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