Title Page
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Site conducted
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Conducted on
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Conducted by:
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VRM
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Fleet Number
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ODO Reading
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Lift Make
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Lift Model
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Lift Serial Number
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SWL
Six Month LOLER Inspection
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1, Remove beam or ram cover (refit)
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2, Check ram(s) - Leaks & operation
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3, Check power pack - Leads and operation
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4, Check all hydraulic valves
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5, Check Pipes and Hoses - Leaks and condition
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6, Check banjo and couplings - Leaks
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7, Check safety catch - wear and condition
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8, Check safety gates
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9, Check runner bearings
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10, Check pivot pins & shaft - Alignment and wear
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11, Check guide rollers (tuck away)
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12, Check platform alignment with floor
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13, Check stow lock device - wear and condition
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14, Check L.S.D of C.F.D - Operation
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15, Check stow gaurd - Security and clearance
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16, Check platform rubber buffer - wear/security
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17, Check platform anti-tilt device - Operation
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18, Check loading ramp - wear
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19, Check platform wear and condition
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20, Check all welds - Cracks and condition
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21, Check int/ext control box - condition and security
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22, Check isolator and limit switches - condition
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23, Check wander lead - Operation and condition
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24, Check wiring and main cables - Security and condition
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25, Check power pack mounting - Security
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26, Check inline fuse/holder - Condition
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27, Check operation sticker - Fitted, visible and clear.
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28, Check marker light/flag - Operation and condition
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29, Check circuit boards - Security/operation
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30, Other
LOLER Declaration
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This equipment is now of a satisfactory standard and is fully functional for service
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This equipment has not been fully repaired and the following action must be taken
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Apply an immediate repair to allow a safe operation of unit
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Remove the unit from service until repair has been effected
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Continue to use equipment. Repair at next service plan
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Pass or Fail LOLER check?
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I certify that the passenger lift was thoroughly examined on the above date and that subject to any remedial action noted is safe to operate. Engineers signature
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Date of examination
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Date of next examination
Weight Test Certificate
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Safe Working Load (KG)
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Downward creep in 10 minutes (MM)
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Operation time in SWL UP (seconds)
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Operation tome in SWL DOWN (seconds)
Declaration
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I Certify on this date the above equipment was tested.
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Date
