Set Up Protocol - Nussbaum POWER LIFT HL 2.50 NT Instrucciones De Servicio

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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 ap-
ply).
The operating company confirms proper system set up, has read and will comply with all informa-
tion contained in this operating manual and inspection book, and will keep this document acces-
sible 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.
Only fill out if the system has a fixed anchor.
Anchor used *) ______________________________
Minimum anchoring depth *)Complied: __________ mm
Tightening torque *) Complied: __________ Nm
*) see anchor manufacturer enclosed instructions
____________________ ________________________________________ ______________________________
Date
____________________ ________________________________________ ______________________________
Date
Service partner: ______________________________________________________________________
84
Type/ brand
Name, Operating company & company stamp
Name, specialist
Version 1.0
Operating company signature
Signature of specialist
Stamp
20110002 POWER LIFT HL 2.50 NT - HYMAX HL 5000 PH OPI