FORM No. 38

(Prescribed under Rule 74 - A)

 Report of examination of water-sealed gasholder

 

       Registration number                                                           :

       Licence number                                                                                              :

       NIC Code Number                                                            :
(As given in the licence)                                                     :

1.    Occupier (or owner) of premises                                        :

2.    Address                                                                       :

3.    Name, description, distinguishing number of                  :
       of letter and type of gasholder.

4.    Name and address of the manufacturer                          :

5.    (a)  Number of lifts                                                       :

       (b)  Maximum capacity in cubic metres                          :

       (c)  Pressure within the gasholder when full of gas          :

6.    Name of the gas to be stored in the holder                     :

7.    Whether the examination was internal or external            :

8.    Parts of the gasholders examined by electronic               :
       or other accurate devices or by cutting sample discs
       and results thereof.

9.    Particulars as to the condition of –

       (a)  Crown                                                                    :

       (b)  Side sheeting, including, grips and cups                   :

       (c)  Guilding mechanism (Roller carriages, rollers,          :
             pins, guide rails or ropes).

       (d)  Tank                                                                      :

       (e)  Other structure, if any (Columns, framing and          :
              bracing)

10.   Particulars as to the position of the lift at the time of       :
       examination.

11.   Particulars as to whether the tank and lift were found      :
       sufficiently level for safe working and if not, the steps
       taken to remedy the defect.

12.   Date of examination  and by whom it was carried out     :

13.   (a)  Are all fittings and appliances properly                     :
       maintained and in good condition

       (b)  Reparis, if any required and period within which      :
       they should be executed.

       (c)  Any other condition which the person making the     :
       examination thinks if necessary for securing safe
       working.

14.   Other observation                                                         :

         I certify that on (date) ……………………………………………. 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 or my examination.

                                                                                      Signature & name of the

                                                                                      competent person

                                                                                      Number & date of the

                                                                                      competent certificate

Date  :                                                                   Issued by