I 48

[Subsidiary]

CAP. 59]

Construction Sites (Safety) Regulations

FORM 5

表格五

CONSTRUCTION SITES (SAFETY) REGULATIONS

LIFTING APPLIANCES (EXCEPT HOISTS)

REPORT OF RESULTS OF THOROUGH EXAMINATIONS EVERY 14 MONTHS OR AFTER SUBSTANTIAL ALTERATION OR REPAIR

Form prescribed pursuant to regulation 24 of the Construction Sites (Safety) Regulations

建築地盤(安全)規例

起重機械(吊重機除外)每隔十四個月一次或經過重大修改或修理後進行之詳細檢驗結果報告 本表格乃根據建築地盤(安全)規例第二十四條而制訂

Result of examination. Enter details or repairs required or defects. If none enter “In good order" 檢驗結果 註明所需要之修理或毛病之詳情 如無不安,則填「情況良好」

(3)

(2)

Signature of person making or responsible for examination 執行或負責此次檢驗者署名

(4)

[reg. 24.]

〔規例第二十四條〕

Date of entry in this report 填寫報告日期

(5)

Description of appliance, e.g. type, identification marks, maximum safe working load, etc. 該機械之說明,例如:類別、識別標誌、安全操作最高負重額等

(1)

[1983 Ed.

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