® Copyright ATH-Heinl GmbH & Co. KG, 2012, All rights reserved. / Misprints and technical changes reserved / Stand: 10/2013
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Visual examination (VBG14/BGR500)
Manufacturer & type:
Serial Number:
Startup
on:
Periodical examination
on:
Re-examination
on:
Kind of check:
All Right
Defect
missing
Veri-
fication
Remark
Type plate
Load and type label
Quick start instruction
User’s manual
Warning symbols
Labeling operation
Construction (deformation, cracking)
Torque of anchoring bolts
Condition concrete floor (cracking)
Condition electrical wires
Main switch lockable
Condition/ function the locking catches
Condition/ function of the screws, bolts and
bearings
Condition of the lifting arms and pads
Function lifting arms restraint system
Condition/ function feet-protectors or CE-Stop
switch
Function of the end switch
Condition of the carriage, cylinder and chain
Condition/ function Hydraulic system
Condition/ function of the synchronization
Condition of the covers
Function test with vehicle
Torque of anchoring bolts (after 5 lifting
procedures with vehicle) controlling and
tightening
General condition
Placed inspection plate
Result of the Check:
Initiation not permitted, verification necessary
Initiation possible, repair failures until repairing
No failings, Initiation possible
Name and company stamp of the expert / assembly
operator
Date and signature of the expert / assembly operator
Name and company stamp of the operator
Date and signature of the operator
The operator by signing of the form confirms that the floor meet the needed requirements