Mechanical Hoist Proof Load Testing and Inspection Certificate

Customer: Gold Fields South Deep Test Date: 11-11-2019
Shaft: South Shaft Valid Period: 02-09-2020
Section: Rigger Workshop Height of Lift (mm): 9000
Responsible Person: Anton Pretorius Capacity (WWL) kg: 5000
Unit Serial Number: 1708013 No of Chain Falls: 3
Product Name: Nitchi Test Certificate No: 1123
Type: Chain Hoist Purchase Order No: 4600001639
Load Cell Calibration Date: August 30, 2020 Load Cell No: 1511030329
Onsite LMI Name: Leon van Zyl Onsite LMI Reg No: 201112011
Description Condition Spares Used
Top Hook Dimension PASS
Bottom Hook Dimension PASS
Load Chain Diameter PASS
Sum of 5 Pitches Chain PASS
Friction Disk PASS
Top Hook Safety Latch PASS
Bottom Hook Safety Latch PASS
Pawl Spring PASS
Hoist Body & Load Plates PASS
Guide Slippers & Rollers PASS
Hand Wheel PASS
Hand Wheel Cover PASS
Gearbox PASS
Load Chain End Stop PASS
Check All Nutz PASS
Hand Chain PASS
Chain grade / Condition PASS
Load Limiter Installed YES
Was item suitable to test YES
Load Limiter Setting (kg) 5,060
Max proof load applied (kg) 5,060
Act (mm)
Fair Condition
Stamp & Signature

Leon van Zyl
LMI: 201112011

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