Site Test Certificate

Job Information

Job No.
Certificate No.
Customer
Customer
- Delta Mining Pty Ltd - Berrima Colliery
- Clarence Colliery
- Austar Coal Mine Pty Ltd
- Endeavour Coal Pty Ltd - Westcliff Colliery
- Centennial Angus Pty Ltd
- Lake Coal Pty Ltd - Chain Valley Colliery
- Centennial Newstan Pty Ltd
- Metropolitan Collieries Pty Ltd - Helensburgh Colliery
- Centennial Myuna
- Tahmoor Coal Pty Ltd
- Lake Coal Pty Ltd - Mannering Colliery
Customer Order No.
Vehicle
Conducted on
Place of Test

Testing Details

Material Specification or Type
Australian Standard AS1171:1998
Test Procedure Used
- Non-Destructive Test - AC Method
- Non-Destructive Test - DC Method
Technique
Method
Background Lacquer Batch No.
Black Ink Batch No.
Fluro Batch No.
Test a Equipment No.
- MP1
- MP4
- MP5
- MP6
- MP7
- MP8
- DC1 ( Battery Fighter)
Surface Condition
Please indicate if any coating is present and the thickness and uniformity of the coating.
Surface Preparation Method
- Needle Gun
- Wire Brush
- Grit Blast
Lighting Level (lux)
Is the lighting level acceptable?
(Min 1000Lux - Black/White Contrast)
(Max 20Lux - Fluorescent Method)
Artificial Light?
Demagnetisation

Item Details

Description
- Male Coupling
- Pivot Pin
- Female Coupling
- Oval Pin
- Coupling Bolt
- Safety Chain
- Bridle
- Bridle Bolt
- Bridle Chain
- Yoke
- Male Drawbar
- Male/Female Drawbar
- Coupling Box
- Pivot Hole
- Safety Hook
Identification No.
Date of Test
Result
- No Recordable Discontinuities
- Complies
- Does Not Comply
- Visual Only
- First Repair Required
- Second Repair Required
- Incorrect Profile
- General Lack of Fusion
Discontinuity Type
- Excess Penetration Bead
- Lack of Inter Run Fusion
- Shrinkage Groove
- Linear Inclusions (Slag Line)
- Excessive Dressing
- Copper Inclusions
- Hammer Marks
- Localised Porosity
- Longitudinal Crack
- Wormholes
- Crater Crack
- Lack of Root Fusion
- Incompletely Filled Groove
- Inclusion
- Spatter
- Tungsten Inclusion
- Tool Marks
- Uniform Porosity
- Surface Pitting
- Elongated Cavities
- Edge Crack
- Burn Through
- Root Concavity
- Incomplete Root Penetration
- Undercut
- Oxide Inclusion
- Grinding Marks
- Gas Pore Porosity
- Torn Surface
- Linear Porosity
- Transverse Crack
- Crater Pipe
- Lack of Sidewalk Fusion
Photo showing positions of discontinuities detected.
Can the item be repaired on site?
Date of Retest
Retest Result
- No Recordable Discontinuities
- Complies
- Does Not Comply
- Visual Only
- First Repair Required
- Second Repair Required
- Incorrect Profile
- General Lack of Fusion
Photo showing tested repairs
Has the item been tagged out of service?
Photo showing out of service tag
Site contact informed that item has been tagged out and needs to be returned to our workshop for repairs
If the item requires further repair it must be tagged out of service. Ensure the item is tagged out of service and the site contact is informed before leaving site.
Has the item been tagged out of service?
Photo showing out of service tag
Site contact informed that item has been tagged out and needs to be returned to our workshop for repairs
If the item requires repair then it must be tagged out of service. Ensure the item is tagged out of service and the site contact is informed before leaving site.
WLL
Photo of ID
Gauge Check
Details of non compliant gauge check
Have you tagged the item out of service?
Photo of out if service tag
Site contact informed of issue with out of service item
If item does not comply to the gauge check then it must be tagged out of service. Ensure the item is tagged out of service and the site contact is informed before leaving site.
Photo of Item

Other Information & Tester Sign Off

Parts Used

Did you require any spare parts for this job?
Which spare parts did you use?
- Oval Pin
- Coupling Bolts
- Safety Pin & Chain
- Spring
- Lugs
- Thrust Block
How many Oval Pins did you use?
What were the ID numbers of the Oval Pins?
How many Coupling Bolts did you use?
What were the ID numbers of the Coupling Bolts?
How many Safety Pins & Chains did you use?
What were the ID numbers of the Safety Pins & Chains?
How many Springs did you use?
What were the ID numbers of the Springs?
How many Lugs did you use?
What were the ID numbers of the Lugs?
How many Thrust Blocks did you use?
What were the ID numbers of the Thrust Blocks?

Comments

Comments

Testing Officer Sign off

Testing Officer
Level
AINDT No.

Certificate Information

Reliance Hexham Information

Reliance Hexham Pty Limited
ABN 53 003 911 402
100 Old Maitland Rd HEXHAM NSW 2322 Australia
PO BOX 489 MAYFIELD NSW 2304 Australia
Tel: +61 2 49648500 Fax +61 2 49648152
www.reliancehexham.com.au

Inspection Statement

The items in this report have been inspected by a responsible and competent person.
All items listed have passed all test carried out as required by the standard and comply with the requirements of the non-destructive test (unless otherwise stated).

Conformance Statement

This report may only be reproduced with the express permission of Reliance Hexham Pty Limited.
CERTIFICATE OF CONFORMANCE
This certifies that items listed meet all requirements of the standard and codes as stated.
All items are traceable as per our NATA and quality requirements.
NATA Accredited Laboratory - NATA Accreditation No. 903