146
[Subsidiary]
CAP.59] Construction Sites (Safety) Regulations [1983 Ed.
8. Defects noted and alterations or repairs required before crane is put into service. (If none enter "None").
註明所發現之毛病及該起重機於使用前所需作之修改或修理(如無不妥,則填「無」字。)
I hereby certify that the crane described in this certificate was tested and thoroughly examined by me on
茲證明本人會於 年 月 日試驗及詳細檢驗本證明書所指之起重機且上述各項均屬確實無訛。
Signature 簽署
Name and address of person, company, or association by whom the person conducting the test and examination is employed.
僱用執行此次試驗及檢驗之人士、公司或機構之姓名或名稱及地址
Date of certificate 簽發日期
Qualification 資格
FORM 4 [regs. 22 & 23.] 表格四 〔規例第二十二及二十三條〕
CONSTRUCTION SITES (SAFETY) Regulations CERTIFICATE OF TEST AND THOROUGH EXAMINATION OF CRABS AND WINCHES AND OF PULLEY BLOCKS, GIN WHEELS, AND SHEERLEGS USED FOR A LOAD OF 1 TONNE OR MORE
Form prescribed by the Commissioner for Labour for the purposes of regulations 22 and 23 of the Construction Sites (Safety) Regulations
建築地盤(安全)規例 起重滑車、絞車、及用以負重一公噸或以上之絞輔、吊重輪及脚架起重機之試驗及詳細檢驗結果證明書
本表格乃由勞工處長就建築地盤(安全)規例第二十二及二十三條之需要制訂