Exceptional Safety Inspection - ATT NUSSBAUM SPRINTER MOBIL 2500 Manuel D'exploitation

14.3 Exceptional safety inspection

Copy, complete and leave in the inspection book
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Test step
Model plate ____________________________________
Total centre of mass sticker ______________________
Operating manual______________________________
Load capacity details on the system ____________
Function button "lift, lower" _____________________
General system condition _______________________
Condition/ function foot bumper ________________
Function CE-STOP + warning signal ______________
Condition/ function ramps ______________________
Securing the bolts ______________________________
Condition of bolts and bearing seating __________
Load bearing construction (deformations, cracks)
Unit condition __________________________________
Cover conditions ______________________________
Paint condition _________________________________
Piston rods surface condition ____________________
Hydraulic system leak-tightness __________________
Hydraulic oil fi lling level _________________________
Hydraulic line conditions ________________________
Protective hose condition _______________________
Condition electrical lines ________________________
Condition of weld seams _______________________
Fastening anchor torque _______________________
Fastening screw torque ________________________
Condition of polymer overlays ___________________
Condition/ function mobile set __________________
Functional test, system with load ________________
*) Place a checkmark in the relevant, if a retest is required then check it again!
Safety inspection done on: ________________________________________________________________________
Performed by company: __________________________________________________________________________
Name, address of specialist: _______________________________________________________________________
Result of inspection:
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Signature of specialist
If requested to take care of defi ciencies
Defi ciency removed on: ______________________________
(use a new form for reinspection!)
90
Serial number: _________________________________
OK Defective
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Continued operation questionable, reinspection required
Continued operation possible, remove defects by ___________________
No defi ciencies, continue to operate
Retest
Missing
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Operating company signature
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Operating company signature
SPRINTER MOBIL - HYMAX PRO
Remarks
12.06.2015 AD H9451