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ENGL
IS
H
Final Inspecction and Test Check Record
Model
I-400
Serial Number
Prepared by
I-700
Date
Location
Casters
Good
Unacceptable
Additional Comments
Checked for caster lock function
Checked for caster free function
Checked two front casters swivel locked at 0º and 180º
Checked clearance between foot pedal and cross rail
Checked brake pedal linkages
Firm and secure fitting
Damage to casters or caster mounting
Frame
Checked for weld defects
Checked for bent/damaged components
Checked side screens
Locking Cylinders
Brass fitting secure
Clearance 2mm to 6mm
Release lever free to move
Linkage head operation
Head of release linkage is secure
Upper and Lower Bracket Arms
Checked for security
Checked rotation in both axis and all positions
Safety Arms
Checked safety arms for freedom of movement
Checked locking knob engages in each position
Checked that end stop screw is present and secure
Cushions
Checked that all cushions are secure and undamaged
Checked that all spacers are present on the seat cushion
Checked the head cushion locking handle security and operation
Checked the head cushion height adjuster security and operation
Checked that all the buffers are present
Checked that all footrest retention buttons are present and secure
Checked the footrest cushion
Inspection Checklist