Title Page

  • Community Name

  • Prepared by

Location #1

  • Location of Gates
  • Date of Inspection

  • General Comments

  • Overall Condition of Gates

  • What type of gate is used?

Slide Gates

    Master Operator
  • Loop Sealant

  • Rollers

  • Wheel Encasements

  • Guides

  • Emergency Disconnect

  • Operator Model & Age

  • Is the operator belt driven or direct drive?

  • What is the condition of the belt?

  • What size is the belt?

  • Was the belt replaced on site?

  • Operator Frame

  • Operator Mounting Pad

  • Conduit Surrounding Operator

  • Gear Box & Gear Reducer

  • Does operator run on AC or DC?

  • Battery Backup Controller

  • Battery Backup Motor

  • Battery Condition

  • Battery Age

  • Limit Cams

  • Were the limit cams replaced on site?

  • Photo Eye/Contact Sensor

  • Have the loops been insulation tested this year already?<br>*Loops only require annual testing

  • Safety Loop

  • Center Loop

  • AVI Loop

  • Exit Loop

  • Comments

  • Slave Operator
  • Rollers

  • Wheel Encasements

  • Guides

  • Emergency Disconnect

  • Operator Model & Age

  • Is the operator belt driven or direct drive?

  • What is the condition of the belt?

  • What size is the belt?

  • Was the belt replaced on site?

  • Operator Frame

  • Operator Mounting Pad

  • Conduit Surrounding Operator

  • Gear Box & Gear Reducer

  • Does operator run on AC or DC?

  • Battery Backup Controller

  • Battery Backup Motor

  • Battery Condition

  • Battery Age

  • Limit Cams

  • Were the limit cams replaced on site?

  • Comments

Entrance Swing Gates

    Entrance Master
  • Loop Sealant

  • Are there any visible welds that are splitting?

  • Gate Hinges

  • What type of hinges need to be installed?

  • Swing Arm Assembly

  • What welds need to be repaired?

  • Operator Model & Age

  • Is the operator belt driven or direct drive?

  • What is the condition of the belt?

  • What size is the belt?

  • Was the belt replaced on Site?

  • Operator Frame

  • Operator Concrete Anchors

  • Operator Mounting Pad

  • Conduit Surrounding Operator

  • Gear Box & Gear Reducer

  • Does operator run on AC or DC?

  • Battery Condition

  • Battery Age

  • Is a Battery Backup Setup Installed?

  • Battery Backup Controller

  • Battery Backup Motor

  • Battery Condition

  • Battery Age

  • How many motors does this operator use? (not including BB motor)

  • Limit Cams

  • Were limit cams replaced on site?

  • Photo Eye/Contact Sensor

  • Have the loops been insulation tested this year already? If not, the results will be listed below.<br>*Loops only require annual testing

  • Safety Loop

  • Center Loop

  • AVI Loop

  • Comments

  • Entrance Slave
  • Gate Hinges

  • What type of hinges need to be installed?

  • Are there any visible welds that are splitting?

  • Swing Arm Assembly

  • What welds need to be repaired?

  • Operator Model & Age

  • Is the operator belt driven or direct drive?

  • What is the condition of the belt?

  • What size is the belt?

  • Was the belt replaced on Site?

  • Operator Frame

  • Operator Concrete Anchors

  • Operator Mounting Pad

  • Conduit Surrounding Operator

  • Gear Box & Gear Reducer

  • Does operator run on AC or DC?

  • Battery Condition

  • Battery Age

  • Is a Battery Backup Setup Installed?

  • Battery Backup Controller

  • Battery Backup Motor

  • Battery Condition

  • Battery Age

  • How many motors does this operator use? (not including BB motor)

  • Limit Cams

  • Were limit cams replaced on site?

  • Photo Eye/Contact Sensor

  • Comments

Exit Swing Gates

    Exit Master
  • Loop Sealant

  • Are there any visible welds that are splitting?

  • Gate Hinges

  • What type of hinges need to be installed?

  • Swing Arm Assembly

  • What welds need to be repaired?

  • Operator Model & Age

  • Is the operator belt driven or direct drive?

  • What is the condition of the belt?

  • What size is the belt?

  • Was the belt replaced on Site?

  • Operator Frame

  • Operator Concrete Anchors

  • Operator Mounting Pad

  • Conduit Surrounding Operator

  • Gear Box & Gear Reducer

  • Does operator run on AC or DC?

  • Battery Condition

  • Battery Age

  • Is a Battery Backup Setup Installed?

  • Battery Backup Controller

  • Battery Backup Motor

  • Battery Condition

  • Battery Age

  • How many motors does this operator use? (not including BB motor)

  • Limit Cams

  • Were limit cams replaced on site?

  • Photo Eye/Contact Sensor

  • Have the loops been insulation tested this year already? If not, the results will be listed below.<br>*Loops only require annual testing

  • Safety Loop

  • Center Loop

  • Exit Loop

  • Comments

  • Exit Slave
  • Gate Hinges

  • What type of hinges need to be installed?

  • Are there any visible welds that are splitting?

  • Swing Arm Assembly

  • What welds need to be repaired?

  • Operator Model & Age

  • Is the operator belt driven or direct drive?

  • What is the condition of the belt?

  • What size is the belt?

  • Was the belt replaced on Site?

  • Operator Frame

  • Operator Concrete Anchors

  • Operator Mounting Pad

  • Conduit Surrounding Operator

  • Gear Box & Gear Reducer

  • Does operator run on AC or DC?

  • Battery Condition

  • Battery Age

  • Is a Battery Backup Setup Installed?

  • Battery Backup Controller

  • Battery Backup Motor

  • Battery Condition

  • Battery Age

  • How many motors does this operator use? (not including BB motor)

  • Limit Cams

  • Were limit cams replaced on site?

  • Photo Eye/Contact Sensor

  • Comments

Pedestrian Gate

    Pedestrian Gate #1
  • Pedestrian Gate Location

  • Hinges

  • Door Handle

  • Gate Condition

  • Pedestrian Gate #2
  • Pedestrian Gate Location

  • Hinges

  • Door Handle

  • Gate Condition

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