Title Page
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Site conducted
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Community Name
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Prepared by
Location #1
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Location of Gates
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Date of Inspection
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General Comments
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Overall Condition of Gates
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What type of gate is used?
Slide Gates
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Primary Operator
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Loop Sealant
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Rollers
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Wheel Encasements
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Guides
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Emergency Disconnect
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Operator Model & Age
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Is the operator belt driven or direct drive?
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What is the condition of the belt?
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What size is the belt?
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Was the belt replaced on site?
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Operator Frame
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Operator Mounting Pad
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Conduit Surrounding Operator
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Gear Box & Gear Reducer
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Does operator run on AC or DC?
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Battery Backup Controller
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Battery Backup Motor
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Battery Condition
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Battery Age
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Limit Cams
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Were the limit cams replaced on site?
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Photo Eye/Contact Sensor
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Have the loops been insulation tested this year already?<br>*Loops only require annual testing
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Safety Loop
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Center Loop
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AVI Loop
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Exit Loop
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Comments
Secondary Operator
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Rollers
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Wheel Encasements
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Guides
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Emergency Disconnect
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Operator Model & Age
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Is the operator belt driven or direct drive?
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What is the condition of the belt?
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What size is the belt?
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Was the belt replaced on site?
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Operator Frame
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Operator Mounting Pad
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Conduit Surrounding Operator
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Gear Box & Gear Reducer
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Does operator run on AC or DC?
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Battery Backup Controller
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Battery Backup Motor
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Battery Condition
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Battery Age
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Limit Cams
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Were the limit cams replaced on site?
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Comments
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Entrance Swing Gates
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Entrance Primary
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Loop Sealant
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Are there any visible welds that are splitting?
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(ET) Gate Hinges
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What type of hinges need to be installed?
- Pillow Block 1"
- Pillow Block 1 1/4"
- Badass
- Elite Power
- Uphill
- Other
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(ET) Swing Arm Assembly
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What welds need to be repaired?
- Joint
- Upper Weld
- Lower Weld
- Cludge
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Operator Model & Age
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(ET) Is the operator belt driven or direct drive?
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(ET) What is the condition of the belt?
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What size is the belt?
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Was the belt replaced on Site?
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Operator Frame
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Operator Concrete Anchors
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Operator Mounting Pad
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Conduit Surrounding Operator
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Gear Box & Gear Reducer
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(ET) Does the operator run on AC or DC?
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(ET) Battery Condition
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Battery Age
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Is a Battery Backup Setup Installed?
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Battery Backup Controller
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Battery Backup Motor
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Battery Condition
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Battery Age
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How many motors does this operator use? (not including BB motor)
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(ET) Limit Cams
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Were limit cams replaced on site?
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Photo Eye/Contact Sensor
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(ET) Have the loops been insulation tested this year already? If not, the results will be listed below.<br>*Loops only require annual testing
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Safety Loop
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Center Loop
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AVI Loop
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Comments
Entrance Secondary
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(ET) Gate Hinges
-
What type of hinges need to be installed?
- Pillow Block 1"
- Pillow Block 1 1/4"
- Badass
- Elite Power
- Uphill
- Other
-
Are there any visible welds that are splitting?
-
(ET) Swing Arm Assembly
-
What welds need to be repaired?
- Joint
- Upper Weld
- Lower Weld
- Cludge
-
Operator Model & Age
-
(ET) Is the operator belt driven or direct drive?
-
(ET) What is the condition of the belt?
-
What size is the belt?
-
Was the belt replaced on Site?
-
Operator Frame
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Operator Concrete Anchors
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Operator Mounting Pad
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Conduit Surrounding Operator
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Gear Box & Gear Reducer
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(ET) Does the operator run on AC or DC?
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(ET) Battery Condition
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Battery Age
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Is a Battery Backup Setup Installed?
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Battery Backup Controller
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Battery Backup Motor
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Battery Condition
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Battery Age
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How many motors does this operator use? (not including BB motor)
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(ET) Limit Cams
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Were limit cams replaced on site?
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Photo Eye/Contact Sensor
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Comments
Exit Swing Gates
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Exit Primary
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Loop Sealant
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Are there any visible welds that are splitting?
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(EX) Gate Hinges
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What type of hinges need to be installed?
- Pillow Block 1"
- Pillow Block 1 1/4"
- Badass
- Elite Power
- Uphill
- Other
-
(EX) Swing Arm Assembly
-
What welds need to be repaired?
- Joint
- Upper Weld
- Lower Weld
- Cludge
-
Operator Model & Age
-
(EX) Is the operator belt driven or direct drive?
-
(EX) 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
-
(EX) Does the operator run on AC or DC?
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(EX) Battery Condition
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Battery Age
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Is a Battery Backup Setup Installed?
-
Battery Backup Controller
-
Battery Backup Motor
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Battery Condition
-
Battery Age
-
-
How many motors does this operator use? (not including BB motor)
-
(EX) Limit Cams
-
Were limit cams replaced on site?
-
Photo Eye/Contact Sensor
-
(EX) 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 Secondary
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(EX) Gate Hinges
-
What type of hinges need to be installed?
- Pillow Block 1"
- Pillow Block 1 1/4"
- Badass
- Elite Power
- Uphill
- Other
-
Are there any visible welds that are splitting?
-
(EX)Swing Arm Assembly
-
What welds need to be repaired?
- Joint
- Upper Weld
- Lower Weld
- Cludge
-
Operator Model & Age
-
(EX) Is the operator belt driven or direct drive?
-
(EX) 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
-
(EX) Does the operator run on AC or DC?
-
(EX) 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)
-
(EX) Limit Cams
-
Were limit cams replaced on site?
-
Photo Eye/Contact Sensor
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Comments
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Pedestrian Gate
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Pedestrian Gate #1
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Pedestrian Gate Location
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Hinges
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Door Handle
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Gate Condition
Pedestrian Gate #2
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Pedestrian Gate Location
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Hinges
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Door Handle
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Gate Condition
Safety Code Check
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Where is this property located?
- Henderson
- Las Vegas/North Las Vegas
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Is there a knox box on site?
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Is the AVI functional?
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Is there a green delineator identifying the AVI loop?
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Is there a functional AVI loop?
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is there a green delineator to identify the AVI loop?
Location #2
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Location of Gates
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Date of Inspection
-
General Comments
-
Overall Condition of Gates
-
What type of gate is used?
Slide Gates
-
Primary 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?
- AC
- DC
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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
Secondary 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 Primary
-
Loop Sealant
-
Are there any visible welds that are splitting?
-
(ET) Gate Hinges
-
What type of hinges need to be installed?
- Pillow Block 1"
- Pillow Block 1 1/4"
- Badass
- Elite Power
- Uphill
- Other
-
(ET) Swing Arm Assembly
-
What welds need to be repaired?
- Joint
- Upper Weld
- Lower Weld
- Cludge
-
Operator Model & Age
-
(ET) Is the operator belt driven or direct drive?
-
(ET) 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
-
(ET) Does operator run on AC or DC?
-
(ET) 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)
-
(ET) Limit Cams
-
Were limit cams replaced on site?
-
Photo Eye/Contact Sensor
-
(ET) 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 Secondary
-
(ET) Gate Hinges
-
What type of hinges need to be installed?
- Pillow Block 1"
- Pillow Block 1 1/4"
- Badass
- Elite Power
- Uphill
- Other
-
Are there any visible welds that are splitting?
-
(ET) Swing Arm Assembly
-
What welds need to be repaired?
- Joint
- Upper Weld
- Lower Weld
- Cludge
-
Operator Model & Age
-
(ET) Is the operator belt driven or direct drive?
-
(ET) 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
-
(ET) Does the operator run on AC or DC?
-
(ET) 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)
-
(ET) Limit Cams
-
Were limit cams replaced on site?
-
Photo Eye/Contact Sensor
-
Comments
Exit Swing Gates
-
Exit Primary
-
Loop Sealant
-
Are there any visible welds that are splitting?
-
(EX) Gate Hinges
-
What type of hinges need to be installed?
- Pillow Block 1"
- Pillow Block 1 1/4"
- Badass
- Elite Power
- Uphill
- Other
-
(EX)Swing Arm Assembly
-
What welds need to be repaired?
- Joint
- Upper Weld
- Lower Weld
- Cludge
-
Operator Model & Age
-
(EX) Is the operator belt driven or direct drive?
-
(EX) 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
-
(EX) Does the operator run on AC or DC?
-
(EX) 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)
-
(EX) Limit Cams
-
Were limit cams replaced on site?
-
Photo Eye/Contact Sensor
-
(EX) 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 Secondary
-
(EX) Gate Hinges
-
What type of hinges need to be installed?
- Pillow Block 1"
- Pillow Block 1 1/4"
- Badass
- Elite Power
- Uphill
- Other
-
Are there any visible welds that are splitting?
-
(EX) Swing Arm Assembly
-
What welds need to be repaired?
- Joint
- Upper Weld
- Lower Weld
- Cludge
-
Operator Model & Age
-
(EX) Is the operator belt driven or direct drive?
-
(EX) 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
-
(EX) Does the 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)
-
(EX) 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
