12
Maintenance schedule
for regular inspection
SWINGBO-VTi-XL
System wheelchair
Customer:
...............................................
Pos.
Area
Check (Checklist to tick off
)
Serial number:
.......................................
1.)
Function / Setting
(see instruction manual)
2.)
none
damage / defor
-
mation
3.)
Screw connections
1. Basic product
1.1
Frame
- Damages
o
o
o
1.2
Base plates and Cross tube
- Active degree
- Seat height
o
o
o
o
1.3
Rear axle
- Seat height
o
o
o
1.4
Seat unit
- Tilt
- Seat depth
o
o
o
o
1.5
Back system & push bar/ handle
variant
- Height adjustment back
- Angle adjustment back
- Height adjustment for push bar/
handles
- Angle adjustment for push bar
- Remove
- Fold down
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
1.6
Braking system
- Brakes
o
o
o
1.7
Wheel fork holder
- Swivelling of the wheel forks
o
o
o
1.8
Steering wheels
- Tires
- Air pressure
- Running behavior of the wheels
o
o
o
o
o
1.9
Rear wheels
- Tires
- Air pressure
- Running behavior of the wheels
- Camber
- Quick release
o
o
o
o
o
o
o
1.10
Push rim
- Mounting position
o
o
o
Do the settings on the wheelchair
meet the user‘s requirements?
o
Notes:
Содержание SWINGBO-VTi XL
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