1
Specification of the Seating System supplied.
Specified
•
below are the details of the equipment supplied.
On
•
the list each item ticked is a part of your Seating System and opposite each item is
the reference of the relevant section in this user documentation for that item.
Seating System Reference No.
Date Issued: / /
Weight of Seating System
Kg
User Manual Reference
Item
Tick if
supplied
No. of Items Supplied
Page
Section
3D Cushion
Pommel
Kneeblocks
3D Backrest
Lateral Supports
Sacral Pad
Adj - Headrest
Adj - Footrest
Seating System Type
Specify any other features;
Maximum Client Weight Limit for
Seating System
Kg
It is recommended that this
equipment is only suitable for use;
Indoor
Indoor &
Outdoor
Details of wheelchair(s) approved for use with the Seating System.
Model of Wheelchair
Wheelchair Manufacturers
Reference Number
Tested at (Specify Angle)
1 piece unit
2 piece unit