Molift Smart 150 - Periodic Inspection and Safety Checklist; Visual Inspection Checklist Items; Function Check Checklist Items; Servicing and Completion Records

BM09201 Molift SMART 150 English - Rev C1/08/10 Page 18 of 20
Checklist periodic inspection
28.04.2010
Lifter serial no.: ............................. ................................. Other ID. no. (if any): .....................................................
Client: ............................................. ................................. ..................... ..................................................................
Inspection carried out by: (Block capitals) ...................... ............. from ..................................................................
Molift certification no. (if any) of inspector/repairer: ..... ..................... ..................................................................
The equipment has been tested and is in full working order
Yes
No
Place: .................................... Date: ................ Signature: ..................... ..................................................................
Checklist for periodic inspection of Molift Smart 150
Revision F – 06/2009
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).
All labels are present, without damage and readable
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 extender mechanism functions correctly (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.
Comments on faults and repairs: ............................. .................... ............................................................
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