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2015-118-A Form : FOI TCS-001R0 Description of Equipment Proof Load Tested and Examined : Identication No. Description of Item : Proof Load (Tonne) Working Load Limit (Tonne) Name of Manufacturer or Supplier if different from above: Name of Competent Person undertaking the Test and Examination : Name : Signature : Date : Certification : I certify on behalf of the firm named above that the particulars are correct and that the equipment has been subjected to the load test and examination as stated above without visible defects. Name of Reviewing Signatory Name : Signature : Date: SAC ISO 17020 Accreditation is mutually recognised by NATA (National Association of Testing Authorities, Australia) under APLAC & ILA, Mutual Recognition Arrangement (MRA) Note: The results reported herein have been performed in accordance with the terms of accreditation under the Singapore Accreditation Council The reports shall not be reproduced except in full, unless the management representative of the accredited organisation has given approval in writing. Client Order Number : Certificate Number : Client : Sales Order No: Date of Report : FRANKLIN OFFSHORE INTERNATIONAL PTE. LTD. No. 11 Pandan Road Singapore 609259 Tel : +65 6264 3451 Fax : +65 6264 1130 Email : [email protected] CERTIFICATE OF TEST AND EXAMINATION Page 1 of 1
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2015-118-A

Form : FOI TCS-001R0

Description of Equipment Proof Load Tested and Examined : Identi�cation

No.

Description of Item :

Proof Load

(Tonne)

Working Load Limit

(Tonne)

Name of Manufacturer or Supplier if di�erent from above:

Name of Competent Person undertaking the Test and Examination : Name : Signature : Date :

Certi�cation : I certify on behalf of the firm named above that the particulars are correct and that the equipment has been subjected to the load test and examination as stated above without visible defects.

Name of Reviewing Signatory

Name : Signature : Date:

SAC ISO 17020 Accreditation is mutually recognised by NATA

(National Association of Testing Authorities, Australia) under

APLAC & ILA, Mutual Recognition Arrangement (MRA)

Note:

The results reported herein have been performed in accordance with the terms of accreditation under the Singapore Accreditation Council

The reports shall not be reproduced except in full, unless the management representative of the accredited organisation has given approval in writing.

Client Order Number : Certi�cate Number :

Client : Sales Order No: Date of Report :

FRANKLIN OFFSHORE INTERNATIONAL PTE. LTD.No. 11 Pandan Road Singapore 609259 Tel : +65 6264 3451 Fax : +65 6264 1130 Email : [email protected]

CERTIFICATE OF TEST AND EXAMINATION

Page 1 of 1