Block 280,90 st, AlTagamoa AlKhames

Pc 11853, New Cairo, (Cairo Egypt)

Tuboscope Vetco International Tel. (00202)-26134591 - 26134592

02 26134594 Fax : (00202)26134594
Egypt Branch

REPORT OF THOROUGH EXAMINATION OF FORKLIFT

This Report complies with the requirements of the Lifting Operations and Lifting Equipment Regulations 1998

Date of
T.V.I Work Order No.: SV-3328257 Through Examination: August 19, 2019
Inspection Report No.: 3328257/165 Customer W.O. No.:

Customer: Egyptian Chinese Drilling Company Work Location: Rig # 2

Name and Adress of Manufacturer: CLG

Type of Manufacturer : L500
Date of Manufacture: 8/2005 Serial No. : 990591
Previous
Tested By: N/A Certification No.: N/A Test Date: N/A
Load Test Details
Last Thorough Exam NOV Tuboscope 22384/320 22/5/2018

SWL/ PROOF
I.D.NUMBER DESCRIPTION
Payload LOAD
990591 Wheel Loader 5000 KG N/A

Manufacture: GUANGXI LIUGONG MACHINERY CO. LTD

Model : ZL50C WHEEL LOADER
RATED CAPACITY FOR BUCKET: 3 M
GROSS POWER : 154.5 KW
OPERATION MASS : 18500 KG
MAXIMUM SPEED : 34 KM/H

VISUAL EXAMINATION & FUNCTION CHECK WAS CARRIED OUT

ACCORDING TO TUBOSCOPE PROCEDURE # LI-021
YES NO Was the through examination carried out: YES NO
Is this the first examination after installation * Within an interval of 6 months?
or assembly at a new site of location: * Within an interval of 12 months?
If the answer to the above question is YES * In accordance with an examination scheme?
has the equipment been installed correctly?
* After the occurrence of exceptional circumstances?

Identification of any part found to have a defect which is or could become a danger to person and a description of the defect (if none state NONE):
1- BREAK NEED ATTENTION 5- HOSE FOR FORK RIGHT LEAKING 9- FUEL GAUGE AND TEMPERATURE INDICATOR NOT WORK
2- SWL NOT MARKED 6- HOSE FOR POWER CONTROL LEAKING 10- SOME GLASS AT CABIN DRIVE NOT FOUND
3- THE FIRE EXTINGUISHER IS MISSING 7- ALL LIGHTS INTERNAL AND EXTERNAL AND LIGHTING SWITCHES NOT WORK
4- HOSE FOR HYDRAULIC CONTROL LEAKING 8- SEAT BELT NOT FOUND 11- SPARE TIRE NOT FOUND

Is the above a defect which is a of immediate danger to persons? NO YES

Is the above a defect which is not yet but could become a danger to persons? (if yes state the day by when) NO YES By:

Particulars of any repair, renewal, or alteration required to remedy the defect identified above:
1- BREAK NEED REPAIR 5- HOSE FOR FORK RIGHT NEED REPAIR 9- FUEL GAUGE AND TEMPERATURE INDICATOR NEED CHANGE
2- SWL MARK ON BOTH SIDES 6- HOSE FOR POWER CONTROL NEED REPAIR 10- INSTALL THE MISSING GLASS AT CABIN DRIVE
3- INSTALL THE FIRE EXTINGUISHER IN CABIN 7- ALL LIGHTS INTERNAL AND EXTERNAL NEED REPAIR AND LIGHTING SWITCHES NEED CHANGE
4- HOSE FOR HYDRAULIC CONTROL NEED REPAIR 8 - INSTALL THE SEAT BELT 11- ATTACH THE SPARE TIRE

Particulars of any tests carried out as part of the examination (if none state NONE):
MPI was carried out for Forks and found free of any surface cracks at the time of the inspection . see page (4)

Is this equipment safe to operate? YES (Accept) NO (Reject)

Next Inspection : August 18, 2020
Mohamed Fudail HANY & KAREEM

Supervisor Level II & Lifting Equipment Inspector

QAF 003LT Rev. 1 Date: 01.06.2012 Page 1/4
 Block 280,90 st, AlTagamoa AlKhames
Pc 11853, New Cairo, (Cairo Egypt)
Tuboscope Vetco International Tel. (00202)-26134591 - 26134592
Egypt Branch 02 26134594 Fax : (00202)26134594

Inspection Information :

TIRES
RESULTS
a) Tires are of the same specifications on the same axle (same type. profile,
weight rating, working pressure, temperature rating applicable to the operating Satisfactory
climate).
b) 50% of the radial tires, min. thread depth not less than 2,0 mm across 75% of Satisfactory
the tire and free of cut and worn out.

c) Re-treaded tires are not permitted. Satisfactory

d) Wheel loader to be fitted with a spare tire and changing equipment to safely Satisfactory
change a tire.

e) Check condition of tires and security of wheel nuts. Satisfactory

In Cabin
RESULTS
a) Signs, stickers or labels fitted not obstructing operator's vision or use of any Not Found
controls.
Satisfactory
b) Horn is operational.

c) All instrumentation in working order. (fuel gauge, temperature indicator and Need Repair
hydraulic pressure gauge)

d) Operator's seat shall be fitted with at least two points seat belt if originally Not Found
designed.
e) Equipped with a protection device that protects Operator in case of roll over or Not Found
from falling cargo.

f) No handles exposed on outside of protective cabin cage. Satisfactory

Lights & Alarms

RESULTS
a) Orange or Yellow revolving light or strobe light. Need Repair

b) Brake lights and indicator (if fitted) in good working order. Need Repair

c) Equipped with driving head and reverse lights and beam light for support during Need Repair
lifting operations.

d) Be fitted with rear mounted audible reversing alarm. Need Repair

Forks
RESULTS
a) Forks and its sliding bar shall be free of any unauthorized welding, cracks and Satisfactory
easily adjusted .

b) Forks to be properly aligned ( not bent). Satisfactory

c) Any fork extension or other attachments must be certified for use with rated N/A
capacities.

d) Ensure the lateral locks on the forks are working. N/A

3328257/165 Page 2/4

 Block 280,90 st, AlTagamoa AlKhames
Tuboscope Vetco International Pc 11853, New Cairo, (Cairo Egypt)
Egypt Branch Tel. (00202)-26134591 - 26134592
02 26134594 Fax : (00202)26134594

Consumable checks
RESULTS
a) Engine oil maintained at required level. Satisfactory

Satisfactory
b) Radiator fluid maintained at required level.

c) Brake & Clutch fluid maintained at required level. Satisfactory

d) Battery condition and connections . Satisfactory

e) Fuel and Oil tanks shall be free of leakage. Satisfactory

f) All hydraulics (hydraulic hoses, hydraulic pump, pistons) to be fully functional Need Repair
without leakage.

Safety & Emergency equipment

RESULTS
a) in cab fire extinguisher securely mounted on a bracket and located so it is easily Not Found
accessible in an emergency.

b) Foot brake and Hand brake control system are operational and could hold the Need Attention
wheel loader on an inclined.

c) S.W.L clearly indicated on both sides of the forklift truck. Need Mark

d) All rotating parts are guarded with cover. Satisfactory

General Condition
RESULTS
a) Examine the lifting chains and check for worn of damaged links and ensure N/A
the lifting anchors are secure.

b) Check Lift/Tilt (and reach) Rams for leaks. Need Attention

c) Start up truck. Satisfactory

d) Check all lifting functions ie. Lower Tilt, Reach etc...... Satisfactory

e) Check all transmission functions ie Drive Steering. Satisfactory

Comments:

3328257/165 Page 3/4

 Block 280,90 st, AlTagamoa AlKhames
Tuboscope Vetco International Pc 11853, New Cairo, (Cairo Egypt)
Egypt Branch Tel. (00202)-26134591 - 26134592
02 26134594 Fax : (00202)26134594

ATTACHED REPORT

MPI was carried out for Forks and found free of HOSE FOR HYDRAULIC CONTROL FOUND LEAKING

any surface cracks at the time of the inspection

HOSE FOR POWER CONTROL FOUND LEAKING HOSE FOR FORK RIGHT FOUND LEAKING

3328257/165 Page 4/4