Name
*
Please Select
Jordan Christopher
Kevin Jordan
Harald Wieser
RSO #
*
BOL # Received on
*
Protocol Type
*
Acceptance
Test & Maintenance
Hydraulic System
*
SCP B
SCP V1200
Super Climber
Serial #
*
Date
*
-
Month
-
Day
Year
Date
Date of Next Inspection
*
-
Month
-
Day
Year
Date
Back
Next
Completeness
*
Please Select
Pass
Fail
Completeness Notes/Repairs
Pollution
*
Please Select
Pass
Fail
Pollution Notes/Repairs
Visual Inspection (Cracks, Damages, water ingress)
*
Please Select
Pass
Fail
Pollution Notes/Repairs
Labeling of all components, type plate
*
Please Select
Pass
Fail
Labeling Notes/Repairs
Incorrect Modifications / changes
*
Please Select
Pass
Fail
Incorrect Modifications Notes/Repairs
Signs of overload or improper Use
*
Please Select
Yes
No
Improper use Notes/Repairs
Electrical system, Signal devices, Switches, Lanps, Connection cable, Plug-in device, Emergency Stop
*
Please Select
Pass
Fail
Electrical Systems Notes/Repairs
Connection Cable and plugs (Damages / Wire shorts)
*
Please Select
Pass
Fail
Connection Cable/Plug Notes/Repairs
Function Lift / Lower Test
*
Please Select
Pass
Fail
Lift / Lower Pressure (Bar)
*
Idle Pressure (Bar)
*
Remote Control Function (All Buttons, Emergency Stop, Light Bulb, No shortages in cable or plug)
*
Please Select
Pass
Fail
Remote Control Notes/Repairs
Leakages (not allowed)
*
Please Select
Pass
Fail
Leakages Notes/Repairs
General Inspection
*
Please Select
Pass
Fail
General Inspection Notes/Repairs
Electric Test & Maintenance Protocol (Must be filled out separately)
*
Please Select
Pass
Fail
Rust
*
Please Select
Pass
Fail
Rust Notes/Repairs
Oil Filter Replacement / Oil Filtration (Once per year)
*
Please Select
Filters Replaced
Filters + Filtration
None
Oil Filter/Filtration Notes/Repairs
Oil change (Every 4 years) and tank cleaning
*
Please Select
N/A
New Oil + Cleaned
Used Oil + Cleaned
Oil Change Notes/Repairs
Vent the pumps (must complete)
*
Please Select
Complete
Vent the pumps Notes/Repairs
Check the screws (tightness, damages, stripped)
*
Please Select
Pass
Fail
Check the screws Notes/Repairs
Hydraulic hoses and pipes (tightness, damages, leaks)
*
Please Select
Pass
Fail
Hydraulic hoses and pipes Notes/Repairs
Protocol accessories
*
Please Select
Pass
Fail
Protocol Accessories (if necessary) Notes/Repairs
Check Valve (V1200 Only)
*
Please Select
Pass
Fail
Check Valve Notes/Repairs
H&M Info Repairs
Control system Pressure (200bar Max.)
*
Labeling of all components, type plate
*
Please Select
Pass
Fail
Labeling Notes/Repairs
Place inspection sticker and add operating instructions / circuit diagram (Must Complete)
*
Please Select
Complete
Create Delivery Condition (Must Complete)
*
Please Select
Complete
Changes / Repairs During Reconditioning Service
Notes: Acceptance Service
Notes: Others
Branch Performing Service
*
Please Select
598-Distribution Center Chicago
Signature
*
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