Title Page
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Location
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Lift Type
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Lift Location
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Lift Serial Number
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Last Exam Date
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Next Exam Date
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Safe Working Load Of Lift (In KG)
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Year Of Manufacture
LOLER Inspection
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Section 1: Identification of any part to have a defect which is or could become a danger to persons either immediately or within a specified time.
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Pass or Fail
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Section 2: Other defects that require remedial action.
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Pass or Fail
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Section 3: Recommendations and observations.
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Section 4: Supplementary tests required.
Engineers Information
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Engineers Name
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Qualification
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Engineers Sign
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Statement: I certify that the above equipment was thoroughly examined on the above examination date and subject to any remedial action of defects noted on this report, which are or could become a danger to persons, the equipment is safe to use.
