CDRL 0003 SAFETY CERTIFICATION.pdf

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USNS WASHINGTON CHAMBERS MHE REPAIRS AND CERTIFICATION
Solicitation number
N3220522Q0138
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NAVSEA SW023-AH-WHM-010 EIGHTH REVISION

6-5

MARKINGS

FUEL SYSTEM

NEUTRAL START SWITCH

(Fueled MHE)

WARNING DEVICES

(Powered MHE)

SPARK EMISSION

(Powered MHE)

STATIC DISCHARGE

(Electric and HS/Ordnance Pallet Truck)

___OHMS ____ OHMS

CARRIAGE REACH & ROLLER

(Reach & Tier)

DRIVE CONTROL

(Powered Pallet Trucks)

BRAKE

(Except Straddle Carriers and Manual Pallet Trucks)

BRAKE

(Straddle Carrier)

OPERATIONAL WEIGHT TEST

(Forklift Trucks)

OPERATIONAL WEIGHT TEST

(Powered Pallet Trucks)

KING PIN (Straddle Carrier)

LIFTING WEIGHT TEST

(Straddle Carrier)

OVERLOAD WEIGHT TEST

(Except Pallet Trucks and Straddle Carriers)

LIFT EYES

(Except Straddle Carriers)

THIS IS TO CERTIFY THAT THE ABOVE MHE WAS INSPECTED AND TESTED IN ACCORDANCE WITH NAVSEA SW023-AH-WHM-010.

MECHANIC/MAINTENANCE PROVIDER:

PRINT FULL NAME SIGNATURE DATE

CERTIFIED BY:

PRINT FULL NAME SIGNATURE DATE

THIS 18 MONTH CERTIFICATION EXPIRES ON:

MONTH/YEAR

FIGURE 6-1. MHE Safety Certification Form

Click Here to reproduce and annotate this form

CDRL A003
MHE SAFETY CERT CDRL A0003

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