Inspection guide: U-Stair with continuous inclination

Inspection guide:

U - Staircase with continuous inclination

Inspection date:

Date

Choose company doing the inspection *

Name of inspection person:

E-mail inspection person *

example@example.com

Name user / customer

Address

Phone number

E-Mail

example@example.com

Have you already received any financial support?

Where did you hear about AssiStep?

Please specify other/magazin/tv:

Who made the order (or will)

Order number NAV HMS

Is the contact information to the therapist relevant?

Yes No

Name therapist

Phone number therapist

What material is the wall made of? (you can choose multiple materials)

Concrete Wooden panel Plaster/Gips Chipboard Brick Other

What is the difference in depth between different wall surfaces (cm)? (If there are)

cm

On which side of the stairs, viewed from below, should AssiStep be installed?

Right Left

Type of backboard?

White Untreated

Bag hook?

Yes No

Extended warranty?

Yes No

What is the height from the floor/ground and up to the users elbow (cm)?

cm

Overview of staircase and measurements:

Start with measurements for the top and bottom area

! Note that decimal is given with a point (.) and not with comma (,) !

Position 1:

Top Bottom

1.1: Distance to obstacle or end of the wall (cm)

1.2: Maximum rail extension from last step (cm)

1.3: Width (cm)

Position 2:

Top Bottom

2.1: Distance to obstacle or end of the wall (cm)

2.2: Maximum rail extension from last step (cm)

2.3: Width (cm)

Add the cm measurements for the staircase:

Length measurements should be taken along the staircase, in the same angle as the staircase. Note that decimal is given with a point (.) and not with comma (,) !

1: Length along staircase, from 1. step, at the stair nosing, to corner (cm)

2: Length along staircase, from corner to corner (cm)

3: Length along staircase, from corner to last step, at the stair nosing (cm)

4: Width in center of staircase (cm)

5: Measure the height of one step in the middle of the staircase (cm)

Add the angles in the staircase:

When you measure the angle (in degrees) in the staircase, put the digital leveling tool on the edge of each step. In the corners you determine the degree by measuring along where the railing for the AssiStep would be. Note that decimal is given with a point (.) and not with comma (,) !

1: Angle between the 2. and 3. step towards position 1 (degrees)

2: Angle between the steps before the corner (degrees)

3: Angle between the steps in the corner (degrees)

4: Angle between the steps after the corner (degrees)

5: Angle between the steps in the center of the staircase (degrees)

6: Angle between the steps before the corner (degrees)

7: Angle between the steps in the corner (degrees)

8: Angle between the steps after the corner (degrees)

9: Angle between the 2. and 3. step towards position 2 (degrees)

Describe the solution for the staircase

Describe in detail what solution has been agreed with the customer regarding extension at the top of the stairs, extension at the bottom of the stairs, solution if obstacles in the staircase and other relevant information required to compile the correct item list:

Draw the solution for this staircase and add a picture of the drawing here:

Are there other information that is relevant for the order, delivery, installation etc, add the necessary description here:

Take the following pictures of the stair:

1. Overview picture(s) showing the whole stair, ex:

2. Pictures showing potential obstructions and where the wall ends, for the top and bottom area of the staircase, ex:

3. Detail pictures showing obstructions and potentially difficult sections in the staircase, ex:

! If the internet connection is slow or the total file size is more than 40 MB (or each picture is more than 4 MB), do not upload the pictures here. Just send the form and attach the pictures to the email you will receive (before sending it to receive a price offer). When uploading the pictures here you will see the file size for each picture.

Only file type: pdf, jpg, jpeg, png

Is the inspection form finished and does not need to be checked? Tick of where you would like it to be sent (you will for both options also receive the form) *

ordre@assistep.no Only to inspection person

Send: The form and photos is sent to the e-mail {emailTo}