Information
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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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Weather Condition
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Enter Expected High and Expected Low Temperature
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Nasatka Personnel
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AHJ, GC or End-user Personnel
Commissioning - Performance Verification Testing
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Barrier Information
AVB Barrier
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Barrier Serial Number
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Nasatka Barrier Product Line
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Barrier Model
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Ensure 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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Describe Failure and Corrective Action
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Heat Trace Installed
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Verify Breaker is GFPE
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Verify Breaker is sized correctly (per AVB for Heat trace)
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Thermostat Installed
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Thermostat Sensor Probe attached to Cabinet
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Splice and Power Connection Installed
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Heat Trace END cap Installed
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Was Heat Trace tested prior to Start-up
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Tested By
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Paint Scheme
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Enter Sheme and Paint Color
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- SOLID RED
- SOLID WHITE
- SOLID BLACK
- SOLID YELLOW
- No Paint - GALVANIZED ONLY
- CUSTOM COLOR
- "STOP" DECAL
- RED CHEVRONS
- RED STRIPES
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Enter Custom Color Paint Finish
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Take Picture of Paint Finish
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Describe Non-Compliant and Corrective Action
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Select Barrier Power Unit
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Batteries Installed for MOOG
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UPS battery Installed
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Enter Main power feed (120/208/480/other)
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Main Breaker Size to AVB
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Grounding installed for Barrier Frame
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Grounding installed for Cabinet
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Verify COAST button (barrier goes down when pressed)
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Barrier STOPS moving when Coast button is released.
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Verify JOG toggle switch - Toggle UP - Barrier moves UP
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Verify JOG toggle switch - Toggle DOWN - Barrier moves DOWN
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Verify Drains (8 connected)
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Actuator Power and Encoder cables secured as required
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Surge Protection Device (SPD) Installed
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HVAC installed
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Enter Main power feed (120/208/480/other)
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Enter Main Breaker Size to AVB
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Ensure Hydraulic Fluid is installed in unit.
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Describe Failure and Corrective Action
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Ensure all hoses are installed and connected.
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Describe Failure and Corrective Action
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Ensure No leaks
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Describe Failure and Corrective Action
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Verify Operating Pressure Settings (min. pressure 1300 PSI - max pressure 2200 PSI)
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Describe Failure and Corrective Action
1. Sequence of Operations - Normal Mode
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SECURED/CLOSED/UP position initiated via the push button on Master Control Panel (MCP)?
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Describe Failure and Corrective Action
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UNSECURED/OPEN/DOWN Position initiated via push button on Master Control Panel (MCP)?
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Describe Failure and Corrective Action
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Barrier goes to the SECURED/CLOSED/UP position in standard operating time?
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Describe Failure and Corrective Action
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Barrier goes to the UNSECURED/OPEN/DOWN position in standard operating time?<br>
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Describe Failure and Corrective Action
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SECURED/CLOSED/UP position initiated via the push button on Remote panel(s)?
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Describe Failure and Corrective Action
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UNSECURED/OPEN/DOWN position initiated via the push button on Remote panel(s)?
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Describe Failure and Corrective Action
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Verified Indicating lights for status of barrier positions on Master Control Panel (MCP)?
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MCP Barrier Position Light is ON "RED" when Barrier is UP/CLOSE/SECURED
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Describe Failure and Corrective Action
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MCP Barrier Position Light is ON "GREEN" when Barrier is DOWN/OPEN/UNSECURED
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Describe Failure and Corrective Action
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Describe Failure and Corrective Action
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Verified Indicating lights for status of barrier position on Remote Control Panel (RCP)
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RCP Barrier Position Light is ON "RED" when Barrier is UP/CLOSE/SECURED
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Describe Failure and Corrective Action
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RCP Barrier Position Light is ON "GREEN" when Barrier is DOWN/OPEN/UNSECURED
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Describe Failure and Corrective Action
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Verified all ILLUMINATED SWITCHES or LIGHTS are functional on Master control panel when LAMP TESTED
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Describe Failure and Corrective Action
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Verified AUDIBLE HORN and/or HORN STROBE ALARM to indicate barrier MOVING from the SECURED/UP position to UNSECURED/DOWN position and from the UNSECURED/DOWN position to the SECURED/UP position.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Describe Failure and Corrective Action
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Verified all TRAFFIC SIGNAL LIGHTS
- RED / YELLOW / GREEN
- RED / YELLOW / FLASHING YELLOW (HYBRID)
- RED / YELLOW
- RED / AMBER
- RED / GREEN
- RED FLASHING
- YELLOW FLASHING
- RED / YELLOW FLASHING
- RED
- YELLOW
- GREEN
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VERIFY LIGHT CHANGES FROM FLASHING YELLOW TO RED (BARRIER STARTS IN DOWN/UNSECURED/OPEN POSITION MOVING TOWARDS UP/SECURE/CLOSED POSITION)
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Describe Failure and Corrective Action
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VERIFY LIGHT STAYS SOLID RED AND CHANGES TO FLASHING YELLOW ONCE BARRIER IS COMPLETELY DOWN (BARRIER STARTS IN UP/SECURED/CLOSED POSITION MOVING TOWARDS DOWN/UN-SECURE/OPEN POSITION)
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Verified all TRAFFIC SIGNAL LIGHTS - FLASHING YELLOW - BARRIER UNSECURED/OPEN/DOWN Position are functional.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Verified all TRAFFIC SIGNAL LIGHTS - RED ON - BARRIER SECURED/CLOSED/UP Position are functional.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Verified all TRAFFIC ARMS - ARM in the DOWN POSITION when Barrier is in the SECURED/CLOSED/UP Position are functional.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Verified all TRAFFIC ARMS - ARM in the UP POSITION when Barrier is in the UNSECURED/OPEN/DOWN Position are functional.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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VERIFY LIGHT CHANGES FROM FLASHING YELLOW TO RED (BARRIER STARTS IN DOWN/UNSECURED/OPEN POSITION MOVING TOWARDS UP/SECURE/CLOSED POSITION)
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Describe Failure and Corrective Action
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VERIFY LIGHT CHANGES FROM SOLID RED TO FLASHING YELLOW (BARRIER STARTS IN UP/SECURED/CLOSED POSITION MOVING TOWARDS DOWN/UN-SECURE/OPEN POSITION)
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Verified all TRAFFIC SIGNAL LIGHTS - FLASHING YELLOW - BARRIER UNSECURED/OPEN/DOWN Position are functional.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Verified all TRAFFIC SIGNAL LIGHTS - RED ON - BARRIER SECURED/CLOSED/UP Position are functional.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Verified all TRAFFIC ARMS - ARM in the DOWN POSITION when Barrier is in the SECURED/CLOSED/UP Position are functional.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Verified all TRAFFIC ARMS - ARM in the UP POSITION when Barrier is in the UNSECURED/OPEN/DOWN Position are functional.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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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. SoO - EMERGENCY FAST OPERATION (EFO) OR EMERGENCY SECURE OPERATION (ESO)
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ALL Barrier(s) are in UNSECURED/OPEN/DOWN Position. Initiate EFO/E-UP Push Button on Master Panel and Barrier(s) move to SECURE/CLOSE/UP position. (Safety loops and Photo Eye are bypassed by EFO/ESO command)
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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ALL Barriers are in UNSECURED/OPEN/DOWN Position. Initiate EFO/ESO Push Button on Remote Panel and Barriers move to SECURE/CLOSE/UP position. (Safety loops and Photo Eyes are bypassed by EFO/ESO command)
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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EFO/ESO ALARM sounds continuously , until Key RESET of the system at Master Control Panel.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Barrier goes to SECURED/CLOSED/UP position in Approx. two seconds or less for EFO/ESO.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Verified all ILLUMINATED SWITCHES or LIGHTS are functional on both Master control panel(s) and Remote panel(s) during EFO/ESO.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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EFO/ESO Initiated. Verified all TRAFFIC LIGHTS are RED and ON - Barrier is in SECURED/CLOSED/UP position are functional during EFO/ESO.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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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.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Verified all TRAFFIC ARMS - ARM in the DOWN POSITION when Barrier completes to the SECURED/CLOSED/UP Position are functional during EFO/ESO.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Verified all TRAFFIC ARMS - ARM in the UP POSITION when Barrier is in the UNSECURED/OPEN/DOWN Position are functional during Normal Operation.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Verified Safety Loops for Traffic Arms. (Test while arm is moving DOWN from the UP POSITION.)
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Verify Barrier Safety Loops. (Test while Barrier is moving from UNSECURE to SECURE position)
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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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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Manual Operation of Barrier.
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Fill in any Special Sequence of Operations requirements (Card Reader, Roll down doors, ETC.)
4. PLC Settings
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PLC System Settings
4.1 Barrier Options
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STOP ON SAFETY
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EFO RESUME DELAY
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LOOP 1 PRESENCE ONLY
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GRAVITY NONSECURE
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STOP ON SAFETY NONSECURE
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RESECURE RETRY
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TRAFF LT RED RESECURE START
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EFO & SECURE VALVE
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SAFETY LOOPS
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ANALOG ON
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CARD READER
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STANDARD TANK HPU OR EPU
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WARNING HORN ALL TRANSITIONS
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WARNING HORN EXCESSIVE LOOP
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SYNC MODE
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NO TRAFFIC AUTOCLOSE
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PICTURES OF SETTINGS
4.2 BARRIER TIMERS - TIMER VALUES IN TENTHS OF A SECOND (10 = 1 SECOND)
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SECURE TIME
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NONSECURE TIME
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EFO TIME
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GATE ARM UP TIME
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GATE ARM DOWN TIME
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LOOP OCCUPIED TIMER
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TRAFFIC FIGHT DELAY NONSECURE TIME
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NONSECURE WARNING TIME
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PICTURE OF SETTINGS
4.3 ADVANCE BARRIER TIMERS
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EFO DELAY TIME
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EFO RESUME DELAY TIME
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RESECURE DELAY TIME
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CARD READER CLOSE DELAY TIME
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NO ENTRY AUTOCLOSE TIME
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INPUT SCAN TIME
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Nsec MAX when Nsec TIME
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Sec MAX when Sec TIME
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Nsec VALVE HOLD OPEN TIME
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PRE WARN TIME
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PICTURE OF SETTINGS
5. Loop Detector Module
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LOOP Detector Module DIP Settings
- SENSE 1a - DIP 1 - ON
- SENSE 1a - DIP 1 - OFF
- SENSE 1b - DIP 2 - ON
- SENSE 1b - DIP 2 - OFF
- SENSE 2a - DIP 3 ON
- SENSE 2a - DIP 3 - OFF
- SENSE 2b - DIP 4 - ON
- SENSE 2b - DIP 4 - OFF
- FREQUENCY - DIP 5 - ON
- FREQUENCY - DIP 5 - OFF
- HOLD TIME - DIP 6 - ON
- HOLD TIME - DIP 6 - OFF
- OUTPUT 2 - DIP 7 - ON
- OUTPUT 2 - DIP 7 - OFF
- EDGE 2 - DIP 8 - ON
- EDGE 2 - DIP 8 - OFF
- DIR MODE - DIP 9 - ON
- DIR MODE DIP 9 - OFF
- DIR LOGIC - DIP 10 - ON
- DIR LOGIC - DIP 10 - OFF
- INV OUT 1 - DIP 11 - ON
- INV OUT 1 - DIP 11 - OFF
- INV OUT 2 - DIP 12 - ON
- INV OUT 2 - DIP 12 - OFF
- N/A
- OTHER
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LOOP Detector LED Status
- LED STATUS - RED OFF / BLUE OFF - NO SUPPLY VOLTAGE
- LED STATUS - RED OFF / BLUE FAST FLASHING - CALIBRATION /RE-TUNING LOOPS
- LED STATUS - RED OFF / BLUE ON - READY FOR OPERATION, LOOP FREE
- LED STATUS - RED ON / BLUE ON - READY FOR OPERATION, LOOP ACTIVE
- LED STATUS - RED ON / BLUE OFF - LOOP FAULT
- LED STATUS - BLUE FLASHING - HISTORICAL LOOP FAULT OR DIP SWITCH OVERWRITTEN BY USB
- LED STATUS - RED BLINKING / BLUE BLINKING - OUTPUT LOOP FREQUENCY IN Khz
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PICTURE OF LOOP DETECTOR MODULE WITH FINAL SETTINGS
- LED STATUS - RED OFF / BLUE OFF - NO SUPPLY VOLTAGE
- LED STATUS - RED OFF / BLUE FAST FLASHING - CALIBRATION /RE-TUNING LOOPS
- LED STATUS - RED OFF / BLUE ON - READY FOR OPERATION, LOOP FREE
- LED STATUS - RED ON / BLUE ON - READY FOR OPERATION, LOOP ACTIVE
- LED STATUS - RED ON / BLUE OFF - LOOP FAULT
- LED STATUS - BLUE FLASHING - HISTORICAL LOOP FAULT OR DIP SWITCH OVERWRITTEN BY USB
- LED STATUS - RED BLINKING / BLUE BLINKING - OUTPUT LOOP FREQUENCY IN Khz
6. User Interface Panel - MASTER (MCP)
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Master Panel Installed
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Power On and OFF - Keyed switch Installed
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Verify Operation and Blue Light ON
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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Remote 1 - Keyed switch Installed
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Verify Operation and Blue Light ON
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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EFO/ESO RESET - Keyed switch Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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EFO/ESO Button with Lockable Cover Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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EFO/ESO RESET - Keyed switch Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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LAMP TEST - Push Button Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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FAULT LIGHT - Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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BARRIER SECURE - PUSH BUTTON (RED) - Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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BARRIER NONSECURE - PUSH BUTTON (GREEN) - Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
7. User Interface Panel - REMOTE (RCP)
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REMOTE Panel Installed
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Power On and OFF - Keyed switch and Blue LED installed
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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EFO/ESO Button with Lockable Cover Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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BARRIER SECURE - PUSH BUTTON (RED) - Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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BARRIER NONSECURE - PUSH BUTTON (GREEN) - Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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LAMP TEST - Push Button Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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FAULT LIGHT - Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
8. User Interface Panel - LOCAL (LCP)
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LOCAL Control Panel - LCP (TETHER connection at EPU)
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Power On and OFF - Keyed switch and Blue LED installed
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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EFO/ESO Button with Lockable Cover Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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FAULT LIGHT - Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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LAMP TEST - Push Button Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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BARRIER SECURE - PUSH BUTTON (RED) - Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
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BARRIER NONSECURE - PUSH BUTTON (GREEN) - Installed
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Verify Operation
- Tested and Functional - Passed
- Tested and Non-Functional- Failed
- N/A
APPROVAL AND ACCEPTANCE
9.0 APPROVAL and ACCEPTANCE AUTHORIZED SIGNATURES
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ELECTRONIC SIGNATURE ACKNOWLEDGE, I AGREE THAT MY ELECTRONIC SIGNATURE
IS A LEGALLY BINDING EQUIVALENT TO MY HANDWRITTEN SIGNATURE. WHENEVER I
EXECUTE AN ELECTRONIC SIGNATURE, IT HAS THE SAME VALIDITY AND MEANING AS
MY HANDWRITTEN SIGNATURE. I WILL NOT AT ANY TIME IN THE FUTURE, REPUDIATE
THE MEANING OF MY ELECTRONIC SIGNATURE OR CLAIM THAT MY ELECTRONIC SIGNATURE IS NOT LEGALLY BINDING. -
On Site Representative (GC/Customer)
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End-User Representative
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Installer Representative
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Nasatka Representative