12
1.)
Function / setting
(like manual)
2.)
none
damage /
deformation
3.)
Screw
connections
2. Accessories
2.1
Pushbar
- Wearing off
- Fixation
o
o
o
o
o
2.2
Foot rest system
- Angle adjustment
- Detaching / Attaching
- Foot board angle- / Height adjustment
o
o
o
o
o
o
o
o
o
2.3
Head rest system
- Height adjustment
- Angle adjustment
- Pads
o
o
o
o
o
o
o
o
o
2.4
Thoraxpelotten
- Pads
- Mechanism (swing / height adjusment)
o
o
o
o
o
o
2.5
Belt systems
lap belt, Breast-shoulder harness,
Pelvic retraction belt,
Anklehuggers, Calf support
- Buckles
- Hygiene
o
o
o
o
2.6
Arm rests
- Height adjustment
- Pads
- Hygiene
o
o
o
o
o
o
2.7
Therapy table
-
Clamping
o
o
o
2.8
Abduktion block & Splash guard
-
Fixation
- Pads
- Hygiene
o
o
o
o
o
o
2.9
Toilet bucket
- Fixation
- Bucket
- Hygiene
o
o
o
o
o
o
2.10
Bath subframe
- Suction cups
- Fixation
o
o
o
o
o
o
2.11
Toilet adapter
- Fixation
o
o
o
Do the settings on the base frame
meet the user‘s requirements?
o
Notes:
Maintenance was performed by:
..............................................................
on: ......................................