STAND-UP LIFT PREVENTIVE MAINTENANCE
Date of intervention:
Stamp of the service provider:
Name and first name of the service agent:
Name of the referent institution:
Room number :
Brand:
Model:
Equipment number:
Manufacturer serial number:
□
Leased equipment
□
Equipment belonging to the
establishment
DESCRIPTION
Conform
Non-
conform
Diagnostic
Actuator / lifting arm assembly check
Actuator / mast or base assembly check
Mast / lifting arm assembly check
Mast / base assembly check
Mast / handlebar assembly check
Castors fixation check
Slide of under patella support check
Sling fixation hooks check
State of the frame and of the painting check
Additional checks for models with opening base legs
Foot pedal or opening legs actuator check
Spreaded legs system check
Assemblies of the right and left feet on the base check
Lifting actuator operation check
Remote control check
Control box check (emercgency button, plugs)
Battery check (please perfome 3 complete cycles)
Opening legs actuator operation check
Observations
o
Breakage/misuse mauvaise utilisation du client
o
Wear
o
Replaced by N°
Provider signature
Establishment stamp
21
Preventive Maintenance & Security Controls
Assembly to lubricate
No. on Diagram
1
2
3
4
Assembly Cylinder / Lift Arm
Assembly Cylinder / Mat
Assembly Mat / Lift Arm Wheel
Pivot
Support slide under patellar
5
Assembly to lubricate
No. on Diagram
1
2
3
4
5
6
7
Cylinder / Lift Arm Assembly
Cylinder / Mat Assembly
Mat / Lift Arm Assembly
Pivot of wheels
Sub-patellar support slide
ECP Pedal or Cylinder Assembly Foot Spacer
System
Assemblies of the right and left feet on Embase
8
Periodic lubrication:
Use a «3 in 1» product or similar
Periodic lubrication:
Use a «3 in 1» product or similar
1
2
6
1
4
4
4
4
4
6
4
6
6
WAYUP 5
WAYUP 5 with mechanical opening legs
User Manual - Stand-Up Lift: WAYUP 5 Range
Manufactured by NAUSICAA Médical S.A.S. / Approved by Ghizlane Labrosse (Biomedical Engineer)
4
8
5
4
8
4
3
1
2
6
6
12
12
6
4
7
2
1
8
3
5
3
3
8
5
6
4
7
5
