ServiceManual Uno™200 mobile lift (3EN500402 Rev. 5)
27
www.liko.com
6.0
Uno 200
Periodic inspection
Prod. No. 2010020
2011-11-16
Lift type:
..............................................................
S/N:
..............................................................
Prod. Year: ..............................................................
Customer Reference:
Contract No: ..................................................................
Name:
..................................................................
Address:
..................................................................
(Zip Code) ..................................................................
www.liko.com
© Copyright Liko AB
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 Liko/Hill-Rom or your local Liko/Hill-Rom 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 Liko/Hill-
Rom authorized personnel.
Instructions for check points, from next page.
Check points:
Approved To be
Not
Comments:
actioned approved
1
General inspection
.............................................................
Base
2 Type/model
identification
decal
.............................................................
3
Castor wheels
.............................................................
4
Castor brakes
.............................................................
5
Base opening and closing linkage
.............................................................
Mast
6 Locking handles
.............................................................
7
Lift arm
.............................................................
8
Flex link arm to mast
.............................................................
9
Flex link arm to sling bar
.............................................................
10 Sling bar
.............................................................
11 Mast actuator
.............................................................
12 Battery & electrical cable installations
.............................................................
13 Emergency Stop function
.............................................................
14 Electrical emergency lowering
.............................................................
15 Charger function
.............................................................
Load testing
16 Mast Maximum Load Test
.............................................................
17 Base Maximum Load Test
.............................................................
18 Mechanical Em. Lowering Load test
.............................................................
Documentation
19 Instructions
............................................................