lift2move
Lifting aid
May 2014
63
12
Blank form for recording the annual safety inspection
Annual safety inspection record
Page 1 of 2
Company
:
________________________________________________________
Adress
:
________________________________________________________
Equipment type
:
________________________________________________________
Article no.:
________________________________________________________
Serial no.
Charging unit
:
_________________________________________
Battery pack:
:
_________________________________________
Lifting pillar
:
_________________________________________
Central motor mount
:
_________________________________________
Checks
OK
Remarks / Measures
Wheelbase
Check for damage and
fi
rm mounting:
- Wheelbase
- Screw fasteners
- Check that wheel treads are clean, secure, and
undamaged
- Check castors for smooth operation and
fi
rm mounting
- Noise generation while driving
Brakes
Brake tests:
- Function of three-stage parking brake
Load handling attachment
Check for damage and
fi
rm mounting
Check of safety slip clutch:
- Load limiting
- Payload
- Overload protection is OK
- Up/down movement with maximum load
- Correct stopping at end stops without load
Blank form for recording the annual safety inspection