Set Up Protocol - ATT Nussbaum POWER LIFT HF 3S 5000 Manuel D'exploitation

Set up protocol
i After successful set up, complete this form fully, sign it, make a copy and send the original to the man-
ufacturer within a week. The copy remains in the inspection book.
E-Mail: info@nussbaum-group.de
Fax: +49 78 53-87 87
The system with serial number _________________________ was set up on (date) __________________________
at (company name) _________________________________ in (town, city) _________________________________
checked for function and safety and put into operation.
The set up was done by the operating company / specialist (score out the one that does not apply).
The operating company confirms proper lift set up, has read and will comply with all information contained
in this operating manual and inspection book, and will keep this document accessible to trained operators
at all times.
The specialist confirms proper lift set up, has read all information in this operating manual and inspection
book, and has transferred the documents to the operating company.
Only fill out if the system has a fixed anchor.
Anchor used *)
Minimum anchor depth *) complied with:
Tightening torque *) complied with:
_________________________
Date
_________________________
Date
Service partner:
*) See enclosed anchor manufacturer sheet
66
___________________________________________________________
Type/ brand
__________ mm
__________ Nm
_____________________________________________
Name, operating company and company stamp
_____________________________________________
Name, specialist
_________________________________________________________________________
Stamp
_________________________
Operating company signature
_________________________
Signature of specialist
OPI-POWER LIFT HF 3S 5000-V3.0-DE-EN-FR-ES-IT