Aerial_Work_Platform_(AWP)_Safety_Certification_Form..doc
DOC document 33 KB Posted
- Attached to
- Material Handling Equipment Service and Recertification Federal contract opportunity
- Solicitation number
- N3220519Q4634
About this file
AWP Safety Certification Form
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| File | Type | Posted |
|---|---|---|
| N3220519Q4634_COMBINED_SYNOPSIS_SOLICITATION_REV_1.docx | DOCX document | |
| REQUEST_FOR_QUOTE_CHAVEZ.docx | DOCX document | |
| Technical_Exhibit_Maintenance_Service_Requirements;_Electric_Forklift.docx | DOCX document | |
| SOW.pdf | ||
| Technical_Exhibit_Maintenance_Service_Requirements;_Diesel_Forklift.docx | DOCX document | |
| N3220519Q4634_COMBINED_SYNOPSIS_SOLICITATION.docx | DOCX document | |
| Technical_Exhibit_Maintenance_Service_Requirements;_AWP.docx | DOCX document | |
| Technical_Exhibit_Safety_Certification_Requirements;_MHE.docx | DOCX document |
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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
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