Title Page
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Site conducted
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Conducted on
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Prepared by
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Job No
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Site Address
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Site Contact
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Site Number
Procter Bros Ltd - North Office
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1 Beaconsfield Court
Garforth
Leeds
LS25 1QH
Procter Bros Ltd - South West Office
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11 Pantglas Industrial Estate
Bedwas
Caerphilly
CF83 8XD
Procter Bros Ltd - London Office
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Codham Hall
Great Warley
Brentwood
Essex
CM13 3JT
Procter Bros Ltd - Contact Us
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T: 0800 2944 177
E: enquiries@proctercontracts.co.uk
W: www.proctercontracts.co.uk
Type of Inspection
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Type of Inspection
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Date of Breakdown
Breakdown Inspection
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Type of Install
- Swing
- Double Swing
- Sliding Gate
- Bi Fold
- Barrier
- Electric Fence
- Other
Tests
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Findings
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Safe edges activate in correct phase
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Photocells working in correct phase of travel
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Any adjustments made
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Any further work required
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please state work required and any parts needed
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Is the Gate safe to put back into service
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Have parts been used and need reordering
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if yes, please state parts used
Images of Damaged Components
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Upload Images
Install Information
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Type of Install
- Swing
- Double Swing
- Sliding Gate
- Bi Fold
- Barrier
- Electric Fence
- Other
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Size and Length
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Number of Leafs
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Manufacturer
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If other, please state
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Panel
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Number of Safe Edges
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Type of Safety Edges
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if Other, please state
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Number of Photocells
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Type of Photocells
- BFT Akta
- Nice F210
- Nice210B
- Nice FT201
- Nice FT210B
- Other
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Safety Loop
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Size and Length
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Number of Leafs
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Manufacturer
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If other, please state
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Panel
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Number of Safe Edges
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Type of Safety Edges
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If Other, please state
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Number of Photocells
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Type of Photocells
- BFT Akta
- Nice F210
- Nice210B
- Nice FT201
- Nice FT210B
- Other
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Safety Loop
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Size and Length
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Number of Leafs
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Manufacturer
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If other, please state
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Panel
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Number of Safe Edges
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Type of Safety Edges
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If Other, please state
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Number of Photocells
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Type of Photocells
- BFT Akta
- Nice F210
- Nice210B
- Nice FT201
- Nice FT210B
- Other
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Safety Loop
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Size and Length
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Number of leafs
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Manufacturer
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If other, please state
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Panel
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Number of Safe Edges
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Type of Safety Edges
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If Other, please state
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Type of Photocells
- BFT Akta
- Nice F210
- Nice210B
- Nice FT201
- Nice FT210B
- Other
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Safety Loop
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Size and Length
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Manufacturer
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If other, please state
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Model
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Number of Safe Edges
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Type of Safety Edges
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If Other, please state
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Number of Photocells
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Type of Photocells
- BFT Akta
- Nice F210
- Nice210B
- Nice FT201
- Nice FT210B
- Other
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What Photocell?
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Safety Loop
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Size and Length
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Number of Leafs
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Manufacturer
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If other, please state
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Panel
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Number of Safe Edges
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Type of Safety Edges
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If Other, please state
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Number of Photocells
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Type of Photocells
- BFT Akta
- Nice F210
- Nice210B
- Nice FT201
- Nice FT210B
- Other
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Safety Loop
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Type of Install
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Size and Length
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Number of Leafs
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Manufacturer
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If other, please state
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Panel
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Number of Safe Edges
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Type of Safety Edges
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If Other, please state
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Number of Photocells
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Type of Photocells
- BFT Akta
- Nice F210
- Nice210B
- Nice FT201
- Nice FT210B
- Other
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Safety Loop
Tests
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Safe Edges activate in correct phase
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Photocells working in correct phase of travel
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Force tests completed and recorded
Access Control
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Access Control Installed by Procters
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If Yes, Description of Access Control
Inspection on Completion
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Structures are secure
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All Guards/Fencing secure
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Cables are secure
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Wiring Terminations are correctly made and secure
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Enclosures are sealed
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Reducing gaps are protected
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Warning signs and labels are in place
CE Mark
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Applied visible, clearly secure where applicable
Images of Install
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Upload Images...
Handover Checklist - The Following Items have been explained to the Client
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How to operate
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How to isolate the power
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How to manual release
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How the safety features function
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Has a maintenance contract been quoted
Maintenance Information
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Type of Install
- Swing
- Double Swing
- Sliding Gate
- Bi Fold
- Barrier
- Electric Fence
- Other
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Structures are secure
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All Guards/Fencing are secure
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Cables are secure
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Wiring terminations are correctly made and secure
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Enclosures are sealed
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Reducing gaps protected
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Warning signs and labels are in place
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Battery changed (If applicable)
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Structures are secure
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All Guards/Fencing are secure
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Cables are secure
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Wiring terminations are correctly made and secure
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Enclosures are sealed
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Reducing gaps protected
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Warning signs and labels are in place
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Battery changed (If applicable)
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Structures are secure
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All Guards/Fencing are secure
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Cables are secure
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Wiring terminations are correctly made and secure
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Enclosures are sealed
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Reducing gaps protected
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Warning signs and labels are in place
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Battery changed (If applicable)
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Structures are secure
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All Guards/Fencing are secure
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Cables are secure
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Wiring terminations are correctly made and secure
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Enclosures are sealed
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Reducing gaps protected
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Warning signs and labels are in place
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Batter changed (If applicable)
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Structures are secure
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All Guards/Fencing are secure
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Cables are secure
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Wiring terminations are correctly made and secure
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Enclosures are sealed
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Reducing gaps protected
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Warning signs and labels are in place
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Battery changed (If applicable)
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Structures are secure
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All Guards/Fencing are secure
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Cables are secure
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Wiring terminations are correctly made and secure
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Enclosures are sealed
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Reducing gaps protected
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Warning signs and labels are in place
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Battery changed (If applicable)
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Type of Install
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Structures are secure
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All Guards/Fencing are secure
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Cables are secure
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Wiring Terminations are correctly made and secure
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Enclosures are sealed
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Reducing gaps protected
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Warning signs and labels are in place
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Battery changed (If applicable)
Tests
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Safe edges activate in correct phase
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Photocells working in correct phase of travel
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Force test completed and recorded
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Any adjustments made
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Any part or repairs required
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please state repairs and parts needed
Force Tests
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Does this sheet require Force Tests
Position 1 - Leading Edge 500mm Separation
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50mm from Bottom of Gate
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Dynamic Force Fd (N) - 400N Max
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Dynamic Time Td (s) - 0.75s
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Static Force Fs (N) - 150N Max
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End Force Fe (N)
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Pass / Fail
Position 2 - Leading Edge 500mm Separation
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Centre of Gate
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Dynamic Force Fd (N) - 400N Max
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Dynamic Time Td (s) - 0.75s
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Static Force Fe (N) - 150N Max
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End Force Fe (N)
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Pass / Fail
Position 3 - Leading Edge 500mm Separation
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50mm from Top of Gate
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Dynamic Force Fd (N) - 400N Max
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Dynamic Time Td (s) - 0.75s
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Static Force Fs (N) - 150N Max
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End Force Fe (N)
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Pass / Fail
Position 4 - 50mm Separation
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Highest Value of the 3
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Dynamic Force Fd (N) - 400N Max
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Dynamic Time Td (s) - 0.75s
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Static Force Fs (N) - 150N Max
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End Force Fe (N)
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Pass / Fail
Position 5 - 50mm Separation
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Highest Value of the 3
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Dynamic Force Fd (N) - 400N Max
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Dynamic Time Td (s) - 0.75s
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Static Force Fs (N) - 150N Max
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End Force Fe (N)
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Pass / Fail
Position 6 - Opening 500mm Separation Distance (Where Applicable)
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Dynamic Force Fd (N) - 400N Max
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Dynamic Time Td (s) - 0.75s
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Static Force Fs (N) - 150N Max
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End Force Fe (N)
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Pass / Fail
Position 7 - Full Speed Test
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Dynamic Force Fd (N) - 1400N Max
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Dynamic Time Td (s) - 0.75s
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Static Force Fs (N) - 150N Max
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End Force Fe (N)
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Pass / Fail
Sign Off
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Engineering Notes
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Engineer Signature
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Customer Signature