1983 Ed.]

Construction Sites (Safety) Regulations

[CAP. 59

143

[Subsidiary]

Name or title of Employer

or Contractor

僱主或承造商姓名或名稱

Address of Site

建築地盤地址

Work commenced 開始施工日期

Date

FORM 2

表格二

Construction Sites (Safety) Regulations

REPORTS OF RESULTS OF ANCHORING OR BALLASTING

TESTS MADE ON CRANES

Form prescribed pursuant to regulation 13(3) of the Construction

Sites (Safety) Regulations

建築地盤(安全)規例

起重機錨固或壓載試驗結果報告

本表格乃根據建築地盤(安全)規例第十三條第(3)款而制訂

(1) (2) (3) (4) Radius of jib
鐵臂半徑
(以米為單位) Load imposed
(tonnes)
負重
(以公噸為單位) Test applied
試驗方法
錨固試驗 Safe working loads as ballasted
經壓載調整之
安全操作負重額

Description of crane and means of identification 起重機說明及識別標誌

Date of test 試驗日期

Signature of examiner 試驗者簽署

[reg. 13(3).]

〔規例第十三條第(3)款〕

(5)

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