Report No.: QAT/C/2500/14/SV/SV Project No.
: 566-0301-14 Date: 03/02/2014 Office: DOHA - QATAR
FITNESS CERTIFICATE
Name and Address of the Owner: Place of Inspection:
PEREGRINE PROJECTS & SOLUTIONS INDUSTRIAL AREA
DOHA - QATAR
SUBJECT: INSPECTION OF OIL TANKER
This is to certify that the undersigned representative of our organization did attend to examine the below
mentioned equipment to ascertain its safe working condition. At the time of examination indicated, the said
equipment has no indigenous injury or sighted deformation. The equipment is safe for its intended use
within the limits specified, provided there is a continuous maintenance applied and qualified operators
employed.
DETAILS OF THE EQUIPMENT:
EQUIPMENT : OIL TANKER
MAKE : RENAULT / 2009
MODEL : 380 DXI
CHASSIS No. : VF634DPA 39D006719
TANK SERIAL No. : ZCBD0100019
TANK CAPACITY : 4500 US GAL.
REGISTRATION NO.: QATAR 91425
OBSERVATIONS:
The above equipment and its accessories were visually inspected and found to be SATISFACTORY for
further use.
Inspection carried out and report issued without prejudice to any party.
Date of Last Examination Date of Next Examination
29/01/2013
02nd AUGUST 2014
ABSG/QAT/C/1028/13/SC/AB
For and on Behalf of ABS GROUP INC.
SREEJEEV C.K SAJAN VARGHESE
AUTHORIZED NAME & SIGNATURE SURVEYOR’S NAME & SIGNATURE
This certificate will become null and void in the event that the equipment is modified without notification after
the date of certification.
This Report is granted subject to the condition that it is understood and agreed that nothing herein contained shall be deemed to relieve any designer, manufacturer,
seller, supplier, repairer or operator of any warranty, express or implied and the liability of ABS Group Inc. (hereinafter referred to as ABS Consulting) shall be limited to
the acts or omissions of its employees, agents or subcontractors. Under no circumstances whatsoever shall ABS Consulting be liable for any injury or damage to any
person or property occurring by reason of negligent operation or any defect in materials, machinery, equipment or other items other than such defects ascertainable by
normally accepted testing standards and only upon those items actually inspected by ABS Consulting and which are covered by this Report.
Form IS-2 Reporting, SIZ-102-99-P02 Attachment B – Rev. 1