[PDF] [PDF] Survey Report of Kiddie Ride

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Survey Report of Kiddie Ride (Enrolment Application)

1. General Particulars

1.1 Location Identity

1.2 QP/Surveyor Report Ref. No.

1.3 Owner of Ride

1.4 Name of Ride

1.5 Address of Ride Installation

1.6 General Description of Ride

1.7 Classification according to

Amusement Rides (Safety)

Ordinance, Chapter 449

2. Manufacturer Information

2.1 Manufacturer

2.2 Country of Origin

2.3 Serial No.

2.4 No. of Passengers

2.5 Maximum Loading / Carrying Capacity

Kg

2.6 Speed Limit

2.7 Power Supply

Phase Volt Hz

2.8 Motor Rating

Phase Volt Hz

2.9 Power Output

kW

2.10 Control Power Supply

V o lt d c o r V o lt a c

3. Structure Integrity

3.1 Base framework

3.2 Structural members, main shaft and axles

3.3 Linkages and welding segments

3.4 Seat mounting

3.5 Bolts and nuts torque test

3.6 For free standing ride, stability of the ride under all possible operating

conditions

3.7 Ride anchorage

4. Mechanical System

4.1 Driving unit and actuator

4.2 Gearbox and couplings

4.3 Hydraulic systems

4.4 Lubrication or greasing

5. Electrical System

5.1 Shrouding of live conductors / parts

5.2

Insulation test R-N : M

Y-N : M

B-N : M R-E : M

Y-E : M

B-E : M

5.3

Earth continuity test

5.4 Over-current protection MCB : Amp Fuse : Amp 5.5 Electrical supply configuration for the ride (answer either one) : - Connection via socket outlet of approved installation - Fixed installation circuit with WR1 or WR2 certification

5.6 Wiring installations including cable, plug and socket

5.7 Control system

5.8 Rated motor running current

Amp

5.9 Motor input power (maximum)

kW

6. Functional Performance

6.1 Full Load test

6.2

Speed test Full Load :

No Load :

7. Safety Device

7.1 Safety belt

7.2

Latch bar

7.3

Mechanical and electrical interlock

7.4

Emergency stop

7.5

Braking device

8. Environmental

8.1 Clearance from wall, adjacent ride, headroom

8.2

Warning and passenger advice notice

8.3

Safety guard or fence

8.4

Illumination

9

Photograph(s)

9.1 General overview of ride with layout plan

9.2 Driving mechanism

9.3 Earthing terminal and equipotential bonding

9.4 Motion descriptions including maximum position limit or outermost

point of swing

9.5 Warning notice

9.6 Floor marking and clearance with adjacent ride / wall

9.7 Safety devices (e.g. safety belt, latch bar, emergency stop, brake, etc.)

9.8 Modification differ from original manufacturer design

9.9 Overhanging items within 1.5 metres (e.g. lighting, power cables,

telephone lines, guide wires, etc.) 1 0

Operational and Maintenance

Recommendation

10.1 Next Inspection Date :

10.2 10.3 1 1 . Declaration

I have examined the integrity and operation of the kiddie ride (name of kiddie ride) on (date of inspection)

and confirmed the ride is in safe working order. I also confirmed the ride has satisfied all the criteria on

enrolment application. ____________________________ ( Full Name and Signature of

Surveyor

or Qualified Person

EMSD Registration Number :

Note :

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