After successful set up, complete this form fully, sign it, make a copy and send the
original to the manufacturer within a week. The copy remains in the inspection
book.
Otto Nußbaum GmbH & Co. KG
Korker Straße 24
D-77694 Kehl-Bodersweier
The lift
with serial number.....................................
at (company name)...................................................
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 lift 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 lift set up, has read all information in this operating manual and
inspection book, and has transferred the documents to the operating company.
Anchor used (*):_____________________________(type/brand)
Minimum anchoring depth(*) complied with: _____________mm
Tightening torque (*) complied with: _________________NM
.........................................
Date
signature
.........................................
Date
Service partner:................................................................................................(stamp)
(*) see enclosed anchor manufacturer sheet
Opera ting Ma nua l a nd Inspection Book
Assembly protocol
was set up on ...........................................
..................................................
Name, operating company & company stamp
.................................................
Name, specialist
Lift version 01/2010
- 6 -
POWER LIFT HL 2.60 SST DG
in........................................................
ok
ok
.....................................
Operating company
.....................................
Signature of specialist