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Testing 1

This document is a test certificate for a Genie brand engine-powered boom lift, model S65, with a safe working load of 227 kg and a maximum platform height of 85 ft. The machine was inspected and found to be in good working condition, with no repairs recommended, and is due for the next examination on 31.10.2026. The certificate is issued by a competent person and approved by the Director of Industrial Health & Safety, Government of Tamil Nadu.

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Srinivasan
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25 views1 page

Testing 1

This document is a test certificate for a Genie brand engine-powered boom lift, model S65, with a safe working load of 227 kg and a maximum platform height of 85 ft. The machine was inspected and found to be in good working condition, with no repairs recommended, and is due for the next examination on 31.10.2026. The certificate is issued by a competent person and approved by the Director of Industrial Health & Safety, Government of Tamil Nadu.

Uploaded by

Srinivasan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Certificate No: /K.S./B.

L-S80-6849/2025 Approval Cell: 9787773795


No: H1/ 21869 /2023 Dated:18/01/2024.
TEST CERTIFICATE OF BOOM LIFT
(As per section 29 of factories Act 1948 and Rules 55A of Tamil Nadu Factories Rules 1950)

1. Name of the Factory/owner M/S.K.S. & Co;


4/59-H-1,Main Road, Five Roads, Salem-636004
2. Address of the Factory

3 Type, Description & distinctive no of the Engine Powered Boom Lift-”GENIE" make-Model S65 Safe
Lifting Machine, Chain, Rope, Lifting tackle working Load (platform capacity ) 227Kgs Maximum
(2persons+hand tools)—Maximum Platform height Reach
85Ft—swing 360degrees,-platform rotator 180 degrees
[Link]: 6849
.Identified as:B.L-6849.
4. Name & Address of the manufacturer “GENIE” Industries,inc,U.S.A.
5. Safe working load recommended by the 227Kgs
maker
6. Nature of operation in which it is used Used for transporting materials to elevated position in the
constructing site mentioned in column 3.
7. Date when the lifting machine was first 2012.
taken into use in the factory

8. Date of last examination and test Not available.


9. Condition of the lifting machine, chain,
rope or lifting tackle
a. Visual Check Condition of Boom lift, construction , material hydraulics,
fittings ,platform and dimensions and loadholding capacity
found to be satisfactory
b. Performance Check Test carried out as per standards and guidelines and the
lifter is found to be in good working condition.
10. Repairs recommended Nil
11. Other Observations and remai1‹s Identification on mark and SWL 227Kgs to be marked
legibly.
Proper lubrication is advised.
I certify that on 01.11.2025 the Lifting Machine or Lifting Tackle described above was thoroughly examined and
tested by me and the above is true report of my examination.

Next Examination due on :31.10.2026

[Link]
Competent Person
Approved by the Director of Industrial Health & Safety, Government of TamilNadu
Certificate No: H1/21869/2023, Dated: 18.01.2024

This Certificate is issued based on the current condition of ethe eq uipment a t th.e time of inspection. The user is rsponsible for
responsible for proper maintenance and safe operation of all eq [Link] maintenance , checks and inspection aree to be foll
are to be followed as per BIS & Tamil Nadu Factories Rules 195 0

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