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
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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
Kg2.6 Speed Limit
2.7 Power Supply
Phase Volt Hz2.8 Motor Rating
Phase Volt Hz2.9 Power Output
kW2.10 Control Power Supply
V o lt d c o r V o lt a c3. 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
conditions3.7 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
5.2Insulation test R-N : M
Y-N : M
B-N : M R-E : M
Y-E : M
B-E : M
5.3Earth 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 certification5.6 Wiring installations including cable, plug and socket
5.7 Control system
5.8 Rated motor running current
Amp5.9 Motor input power (maximum)
kW6. Functional Performance
6.1 Full Load test
6.2Speed test Full Load :
No Load :
7. Safety Device
7.1 Safety belt
7.2Latch bar
7.3Mechanical and electrical interlock
7.4Emergency stop
7.5Braking device
8. Environmental
8.1 Clearance from wall, adjacent ride, headroom
8.2Warning and passenger advice notice
8.3Safety guard or fence
8.4Illumination
9Photograph(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 swing9.5 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 0Operational and Maintenance
Recommendation
10.1 Next Inspection Date :
10.2 10.3 1 1 . DeclarationI 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