ASGuk Form ACPMI-PD-v2a

• Client / Site

• Conducted on

  Date

• Asset/Door No.

• Engineer(s)

  Select Oliver Wood Neil Lumber Grant Rodway Terry Bowers Andrew Eales Pete Blagden Jonny Roberts Simon Roberts Daniel Green

  • Oliver Wood
  • Neil Lumber
  • Grant Rodway
  • Terry Bowers
  • Andrew Eales
  • Pete Blagden
  • Jonny Roberts
  • Simon Roberts
  • Daniel Green

• Door Location

• Pics

  Media

• Equipment General Condition

  Good

  Ok

  Poor

  N/A

  FAR

• Readers/Keypads

  Good

  Ok

  Poor

  N/A

  FAR

• Cabling/Connection Condition

  Good

  Ok

  Poor

  N/A

  FAR

• Batteries

  Good

  Ok

  Poor

  N/A

  FAR

• PSU's

  Good

  Ok

  Poor

  N/A

  FAR

• Lock System(s)

  Good

  Ok

  Poor

  N/A

  FAR

• Exit Device(s)

  Good

  Ok

  Poor

  N/A

  FAR

• Emergency Device(s)

  Good

  Ok

  Poor

  N/A

  FAR

• Door Contact(s)

  Good

  Ok

  Poor

  N/A

  FAR

• Door Monitoring

  Good

  Ok

  Poor

  N/A

  FAR

• Keyswitches

  Good

  Ok

  Poor

  N/A

  FAR

• Fire Alarm Interface

  Good

  Ok

  Poor

  N/A

  FAR

• Network Interface

  Good

  Ok

  Poor

  N/A

  FAR

• Other Devices

  Yes

  No

  Unknown

• Other Device(s)

Device

• Condition

  Good

  Ok

  Poor

  N/A

  FAR

• Labels Installed?

  Yes

  No

  N/A

• Equipment Cleaned

  Yes

  No

  N/A

  Other

• Spurs Labelled

  Yes

  No

  N/A

  Unknown

• Further Actions Required?

  Yes

  No

  Unknown

• Identified FAR's

FAR

• Risk Level

  High Risk

  Low Risk

  No Risk

• Action Level

  Select Urgent Action Required Client Action Required ASG Action Required Advisory Only

  • Urgent Action Required
  • Client Action Required
  • ASG Action Required
  • Advisory Only

• Description

• Add media

  Media

• Any Further Recommendations?

  Yes

  No

  Unknown

• Additional Recommendation

Recommendation

• Additional Recommendations

• Add media

  Media

PMI Outcome

• Based on the above assessment we consider this system to have:

  PASSED

  PASSED W/Advice

  FAILED

  CONDEMNED

• Congratulations your system has PASSED its basic visual PMI checks, and 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 the basics visual checks, however we have identified additional further actions that are required. Additional remedial works will be provided to you in a separate report along with associated costs.
  
  

• Your system is considered to have FAILED it's visual PMI checks on a number of serious items. The remedial actions will be provided to you in a separate report along with associated costs.
  
  In the meantime you may wish to consider placing the system or devices "out of action"until these remedial works are completed!

• Your system has been CONDEMNED which indicates that we have found significant failures and consider a danger for continued use.
  
  We strongly advise the system or condemned component be placed "out of action" until such time as remedial or replacement works can be carried out.

• Engineer signature

  Sign