Molift Mover 300 - Periodic Inspection Checklist; Compulsory Safety Checks; Servicing and Fault Handling; Completion and Approval Records

Page 18 of 20 BM06101 Molift MOVER 300 English Rev E 24/09/2013
Checklist for periodic inspection
19.05.2011
Lifter serial no.: .............................. ................................. . other ID no. (if any): .......................................................
Client: ............................................. ................................. ..................... ..................................................................
Inspection carried out by: (Block capitals) ........................ .............. from ..................................................................
Molift certification no. (if any) for inspector/repairer: ........ ..................... ..................................................................
The equipment has been tested and is in full working order
Yes
No
Place: ................................... Date: ................ Signature: ..................... ..................................................................
Checklist for periodic inspection of Molift Patient Lifters
Molift Mover 300
Revision A – 05/2011
COMPULSORY SAFETY CHECK (annual):
OK Fault Corrected Visual inspection
Whole lifter checked for damage, cracks and deformation and
found to be in good order. (Especially suspension, lifting arm,
lifting motor, wheels and all cables).
Lifter has been correctly assembled and no parts are missing.
(Especially column lock, column attachment and suspension).
Accessories have been checked. See separate form for sling.
Battery charger is an accessory.
List the accessories checked:……………….……………….……
Function checks
Emergency stop and hand control have been checked and are in
working order.
The lifter has been rolled over the floor (preferably under load)
and runs easily and steadily.
Leg spreading mechanism has been fully extended and
retracted (preferably under load), and moves evenly and without
noise (stops in correct positions).
The lifter has been fully raised and lowered (preferably under
load) and moves evenly, without noise, and the lifting motor
shows no runout.
Servicing required
Servicing unnecessary because the servicing lamp is on green
and the lifter is under 5 years old.
Completed Compulsory in case of faults under one of the above points:
The lifter has been removed from service and clearly marked "OUT OF
ORDER".
Certified personnel have been summoned to carry out repairs and servicing.
Name /Tel./ Fax:………………………………………………………………………
Completed Compulsory where lifter has been checked and approved:
The lifter has passed the safety check and been affixed with the Molift safety
check label, duly dated and signed.
The ticked and signed checklist has been passed to the client and a copy sent to
your Molift dealer.
Comments on faults and repairs: ..................... ................. .....................................................
............................................. .......................... ................. .....................................................
............................................. .......................... ................. .....................................................