Inspection report
Lower leg rest Engages properly
Accessories (e.g. patient lifting
pole, grab handle)
Correct fastening, no dam-
age, suitable for purpose
Inspection result:
Inspection passed; test approval sticker applied:
[ ] Safety or functional defects were not detected
[ ] No direct risk, the defects detected can be rectified quickly
Inspection was not passed; no test approval sticker applied:
[ ] Device must be taken out of circulation until the defects have been rectified!
[ ] Device does not conform to requirements – modification/replacement of components/decommis-
sioning recommended.
All values within permissible range:[ ] yes [ ] no Next inspection date:
If inspection was not passed:
[ ] Defective, do not use bed! => Repair
[ ] Defective, do not use bed! => T
ake out of service
[ ] Bed does not meet the safety standards
Test approval sticker applied:[ ] yes [ ] no
Documents that form part of this inspection report:
[ ] Enclosure:
[ ]
Remarks:
Inspected on: Inspected
by:
Signature:
Maintenance
54 Part B: Operator and Technical Personnel