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JC International Limited

RC. 413243
Port Harcourt Office : Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office : 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-m ail: service@jcinternationalng.com Website: w w w .jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION AND DPI


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination

Examiner

Qualifications

2593 Identification Number Qty

21/05/2012 Description of Equipment

ELVIS BASSEY
TARE WT SWL

LEEA, SNT LEVEL II MT, PT & UT GROSS WT Proof Load Applied Date of next
Examination

HPU
AH-0689-1
1

A Steel construction HPU in dimension 1.30mtrs X 1mtr X 1.24mtrs (Length X Width X Height) c/w 4 lifting Points

1 Tonne

N/A

1 Tonne

N/A

20/11/12

LOCATION:
S PECIFICATION: BS 7072 DPI METHOD: Wet Visible TES T PROCEDURE: CONTRAS T MEDIA: INDICATOR: JOP-030 Pentrant Developer

PARTS EXAMINED: Four Lifting Points RES ULTS : No defect as at the time of inspection. Fit for use

Name and address of equipment owner : Bourbon Subsea Services

Address of premises where Test / Examination was held: Bourbon Trieste

We hereby certify that on 21/05/2012 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use Signature of Inspector: Conducting Examination Name of Inspector: ELVIS BASSEY Conducting : Examination only

Revision No: 01

Doc No: JCI-C-VDPI-01

JC International Limited
RC. 413243
Port Harcourt Office : Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office : 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-m ail: service@jcinternationalng.com Website: w w w .jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION AND MPI


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination

Examiner

Qualifications

2594 Identification Number Qty

20/05/2012 Description of Equipment

ELVIS BASSEY
TARE WT SWL

LEEA, SNT LEVEL II MT, PT & UT GROSS WT Proof Load Applied Date of next
Examination

CAMERON STORAGE CONTAINER FOT-1490 1 A steel Construction Cameron Storage Container in Dimensions 6.05mtrs X 2.44mtrs X 2.59mtrs (Length X Width X Height) c/w 4 lifting points 2400kg
10000kg

12400kg

N/A

19-11-12

Sling #:
GL 41447/20

1set

Shackle ID: 22, 23, 24, 25

Fitted with 26mm X 4.60mtrs X 4 legged Sling c/w Quad Master Link Assembly with ferrule secured thimble eyes at all end.
8.5 tons bow safety pin shackle

12.4 t

@ 0-450

4pcs

S PECIFICATION : DNV 2.7-1, BS EN 13414-2,

TES T PROCEDURE: CONTRAS T MEDIA: INDICATOR:

JOP-020 White Contrast Aid Black M agnetic Ink

BS EN 13889
MPI METHOD: Wet Visible PARTS EXAMINED: Four lifting points and Entire body RES ULTS : No defect as at the time of inspection fit for use.

Name and address of equipment owner : Bourbon Subsea Services

Address of premises where Test / Examination was held: Bourbon Trieste

We hereby certify that on 20/05/2012 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use Signature of Inspector: Conducting Examination Name of Inspector: ELVIS BASSEY Conducting : Examination only

Revision No: 01

Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office : Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office : 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-m ail: service@jcinternationalng.com Website: w w w .jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION AND MPI


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination

Examiner

Qualifications

2595 Identification Number Qty

20/05/2012 Description of Equipment

ELVIS BASSEY
TARE WT SWL

LEEA, SNT LEVEL II MT, PT & UT GROSS WT Proof Load Applied Date of next
Examination

XMAS TREE TRANSPORTATION SKID C-GB/AK/XT/04 1 A steel Construction Xmas Tree Transportation Skid in Dimensions 4.5mtrs X 4.5mtrs X 0.67mtrs (Length X Width X Height) c/w 4 lifting points

4.65 Tonnes

N/A

4.65 Tonnes

N/A

19-11-12

S PECIFICATION : BS 7072 MPI METHOD: Wet Visible

TES T PROCEDURE: CONTRAS T MEDIA: INDICATOR:

JOP-020 White Contrast Aid Black M agnetic Ink

PARTS EXAMINED: Entire Structure RES ULTS : No defect as at the time of inspection fit for use.

Name and address of equipment owner : Bourbon Subsea Services

Address of premises where Test / Examination was held: Bourbon Trieste

We hereby certify that on 20/05/2012 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use Signature of Inspector: Conducting Examination Name of Inspector: ELVIS BASSEY Conducting : Examination only

Revision No: 01

Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office : Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office : 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-m ail: service@jcinternationalng.com Website: w w w .jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION AND MPI


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination

Examiner

Qualifications

2596 Identification Number Qty

20/05/2012 Description of Equipment

ELVIS BASSEY
TARE WT SWL

LEEA, SNT LEVEL II MT, PT & UT GROSS WT Proof Load Applied Date of next
Examination

CARGO BASKET A steel Construction Cargo Basket in Dimensions 4.17mtrs X 2.34mtrs X 1.52mtrs (Length X Width X Height) c/w 4 lifting points

CR 002

2.13 Tonnes

6 Tonnes

8.13 Tonnes

N/A

19-11-12

Sling #:
OCCA 370

1set

Fitted with 20mm X 3.06mtrs X 4 legged Sling c/w Quad Master Link Assembly with ferrule secured thimble eyes at all end.
8.5 tons bow safety pin shackle

8.13 t

@ 0-450

Shackle ID: JCCA-1, JCCA-2 JCCA-3 CTNX 2512

4pcs

S PECIFICATION : DNV 2.7-1, BS EN 13414-2,

TES T PROCEDURE: CONTRAS T MEDIA: INDICATOR:

JOP-020 White Contrast Aid Black M agnetic Ink

BS EN 13889
MPI METHOD: Wet Visible PARTS EXAMINED: Four lifting points and Entire body RES ULTS : No defect as at the time of inspection fit for use.

Name and address of equipment owner : Bourbon Subsea Services

Address of premises where Test / Examination was held: Bourbon Trieste

We hereby certify that on 20/05/2012 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use Signature of Inspector: Conducting Examination Name of Inspector: ELVIS BASSEY Conducting : Examination only

Revision No: 01

Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office : Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office : 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-m ail: service@jcinternationalng.com Website: w w w .jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination

Examiner

Qualifications

2597 Identification Number Qty

23/05/2012 Description of Equipment

ELVIS BASSEY
TARE WT SWL

LEEA, SNT LEVEL II MT, PT & UT GROSS WT Proof Load Applied Date of next
Examination

MINI CONTAINER A steel Construction Mini Container in Dimensions 1.90mtrs X 1.58mtrs X 2.87mtrs (Length X Width X Height) c/w 4 lifting points

LB/MINI/M210

1815kg

4385kg

6200kg

N/A

22-11-12

Sling #:
OSL/DBN 045

1set

Shackle ID: 770, 772, 022, 720

Fitted with 22mm X 3.5mtrs X 4 legged Sling c/w Quad Master Link Assembly with ferrule secured thimble eyes at all end.
6.5 tons bow safety pin shackle

6.2 t

@ 0-450

4pcs

S PECIFICATION : DNV 2.7-1, BS EN 13414-2,

TES T PROCEDURE: CONTRAS T MEDIA: INDICATOR:

JOP-010 N/A N/A

BS EN 13889
MPI METHOD: N/A PARTS EXAMINED: Four lifting points and Entire body RES ULTS : No defect as at the time of inspection fit for use.

Name and address of equipment owner : Libriod

Address of premises where Test / Examination was held: Bourbon Trieste

We hereby certify that on 23/05/2012 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use Signature of Inspector: Conducting Examination Name of Inspector: ELVIS BASSEY Conducting : Examination only

Revision No: 01

Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office : Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office : 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-m ail: service@jcinternationalng.com Website: w w w .jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination

Examiner

Qualifications

2598 Identification Number Qty

20/05/2012 Description of Equipment

ELVIS BASSEY
TARE WT SWL

LEEA, SNT LEVEL II MT, PT & UT GROSS WT Proof Load Applied Date of next
Examination

MINI CONTAINER A steel Construction Mini Container in Dimensions 1.90mtrs X 1.58mtrs X 2.87mtrs (Length X Width X Height) c/w 4 lifting points TOP LEG: 32mm X 1.52mtrs X Single leg sling BOTTOM LEG: 22mm X 1.50mtrs X 4 legged Sling c/w Quad Master Link Assembly with ferrule secured thimble eyes at all end.

LB-MINI-M037

1780kg

4420kg

6200kg

N/A

19-11-12

Sling #:
LB/MINI/M037/1

1set

6.2 t

@ 0-450

Shackle ID: 073/2, 073/3, 073/4, 073/5

6.5 tons bow safety pin shackle COMMENT: BOTTOM DOOR SEAL SHOULD BE FIXED BEFORE NEXT INSPECTION TES T PROCEDURE: JOP-010 S PECIFICATION : DNV 2.7-1, BS EN 13414-2, BS EN 13889
MPI METHOD: N/A PARTS EXAMINED: Four lifting points and Entire body RES ULTS : No defect as at the time of inspection fit for use. CONTRAS T MEDIA: INDICATOR: N/A N/A

4pcs

Name and address of equipment owner : Libriod

Address of premises where Test / Examination was held: Bourbon Trieste

We hereby certify that on 20/05/2012 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use Signature of Inspector: Conducting Examination Name of Inspector: ELVIS BASSEY Conducting : Examination only

Revision No: 01

Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office : Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office : 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-m ail: service@jcinternationalng.com Website: w w w .jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination

Examiner

Qualifications

2599 Identification Number Qty

20/05/2012 Description of Equipment

ELVIS BASSEY
TARE WT SWL

LEEA, SNT LEVEL II MT, PT & UT GROSS WT Proof Load Applied Date of next
Examination

MINI CONTAINER A steel Construction Mini Container in Dimensions 1.90mtrs X 1.58mtrs X 2.87mtrs (Length X Width X Height) c/w 4 lifting points

LB/MINI/M109

1780kg

4420kg

6200kg

N/A

19-11-12

Sling #:
LB/MINI/M109/1

1set

Shackle ID: 109/2, 109/3, 109/4, 109/5

Fitted with 22mm X 1.9mtrs X 4 legged Sling c/w Quad Master Link Assembly with ferrule secured thimble eyes at all end.
6.5 tons bow safety pin shackle

6.2 t

@ 0-450

4pcs

S PECIFICATION : DNV 2.7-1, BS EN 13414-2,

TES T PROCEDURE: CONTRAS T MEDIA: INDICATOR:

JOP-010 N/A N/A

BS EN 13889
MPI METHOD: N/A PARTS EXAMINED: Four lifting points and Entire body RES ULTS : No defect as at the time of inspection fit for use.

Name and address of equipment owner : Libriod

Address of premises where Test / Examination was held: Bourbon Trieste

We hereby certify that on 20/05/2012 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use Signature of Inspector: Conducting Examination Name of Inspector: ELVIS BASSEY Conducting : Examination only

Revision No: 01

Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office : Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office : 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-m ail: service@jcinternationalng.com Website: w w w .jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination

Examiner

Qualifications

2600 Identification Number Qty

23/05/2012 Description of Equipment

ELVIS BASSEY
TARE WT SWL

LEEA, SNT LEVEL II MT, PT & UT GROSS WT Proof Load Applied Date of next
Examination

CARGO BASKET A steel Construction Cargo Basket in Dimensions 4.13mtrs X 2.30mtrs X 1.50mtrs (Length X Width X Height) c/w 4 lifting points

CB 001

2.13 Tonnes

6 Tonnes

8.13 Tonnes

N/A

22-11-12

Sling #:
T/S001

1set

Shackle ID: 6550, 45/2, BT215, QP015

Fitted with 24mm X 3.23mtrs X 4 legged Sling c/w Quad Master Link Assembly with ferrule secured thimble eyes at all end.
8.5 tons bow safety pin shackle

14.2 t

@ 0-900

4pcs

S PECIFICATION : BS 7072, BS 6210, BS 3032 MPI METHOD: N/A

TES T PROCEDURE: CONTRAS T MEDIA: INDICATOR:

JOP-010 N/A N/A

PARTS EXAMINED: Four lifting points and Entire body RES ULTS : No defect as at the time of inspection fit for use.

Name and address of equipment owner : Bourbon Subsea Services

Address of premises where Test / Examination was held: Bourbon Trieste

We hereby certify that on 23/05/2012 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use Signature of Inspector: Conducting Examination Name of Inspector: ELVIS BASSEY Conducting : Examination only

Revision No: 01

Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office : Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office : 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-m ail: service@jcinternationalng.com Website: w w w .jcinternationalng.com

DEFECT / NON COMPLIANCE REPORT


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 20/05/2012

Examiner

Qualifications

2601 Identification Number

ELVIS BASSEY

LEEA, SNT LEVEL II MT, PT & UT

Qty

Description of Equipment CARGO BASKET A steel Construction Cargo Basket in Dimensions 2.60mtrs X 1.30mtrs X 1.49mtrs (Length X Width X Height) c/w 4 lifting points

SWL

170809-1

1pc

2.5 Tonnes

Particulars of defects found which are, or could, become a danger to persons or none

Particulars of any repair, alteration to remedy defect or none Primary structure of Basket need to be mentioned be use Address of premises where Test / Examination was held: Bourbon Trieste

Primary structure of Basket bad


(Not fit for Use) Name and address of equipment owner :

Bourbon Subsea Services

We hereby certify that on 20/05/2012 (date) defect was found on the item/s described on this Certificate as at the time of inspection. Signature of Inspector: Conducting Examination Name of Inspector: ELVIS BASSEY Conducting: Examination only

JC International Limited
RC. 413243
Port Harcourt Office : Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office : 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-m ail: service@jcinternationalng.com Website: w w w .jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination

Examiner

Qualifications

2602 Identification Number Qty

20/05/2012 Description of Equipment

ELVIS BASSEY
TARE WT SWL

LEEA, SNT LEVEL II MT, PT & UT GROSS WT Proof Load Applied Date of next
Examination

SLING SET FOR CARGO BASKET (S/N: 170809-1)

Sling #:
OSL/ TSS 1425

1set

Shackle ID: TSS 3391, K9P64, BT009, JR10987

Fitted with 13mm X 2.45mtrs X 4 legged Sling c/w Quad Master Link Assembly with ferrule secured thimble eyes at all end.
3.25 tons bow safety pin shackle

N/A

4.5 t

N/A

N/A

19-11-12

@ 0-900

4pcs

S PECIFICATION : BS 6210, BS 3032 MPI METHOD: N/A

TES T PROCEDURE: CONTRAS T MEDIA: INDICATOR:

JOP-010 N/A N/A

PARTS EXAMINED: Entire body RES ULTS : No defect as at the time of inspection fit for use.

Name and address of equipment owner : Bourbon Subsea Services

Address of premises where Test / Examination was held: Bourbon Trieste

We hereby certify that on 20/05/2012 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use Signature of Inspector: Conducting Examination Name of Inspector: ELVIS BASSEY Conducting : Examination only

Revision No: 01

Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office : Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office : 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-m ail: service@jcinternationalng.com Website: w w w .jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination

Examiner

Qualifications

2603 Identification Number Qty

20/05/2012 Description of Equipment

ELVIS BASSEY
TARE WT SWL

LEEA, SNT LEVEL II MT, PT & UT GROSS WT Proof Load Applied Date of next
Examination

MINI CONTAINER A steel Construction Mini Container in Dimensions 1.90mtrs X 1.58mtrs X 2.87mtrs (Length X Width X Height) c/w 4 lifting points TOP LEG: 32mm X 1.5mtrs X Single leg sling c/w Master Link Assembly BOTTOM LEG: 22mm X 1.5mtrs X 4 legged Sling c/w Quad Master Link Assembly with ferrule secured thimble eyes at all end. 6.5 tons bow safety pin shackle
TES T PROCEDURE: CONTRAS T MEDIA: INDICATOR: JOP-010 N/A N/A

LB/MINI/M118

1780kg

4420kg

6200kg

N/A

19-11-12

Sling #:
LB/MINI/M118/1

1set

6.2 t

@ 0-450

Shackle ID: 118/2, 118/3, 118/4, 118/5

4pcs

S PECIFICATION : DNV 2.7-1, BS EN 13414-2,

BS EN 13889
MPI METHOD: N/A PARTS EXAMINED: Four lifting points and Entire body RES ULTS : No defect as at the time of inspection fit for use.

Name and address of equipment owner : Libriod

Address of premises where Test / Examination was held: Bourbon Trieste

We hereby certify that on 20/05/2012 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use Signature of Inspector: Conducting Examination Name of Inspector: ELVIS BASSEY Conducting : Examination only

Revision No: 01

Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office : Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office : 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-m ail: service@jcinternationalng.com Website: w w w .jcinternationalng.com

CERTIFICATE OF VISUAL EXAMINATION


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination

Examiner

Qualifications

2604 Identification Number Qty

23/05/2012 Description of Equipment

ELVIS BASSEY
TARE WT SWL

LEEA, SNT LEVEL II MT, PT & UT GROSS WT Proof Load Applied Date of next
Examination

PERSONNEL TRANSFER BASKET TY 910 1 A steel Construction Personnel Transfer Basket N/A
1 Tonne

N/A

N/A

22-11-12

Sling #:
AZU/PH/12/001

1pc

Fitted with 19mm X 5mtrs X Single leg Sling c/w Master Link Assembly and Hard eyes
4.75 tons bow safety pin shackle

4.6 t

Shackle ID: B/1, B/2, 526/5

3pcs

S PECIFICATION : BS EN 1492.2, BS 6210, BS 3032 MPI METHOD: N/A

TES T PROCEDURE: CONTRAS T MEDIA: INDICATOR:

JOP-010 N/A N/A

PARTS EXAMINED: Entire Structure RES ULTS : No defect as at the time of inspection fit for use.

Name and address of equipment owner: Bourbon Subsea Services

Address of premises where Test / Examination was held: Bourbon Trieste

We hereby certify that on 23/05/2012 (date) no defect was found on the item/s described on this Certificate as at the time of inspection. Fit for use Signature of Inspector: Conducting Examination Name of Inspector: ELVIS BASSEY Conducting : Examination only

Revision No: 01

Doc No: JCI-C-V-01

JC International Limited
RC. 413243
Port Harcourt Office : Plot 5 JC Street, Off Peter Odili Road, P.O. Box 6427 Trans Amadi Port Harcourt, Rivers State. Tel: +234-84-489909 Lagos Office : 56A Bourdillon Road, P.O. Box 52224 Ikoyi. Tel: +234-1-842-5813 E-m ail: service@jcinternationalng.com Website: w w w .jcinternationalng.com

DEFECT / NON COMPLIANCE REPORT


STATUTORY INSTRUMENTS 1998 NO. 2307 The Lifting Operations and Lifting Equipment Regulations 1998 STATUTORY INSTRUMENTS 1992 NO. 3073 The Supply of Machinery (Safety) Regulations 1992 STATUTORY INSTRUMENTS 1998 NO. 2306 The Provision and use of Work Equipment Regulations 1998

Certificate No.

Date of Examination 20/05/2012

Examiner

Qualifications

2605 Identification Number

ELVIS BASSEY

LEEA, SNT LEVEL II MT, PT & UT

Qty

Description of Equipment CAMERON WORKSHOP CONTAINER A steel Construction Cameron Workshop Container in Dimensions 6.05mtrs X 2.44mtrs X 2.58mtrs (Length X Width X Height) c/w 4 lifting points

SWL

0350-0206-003

1pc

6600kg

Particulars of defects found which are, or could, become a danger to persons or none

Particulars of any repair, alteration to reme dy defect or none Container should be sent for maintaince and load testing and parameter markings required. Address of premises where Test / Examination was held: Bourbon Trieste

Destroy door handle, Seal remove, One side of container has high level of corrosion and perforation on door
(Not fit for Use) Name and address of equipment owner :

Bourbon Subsea Services

We hereby certify that on 20/05/2012 (date) defect was found on the item/s described on this Certificate as at the time of inspection. Signature of Inspector: Conducting Examination Name of Inspector: ELVIS BASSEY Conducting: Examination only

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