1983 Ed.]
Construction Sites (Safety) Regulations
[CAP. 59
147
[Subsidiary]
Name and address of the contractor responsible
for the appliance tested and examined.
對該接受試驗及檢驗之機械負責之承造商姓 名及地址
Description of
appliance(s), type and
Test load
applied
(tonnes)
Safe work-
ing load
(tonnes)
安全操作之 負重額
distinguishing mark 該機械之說明、類別 及識別標誌 試驗時所使 用之負重量 (以公噸S 單位〕 (以公噸筋 單位)
Defects noted,
alterations or
repairs required.
If none, enter “None” 註明所發現之毛病及所 需之修改或修理。如無 不安,則填「無」字。
I hereby certify that on
茲證明本人曾於
九
年
19........ the appliances described in
月
日試驗及
this certificate were tested and thoroughly examined by me and that the above 詳細檢驗本證明書所指之機械且上述各項均
particulars are correct.
屬確實無訛。
Signature
簽署
Qualification
資格
Person or firm by whom person conducting the
test and examination is employed
僱人執行此次試驗及檢驗之人士或商號
Date of certificate
簽發日期