Set Up Protocol - Nussbaum ATT COMBI LIFT CL 4.40 S Manuel D'exploitation

13

Set up protocol

i After successful set up, complete this form fully, sign it, make a copy and send to the manufacturer
within a week.
Otto Nußbaum GmbH & Co.KG
Korker Straße 24
D-77694 Kehl-Bodersweier
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 system 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 system set up, has read all information in this operating manual and
inspection book, and has transferred the documents to the operating company.
After successful inspection of function and safety by a trained assembler, the lift is transferred without
electrical connection (e.g. plug) to on-site power supply
An on-site electrical connection between the lift and the power supply is to be done by a qualified
electrician (see details in the electrical plan).
Only fill out if the system has a fixed anchor.
Anchor used *) __________________________________
Minimum anchor depth *) complied with:
Tightening torque *) complied with:
*) see anchor manufacturer enclosed instructions
____________________ ________________________________________ ____________________
Date
____________________ ________________________________________ ____________________
Date
Service partner: ______________________________________________________________________
20110006 OPI 25.09.2015
Type/ brand
____________ Nm
Name, operating company & company stamp
Name, specialist
COMBI LIFT 4.40 S-S A-S PLUS-S PLUS AMS - HYMAX II 4000 S-S A-S PLUS-S PLUS AMS
___________ mm
Operating company signature
Signature of specialist
Stamp
75