Title Page
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Job Number
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Site
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Conducted on
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Prepared by
Doors
- Access Control - Door
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Description
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Door Condition
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Lock Type
- Mortise
- V Lock
- Electronic Strike
- Mag Lock
- Auto-door
- Elevator
- Auto Gate
- Barrier Arm
- Other
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Hardware Installed
- Reader In
- Reader Out
- Request Exit
- Emergency Door Release
- Free Handle Exit
- Safety Beams
- Emergency Stop Button
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Checks Completed
- Door Hangs Level and Centre, Door Closes Firmly
- Door Closer Operates Correctly
- Mechanical Locks and Hardware Mounted Securely
- Readers and Exit Devices Mounted Securely
- Door Closes and Locks
- Exit Device
- Emergency Door Release
- Fire Drop
- Valid Card
- Invalid Card
- Safety Beams
- E-Stop
- Internal Battery
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Failed Items
- Door Hangs Level and Centre, Door Closes Firmly
- Door Closer Operates Correctly
- Mechanical Locks and Hardware Mounted Securely
- Readers and Exit Devices Mounted Securely
- Door Closes and Locks
- Exit Device
- Emergency Door Release
- Fire Drop
- Valid Card
- Invalid Card
- Safety Beams
- E-Stop
- Internal Battery
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Result
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Comments
Power Supplies
- Access Control - Extra Low Voltage Power Supply
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Description
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Condition
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Rated Voltage
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Battery Date
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Checks Completed
- Wiring Complies With Current Electrical Regulations
- Terminations Secure
- Charge Voltage 13.3 - 14.3 V
- Load Current
- Battery Load Test
- Battery Date
- Hardware Mounting
- Mains Fail
- Low Battery
- Fire Drop
- Other
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Failed Items
- Wiring Complies With Current Electrical Regulations
- Terminations Secure
- Charge Voltage 13.3 - 14.3 V
- Load Current
- Battery Load Test
- Battery Date
- Hardware Mounting
- Mains Fail
- Low Battery
- Fire Drop
- Other
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Result
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Comments
Controllers
- Access Control - Controller
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Description
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Make / Model
- Gallagher C6000
- Gallagher 8H
- Gallagher 4H
- Tecom Challanger 8
- Tecom TS1016 Challanger 10
- Tecom TS0867 4 Door Controller
- Integrity
- Concept 3000/4000
- Concept 4 Door Access Manager
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Condition
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Checks Completed
- Supply Voltage >12.5V
- Hardware Mounting
- Cable Terminations
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Failed Items
- Supply Voltage >12.5V
- Hardware Mounting
- Cable Terminations
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Result
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Comments
Summary
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Doors
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Controllers
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Power Supplies
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Comments
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Technician
