TÜV NEDERLAND PO Box AC BEST The Netherlands +31(0) (0) REPORT FOR PERIODIC EXAMINATION

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1 TÜV NEDERLAND PO Box AC BEST The Netherlands +31(0) (0) REPORT FOR PERIODIC EXAMINATION OF MOBILE CRANE This examination report is based upon the Dutch TCVT certification schedule Periodical Examination of Cranes identification code: TCVT W RAP-MKR-T00-EN An edition of TÜV NEDERLAND, member of TÜV NORD Group Page 1 of 10

2 SUMMERY EXAMINATION Examination Kind of examination : Periodic TCVT, number: Date of examination : Location : Rotterdam (The Netherlands) Crane inspector : J.H.van Baarsen /H.Blokland (stamp + signature) Equipment Mobile crane Manufacturer : Tadano Company number : Model / type : GR 700 Year of Construction : 2004 Serial number : Registration number : Construction Undercarriage Boom on wheels (self propelled) telescopic boom ( 44 meter) truck lattice boom ( meter) road- / terrain auxiliary boom / jib ( meter) on tracks articulating boom ( meter) Owner Name : Roll-Lift B.V. Address : Facinatioboulevard 742 PO box / City : Cappelle aan de IJssel Phone number : Client Company name : Roll-Lift B.V. Contact person : Frans van Seumeren jr. Conclusion Deficiencies found: No Yes : cat A cat B If Yes, Written declaration required to TÜV for report item(s) : Direct repairs required, before crane can be used. Re-inspection by TÜV required for report item(s) : RAP-MKR-T00-EN An edition of TÜV NEDERLAND, member of TÜV NORD Group Page 2 of 10

3 0100 GENERAL 1 2 Short explanation of disapproval 0101 Crane logbook present and up-to-date X 0102 Capacity table(s) present X 0105 Crane configuration according crane logbook X 0106 Crane configuration according specifications of X manufacturer and present documentation 0107 Operation manual present X 0108 Have major repairs been carried out adequately X 0109 Certificates and/or declaration of conformity of wire X ropes and registered in crane logbook 0110 Certificates and/or declaration of conformity of X hook block(s) and hook(s) present 0111 Certificates and/or EC-declaration of conformity of X interchangeable equipment 0112 O 0200 ACCESS Steps X 0202 Platforms / walkways X 0203 Handrails X 0204 Ladders / cages O 0206 O Cabin Outrigger control Remote control Operator s position 0300 OPERATOR S POSITIONS Controls (knobs / handles / pedals) X O O O 0302 Instruments X O O O 0303 Operating instructions / control signs present X O O O 0304 Capacity table(s) X O O O 0305 Load- and radius indication X O O 0306 Ignition lock / stop button / main switch / emergency stop X O O all crane movements blocked X O O 0308 Safeguard against unintended actuation of controls X O O O 0309 Horn X 0310 Windscreen wipers X 0311 Mirrors X 0312 Doors / cabin door / cabin hatch (lockable) X 0313 Windows / safety glass X 0314 Checking device of horizontal position (spirit level) X O 0315 Seat X 0316 Protection operator / harness X 0317 Heating / ventilation / lighting X 0318 Anemometer (wind speed meter) O 0320 Simultaneous actuation prevented in case of more O O control stations 0321 Sunshade / sun protection X See A O RAP-MKR-T00-EN An edition of TÜV NEDERLAND, member of TÜV NORD Group Page 3 of 10

4 0300 Adjustable cabin height 1 2 Short explanation of disapproval 0326 Platform at door level, or O 0327 Self closing safeguard, or O 0328 Monitoring of closure of safeguard before cabin can be lifted, O 0329 and audible signal in case falling protection is opened > 3 m. O 0330 Functioning of emergency lowering device O 0331 Instruction present at ground level for use of the emergency O lowering device 0332 Protection of front window / safeguard against falling out O 0333 Functioning of holding valves or flow restriction O 0334 Protection below cabin or clear warning for risk of crushing O 0335 O Booms: A Main boom B Jib C Runner D A B C D 0400 BOOM SYSTEMS Construction / welds X X X O 0402 Mounting boom system (to frame / together) X X X O 0403 Bolt- / pin connection / securing X X X O 0404 Guiding telescope sections X O O O 0405 Telescope system / wire rope / chain X O O O 0406 Connection / sheaves / wheels explanation X O O O 0407 Inspection interval of telescope system, complete inspection O O O O as specified by manufacturer 0410 Wire rope guide plates / -rollers X X O O See A Sheaves X X X O 0412 Rope run-off prevention X X X O 0413 Mechanical boom section(s) blocked against falling out O X O O 0414 Boom stops / safety wire ropes O O O O 0415 Pendant strips / pendant wire ropes O O O O 0416 Locking of telescopic parts and/or fold out parts X O O O 0417 Locking of telescope system O O O O 0418 Safety marking X X O O 0419 O O O O A-FRAME / MAST Construction / welds O 0431 Connection to frame O 0432 Bolt- / pin connection / securing O 0433 Lower block(sheaves/wire rope run-off prevention/connection) O 0434 Upper block(sheaves/wire rope run-off prevention/connection) O 0435 O 0600 SLEWING ASSEMBLY Slewing ring / slewing cylinders / slewing rollers / fixing rollers X 0602 Slewing ring fixing X 0603 Pinion(s) / toothed ring X 0604 Drive / bearing / coupling X 0605 Brake(s) X 0607 Locking pin / slewing pawl X 0608 Fixing of motor(s) X 0609 Loss of device O 0610 O RAP-MKR-T00-EN An edition of TÜV NEDERLAND, member of TÜV NORD Group Page 4 of 10

5 Winches A Main B Aux winch C D A B C D 0700 WINCHES Main clutch O O O O 0702 Locking of movement when uncoupling O O O O 0703 Torque converter / fluid coupling O O O O 0704 Drive / bearing X X O O 0705 Brake X X O O 0706 Drum / bearings X X O O 0707 Slack rope prevention / rope run-off prevention X X O O 0708 Clutch (wire rope drum) O O O O 0709 Holding valves / friction clutches O O O O 0710 Locking sleeve clutch O O O O 0711 Wire rope guiding O O O O 0713 Fixing of motor(s) X X O O 0714 Brake valve hydraulic motor X X O O 0715 O O O O Wire ropes A Hoist B Aux hoist C D 0800 WIRE ROPES A B C D Running wire ropes 1 2 Diameter of wire rope measured in mm 19,6 19, Wire rope according logbook / certificate / EC-declaration X X O O 0802 Wire rope visually in good condition (see table after 0816) X X O O See A Unobstructed running of wire rope X X O O 0804 Wire rope fixed properly X X O O 0805 Wedge sockets correctly mounted X X O O 0806 Lock behind wedge socket present X X O O 0807 Rope eyes fitted with thimbles X X O O 0808 Pin- or bolt connection at rope termination secured X X O O 0809 O O O O Pendant ropes E F G H 0800 WIRE ROPES E F G H Pendant ropes 1 2 Diameter of wire rope measured in mm 0810 Wire rope according logbook / certificate / EC-declaration O O O O 0811 Wire rope visually in good condition (see table after 0816) O O O O 0812 Wire rope fixed properly O O O O 0813 Rope eyes fitted with thimbles O O O O 0814 Pin- or bolt connection at rope termination secured O O O O 0815 Examination of pendant ropes carried out O O O O 0816 O O O O Wire rope Visible wire breaks Buffing of the exterior located wires Rust and corrosion Reduced wire diameter Position of the measuring points Total assessment Corruption and distortion Type Number with a Number with a Degree of Degree of % Degree of length of 6d length of 30d damage² damage² damage² A 0 0 B C D E F G H ² In this column indicate: low, medium, high, very high, remove. RAP-MKR-T00-EN An edition of TÜV NEDERLAND, member of TÜV NORD Group Page 5 of 10

6 0900 HOOKS AND HOOK BLOCKS A Distribution : 4 sheaves hookblock C Distribution : Rate cap. : 40 Id.no: HZ54413 Rate cap. : Id.no: B Distribution : D Distribution : Rate cap. : Id.no: Rate cap. : Id.no: A B C D Condition of hook (deformation / wear) X O O O y-dimension nominal (mm) 250 y-dimension measured (mm) Nut secured X O O O 0903 Swivel thrust bearing X O O O 0904 Traverse X O O O 0905 Bearings / sheave /condition wire rope / sheave and X O O O groove / run-out safeguard 0906 Axes / bolts / nuts secured X O O O 0907 Safety latch X O O O 0908 Safety marking X O O O 0909 O O O O 1000 GRAB Manufacturer Type / model Applied data 1 2 Short explanation of disapproval manufacturer / type / year of construction O rated load / content O own weight O 1004 General condition O 1005 Construction / welds O 1006 Suspension / bolt- / pin connection / securing O 1007 Grab shut O 1008 O 1200 OUTRIGGERS / JACKS Pin- / bolt connection / securing X 1203 Outrigger beams / pin connection (construction / welds) X 1204 Outrigger plates / pads (construction / weld) X 1205 Safety marks outriggers X 1206 Marking of outrigger beam positions X 1207 O 1300 TRAVELING PARTS (tire program) Wheels Axles / suspension / springs X 1302 Wheel bolts / -nuts / rims X 1303 Condition of tires / inflation pressure X 1304 Axle locking X 1305 O Crawlers / tracks Left Right 1306 Connection to chassis O O 1307 Connection of sprocket / idler wheels O O 1308 Track / chain (condition / tension) O O 1309 Track shoes (condition / connection) O O 1310 O O RAP-MKR-T00-EN An edition of TÜV NEDERLAND, member of TÜV NORD Group Page 6 of 10

7 1400 UNDERCARRIAGE 1 2 Short explanation of disapproval 1401 Steering play X Chapter 1400 only visual inspected 1402 Parking brake X 1403 Service brake X 1404 Brake fluid X 1405 Brake cylinders X 1406 Hoses / pipes / joints X 1407 O 1600 ELECTRICAL INSTALLATION Switch box / equipment X 1602 Protection against external influences X 1603 Safeguarding live conducting parts X 1604 Condition of electrical components X 1605 Connection of wiring X 1606 Functioning of (spring forced) cable reels X 1607 Condition of (spring forced) cable reels X 1608 Slip ring assembly X 1609 Batteries (mounting, protection, condition, connections) X 1610 O 1800 HYDRAULIC INSTALLATION Hoses / pipes / joints X 1802 Cylinder(s) X 1803 Holding valves X 1805 Pumps, motors and valves X 1806 O 1900 MISCELLANEOUS Central ballast Condition and connection O 1902 Mass according to manufacturer s specification O Counter weight 1903 Condition and connection X 1904 Mass according to manufacturer specification X 1905 Safety marking X 1906 O Marking 1907 Identification / manufacturer plate of crane X 1908 Notice regarding to remote control O 1909 CE-marking present X 1910 O 2000 AUTOMATIC LIMITERS / SAFETY DEVICES / WARNING SIGNALS Hoisting (hoist limiter) X 2002 Lowering (turns of rope) X 2003 Luffing up (max. angle / min. radius) O 2004 Luffing down (min. angle / max. radius) O 2006 Telescoping out (tire program; sequence and/or O synchronous) 2007 Auxiliary and mech. boom protected whilst telescoping O 2008 Lock pin guarding X 2009 Slewing limiter / -safety device X 2010 Outrigger safety device O 2011 Counter weight safety device O 2017 O RAP-MKR-T00-EN An edition of TÜV NEDERLAND, member of TÜV NORD Group Page 7 of 10

8 Load Moment Limiter (LML) 1 2 Short explanation of disapproval 2018 Cut-out hoisting X 2019 Cut-out luffing down X 2021 Cut-out luffing up / lifting X 2022 Cut-out telescoping out X 2024 Cut-out folding / jib down above horizontal O 2025 Cut-out telescoping out of jib O 2027 Warning (optical, audible, 100%) X 2028 Pre-warning (optical, intermitting audible, 90%) X 2029 Override switch X 2030 Permanent override switch O 2031 LML-signal outside the crane O 2032 Program setting LML clearly visible X 2033 Instructions LML clearly visible X 2034 Adjustment LML (see also test table) X Load Limiter (LL) 2035 Cut-out hoisting O 2036 Warning (optical / audible) O 2037 Rope pull limiter O 2038 O Remaining 2039 Signal remote control in service O 2040 O 2100 TEST TABLE Number of test Crane support on Wheels / tyres Outriggers Tracks Main boom DATA ACCORDING TO CAPACITY TABLE Boom length Mech. section Auxiliary boom / jib Total boom length Boom angle Main boom Auxiliary boom / jib No. of hoisting ropes Slewing angle R = 360 A = rear-sector Z = side-sector V = front-sector Own mass counter weight / LML code Permissible working load in column 15 LML is activated at TEST LML Test load Deviation column (16-14) x m m m m deg deg t / code t m t % Yes No X R Wh 6,0 18,5 6,2 X 2 X R Ha 5,8 18,2 6,2 X 3 X 15,56 15,56 1 Line pull 5,6 X 4 X 19,6 19,6 4 R 6,0 10,5 6,2 X 5 X 19,6 19,6 4 A 6,0 6,7 6,2 X 6 X 44 17,7 3,5 1 1,4 65degr 1,4 X 7 X 44 17,7 3,5 1 2,6 73 degr 2,6 X Pass RAP-MKR-T00-EN An edition of TÜV NEDERLAND, member of TÜV NORD Group Page 8 of 10

9 WD X RI X Written Declaration required to TÜV Nederland Re-Inspection required by TÜV Nederland 2300 SUMMARY NOTES OF THE EXAMINATION WD 2301 Cat A Shortcomings with immediate danger for the safety RI WD 2302 Cat B Shortcomings without immediate danger for the safety RI The above shortcomings (WD) are fixed under the responsibility of the undersigned person. Client : Name : Signature : Sent this form (including, annex, pages) to: TÜV NEDERLAND Business Unit, Inspections Activity, Hoisting & Lifting Equipment Date : PO Box AC BEST The Netherlands +31 (0) inspecties@tuv.nl RAP-MKR-T00-EN An edition of TÜV NEDERLAND, member of TÜV NORD Group Page 9 of 10

10 2400 NOTICED SHORTCOMINGS WHICH HAVE BEEN FIXED DURING THE EXAMINATION 2500 Has the crane inspector registered the outcome of the examination in the crane logbook? Yes No RAP-MKR-T00-EN An edition of TÜV NEDERLAND, member of TÜV NORD Group Page 10 of 10

11 2600 OTHER REMARKS General: The aux.winch and rope are not checked, 0321 The sunprotector is not transperant The guiding sheaves on the base boom are not protecting the rope. The rope can come under the 0410 sheave The client s contact person has been made aware of the above mentioned remarks. Name : Client : Signature : Date : RAP-MKR-T00-EN An edition of TÜV NEDERLAND, member of TÜV NORD Group Annex 1