Liko Sabina 200, Service Manual, Page: 31 / 44

Periodic Inspection Sabina 200
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Sabina EE/EM, Sabina ll EE/EM, Sabina Comfort, Sabina 200
Periodic Inspection
Prod. No. 2020001, 2020002 , 2020003, 2020004, 2020005, 2020020
2012-03-21
Lift type: ..............................................................
Prod. No: ..............................................................
S/N: ..............................................................
Prod. Year: ..............................................................
Customer Reference:
Contract No: ..................................................................
Name: ..................................................................
Address: ..................................................................
(Zip Code) ..................................................................
Inspection performed in accordance with ISO 10535:2006 Annex B- Periodic inspection
Approval to use the patient lift
Approved To be actioned Not approved
If the patient lift has one or more check points with result “Not approved” the system must not be used. If the system has
one or more check points with result “To be actioned” these actions should be performed immediately. After performed
actions sign below. If anything is unclear or if you have questions, please contact Hill-Rom/Liko or your local Hill-Rom/Liko
representative. Contact information is to be found at www.liko.com.
Inspection performed by: __________________________________ Date: ____________________
Final approval by: _____________________________________ Approval date: ___________
Next inspection: _____________________________________
The Lift must be thoroughly inspected at least once per year.
Inspection and service must be carried by Hill-Rom/Liko authorized personnel.
Instructions for check points, from next page.
Check points:
Approved To be Not Comments:
actioned approved
Base
1(a) General inspection ....................................................................
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....................................................................
3 Castor wheels ....................................................................
4 Castor brakes ....................................................................
5 Base opening and closing linkage ....................................................................
6 Base frame castor play & levelling
.........................................................
7 Foot tray ....................................................................
Mast
8 Locking handles ....................................................................
9 Lift arm hardware & covers ....................................................................
10 SlingBar ....................................................................
11 Adjustable lower-leg support ....................................................................
12 Mast actuator ....................................................................
13 Battery & electrical cable installations ....................................................................
14 Functions on the hand control ....................................................................
15 Emergency Stop function ....................................................................
16 Electrical emergency-lowering
device functions ....................................................................
17 Charger function ....................................................................
Load testing
18 Load Test ....................................................................
Documentation
19 Instructions / Instruction guide ....................................................................