Preventive Maintenance - Automatic Door [Sliding, Telescopic, Folding]

• Conducted on

  Date

• Authorised Technician

• Technician ADSA Number

• Job Number

• Customer

  Select Buzz Bingo Group WH Smith FAAC Entrance Soloutions Pets at Home Vets 4 Pets Other

  • Buzz Bingo Group
  • WH Smith
  • FAAC Entrance Soloutions
  • Pets at Home
  • Vets 4 Pets
  • Other

• Site Name

• Post Code

• Shop Front Image

  Media

Asset Inspection:

• Door Location

  Select Entrance - Main Entrance - Side Entrance - Rear Exit - Main Exit - Slide Exit - Rear Internal - Entrance Internal - Exit Internal - Warehouse Internal - Shop Floor

  • Entrance - Main
  • Entrance - Side
  • Entrance - Rear
  • Exit - Main
  • Exit - Slide
  • Exit - Rear
  • Internal - Entrance
  • Internal - Exit
  • Internal - Warehouse
  • Internal - Shop Floor

• Manufacture

  Select FAAC RECORD TORMAX DORMA GEZE HORTON ASSA ABLOY GILGEN OTHER

  • FAAC
  • RECORD
  • TORMAX
  • DORMA
  • GEZE
  • HORTON
  • ASSA ABLOY
  • GILGEN
  • OTHER

• Manufacture Name

• Door Type

  Select Slide - Single Slide - Bi-Part Telescopic - Single Telescopic - Bi-Part Bi- Fold - Single Bi Fold - Double

  • Slide - Single
  • Slide - Bi-Part
  • Telescopic - Single
  • Telescopic - Bi-Part
  • Bi- Fold - Single
  • Bi Fold - Double

• Image - Asset [From inside]

  Media

• Image - Asset No [Sticker]

  Media

Opening & Closing Forces Static Entrapment

• Opening Force [ Newton ] - Should be <150 N

• Closing Force [ Newton ] - Should be <150 N

Door Speeds and Energies

• Ensure all speeds and powers are set to comply to BS EN 16005 or BS 7036

• Opening Time [ Seconds ]

• Closing Time [ Seconds ]

• Hold Open [ Seconds ]

• Clear Opening [ mm ]

Activation Detection Zones

• Inner Radar

• Straight Approach

  Yes

  No

• Distance[ mm ]

• Side Approach

  Yes

  No

• Distance [ mm ]

• Outer Radar

• Straight Approach

  Yes

  No

• Distance [ mm ]

• Side Approach

  Yes

  No

• Distance [ mm ]

Safety Sensor Detection Zones

• Threshold Area/Closing direction Swept Area

• Field Width

  Yes

  No

• Size [ mm ]

• Field Depth

  Yes

  No

• Size [ mm ]

• Field Depth Size [ mm ]

  Yes

  No

• Re-learn Time [ seconds ]

• Monitored

  Yes

  No

• Rear Edge Area/Opening Direction Swept Area

• Field Width [ mm ]

  Yes

  No

• Size [ mm ]

• Field Depth [ mm ]

  Yes

  No

• Size [ mm ]

• Re-learn

  Yes

  No

• Re-learn Time

  Yes

  No

  N/A

• Sensor Action

  Slows

  Stops

  Audible warning

  Other

• Comments

  Yes

  No

  N/A

• Monitored

  Yes

  No

Drawing in Protection Sliding Door or folding <8 or >25mm min finger trap gap

• Leading Stile to Mullion

  Yes

  No

• Size [mm]

• Rear Stile entrapment distance [ mullion/Wall ] [ mm ]

  Yes

  No

  N/A

• Size

• Door leading face to frame or wall

  Yes

  No

  N/A

• Size

Mechanical and Hinge Protection

• Barriers

  Yes

  No

• Pocket Screens

  Yes

  No

Escape System

• Power outage Door Fails?

  Open

  Closed

  No

• Why?

• Door reaction on faults

  Open

  Closed

  No

• Why?

• Break Out fitted

  Yes

  No

• Force required to break Out [ N ] - Should not exceed 220N

Door Signage

• Automatic Door

  Yes

  No

• Total

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Directional Arrow

  Yes

  No

• Total

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Keep Clear

  Yes

  No

• Total

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• No Entry/Exit

  Yes

  No

• Total

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Breakout

  Yes

  No

• Total

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Disability sign

  Yes

  No

• Total

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Push button to open

  Yes

  No

• Total

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Access controlled door

  Yes

  No

• Total

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

Additional Check List

• Program switch lockout tested

  Yes

  No

  N/A

• Occupiers’ safety check recorded

  Yes

  No

• Locks Checked

  Yes

  No

• Fire alarm - Conected?

  Yes

  No

• Comments

Conformity

• Standard

  BS 7036

  EN 16005 2012

• Asset Compliant

  Yes

  No

• Why does door not comply?

• Asset compliant

  Yes

  No

• Why does door not comply?

• Client

  Sign

• Engineer

  Sign