FORM V

DOCK WORKERS (SAFETY, HEALTH AND WELFARE) REGULATIONS, 1989

[See Regulations 47 and 51 (2)]

CERTIFICATE OF INITIAL AND PERIODICAL TEST AND EXAMINATION OF LOOSE GEARS

Test Certificate No................

in case of dock, wharf or quay

Name of the dock, Wharf or
quay where lifting appliances
are fitted.............

in case of Ship

Name of the Ship............
Official Number.............
Call Sign........................
Port of Registry..............
Name of owner..............

7. Name and address of manufacturer or suppliers...............

8. initial test and examination certificate No. and date...............(only in case of periodical test and examination).

9. Name and address of public service, association, company or firm or testing establishment making the test and examination...........

10. Name and position of competent person in public service, association, company or firm or testing establishment..................

I certify that on the........... day of. ...........19............... the above gear was tested and examined In the manner set forth overleaf; that the examination showed the said gear/device withstood the test load without Injury or deformation; and that the safe working load of the said gear/device is as shown in column 6.

Signature of the competent person Seal Date....................

(See Note 2)

Registration/Authority number of the corn pe tent person

NOTES

• Column (2): The dimensions of the loose gear the type of material of which it is made and where applicable, the heat treatment received in manufacture should be stated (unless Form No. VII is used for the purpose).

  "Competent person" means:

  • a person belonging to a testing establishment in India who is approved by the Chief Inspector, for the purposes of testing, examination or annealing and certification of lifting appliances,loose gears or wire ropes;
  • any other person who Is recognised under the relevant regulations In force in other countries as competent for Issuing certificates for any of the purposes mentioned in sub-clause (i) for implementation of the Protection against Accidents (Dockers) Convention (Revised), 1932 (No. 32) and the Convention concerning the Occupational Safety and Health in Dock Work (No. 152), 1979, adopted by International Labour Conference.

INSTRUCTIONS

Loose gear

• • Every ring, hook, chain, shackle, swivel, eye bolt, plate clampe, triangular plate or pulley block (except single sheave block) shall be subjected to a test load which shall not be less than the following:

    S.W.L. (In tonnes) .............Text Load (in tonnes)
    Upto 25 ............. ..................2 X Safe Working Load (SWL)
    Above 25............. ................(1.22 X SWL) X 20

  • In the case of a single sheave block, the SWL shall be the maximum load which can safely be lifted by the Block when suspended by its head fitting and the load is attached to a rope which passes around the sheave of the block and test load not less than four times the proposed safe working load shall be applied to the head of the block.
  • In the case of a multi-sheave block, the test load shall not be less than the following:

    SWL (in tonnes)............. ...Test Load in tonnes
    Upto 25............. .................. 2 X SWL
    Above 25 ............. ...............to 160 (0.933 X SWL) + 27
    Above 160 ............. ..............1.1 X SWL

  • In case of hand-operated pulley blocks used with pitched chains and rings, hooks, shackles or swivels permanently attached thereto, a test load not less than 50 per cent in excess of the safe working load shall be applied.
  • In the case of a pulley block fitted with a bucket, the bucket shall be tested and the test load applied to the bucket while testing that block will be accepted as test loading of the bucket.
  • In the case of a sling. having two legs, the safe working load shall be calculated when the angle between the legs is 900. In case of Multi-legged slings, the safe working load shall be calculated as per the national standards.
  • Every lifting beam, lifting frame, container spreader, bucket, tub and other such gears shall be subject to a test load which shall not be less than that given In table below:

    Safe working load (in tonnes)............. ...........Test load (in tonnes)
    Upto 10............. ............................... .................. 2 X SWL
    Above 10 to 160............ ............................... ...(1.04 X SWL) + 9.6Above 160 ............ ............................... .............1.1 X SWL

  • • Before any text is carried out, a visual Inspection of the lifting appliances or loose gear or lifting devices Involved shall be conducted and any vitiable defective gear shall be replaced or renewed.
    • After being tested, all the loose gear and other such gears shall be examined. All the sheaves and the pins of the pulley blocks shall be removed to see whether any part has been injured or permanently deformed by the test.
• The test and examination must be made by a competent person.