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.
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| Date chair purchased |
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| Address |
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| Model |
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| Colour |
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| Postcode |
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| Serial No. |
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| YEAR |
| 1 | 2 | 3 |
| 4 | YEAR |
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| 2 | 3 | 4 |
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| Service dates |
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| Service dates |
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| Controller |
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| Upholstery |
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| On/off switch |
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| Seat |
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| Output plug |
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| Back |
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| Operation |
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| Armrests |
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| Dynamic braking |
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| Electrics |
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| Programmable |
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| Condition |
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| settings |
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| of loom |
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| Batteries |
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| Connections |
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| Levels |
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| Lights (where |
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| fitted) |
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| Connections |
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| Discharge test |
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| Test run |
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| Wheels/tyres |
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| Forwards |
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| Wear |
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| Reverse |
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| Pressure |
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| Emergency |
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| stop |
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| Bearings |
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| Wheel nuts |
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| Left turn |
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| Motors |
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| Right turn |
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| Wiring |
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| Up/down slope |
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| Noise |
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| Over obstacle |
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| Connections |
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| Parking brake |
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| (where fitted) |
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| Brake |
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| Brushes |
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| List items repaired/adjusted |
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| Chassis |
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| Condition |
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| Steering |
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| Dealer stamp |
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| Dealer stamp |
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| Date: | Signed: |
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| Date: | Signed: |
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| Dealer stamp |
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| Dealer stamp |
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Date: Signed:
Date: Signed: