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9.0
77
Periodic Inspection
www.liko.com
Output (TAAxT): Ah (Prod. No. 2040013-2040035)
(Use Liko Service System or Liko Diagnostic System to read data from the CBL)
Lift type:
.........................................................................
Prod. No:
.........................................................................
Serial No: .........................................................................
Prod. Year: .........................................................................
Customer references
Agreement No: .....................................................
Name: ....................................................................
Address: ................................................................
Post code: ............................................................
Inspection performed in accordance with ISO 10535:2006 Annex B- Periodic inspection
Approval to use the mobile lift
Approved
Not approved
Not approved:
If the mobile lift has one or more check points with result “Not approved” the mobile lift must not be used.
To be actioned:
Actions according to the “Instructions for the check points” should be performed immediatley. 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:
________________________________________
Periodic Inspection
2012-1
1-05
The lift must be thoroughly inspected when the Service Light at the Control Unit CBL iIluminates, or at least once per year.
Viking with other control unit shall be thoroughly inspected at least once per year. Inspection and service must be carried out by
Hill-Rom/Liko authorized personnel. Instructions for check points, from the next page.
Check points:
Approved Not
Comments:
approved
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Load Testing
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Documentation
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Prod. No.
Viking XL
Viking L
Viking M
2040003
2040004
2040005
2040013
2040014
2040015
2040033
2040034
2040035
Summary of Contents for Viking XL 2040003
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