(PRESCRIBED UNDER RULE 56A)
REPORT OF EXAMINATION OF WATER-SEALED GASHOLDER
- Name of Occupier of Factory
- Situation and address of Factory
- Name, description, distinguishing number or letter and type of gasholder.
- Name and address of the manufacturer.
- (a) No. of lifts.
(b) Maximum capacity in cub-meters (cub. ft.)
(c) Pressure thrown by holder when full of gas. - Particulars of gas to be stored in the holder.
- Particulars as to be condition of-
(a) Crown
(b) Side sheeting, including grips and cups.
(c) Guiding Mechanism (Roller carriages, rollers, pins, guide rails or ropes.).
(d) Tank.
(e) Other structure, if any (columns, framing and bracing). - Particulars as to position of the lifts at the time of examination.
- Particulars as to whether the tank and lifts were found sufficiently level for safe working and if not, as to the steps taken to remedy the defect.
- Date of examination and by whom it was carried out.
- Condition of vessel
External
Internal - Are all fittings, appliances properly maintained and in a good condition repairs, if any, required and period within which they should be execute and any other condition which the person making the examination thinks it necessary for safe working.
- Other observations.
I certify that on the gasholder described above was thoroughly examined and such of the tests as were necessary made on the same day and that the above is a true report of my examination.
- Signature .......
- Qualification ..................
- Address ......................
- Date ........................
If employed by a Company or Association................................................ give name and address.
* Inserted Vide Notification No. F. 16. (12)/63-Lab. Dated 21-5-69 .