FORM DMR 289

LIFTS

Lift Particulars

In terms of regulation 8.11.1 Chapter 8 of the Mine Health and Safety Act, (Act 29 of 1996)

O.E.M:

Ref No:

The Principal Inspector of Mines

Region:

Date:

Please be advised that we wish to inform you of particulars of a lift as set out below:

Name of mine:

Address of mine:

The lift will be:

(specify a, b or c)

Nature of loads to be transported:

Location of lift (including hatchway and landings):

DESCRIPTION OF LIFT INSTALLATION:

Type of Lift:

Manufacture's Name:

Manufacture's address:

Year of Manufacture:

Factory Number:

Location of installation:

Which SANS standard as contemplated in regulation 8.11.5 applies to the lift:

Describe any permissible variances of the lift design from the SANS Standard mentioned above

LIFT TYPE: (Electric, Hydraulic, Goods Only, other)

POSITION OF DRIVE MACHINERY:

Overhead:

Distance travelled by Car: meters

Distance travelled by counterweight: meters

Number of car entrances:

Vertical hatchway length: metres

Number of intermediate levels:

Speed: metres per second

Loads:

Persons: (number x 75kg)                Material (kg):                Mineral: (kg)

DRIVE SYSTEM:

Drive motor:                (kW)                 Volts(AC /DC)                 (r.p.m)

Estimated maximum absorbed power:                        (kW)

Drive sheave mean diameter:                        metres

Gear reducer type and ratio(if used):

Type of Governor:

BRAKES:

Description of service brake system

Description of back -up brake system

HATCHWAY:

Drawing number

Air - upcast or downcast

Velocity

Wet or dry

If wet, is water acidic, neutral or alkaline?

COUNTERWEIGHT:

Counterweight mass                        (kg /MPa)

Diameter /specification of counter weight rope

Estimated breaking strength of Counterweight rope                (Newtons)

Counterweight movement allowed                (metres)

HEAD ROPES:

Number of Ropes:

Diameter /specification:

Finish

Maximum calculated dynamic rope tension                (Newtons)

Calculated minimum dynamic rope safety factor

TAIL ROPES /CHAINS:

Number of Ropes /chains

Breaking Force

Estimated breaking strength

OTHER DETAIL

(Attach certified copies of OEM's lift calculations, specifications and general arrangement drawing of the lift installation.)

Name of Inspection Authority that conducts the Commissioning Inspection:

I certify that the particulars and specifications given herein are correct.

Signature of employer: ..................................................

[Form DMR289 (Lifts) inserted by Notice No. R.893 dated 25 August 2017]