Information
-
File Number
-
Conducted on
-
Engineer attending
-
Customer Name
-
Customer Address
-
Time on
-
Signed on / Contact made with customer?
-
Payment type
-
Customer Fault Description
-
Control panel Make/Model
-
Operator Type
- Underground
- Surface ram
- Slider Motor
- Manual i.e gas closer / no automation
- Barrier
- Bollards
- Door Entry system
-
Operator Make/Model
-
Activating systems
- Handset and Receiver
- Door entry
- Keypad
- Push to exit button
- Exit loop
- Entry loop
- Keyswitch
- Other
-
Type of activating equipment
-
Safety Systems
- Inside safety beams
- outside safety beam
- Safety loop
- Leading safety edge
- Other Edges
- Other Beams
-
Type of safety systems
-
Engineers Fault Report
-
Picture of any repairs made
-
Safety items required for CE Marking
- Safety Signage
- Flashing Light
- Mesh
- Safety Beams
- Safety edge
- CE Marking Plate
- Force testing
- Safety loop
-
How has the site been left?
-
Complete set of pictures for entire site 1. Outside whole entrance 2. Inside whole exit 3. Left handside of operating area 4. Right handside of operating area
-
Additional remarks
-
Sign off time
-
Engineer Name
-
I am satisfied with the work carried out by the engineer which was in accordance with my request. The system is in good working order and I agree to pay the total charge plus Vat. I confirm that I am an authorised signatory. I have read the standard terms and conditions and accept them.
-
Customer Name
