Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Barrier Information
AVB Barrier
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Enter Barrier Serial Number
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Enter Nasatka Barrier Model number
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Enter paint scheme or stripping
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- SOLID RED
- SOLID WHITE
- SOLID BLACK
- SOLID YELLOW
- CUSTOM COLOR
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Unsure/Open/Down Barrier plate is no more than 5/8 inches from road surface (barrier plate should flat or almost flat when down)
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For NMSB VIII ensure that all anchor bolts have been installed
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Select Barrier Power Unit
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Record Battery Date mm/yy
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Enter Main power feed (120/208/480/other)
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Ensure Hydraulic Fluid is installed in unit.
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Ensure all hoses are installed and connected.
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Ensure No leaks
1. Sequence of Operations - Normal Mode
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1.1. SECURED/CLOSED/UP position initiated via the push button on Master Panel?
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1.2. UNSECURED/OPEN/DOWN Position initiated via push button on Master Panel?
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1.3. Barrier goes to the SECURED/CLOSED/UP position in standard operating time?
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1.4. Barrier goes to the UNSECURED/OPEN/DOWN position in standard operating time?<br>
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1.5. SECURED/CLOSED/UP position initiated via the push button on Remote panel(s)?
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1.6.UNSECURED/OPEN/DOWN position initiated via the push button on Remote panel(s)?
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1.7.Verified Indicating lights for status of barrier position on master panel? (Red is for UP/SECURE and Green is for Down/NONSECURED)<br>
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1.8. Verified Indicating lights for status of barrier position on remote panel? (Red is for UP/SECURE and Green is for Down/NONSECURED)
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1.9. Verified all ILLUMINATED SWITCHES or LIGHTS are functional on both Master control panel(s) and Remote panel(s), If applicable. (Master Control Power and Remote Control Power)
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1.10. Verified AUDIBLE HORN/STROBE ALRAM to indicate barrier MOVING from the SECURED/UP position to UNSECURED/DOWN position and from the <br>UNSECURED/DOWN position to the SECURED/UP position.
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1.11. Verified all TRAFFIC LIGHTS - RED ON SECURED/CLOSED/UP Position are functional.
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1.12. Verified all TRAFFIC LIGHTS - AMBER ON UNSECURED/OPEN/DOWN Position are functional.
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1.13. Verified all TRAFFIC ARMS - ARM in the DOWN POSITION when Barrier is in the SECURED/CLOSED/UP Position are functional.
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1.14. Verified all TRAFFIC ARMS - ARM in the UP POSITION when Barrier is in the UNSECURED/OPEN/DOWN Position are functional.
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1.15. Verify On-Barrier LED Lights are functional.
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Comments
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Enter any corrective actions that WILL NEED to be undertaken.
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Perform a Visual Inspection of Barrier for any damages.
2. Sequence of Operations - EMERGENCY EFO OPERATION MODE (EFO)
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2.1. ALL Barriers are in UNSECURED/OPEN/DOWN Position. Initiate EFO/E-UP Push Button on Master Panel and Barriers move to SECURE/CLOSE/UP position.
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2.2. ALL Barriers are in UNSECURED/OPEN/DOWN Position. Initiate EFO/E-UP Push Button on Remote Panel and Barriers move to SECURE/CLOSE/UP position. (Safety loops and Photo Eyes are bypassed by EFO/E-UP command)
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2.3. EFO/E-UP ALARM sounds continuously , until Key RESET of the system at Master Control Panel.
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2.4. Barrier goes to SECURED/CLOSED/UP position in Approx. two (2) second for EFO/E-UP.
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2.5. Verified all ILLUMINATED SWITCHES or LIGHTS are functional on both Master control panel(s) and Remote panel(s) during EFO/E-UP.
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2.6. EFO/E-UP Initiated. Verified all TRAFFIC LIGHTS are RED and ON - Barrier is in SECURED/CLOSED/UP position are functional during EFO/E-UP.
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2.7. Verified all TRAFFIC ARMS - ARM is in the DOWN POSITION when Barrier is moving to the SECURED/CLOSED/UP Position are functional during Normal Operation.
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2.8. Verified all TRAFFIC ARMS - ARM in the DOWN POSITION when Barrier is moving to the SECURED/CLOSED/UP Position are functional during EFO/E-UP.
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2.9. Verified all TRAFFIC ARMS - ARM in the UP POSITION when Barrier is in the UNSECURED/OPEN/DOWN Position are functional after EFO/E-UP.
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2.10 Verified all TRAFFIC ARMS - ARM in the UP POSITION when Barrier is in the UNSECURED/OPEN/DOWN Position are functional during Normal Operation.
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2.11. Verified Safety Loops for Traffic Arms. (Test while arm is moving DOWN from the UP POSITION.)
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2.12. Verify Barrier Safety Loops. (Test while Barrier is moving from UNSECURE to SECURE position)
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Enter any corrective actions that WILL NEED to be undertaken
3. Sequence of Operations - SPECIAL MODE/MANUAL MODE.
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3.0. Manual operation of barrier.
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Fill in any Special Sequence of Operations requirements and Authorized END-User MUST SIGN.
APPROVAL and ACCEPTANCE AUTHORIZED SIGNATURES (must be signed and date for Warranty)
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On Site Representative (GC/Customer)
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End-User Representative
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Installer Representative
Signature Acknowledgement
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ELECTRONIC SIGNATURE ACKNOWLEDGE, I AGREE THAT MY ELECTRONIC SIGNATURE <br>IS A LEGALLY BINDING EQUIVALENT TO MY HANDWRITTEN SIGNATURE. WHENEVER I <br>EXECUTE AN ELECTRONIC SIGNATURE, IT HAS THE SAME VALIDITY AND MEANING AS <br>MY HANDWRITTEN SIGNATURE. I WILL NOT AT ANY TIME IN THE FUTURE, REPUDIATE <br>THE MEANING OF MY ELECTRONIC SIGNATURE OR CLAIM THAT MY ELECTRONIC SIGNATURE <br>IS NOT LEGALLY BINDING.