Liko Sabina, Инструкция по сборке, Страница: 20 / 37

Periodic Inspection Sabina
www.liko.com 55
Sabina™
6.0
Sabina ll EE/EM, Sabina 200
Periodic inspection
Prod. No. 2020003, 2020004, 2020020
2014-02-14
Customer references
Agreement No: .............................................................
Name: .......................................................................
Address: .......................................................................
Post code: ....................................................................
Inspection performed in accordance with ISO 10535:2006 Annex B- Periodic inspection
Approval to use the Sabina sit-to-stand lift

Approved

Not approved

To be actioned
Not approved:
If the sit-to-stand lift has one or more check points with result “Not approved” RollOn must not be used.
To be actioned:
Actions according to the “Instructions for the check points” should be performed immediatley. After
performed actions sign below. If anything is unclear or if you have questions, please contact Hill-Rom/
Liko or your local Hill-Rom/Liko representative. Contact information is to be found at www.liko.com.
Inspection performed by: __________________________________ Date: ____________________
Final approval by: _____________________________________ Approval date: ___________
Next inspection: _____________________________________
The Sabina sit-to-stand lift must be thoroughly inspected at least once per year. Inspection and service must be carried out by
Hill-Rom/Liko authorized personnel.
Instructions for check points, from next page.
Product information
Product: ...................................................................
Product No................................................................
S/N: ....................................................................
Prod Year: ...............................................................
Check points:
Approved Not To be actioned:
approved
1 General inspection
  ...................................................................
Base
2 Type/model identification decal
 
.................................................................................
3 Castor wheels
 
.................................................................................
4 Castor brakes
 
.................................................................................
5 Base opening and closing linkage
 
.................................................................................
6 Base frame castor play & levelling
  ...................................................................
7 Foot tray
 
.................................................................................
Mast
8 Locking handles
  ...................................................................
9 Lift arm hardware & covers
  ...................................................................
10 SlingBar
  ...................................................................
11 Adjustable lower-leg support
  ...................................................................
12 Mast actuator
  ...................................................................
13 Battery & electrical cable installations
  ...................................................................
14 Functions on the hand control
  ...................................................................
15 Emergency Stop
  ...................................................................
16 Electrical emergency-lowering device
  ...................................................................
17 Charger
  ...................................................................
Load testing
18 Load Test
  ...................................................................
Documentation
19 Instructions / Instruction guide
  ...................................................................