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Service history – Sunrise Medical F45 User Manual

Page 58

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YEAR

1

2

3

4

Service dates
Upholstery
Seat
Back
Armrests
Electrics
Condition
of loom
Connections
Lights (where
fitted)
Test run
Forwards
Reverse
Emergency
stop
Left turn
Right turn
Up/down slope
Over obstacle
Parking brake
(where fitted)
List items repaired/adjusted

Customer Name

Address

Postcode

Service history

Date chair purchased

Model

Colour

Serial No.

This section is designed to assist you in keeping a record of any service and repairs to your Wheelchair.
Should you decide to sell or exchange your vehicle in the future, this will prove most helpful to you. Your
Service Agent will also benefit from a documented record and this manual should accompany the
Wheelchair when service or repair work is carried out. The Service Agent will complete this section and
return the manual to you.

Dealer stamp

Date:

Signed

:

YEAR

1

2

3

4

Service dates
Controller
On/off switch
Output plug
Operation
Dynamic braking
Programmable
settings
Batteries
Levels
Connections
Discharge test
Wheels/tyres
Wear
Pressure
Bearings
Wheel nuts
Motors
Wiring
Noise
Connections
Brake
Brushes
Chassis
Condition
Steering

Dealer stamp

Date:

Signed

:

Dealer stamp

Date:

Signed

:

Dealer stamp

Date:

Signed

: