________________________________________PL10C / PL20B_____________________________________
35
PERIODICAL OR OCCASIONAL SERVICE
No
Description of the test
YES
NO
Notes
1
Check lift maintenance and cleaning
□
□
□
2
Check operation of the mechanical safety systems
□
□
□
3
Check operation of the electrical safety systems
□
□
□
4
Check oil level
□
□
□
5
Grease rails
□
□
□
6
Lubricate moving parts
□
□
□
7
Check high pressure hoses
□
□
□
8
Check hydraulic malfunctions
□
□
□
9
Check pneumatic malfunctions (depending on lift model)
□
□
□
10
Check lift balance
□
□
□
11
Check lift under load
□
□
□
Comments:
Result of the service
Positive □
Negative □
Installer
Stamp and signature
User
Stamp and signature
Date
Date of the next test:
