Werbung
Equipment reference :
Visual inspection of the general condition:
Control of the structural elements of the PIRL:
Deterioration of the uprights:
Deformation of the bars :
Deformation of the guardrail :
Verification of the correct operation of the locking bar of the plans if existing:
Projections (cement, etc...) on the sliding parts :
Presence and legibility of safety labels :
Checking the correct sliding of the leg extensions :
Operation of the automatic return of the extensions :
Verification of the presence of the elastic locking strap of the guardrail:
Verification of the correct opening of the platform :
Check that the guardrail locking pins are working properly:
Checking the correct operation of the gates :
Visual control of the rail / sub-rails :
Visual control of the wear of the skates :
Visual check of the wheels :
Verification of the correct operation of the guardrail locking latches :
Other :
Rubber pad 70x30 Black
Conical rubber pad for legs Ø50x44 with bungee hook
Wheel Ø125x32x12
Tandem D175mm side wheel assembly
Sandow lock PIRL 2.0
Pair of PIRL upright arms kit
Extension 3 Brx PIRL 2.0 TX (sliding plane)
Wheel support PIRL 2.0
Date checked :
Date of next check :
VISA & NAME VERIFIER :
Verification sheet Ultralight®
Serial number :
GENERAL
WORKSTATION
USER PARTS
PARTS TO REPLACE
Notice d'utilisation UltraLight TX- LX - FX – V4.0 JUIN 2021
Anweisungen und Kontrollen TX- LX – FX Ultralight V04-2021
Istruzioni e controlli TX – LX - FX Ultralight V04-2021
Instruction user TX – LX - FX Ultralight V04-2021
Date of commissioning :
COMPLIANCE
ok
ok
ok
ok
ok
ok
ok
ok
LEGS
ok
ok
ok
ok
ok
ok
ok
COMPLIANCE
ok
ok
ok
ok
VISA & CLIENT NAME :
TX – LX - FX
OBSERVATION
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
OBSERVATION
no
no
no
no
9
Werbung
