Title Page

  • Conducted on

  • Authorised Technician

  • Technician ADSA Number

  • Job Number

  • Customer

  • Site Name

  • Post Code

  • Shop Front Image

Certificate of Maintenance

Asset Inspection:

  • Door Location

  • Manufacture

  • Manufacture Name

  • Door Type

  • Image - Asset [From inside]

  • Image - Asset No [Sticker]

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

  • Inner Radar - Straight Approach

  • Distance[ mm ]

  • Inner Radar - Side Approach

  • Distance [ mm ]

  • Outer Radar

  • Outer Radar - Straight Approach

  • Distance [ mm ]

  • Outer Radar - Side Approach

  • Distance [ mm ]

Safety Sensor Detection Zones

  • Threshold Area/Closing direction Swept Area

  • Field Width

  • Size [ mm ]

  • Field Depth

  • Size [ mm ]

  • Re-learn Time [ seconds ]

  • Monitored

  • Rear Edge Area/Opening Direction Swept Area

  • Field Width [ mm ]

  • Size [ mm ]

  • Field Depth [ mm ]

  • Size [ mm ]

  • Re-learn

  • Re-learn Time

  • Sensor Action

  • Comments

  • Monitored

Mechanical and Hinge Protection

  • Fingerguard

  • Barriers

  • ESPE Hinge protection

  • Construction Gaps

Escape System

  • Power outage Door Fails?

  • Why?

  • Door reaction on faults

  • Why?

  • Break Out fitted

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

Door Signage

  • Automatic Door

  • Total

  • Directional Arrow

  • Total

  • Keep Clear

  • Total

  • No Entry/Exit

  • Total

  • Breakout

  • Total

  • Disability sign

  • Total

  • Push button to open

  • Total

  • Access controlled door

  • Total

Additional Check List

  • Program switch lockout tested

  • Occupiers’ safety check recorded

  • Locks Checked

  • Fire alarm - Conected?

  • Comments

Conformity

  • Standard

  • Asset Compliant

  • Why does door not comply?

  • Asset compliant

  • Why does door not comply?

Signature

  • Client

  • Engineer

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.