NASATKA - INSPECTION FOR MOBILE

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

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BARRIER INFORMATION

• ENTER AVB TYPE

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• Model

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• Serial Number

  Yes

  No

  N/A

(TAKE PICTURES)

• BARRIER DIAGRAM

  

FRONT TONGUE AREA

• 1. Tongue and Assembly

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• 2. Pintle Hitch-Nuts, Bolts, Washers

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• 3. 24-12 Volt Converter box

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• 4. Breakaway Switch and Assembly

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• 5. Front Marker Lights and Assembly (2)

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• 7. Remote SDI Connector

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• 8. AC Power Box Control Connector & Labels

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• 9. Jacks & Welds, Handle, Assembly-Crank

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• 10. Battery Charger (Housing Area)

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• 11. Tether controller operation

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• 12. Battery

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FRONT HOUSING

• 13. Hydraulic Power Unit & Mounting

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• 14. Hydraulic Cylinder, Mounting & Hoses

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• 15. Spring & Assembly

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• 16. Control Box and Panel

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• 17. Lid & Mounting

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• 18. Decals on top of lid

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• 19. Schematic attached to door handle

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• 20. Limit Switches (2) and Mounting

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• 21. Battery Box and Mounting (ground to Barrier)

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• 22. Traffic Lights, Function and Seal

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• 23. Door and Lid Secured

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REAR HOUSING

• 24. Spring & Assembly (nut)

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• 25. NOT USED

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 26. Lid and Mounting and Lid Decal

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• 27. Gate Lock

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VISUAL OUTSIDE RIGHT

• 28. Tire Condition

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• 29. Rim/Lug Nuts/Axle Hub Oil Plastic Cap

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• 30. Marker Lights

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• 31. Axles and Assembly

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• 32. Break Drum and Assembly

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• 33. Fenders-Decal, Align, Apprrearance

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• 34. Electrical and Brake Connection

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• 35. Gate Door

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TOOL BOX CONTENTS

• 36. Safety Chains

  Yes

  No

  N/A

• 37. Master Control Box with SDI Connector

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 38. Pliers

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 39. Adjustable Wrench

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 40. Push Button Control w/cord

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 41. Lug Wrench

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 42. Break Controller

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 43. Axel Pins (4)

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 44. Manual Lift Bars

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 45. CD/OM Manual

  Select Yes No N/A

  • Yes
  • No
  • N/A

WELDING

• 46. Visual Inspection of Structural Welds

  Select

• 47. NOT USED

  Yes

  No

  N/A

VISUAL OUTSIDE LEFT

• 48. Tire Condition

  Select

• 49. Rim/Lug Nuts/Axle Hub Oil Plastic Cap

  Select

• 50. Marker Light

  Select

• 51. Axle and Assembly

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• 52. Break Drum and Assembly

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• 53. Fenders-Decal, Align, Appearance

  Select

• 54. Electrical and Brake Connection / Wire tied up

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• 55. Decals on Gate

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REAR BUMPER AREA

• 56. Marker Lights

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• 57. Turn Signals/Break Lights

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• 58. Jacks & Welds/Connecting Bar-Crank

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• 59. Bumper & Assembly

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• 60. Tag Bracket

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• 61. Barrel Plugs in Place (3)

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• 62. Lifting Lugs (2)

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• 63. VIN Sticker applied

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BARRIER TEST - OPERATION/CYCLE BARRIER SECURE (UP)/ UNSECURE (DOWN)

• 64. Cycle Barrier (Min 5 Cycles UP/DOWN)

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• 65. Verify Traffic Signal - Barrier Un-secured/Down - Light is Yellow

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• 65. Verify Traffic Signal - Barrier Secured/UP Light is RED

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Hand Pump Operation - Manual Operation (refer to section 4.5.2.2 for procedure)

• 66. Barrier in The Un-Secured/Down Position - Using Hand Pump Raise Barrier to Secure Position

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Jack Operation - Manual and Drill

• 67. Raise and Lower Jacks by Manual Operation

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• 68. Raise and Lower Jacks with with Cordless Drill

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COMMENTS AND RECOMMENDATIONS

• Comment/Recommendation

AUTHORIZED BY AND INSPECTED BY

• End User:

• Authorized By:

• Nasatka Rep:

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