5.2 Maintenance Schedule
Maintenance Schedule
Type of wheelchair:
Customer:
Item
Area
Inspection (checklist)
SN:
1. Function/setting
(depending on equipment)
2. Inspected for dam
age/deformation
3. Screw connections
inspected
Frame
Frame
x
x
Anti-tipper
x
x
Crutch holder
x
x
Tip-assist
x
x
A
Frame accessories
Frame pad
x
Folding mechanism
x
x
Lower leg length setting
x
x
Foot rests
Angle adjustment
x
x
Plastic plate
x
x
Lateral heel blocks
x
x
B
Foot rest accessories
Heel strap
x
x
Cross-brace
x
x
Seat upholstery
x
x
C
Seat
Seat cushion
x
Back upholstery
x
Back tubes
x
x
Angle adjustment
x
x
D
Back / push handles
Push handles
x
x
Height setting
x
x
Swivel mechanism
x
x
Side panels
Removability
x
Arm rest padded, swing-away
x
x
E
Side panel accessories
Tray
x
x
Tyres (wear)
x
x
Air pressure
x
x
Caster wheel journal angle
x
x
Screw connections on the frame
x
x
Swivelling of the caster forks
x
x
F
Caster wheel
Running behaviour of the wheels
x
x
Tyres (wear)
x
x
Running behaviour of the wheels
x
x
Spokes / push rings
x
x
Quick-release axles
x
x
Wheel camber
x
x
Rear wheel
Rear wheel attachment device
x
x
Drum brake
x
x
Hub brake
x
x
One-arm drive
x
x
Wheelbase extension
x
x
Spoke protectors
x
x
G
Rear wheel accessories
Shock absorber
x
x
Braking function
x
x
Wheel locks / brakes
Swing-away mechanism
x
x
H
Wheel lock accessories
Wheel lock lever extension
x
x
Tray
x
x
Accessories
Lap belt
x
x
Do the wheelchair settings match the user's requirements?
The maintenance service was performed by:
on:
60
Appendices
Avantgarde CV / CS / CLT
Summary of Contents for Avantgarde CLT
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