8
Maintenance Plan
for regular service
Start M6 Junior
- Lightweight Wheelchair -
Customer:
Item
Component (group)
Inspection
(check list)
Serial no.:
.)
Function / setting
(see 647G324 Instructions for Use)
2.)
Damages /
deformations
3.)
Screw connections
M6 Junior
4 A
Frame
- Frame
- Central unit
x
x
x
Frame accessories
- Anti-tipper
- Transport wheels
- Crutch holder
x
x
x
x
x
x
4 B
Footrests
- Flip-up mechanism
- Lower leg length setting
- Angle adjustment
x
x
x
x
x
x
4 C
Seat
- Crossbrace
- Seat upholstery
- Seat cushion
x
x
x
x
4 D
Back / push handle
- Back upholstery
- Back tubes
- Angle adjustment
- Fold-down mechanism
- Push handles
x
x
x
x
x
x
x
x
x
Back accessories
- Side thoracic support
x
x
4 E
Side panel
- Height setting
- Swivel mechanism
x
x
x
x
4 F
Caster
- Tires (wear)
- Caster journal angle
- Screw connection of the caster
journal bearing
- Running behavior of the wheels
- Swiveling of the wheel forks
x
x
x
x
x
x
x
x
4 G
Rear wheel
- Tires (wear)
- Air pressure
- Running behavior of the wheels
- Spokes
- Push rings
- Quick-release axles
- Rear wheel adapter
x
x
x
x
x
x
x
x
x
x
x
Rear wheel accessories
- Drum brakes
- Spoke protectors
x
x
x
x
4 H
Brake / wheel lock
- Brake function
x
x
Brake / wheel lock accessories
- Wheel lock lever extension
x
x
4 S
Accessories
- Tray
- Lap belt
x
x
x
x
Do the settings of the
wheelchair comply with the
user's requirements?
Maintenance performed by: on:
