DOMA019EN v8_10-2015– Shado
®
User Manual
Page 19 / 24
Periodical inspection (PI)
Preventive Maintenance (PM)
Model :
Serial number
:
PI
PM
Checks made
OK
?
Remarks/ cause of non
conformity
Cleaning and decontamination
Base framework inspection:
Geometry and flatness of base
Axis and brakes
Wheels cleaning and lubrification
Brake adjustement (depending on the model)
Structure inspection
Axis articulations
Stretcher raising actuator attachments
Slope actuator attachments
Good condition of all pins and screws
Tray inspection
Visual inspection and planarity
Inspection of the accessories and rails
Rails
Good closing, opening and locking of side rails
Head and foot rails inspection
Commands and actuator inspection and testing
Battery support inspection ( E model)
Electronics control box inspection ( E model)
Charger inspection ( E model)
Raising and lowering pedals test
Slope function test
Battery check ( E model)
Mattress, cushion,
Inspection of attachment straps
Good sealing
Draining hose en plug and inspection and test
Functional tests :
Wheels: inspection, rolling test, brake test
Raising and lowering function without load
Raising and lowering function with maximum load
(180kg)
Positive and negative slope test
Emergency stop and emergency lowering functions
tests
Labeling:
Identification plate inspection
Periodical maintenance label
According to the EN ISO 10535 standard, this equipment must be submitted to an annual inspection
Controls done by : Date :
C = Conform NC = Non Conform
The cause of non conformity must be indicated
One copy of this form should be handed to the customer, one copy held by SCALEO Medical or by the authorized distributor
