Exceptional Safety Inspection - Nussbaum SPRINTER MOBIL 2500 Betriebsanleitung Und Prüfbuch

14.3 Exceptional safety inspection

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Copy, complete and leave in the inspection book
Test step
Model plate ___________________________________
Total centre of mass sticker ____________________
Operating manual _____________________________
Load capacity details on the system ___________
Function button „lift, lower" ____________________
General system condition ______________________
Condition/ function foot bumper _______________
Function CE-STOP + warning signal _____________
Condition/ function ramps _____________________
Securing the bolts _____________________________
Condition of bolts and bearing seating _________
Load bearing construction (deformations, cracks) _____
Unit condition _________________________________
Cover conditions _____________________________
Paint condition ________________________________
Piston rods surface condition ___________________
Hydraulic system leak-tightness _________________
Hydraulic oil illing level ________________________
Hydraulic line conditions _______________________
Protective hose condition ______________________
Condition electrical lines _______________________
Condition of weld seams ______________________
Fastening anchor torque ______________________
Fastening screw torque _______________________
Condition of polymer overlays __________________
Condition/ function mobile set _________________
Functional test, system with load _______________
*) Place a checkmark in the relevant, if a retest is required then check it again!
Safety inspection done on: ________________________________________________________________________
Performed by company: __________________________________________________________________________
Name, address of specialist: _______________________________________________________________________
Result of inspection:
______________________________
Signature of specialist
If requested to take care of deiciencies
Deiciency removed on: ______________________________
(use a new form for reinspection!)
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Serial number: _________________________________
OK Defective
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Continued operation questionable, reinspection required
Continued operation possible, remove defects by ___________________
No deiciencies, continue to operate
SPRINTER MOBIL - HYMAX PRO
Retest
Missing
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Operating company signature
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Operating company signature
Remarks
08.12.2015 20110005 OPI