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OPERATOR mAnuAl molift mover 180 BM08101 Molift MOVER 180 English - Rev A 09-2012

OPERATOR mAnuAl - Amazon Web Services · 2019. 8. 24. · BM08101 Molift MOVER 180 English - Rev A1 10-2012 Page 3 of 16 About Molift Mover 180 Molift Mover 180 is a mobile passive

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Page 1: OPERATOR mAnuAl - Amazon Web Services · 2019. 8. 24. · BM08101 Molift MOVER 180 English - Rev A1 10-2012 Page 3 of 16 About Molift Mover 180 Molift Mover 180 is a mobile passive

OPERATOR mAnuAlmolift mover 180

BM08101 Molift MOVER 180 English - Rev A 09-2012

Page 2: OPERATOR mAnuAl - Amazon Web Services · 2019. 8. 24. · BM08101 Molift MOVER 180 English - Rev A1 10-2012 Page 3 of 16 About Molift Mover 180 Molift Mover 180 is a mobile passive

Page 2 of 16 BM08101 Molift MOVER 180 English - Rev A1 10-2012

Explanation of symbols

This symbol appears in the operator manualalongside any information that applies tosafety in the workplace or where there is arisk of person injury. Always follow theseinstructions carefully and exercise extremecaution.

Thissymbolindicatesimportantandusefulinformation.Byobservingthis information,the operatpor will be able to work moreefficient.Thisinformationmayhelpsimplifyroutinesandexplaincomplicatedfacts.

Innhold

About Molift Mover 180 .......................3Declaration of conformity .......................... 3Before using the lift ................................... 3

Pre-use checklist ...................................3

General safety information ..................4General ..................................................... 4

Safety instructions ...............................4

Assembly and dismantling ..................4Unpacking ................................................. 4Assembly ................................................... 4Dismantling ............................................... 5Storage and transportation ........................ 5

How to use the Molift Mover 180 ........6

Lifting and moving ...............................7Using the leg adjustment function ............. 7Using slings ............................................... 8Emergency stop and emergency lowering 8

Batteries and charging system ............9Charging and handling the battery ............ 9Battery capacity ......................................... 9Electronics ................................................. 9

Technical data .................................... 10Labelling ...................................................11

Accessories ......................................... 11Lifting slings .............................................11Molift stretcher ..........................................11

Optional equipment .......................... 12Alternative suspension with quick release 12Wheel with directional lock ...................... 12Weight scale ............................................ 12Integrated charger ................................... 12

Troubleshooting ................................ 13

Maintenance ...................................... 14Cleaning .................................................. 14Monthly inspection .................................. 14Servicing ................................................. 14

Periodic inspection - Checklist ......... 15

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BM08101 Molift MOVER 180 English - Rev A1 10-2012 Page 3 of 16

About Molift Mover 180

MoliftMover180isamobilepassivepatientlifter.Thebatterypoweredliftismadefromlightmaterials,movesonwheels,haselectricallyadjustablelegsandasafeworkingloadof180kg.TheMoliftMover180issuitablebothinthehomecareandinstitutionalenvironment.

Declaration of conformityTheMoliftMover180andrelatedaccessoriesdescribedinthisoperatormanualareCEmarkedinaccordancewithEUCouncilDirective93/42/EECconcerningmedicaldevices,class1,andhasbeentestedandapprovedbyathirdpartyaccordingtostandardsIEC60601-1,IEC60601-1-2andNS-ENISO10535:2006.

Before using the liftPleaserefertopage5forinformationabouthow

toassemblethelift.You must complete the requisite training beforeusingtheliftonpatients.

Whenusingthelift,itisalsoimportanttoonlyuseaccessoriesandslingsthatareadjustedtofit:

• thepatient• typeofdisability• size• weight• typeofmovement

Pre-use checklist

1.Checktheliftforanyvisibledamageordefects.2.Makesurethatthelift’scolumnandsuspension

arefastenedproperlyandthattheliftdoesnothaveanylooseparts.

3.Makesurethattheemergencystopswitchisnotactivatedandthattheliftisworking.

4.Makesurethatthebatteriesarecharged(i.e.thebatteryindicatoronthehandcontrolandbatteryholderisnotilluminated).

5.Makesurethattheservicelightisgreen.Ifitisyelloworred,theliftneedsservice.

6.Ifthereareanyfaultsordefects,theliftneedstobetakenoutofoperationandmarked”outoforder”.Contacttheservicepersonellordealer.

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General safety information

GeneralBefore the Molift Mover 180 can be startedup, operator must make sure that the lift is ingood working order, in terms of both safety andoperation.

Theliftmustbetakenoutofoperationimmediatelyiffaultsaffectingsafetyandreliabilityareidentified.

Molift Mover 180 has an SWL (Safe WorkingLoad) of 180 kg. This means that it is builtandtestedtoliftpatientsweighingupto180kg. When using accessories (e.g. slings andstretchers) with a lower SWL, the lowest SWLwillapply.

Theliftmaytipover ifusedincorrectly!Makesure you are familiar with the instructionsbeforeyouattempttoliftanyone.

Theliftmustnotbeusedonslopingfloorsorramps.

Use the push handle when manoeuvring thelift;donotpullthepatientortheliftingarm.

Electrical medical equipment is subjectto special usage regulations in relation toelectromagnetic compatibility (EMC) andneedstobeinstalledandusedinaccordancewiththeinstructionsinthismanual.Portableand mobile RF communication devicesmay have an effect on electrical medicalequipment.

Safety instructions

• Thelifthasanoverloadprotectionfunctiontopreventitfromliftingmorethan180kg.

• Theliftisalsodesignedsuchthatitcannotcrushpatientsifitisloweredtoofar.

• Pressingtheemergencystopbuttonshutsoffthepowersupplystraightawayandstopsthelift.

• Theliftfeaturesbothanelectricalandamanualemergencyloweringfunction.

• Thelifthasalighttoindicatewhenitneedsservice.

Assembly and dismantling

Unpacking• Theliftisdeliveredinacardboardbox.Make

surethatthepackagingisintactupondelivery.Ifitisnotintact,checkthecontentsofthebox;ifthereisevidenceofdamageinside,contactyourMoliftrepresentativestraightaway.

• TheboxcontainsacompleteMoverliftunit,includinghandcontrol,batteryandbatterycharger.

Assembly• Rollthechassisoutofthecardboardbox.• Chargethebattery.N.B.Thebatterymustnotbeintheholderonthe

columnduringinstallation.• Slidethecolumnintothecolumnholderonthe

chassisasshowninthepicturesbelow.• Locktheliftcolumninplacebyfasteningthe

twoAllenscrewsinfrontandrearofthechassisasshowninthepicturesbelow.Thiswillensurethatthecolumncannotbepulledupwards.

Plugthehandcontrolintotheverybottomofthebatteryholder.Thehandcontrolhasahooksothatitcanbehungonthebracketatthetopofthecolumn.

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• Insertthebatteryintotheholderonthe

columnwiththetwobatteryterminalsfacingdownwards.Runtheemptyliftupanddownafewtimestomakesurethatitisworkingproerly.(Thebatteriesshouldalwaysbechargedpriortouse.)

• Installthesuspensionasshowninpicturesbelow.Alignsupensioninfork.Insertlockingpin.Makesurelockingpinisproperlyfastened.

0°C

45°C

Molift Group AS, Ole Deviksvei 44,

0668 OsloNorway

(+47) 4000 1004www.molift.com

20 %

90 %

50 kPa

106 kPa

Labeling outside on every cartoon with Molift lifter or accessories/spare partsSize on label ca 105x75 mmBlack printing directly on cartoon

Alternatively the labels can be printed on a A4 8 labels sheet (black printing on white bacground).Note! Only page 2 for printing on sheet with 8 labels

Desctiption Dimension Material Comment

Designed/DrawnI. Værnes

Date14.11.07

Projection Scale

Drawing name

Label packingStorage conditions Drawing

1Size

A4A Released for production 14.11.07 IV

Rev Description Date/Sign Approved

Dismantling• Removethesuspension.

• Runtheliftingarmintoitslowestposition.• Removethehandcontrolandbatteryfromthe

lifttopreventitfromfallingoutintransit.• RemovebothAllenscrewsonthefrontandrear,

andremovethecolumn.

Takecaretoensurethatyourfeetandarmsdonot get caught when the column and liftingarmarebeinglowered.

Storage and transportationThe lift is intended for use at room temperature,i.e.+10to+40°C.Aftertransportationandstorage,leavethelifttostandatroomtemperaturesoitcanreachitsnormaloperatingtemperature.

If the lift is being stored for a lonwg time, werecommend that you remove the battery andactivatetheemergencystop.

The lift can be stored and transported under thefollowingconditions:

Pressure:50-106kPaRelativehumidity:20-90%Temperature:0-45°C

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How to use the Molift Mover 180

Place the battery in the battery holder.The handcontrolfortheMoliftMover180hasfourbuttonstomovetheliftupanddownandthelegsinandout.ThehandcontrolhasaLEDthatilluminateswhenthebatteryneedscharging.

Iftheliftdoesnotfunctionwhentherelevantbutton is pressed, please refer to the trouble-shootingguideintheMaintenancesectiontofindoutwhatiscausingtheproblem.

Hand control

SuspensionPush handle

Chassis

Battery

FORWARDS

Lifting arm

Battery holder incl. control electronics and electrical emergency lowering functionEmergency stop

Lift motor

Lift column

Legs

BACKWARDS

Battery light

Up

Down

Legs outLegs in

Manual Emergency lowering

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Lifting and moving

Thesuspensionmustalwaysbeplacedcrosswaysthepersonwhoisbeinglifted.

Make sure that the sling is fastened securelyonallfourhooksofthesuspensionsothatthepersonintheslingdoesnotsliporfallout.

Whenmovingthepatient,theymustsitlow-down,if possible with their feet placed on the base, orsothattheircentreofgravityisaslowaspossible.Thiswillreducetheriskofinstabilityand/ortippingover.The lift should also be moved with the legsas wide spread as possible to achieve maximumstability.

Whenmovingthepatient,standtothesideofthepersonyouarelifting.Makesurethatarmsandlegsdo not obstruct the lift, seat, bed, etc. Keep eyecontactwiththepatienttohelpthemfeelsafe.

When moving the patient, take care to avoidcollisions with objects and furniture in the room.Avoid thick carpets, high door sills, unevensurfacesandanyotherobstacleswhichmaymeanthe wheels get jammed. If the lift is pushed overobstacles,itmaybecomeunstableandtipover.

The lift is designed to move patients overshortdistancesonly;itisnotareplacementforwheelchairsorsimilar.

Using the leg adjustment functionUseawidelegsettingwhennecessary,e.g.togetround(wheel)chairs,toilets,etc.

The leg adjustment mechanism has a safetyfunction to prevent the legs from hurting thepatientwhentheyarebeingliftedfromthefloor;themotorshutsdownintheeventofanyunusuallyfastchangetothelegsetting.Ifthishappens,presstheoppositebuttontore-startthelegadjustmentmotor.

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Emergency stop and emergency lowering

Contact a service partner if the cause of theshutdown/emergency lowering is unknown,orifafaultisdetected.Theliftmustbetakenout of operation and marked with “out oforder”untiltheissuehasbeenresolved.

Emergency stopThe emergency stop button can be found onthe battery holder on the right-hand side of thecolumn.Theemergencystopshutsoffthepower.Turnclockwisetoreset.

Electrical emergency lowering functionItispossibletoperformanemergencyloweringoftheliftingarmincaseofageneralmalfunctionofthe control electronics.The button can be foundon the battery holder. If you need to perform anemergency lowering,movethe liftertoasuitablelocationtolowerthepatient.

• Presstheemergencyloweringbuttononthebatteryholder;theliftingarmwillthensteadilymovedownwards.Theelectricalemergencyloweringfunctiondoesnotworkwhentheemergencystopisactivated.

• Iftheliftstilldoesnotwork,replacethebatteryandtesttheemergencyloweringfunctionagain.

• Ifitfailstowork,thepatientwillneedtobeloweredmanually,eitherusingthemanualemergencyloweringfunctionorbycallingforassistance.

Manual emergency lowering functionThelifthasamanualemergencyloweringfunctiononitsmotor,whichcanbeusedwhentheelectricalemergencyloweringfunctionisnotworking.

Pull the red handle up slightly. Exercise cautionas the lift will move more quickly the higher thehandleispulled.Releasingthehandletooquicklywillincreasetheriskofpersoninjuryanddamagetothelift.Emergency

stop

Electrical emergency lowering function

Manual emergency lowering function

Using slingsMoliftEasyslingisanall-roundslingthatfitsmostusers and lifting situations in the home care andinstitutional environment. A variety of slings areavailableforeachspecificsituation.Pleaseconsultthe operation manual supplied with each slingformoredetailed informationonhowtouseandmaintainthem.

WerecommendusingMoliftslingswithMoliftlifts.Slings made by other suppliers may vary in theirspecifications and centres of gravity, and couldleadtoinstabilityandpersoninjury.

Moliftslingsmustonlybeusedtoliftpeople.NEVERusetheslingstotransportotherobjects.

Torn, cut, frayed or broken slings can fail,resulting in serious injury to the user. Use slingsin good condition only. Destroy and discard old,unusableslings.

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Batteries and charging system

Charging and handling the batteryThebatterychargercanbeusedasatable-topunitorcanbefixedtothewall.Connecttoawallsocketwhenthebatteryneedscharging.

Insertthebatteryintothecharger.Thelightonthechargerwillcomeon.

Battery capacityThe LED on the hand control and on the batteryholder will illuminate when the battery powerfallsbelowacertainlevel,indicatingthatchargingis needed. A sound signal will also be heard. Ifthe battery goes flat in the middle of a liftingmanoeuvre, there will always be sufficient powertolowerthepatientdownagain.

Newbatterieswillnotworkatfullcapacityuntiltheyhavebeenfullychargedandrunemptyseveraltimes.

Electronics

The lift counts the number of lifting manoeuvresperformed.ThisinformationcanbereadusingtheMoliftServiceTool,whichwillindicatewhentheliftneeds a service, e.g. a new lift motor. Please alsorefertotheMaintenancechapter.

The electronics have an energy-saving functionthat shuts the system down after approx. tenminutesof inactivity.Allthelightswillgooff.Theelectronicswillbeactivatedbypressingoneoftheoperatingbuttons.

Iftheliftisinconstantuseforalongperiodoftime,thereisariskoftheelectronicsoverheatingandtheliftstopping.Allowthelifttocooldownsufficientlybeforeusingitagain.

Discarded lifters and batteries should behandled as electronic waste and collectedseperately according to local laws andregulations.

Molift Mover 180 must not be in constantuseformorethantwominutes(intotal)overthecourseofanyone18-minuteperiod.

Emergency stop

Electrical emergency lowering function

Service light

Battery light

Charger light

LED Mode 6 6

/ 6 <

/ Error!

Nobat

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Technical data

Bill of materials:1

Material. CommeDimension/Draw. no.

Description.Qty.Pos.

25-000 BOM.xls

Emptyweight,total:excl. battery and suspension: 32 kg / 70,5 lbs

Chassis: 16 kg / 35 lbs Lift column: 16 kg / 35 lbs Battery: 0,85 kg / 1,9lbs Suspension: 0,9 kg / 2 lbsMaterial:

Aluminium, steel and plastic compositeMotors: Lift motor: 12 VDC Leg adjustment motor: 12 VDCBattery: 14.4 V NiMH 2.2 Ah, 20 A fuse (ATO Fuse)Batterycharger: Mascot 2215, 10-22 cells NiCd/NiMH Casing: IP24 Numberofliftswithfullychargedbattery: 50 (75 kg, 50 cm / 165 lbs, 19,7

inches up/down)

SafeWorkingLoad(SWL):180 kg / 400lbs

Liftingrange: 1360 mm / 53,5 inches2 point suspension min/max lifting range: 370-1730mm / 14,5-68 inches4 point suspension min/max lifting range: 270-1630mm / 10,6-64,2 inchesLiftingspeed:

46 mm/sec / 1,06 inches/sec (With 75kg / 165 lbs)

Soundlevel,maxA-weightedsoundpowerlevel:LWA = 49.4 dB

Keyforce: Buttons on handset: 3.4 NLegheight: Max. 115 mm / 4,52 inchesTurningcircle:

1350 mm / 53,15 inchesDimensions: 1250 x 695 x 1270 mm / 49,2 x 27,36 x 50 inches (LxWxH)

All dimensions in the illustration are shown inmillimetres.

The lifthasa10-yearservice life,or30,000lifts under maximum load (SWL), if allrecommendedservicingiscarriedout.

Bill of materials:1

Material. CommeDimension/Draw. no.

Description.Qty.Pos.

25-000 BOM.xls

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LabellingThe identification label can be found on the col-umn.

The periodic control label label can be found onthecolumn.

Manufacturer

Refer to instruction manual

SWL, max. load

For indoor use

Model name

Article number and production year/week

Serial number/bar code

Nominal battery voltage

Type BF Use

Waste sorting

Periodic inspection every 12 months

Inspect the lift us-ing the checklist on page 18

Designated area for date and sig-nature for periodic inspection

Refer to instruction manual

Accessories

Lifting slingsMoliftsuppliesawideselectionofslings,andsiz-esforspecificliftingsituations.Theslingsareavail-able insizesXXS -XXL.Disposableslingsarealsoavailable.

Molift stretcherTheMoliftStretcher isespeciallydesignedfor lat-eraltransferofclientswthsuspectedspinalinjuriesandfractures. It isapprovedandcompatiblawithX-ray,CT-scanandMRIscanner.ItattacheseasilytotheMolift4-pointsuspension.

Itemno:2150103 MoloftStretcherStandard excl.liftingloopsand safetybeltsItemno:2150108 MoliftStretcherwithMRI -compatabilityexcl.lofting loopsandsafetybeltsItemno:215037 Setofliftingloops(4pcs)Itemno:2150356 Setofstrapswithautostrap collectors(4pcs)Itemno:2150355 Setofsafetybelts(3pcs)

180

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Optional equipment

Alternative suspension with quick release

Aluminium suspension

• 2-point,aluminium,large,540mm, Art.no.:1830001

• 2-point,aluminium,medium,440mm, Art.no.:1830002

• 2-point,aluminium,small,340mm, Art.no.:1830003

• 4-point,aluminium,440mm, Art.no.:1830011

• 4-point,aluminium,540mm, Art.no.:1830010

Wheel with directional lock- Art.no.1320140Thewheelmustbeinstalledbycertifiedstaff,whoshouldfollowtherearwheelchangeinstructionsinthetechnicalmanual.

Wheels with a directional lock have nobrakes fitted; we therefore recommendchanging only one of the rear wheels.Push down the red lever to lock the direction.Torelease,pulltheleverup.

Weight scaleThis scale is approved Class III.The scale can alsocalculate BMI (Body Mass Index) with a simpletouch.Art.no.:1840000

Readthemanualthatcomeswiththeweightscalepriortouse.

The weight scale has a quick release and othersuspension options, and can be replaced quicklybyfollowingtheinstructionsonpage5.

Integrated charger• Art.no.1340005Thischargerisattachedtotheliftasapermanentfixture.Park the liftandconnect toa regularwallsocket.Thebatteryischargedinthebatteryholder.

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Troubleshooting

If the lift is not working properly following assembly (page 4) and the pre-use checklist (page 3), thefollowingtroubleshootingtablemayhelpyoutopinpointthefault:

Symptom Possible cause/solution

The lift column is unstable. Check the lift column’s holder and both allen screws as described in the assembly instructions on page 4.

The lift does not roll straight on level flooring.

Clean the wheels

Contact your local service representative.

The lift only goes up or down/the legs only go in or out.

Try a different hand control if you have one; you may need to replace the faulty hand control.

Dismantle column to check contact point between chassis and column

Contact your local service representative.

The lift runs by itself/the leg adjust-ment works by itself .

Clean the hand control contact with spirit to remove any grease.

Replace the hand control/contact your local service representative.

Contact your local service representative.

The lifting arm does not move. Make sure that the emergency stop is not activated (turn clockwise to reset the emergency stop

Conduct an inspection/change to a different battery or charge the bat-tery

The lift’s electronics have overheated; allow the lift to cool down.

Make sure that the load weighs no more than 180 kg.

Make sure that the hand control contact has not come loose.

Try a different hand control if you have one; you may need to replace the faulty hand control.

Contact your local service representative; you may need to use the manual emergency lowering function to lower the patient.

The battery does not charge. There may be a fault with the battery; try a different battery or replace the battery.

There may be a fault with the battery charger; try a different charger/contact your local service representative.

Ifthetroubleshootingdoesnothelptoresolveyourcurrentproblem,pleasecontacttherelevantservicepersonnel;yourlocalrepresentativeorEtacASmayalsobeabletoreferyoutosomeonetohelpyouwiththeproblem.

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Maintenance

Maintaining the lift involves pre-use checklist,cleaning,inspectionsandservicing.Inspecttheliftusingthepre-usechecklistbeforeusingthelifttolocateanyfaultsorproblems.Youshouldalsocarryoutroutineinspectionsofthelift,namelyamonth-lyinspectionandaperiodic/yearlyinspection.

Cleaning Use pH-neutral cleaning agents. Ifdisinfection is required, use isopropylalcohol. Do not use abrasive or corrosivesubstancesforcleaning.

• Cleaningshallbedoneonaregularbasis.Cleantheoutsideoftheliftusingaslightlydampclothandasuitablecleaningagent.

• Removeanyhairandflufffromthewheelsandmakesurethewheelsmovefreely.

• Youmayneedtocarefullycleanthehandcontrolcontactandcordwithspirittoremoveanygrease.

Monthly inspectionTheliftmustbesetupforuseduringthe

inspection.• Inspecttheliftusingthepre-usechecklistof

thingstodobeforeusingthelift(page3).• Cleanthelift.• Makesurethatthehandcontrolcontactsand

chargeraresecurelyinplaceandthatthecablesonthehandcontrolandchargerareintact.

• Runtheliftupanddowntomakesurethatitisworkingcorrectlyandnotmakingunusualnoises.

• Intheeventofanyfaultsorproblems,taketheliftoutofoperation,markitwith“outoforder”.Contactservicepersonnel.

Periodic inspectionMolift recommends a periodic inspection of theliftonceayear.Currentguidelinesinthisareamayneedtobetakenintoconsideration.Thisperiodicinspection is carried out using the checklist onpage15.

Theinspectionshouldbeconductedbyauthorisedpersonnel. The owner is responsible for making

sure that the checklist is completed and signedeachtimetheliftisinspected.

ServicingA service light indicates when the lift needsservicing. The light illuminates green to indicatethattheliftcanbeusedasnormal.

The electronics record the loads lifted and howmuchthelifthasbeenused.Afteracertainperiodofoperationasignalisgiventoindicatethatserviceis required. The service light has the followingsignals:

Service light StatusNot illuminated Power-save modeGreen Ready for useYellow Book service, lift still

functionalRed Service requiredRed + sound signal Service urgently re-

quired

Service involves replacing the lift motor andinspection/replacementofwornparts.Thismustbecarriedoutbyauthorisedpersonnelasdescribedinthetechnicalmanualinstructions.

Authorised service personnel can use the MoliftService Tool to take readings of the lift’s dataandto logservicingwork.Theownerofthe lift isresponsibleforloggingservicingworkandrepairs.

Battery light

Service light

Electrical emergency lowering function

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Periodic inspection - Checklist

Locationanddate:......................................................................................................................................................................

Liftmodelandserialnumber:.................................................................................................................................................

Client:...............................................................................................................................................................................................

Nameandcertificationnumberofinspector:...................................................................................................................

TickifOK.ifanyoftheitemsarenotOK,taketheliftoutofoperationandsenditforrepair.

Theentirelifthasbeencheckedfordamage,cracksanddeformation,andisconsideredtobeingoodworkingorder.

Thelifthasbeenassembledcorrectlyandnopartsaremissing.

Theaccessorieshavebeenchecked.(Thereisaseparatelistforslings.Thebatterychargerisanac-cessory.)

Listofinspectedaccessories:...........................................................................................................................................

Theemergencystopfunctionandhandcontrolhavebeencheckedandareworking.

Theliftrollsacrossthefloor(preferablycheckedwithaload)anditsmovementissmoothandsteady.

Thelegadjustmentmechanismhasbeenextendedfullyandthenretractedfully(preferablycheckedwithaload);itsmovementissmoothandmakesnonoise(stopsinthecorrectposition).

Thelifthasbeenmovedtothetopandtothebottom(preferablycheckedwithaload);itsmove-mentissmoothandmakesnonoise.

Serviceisnotrequirediftheservicelightisgreenandtheliftisunder5yearsold.Iftheliftneedsservicingorrepairs,itshouldbetakenoutofoperation.

Theliftpassedthesafetyinspection.IthasbeenstampedwiththeMoliftsafetyinspectionmark,whichissignedanddated.

Hasacompletedandsignedchecklistbeenforwardedtotheclient,andacopysenttoyourMoliftrepresentative?

Notes:

Signature:.......................................................................................................................................................................................

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