GRAB-sp - Monthly Maintenance Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Monthly Maintenance - Fill out Form completely; (Take pictures if possible of any and all damages prior to repairs and/or maintenance).

• Test safety detection and warning equipment; Verify that safety detection equipment purchased with the barrier is<br>working properly.

  Yes

  No

  N/A

• Check that net movement is continuous and that both arms move in unison; Check that the net goes up and down in a continuous motion<br>and that the arms travel in unison.

  Yes

  No

  N/A

• Test all buttons at operator stations.

  Yes

  No

  N/A

• Visually inspect for missing, torn, or illegible safety labels.

  Yes

  No

  N/A

• Visually inspect concrete for cracks; Fill with suitable concrete crack filler if<br>cracks are present.

  Yes

  No

  N/A

• If necessary, clean net pads; Perform a visual inspection on the net pads to see if any are raised up due to sediment under the mat. If sediment is present, remove the net pads and thoroughly sweep the sediment out from the net pad.

  Yes

  No

  N/A

• If necessary, clean net pits.

  Yes

  No

  N/A

• Visually inspect net encasements and replace if necessary.

  Yes

  No

  N/A

• Visually inspect protective net bumpers (placement and condition).

  Yes

  No

  N/A

• Check net tension; adjust if necessary Verify the net is properly tensioned. The ideal tension is 1” to 1-1/2” of<br>sag for every 10 feet of road.

  Yes

  No

  N/A

• Check net position in net pads; adjust if necessary.

  Yes

  No

  N/A

• Check stanchions and net lifting arms for loose bolts and worn hardware.

  Yes

  No

  N/A

• Grease the four (4) turnbuckles; Use high-grade lithium grease. Pump in the grease until it comes out of the bearing. Ensure that the turnbuckle lock nut is tight.

  Yes

  No

  N/A

• Grease the four (4) arm bearings; Each arm has two bearings; Pump in the grease until it comes out of the side of the bearing.

  Yes

  No

  N/A

• Inspect and replace if necessary Barrier Control Panel Filters; Never operate system without proper filters in place.

  Yes

  No

  N/A

• Inspect the intake fan filter located on the barrier control panel and battery backup panel. Replace clogged filter as required. Never operate system without proper filters in place.

  Yes

  No

  N/A

• Is Touch-up paint as required.

  Yes

  No

  N/A

• Test operation of Barrier Control Panel fans and thermostat; Test fans and thermostat operation by adjusting thermostat throughout its limits. Return the thermostat to its normal setting of 80-degrees.

  Yes

  No

  N/A

Yearly Maintenance ( When Required )

• Every year or 36,000 cycles, the SHEAR PINS, should be removed and replaced in each of the turnbuckles.

  Yes

  No

  N/A

ELECTRONIC SIGNATURE ACKNOWLEDGE

• 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.

• Nasatka Representative

  Sign

• Customer or Authorized Representative.

  Sign

• Enter Time and Date of Completion.

  Date