CERTIFICATE
Certificate No.: *****
Job No.: JO-202*-**-****
This Is To Certify That
Name: Dharminder Singh Hardev Singh
Emp. / License
No.:
204044
Company: NBTC Group
Address: Abu Dhabi, UAE
Has Attend Theory & Practical Assessment for
Title: Mobile Crane Operator
And Found To Be Competent
Venue: Abu Dhabi
Assessment
Date:
20/05/2021
Valid Until: 19/05/2022
Signature :
Inspection Engineer
Signature :
Technical Manager
Assessor : Shameem
Mohammedkunhi (21)
Reviewed by : Ahmed Said (06)
Form Code : MS-0043397 rev0 Issue Date : Page 1of 2 Operator Evaluation Form
The purpose of the operator evaluation is to aid the assessor in assessing the operator’s competency to operate the machine safely. Items may be added and/or deleted for the evaluation depending on the operating conditions.
Certificate No. 62222 Date of Assessment 20/05/2021 Candidate's Name Dharminder Singh Hardev
Singh
Assessor's Name Shameem Mohammedkunhi
(21)
Title Mobile Crane Operator
S
N/S
Remarks
Personnel Protective Equipment (PPE’s)
Principle of equipment operations
General Equipment related terminology
Structural Limitations
Auxiliary Equipment’s & Attachments (if any)
Basic controls and their functions
Conduct the pre-start and pre-operational checks
Conduct the Operational and Functional checks
Moving and Control of Equipment
Maneuvering with and/or without load
Preparation and Parking of Equipment
Perform the shutdown procedures
Post-Trip inspections
Legends: • S - SATISFACTORY • NS - NOT SATISFACTORY Remarks / Recommendations: None
Form Code : MS-0043397 rev0 Issue Date : Page 2of 2