13
1.)
Function / Setting
2.)
none
damage / defor
-
mation
3.)
Screw connections
2. Accessories
2.1
Fender
- Height adjustment
o
o
o
2.2
Anti tip and tip assist
- Anti tip
- Swivel away
- Angle adjustment
o
o
o
o
o
2.3
Footrest hanger
- Angle adjustment
o
o
o
2.4
Footrest bracket
- Lower leg length
- Folding away the footrest
- Footrest lock
o
o
o
o
o
2.5
Footrests
- Footrest angle
o
o
o
2.6
Seat / back cushion
- Cushion
o
o
2.7
Tie down kit
- Support of the anchorages
o
o
o
2.8
Spoke guards
- Spoke guards
o
o
o
2.9
Headrest standard with cushion
- Height adjustment
- Padding
o
o
o
o
o
2.10
Headrest with occiput upholstery
- Height adjustment
- Angle adjustment
- Padding
o
o
o
o
o
o
o
o
2.11
Thoracic support
- Height adjustment
- Width adjustment
- Depth adjustment
- Padding
o
o
o
o
o
o
o
o
o
o
o
2.12
Chest-/ thoracic support
- Height adjustment
- Width adjustment
- Depth and angle adjustment
- Padding
o
o
o
o
o
o
o
o
o
o
o
2.13
Hip support
- Width adjustment
- Depth adjustment
- Padding
o
o
o
o
o
o
o
o
2.14
Abduction block
- Pivot
- Removing
- Padding
o
o
o
o
o
o
o
o
2.15
Armrests
- Height adjustment
o
o
o
2.16
Therapy tray
- Clamping unit
o
o
o
2.17
Belt fixings:
Lap belt, 4-point lap belt, ankle
hugger
- Closures
o
o
o
Do the settings of the accessoires
meet the user‘s requirements?
o
Notes
The maintenance was performed by: .............................................................. on: ......................................
