metres - max. drilling dia. 1800 mm. PIN No. XUG0210RKLHJ00314 - Mfd.
identify the lifting machine, chain , Year 2021 (as per ID Plate)
rope or tackle
4. Date when the lifting Machine,
chain rope or tackle was first As per owner's record.
taken into use at site
5. Details of certificate relating to As per Manufacturers T.C.
tests and examinations by
manufacturer
6. Date of last periodical thorough October 2024, by us
examination made and by whom
carried out
7. Date of annealing or other Heat Not Applicable
treatment)
No defects found on physical test.
8. Particulars of any defects
affecting the safe working load
found at current examination and
the steps to remedy the defects
It is certified that on 5th & 6th March 2025 this Lifting Machine/Tackle was thoroughly examined and the
above is a correct report of the result
Next Inspection Due : 4th Sptember 2025
Subject to DISCLAIMER below.
VARUN BHILOTRA
B.Tech. (Mech.)
“COMPETENT PERSON”
DISCLAIMER: This Report of examination reflects the condition of the machine/ equipment as on date. We accept no
liability / responsibility whatsoever in case of any accident / mishap on/with/ due to this machine / equipment