CDRL 0004 Aerial Work Platform Certification Form.doc

DOC document 33 KB Posted

Attached to
USNS WASHINGTON CHAMBERS MHE REPAIRS AND CERTIFICATION Federal contract opportunity
Solicitation number
N3220522Q0138
Issued by
Department of the Navy Military Sealift Command

View the file

Other files for this federal contract opportunity

Other files attached to USNS WASHINGTON CHAMBERS MHE REPAIRS AND CERTIFICATION, newest first.
File Type Posted
CDRL 0003 SAFETY CERTIFICATION.pdf PDF
REDACTED LIMITED SOURCE JUSTIFICATION MHE USNS WASHINGTON CHAMBERS_POP 14MAR22-28APR22_ERP_1300978527-1.pdf PDF
CDRL 0001 FINAL CONDITION REPORT.pdf PDF
FINAL COMBINED SYNOPSIS SOLICITATION N3220522Q0138 USNS WASHINGTON CHAMBERS MHE.pdf PDF
CDRL 0002 Fork Inspection Form.pdf PDF
WD 15-5655.txt TXT text file

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

SAFETY INSPECTION AND WEIGHT TEST CERTIFICATION

OF AERIAL MAINTENANCE PLATFORM

USN NO.

COMMAND:

MANUFACTURER:

EQUIPMENT TYPE:

AERIAL MAINTENANCE PLATFORM

SERIAL NUMBER:

BASKET #

MODEL:

MODEL YEAR:

HOUR METER:

CAPACITY:

500 Lbs. Unrestricted

CERTIFICATION:

This is to certify that inspections and tests have been conducted in accordance with procedures set forth in the current NAVFAC P-300 and applicable manufactures technical manual. It is further certified that the above Aerial Maintenance Platform is satisfactory to lift its rated capacity and is fully operational.

· Certified for 500 Lbs., (500 lb. un-restricted). Percent testing 100% .

· Not certified for electrical or hot work

X Annual Certification Special Certification

Certification Date:

Expiration Date:

Inspector (printed name)

Inspector (signature)
Date

MHE-11-2010

REVISED 07/19/10

File details come from the government source that posted it. Updated .