Form 11(See Rule 62 & 64)Report of Examination of hoist, lift, Lifting Machine, chains, Ropes & Lifting Tackles1. Name of the Occupier :

2. Name & address of the factory :

3. (a) Type identification number or description of hoist, lift, : Lifting Machine, chains, Ropes & Lifting Tackles Size: 8100 x 1300 x1000. 2. Date of Construction or Reconstruction & the date when : 2011.The hoist, lift, Lifting Machine, chains, Ropes & Lifting Tackles were first taken into use in the factory4. Date of last examination made under section 28 (1) : First time tested by us on 10-06-2011(a) (ii) & 29 (1) (a) (iii) & by whom it was carried out 5. (A) Maintenance: (List of parts, if any, which were inaccessible)Are the following parts of the hoist or lift properly maintained and are in good working order? If not state what defects have been found:-(a) Enclosure of hoistway or liftway : Not Applicable(b) Landing gates and cage gate(s) : Not Applicable(c) Interlocks on the landing gates and cage gate(s) : NIL(d) Other gates fastening : NIL(e) Cage and Platform and fittings, cage guids, : NILBuffers, Interior of the hoistway or liftway(f) Overrunning Device : DFT Basket(g) Suspension ropes or chains and Their attachments : Good (h) Safety gear, i.e., arrangements for preventing fall : NILOf Platform or Cage brakes(i) Brakes : Not Applicable(j) Worm of spur Gearing : Not Applicable(k) Other electrical equipment : Not Applicable.(l) Other Parts : Good

(B). Date and number of the certificate relating to : Tested by us on 10-06-2011 any test and examination made under sub-rule (1) of Rule 64 together with name of theperson who issued the certificate

(C) (i) Date of annealing or ther heat treatment of the : Not Applicable Chain & lifting tackle carried out under sub-rule (5) of rule 64 and whom it was carried out.(ii) Particulars of any defect found at any such : Tested at 25 Ton & Found O.K.examination or after annealing and affecting the safe working load and of the steps taken to remedy such defect.

6. Repairs, Renewals or alteration (if any) required & the : Not Applicableperiod within within which they should be executed maximum safe working load subject to repairs, renewals or alterations (if any)

I/We certify that on 10-06-2011, I/We thoroughly examined the hoist, lift, Lifting Machine, chains, Ropes & Lifting Tackles and details of examinations/test carried out is enclosed herewith hat the above is a correct report or the result.

Countersignature...if employed by a company or AssociationGive name and address

Signature : S.K. SARKARQualification : C.P.C. No. S-43/2011Address : (UNDER FACTORY ACT)Date : COMPETENT PERSON SATYAM Engineers & Associates

A/6, Vandana CHS., Nilemore, Nallsopara (w), Thane, Maharashtra 401 203.

Tel Fax: 0250 2413027E-mail:- satyamengineers@gmail.com

Ref.No.426/11Form 11(See Rule 62 & 64)Report of Examination of hoist, lift, Lifting Machine, chains, Ropes & Lifting Tackles1. Name of the Occupier : M/s. Parveen Industries Pvt. Ltd.

2. Name & address of the factory : M/s. Parveen Industries Pvt. Ltd..Plot No. R-55, T.T.C. Industrial Area, MIDC,, Rabale, Navi Mumbai

3. (a) Type identification number or description of hoist, lift, : DFT Basket, Cap.: 10 Ton, Sr. No.: TYPE-1-04, Lifting Machine, chains, Ropes & Lifting Tackles Size: 8100 x 1300 x1000. 2. Date of Construction or Reconstruction & the date when : 2011.The hoist, lift, Lifting Machine, chains, Ropes & Lifting Tackles were first taken into use in the factory4. Date of last examination made under section 28 (1) : First time tested by us on 10-06-2011(a) (ii) & 29 (1) (a) (iii) & by whom it was carried out 5. (A) Maintenance: (List of parts, if any, which were inaccessible)Are the following parts of the hoist or lift properly maintained and are in good working order? If not state what defects have been found:-(a) Enclosure of hoistway or liftway : Not Applicable(b) Landing gates and cage gate(s) : Not Applicable(c) Interlocks on the landing gates and cage gate(s) : NIL(d) Other gates fastening : NIL(e) Cage and Platform and fittings, cage guids, : NILBuffers, Interior of the hoistway or liftway(f) Overrunning Device : DFT Basket(g) Suspension ropes or chains and Their attachments : Good (h) Safety gear, i.e., arrangements for preventing fall : NILOf Platform or Cage brakes(i) Brakes : Not Applicable(j) Worm of spur Gearing : Not Applicable(k) Other electrical equipment : Not Applicable.(l) Other Parts : Good

(B). Date and number of the certificate relating to : Tested by us on 10-06-2011 any test and examination made under sub-rule (1) of Rule 64 together with name of theperson who issued the certificate

(C) (i) Date of annealing or ther heat treatment of the : Not Applicable Chain & lifting tackle carried out under sub-rule (5) of rule 64 and whom it was carried out.(ii) Particulars of any defect found at any such : Tested at 25 Ton & Found O.K.examination or after annealing and affecting the safe working load and of the steps taken to remedy such defect.

6. Repairs, Renewals or alteration (if any) required & the : Not Applicableperiod within within which they should be executed maximum safe working load subject to repairs, renewals or alterations (if any)

I/We certify that on 10-06-2011, I/We thoroughly examined the hoist, lift, Lifting Machine, chains, Ropes & Lifting Tackles and details of examinations/test carried out is enclosed herewith hat the above is a correct report or the result.

Countersignature...if employed by a company or AssociationGive name and address

Signature : S.K. SARKARQualification : C.P.C. No. S-43/2011Address : (UNDER FACTORY ACT)Date : COMPETENT PERSON SATYAM Engineers & Associates

A/6, Vandana CHS., Nilemore, Nallsopara (w), Thane, Maharashtra 401 203.

Tel Fax: 0250 2413027E-mail:- satyamengineers@gmail.com