May 2014
64
lift2move
Lifting aid
Annual safety inspection record
Page 2 of 2
Check
OK
Remarks / Measures
Push-handle
Check for damage and
fi
rm mounting:
- Continuously adjustable
- Cannot be moved when locked
Safety devices
Function of Emergency Stop
Warning symbols & labels attached and clearly readable
Remote control, batteries, charging unit
Remote control:
- Check connectors and spiral cable for damage
- Function
- Check holder for damage and
fi
rm mounting
Battery:
- Check battery connector and motor cable for damage
- Check battery terminals for corrosion
- Check battery capacity
Charging unit:
- Check charger, cables, and connectors for damage
- Check contacts of the charging connector
- Charging function
Charge status indicator:
- Function
Miscellaneous
Surfaces, damaged paintwork, scratches, dirt
Type label
fi
tted
Inspection label
fi
tted & updated
Remarks / faults found:
______________________________________________
______________________________________________
Reservations about continued operation:
Yes
No
Date of inspection:
_________________
Name of inspector:
_______________________
Inspector‘s signature:
_____________________________________________
Blank form for recording the annual safety inspection
