Information
Asset Information
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Asset Location
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Asset No:
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Conducted on
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Prepared By:
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Client / Site
Asset Information
Asset Information
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Make
- Came
- FAAC
- BPT/Fadini
- NICE
- BFT
- Avon
- Broughton
- APC
- Other
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Model
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Control PCB
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Photos
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Barrier Setup
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Arm Length (in M)
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Road Width (in M)
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Tip Rest Type?
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Keys Switch Override
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Maintenance Label Installed?
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Is CE label installed
General
General Condition
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Condition?
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Operation?
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Fixing?
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Smoothness of Operation?
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Cables connection and loops condition?
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KeySwitch Operation
Entry Devices
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Access Control
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Audio Entry
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Remote Fixed Button
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Remote RX Fobs
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Entry Loop
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Size of loop
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Entry Type Other
Other Entry Type
Exit Devices
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Access Control
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Audio Entry
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Remote Fixed Button
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Remote RX Fobs
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Exit Loop
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Size of loop
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Exit Type Other
Other Entry Type
Power
Mains Power & Fire
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LocalPower Isolation?
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Power isolation outside barrier?
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Is battery support installed?
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Fire alarm relays installed
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It is not clear to us whether a fire interface has been installed for this barrier, therefore if barrier requires fire alarm interface Client is advised to check this with their appointed fire advisor, and check during regular fire alarm test as to whether this barrier does respond in a suitable way. Fire alarm interfacing and programming can be retrospectively carried out. Further information available on request.
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Has it been tested
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CLIENT IS ADVISED TO CHECK BARRIER FUNCTION DURING WEEKLY
FIRE ALARM TEST OR AT EARLIEST OPPORTUNITY.
Safety Devices
Safety Device Fitted?
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Vehicle Photo Cells
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Dual Height Vehicle Photo Cells
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Vehicle Safety loop
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Stop Signage
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Vehicle Safety Signage
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Arm Illumination
Pedestrian Safety Fitted?
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Pedestrian Photo Cells
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Bumper Strip
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InMotion Sounder Alert
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InMotion Light Alert
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Pedestrian Safety Signage
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Adequate illumination
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Pedestrian Separation
Other Safety Devices
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Safety Railing(s) installed?
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Other safety Items not listed
Hazards
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Have any Hazards been identified?
Hazard
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Hazard Type
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Risk Level
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Action by:
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Description
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Add media
Recommendations
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Additional Recommendations
Recommendation
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Action by:
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Risk Level
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Recommendation(s)
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Add media
Summary PMI Outcome
Audit/Assessment Findings
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Based on the above assessment we consider this system to have:
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Congratulations your system has PASSED its visual Safety Audit/Assessment. and subject to suitable preventative maintenance and Impact testing is considered at his time to be safe to operate.
Please ensure though you carry our regular visual checks and ensure any actions needed are reported immediately to us. -
Your system is considered to have PASSED with ADVISORIES its visual Safety Audit/Assessment, however we have identified minor recommendations or remedial works required, but that do not significantly impact on the safe use of the barrier. Additional remedial works will be provided to you in a separate report along with associated costs for your action as soon as possible
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Your system is considered to have FAILED it's visual Safety Audit/Assessment on at least one serious items that we consider has a significant impact on the safe use of the system and in our opinion is may not comply with current HSE guidelines and British and European Standards. Remedial Action identified and risk levels will be provided along with associated costs for you to authorise.
In the meantime you may wish to consider placing the system "out of action"until these remedial works are completed! -
Your system has been CONDEMNED which indicates that we have noted significant failures in either the structure which could lead to injury, lack of adequate safety devices or failures in system operation that render the system unsafe and potentially dangerous for use..
We strongly advise the system be placed "out of action" until such time as immediate remedial or replacement works can be carried out.
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Engineer signature
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Client signature (where applicable)
