Serial: 03-1~030251 0':;BO LAO DONG - THUdNG BINH VA xA HOI

MINISTRY OF LABOUR - INVALID AND SOCIAL AFFAIRS

TRUNG rAM KIEM DlNHKYTHU!r AN rOANKHU VVC IICENTER OF INDUSTRIAL SAFETY REGISTRATION ZONE 2

Liu 6, Citilight Tower, 45 Vo Thi SauP, Dakao, Quan 1, Tp. H6 Chi MinhTel: (08)38275301- Fax: (08)38275300Website: htpp://www.kiemdinh.vn

kiemdinh. vo

CERTIFICATE OF TEST I THOROUGH EXAMINATIONFOR HAND CHAIN HOIST

Cert. No.: 024186 ITNNT A - KI>2Date: 04/06/2016Ref. No.: ................................................................

Name: PVTRANS OILFIELD SERVICESClient Address: Petro Vietnam Building, No.8 Hoang Dieu, Ward 1, Vung Tau CityOwner PVTRANS OILFIELD SERVICES

ReferencesInspection procedure QT 16 - Lifting equipments inspection/testing procedureCodes/Standards TCVN 4244: 2005

Date of examination/test: Place: FSO PVNDAI HUNG QUEEN1910512016Reason for issuing the certificate: 0 Initial certificate 0" Recertificate o Affter repair

( 1 ) (2 ) (3) (4) ( 5 )Distinguishing Situation and description of gear Number Proof test Safe working load

MarkINo. (Type, model, the dimensions of tested load applied at design anglegear, material of which it made ..) ( Tonnes) (SWL -Tonnes)

05 items(See reverse side for (See reverse side for detail) 1 N/A 0,5

detail)

Inspection/Examinationffesting Result Remarks

The hand chain hoist has been visually inspected and MT examined as follow:Marking: The informations have been stamped on body (IDNo,manufacturer,SWL)Dimensional: Suitable with information in column ( 2 ) (See reverse side for detail) PassedVisual check for defect: Theyare in good situation, free from any defectsMT examination: NIA

Assessments: Those hand chain hoists were examined/inspected and found to be in good condition, theexamination showed that the said hand chain hoists free from any defects.

Recommended date for next examination/test: Visual inspection: 1112016Remarks: See reverse side or refer to Ref report mentioned abovefor more details.The expression " tonne" shall mean a tonne or 1000 kg.

We certify that the above particulars are correct and that the examination was carried out by thecompetent person in the manner set forth on the applied procedure/standards.

Inspector/Examiner For Director

Vung Tau Agency: Road 3 - DongXuyen Industrial Zone - Vung Tau City TellFax: (064) 3615653 - 3592665 E 01mal: tramvungtau@kiemdinhovn

1, The technical documents had been reviewed:

No. Descriptions Ref. No Issued date Valid until Issued by1

2, Defects/imperfects to be found in the visual inspection: They are in good situation, free from any defects .3, Testing Equipments to be used for examination/testing.

Description of Equipment SerlID Number Calibrated cert. number Valid untilCaliper gauge 150 mm 1624DD5/2 KT3-1624DD5/2 /Tape rule 5 mtr 1624DD5/6 KT3-1624DD5/6 /

4, Non destructive Testing had been used:4.1- 0 Reference fromNDT report of: NDT report No. : Issued date: ..4.2- 0Carried out by NDT technician ofCISR with the following results: N/A

5, Situation and description of gear (Type, dimensions of gear, contruction of which it made... )

LIST OF EQUIPMENTS WERE EXAMINED(Certificateof inspectionNo: 024186/TNIKD2)

Content of affairs FinalNo Name IDNo/SerNo SWL DescriptionVisual MPI Load result

test- Type/ Model: Hand chain hoist! DS-50

01 Handchain 818100 0,5 - Lifting height: 2,5mhoist tonne x N/A N/A S

- Load chain: 01 line x 06

- Manufacturer: Daekyung - Korea

- Type: Hand chain hoist

02 Handchain 907099 0,5 - Lifting height: 2,5mhoist x N/A N/A Stonne - Load chain: 01 line x 05

- Manufacturer: Tokyo - Japan

- Type: Hand chain hoist

03 Handchain1109156 0,5 - Lifting height: 10m

hoist x N/A N/A Stonne - Load chain: 01 line x 05

- Manufacturer: Tokyo - Japan

04 E 14047855 - Type/ Model: Hand chain hoist! Lift 360

- Lifting height: 3,OmHandchain 0,5

N/A N/A Shoist tonne - Load chain: 01 line x 05 x05 E 14047886 - Manufacturer: Yale - Germany

- Mfg year: 2015

Remark: S: Satisfactory SAR: Satisfactoryafterrepair R: It is unsatisfactory N/A:Not application