Title Page
-
Conducted on
-
Authorised Technician
-
Technician ADSA Number
-
Job Number
-
Customer
- Buzz Bingo Group
- WHSmith
- FAAC Entrance Solutions
- Other
- Pets at Home
- Vets 4 Pets
-
Site Name
-
Post Code
-
Shop Front Image
Certificate of Maintenance
Asset Inspection:
-
Door Location
- Entrance - Main
- Entrance - Side
- Entrance - Rear
- Exit - Main
- Exit - Slide
- Exit - Rear
- Internal - Entrance
- Internal - Exit
- Internal - Warehouse
- Internal - Shop Floor
-
Manufacture
- FAAC
- RECORD
- TORMAX
- DORMA
- GEZE
- HORTON
- ASSA ABLOY
- GILGEN
- OTHER
-
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
- 1
- 2
- 3
- 4
- 5
- 6
-
Directional Arrow
-
Total
- 1
- 2
- 3
- 4
- 5
- 6
-
Keep Clear
-
Total
- 1
- 2
- 3
- 4
- 5
- 6
-
No Entry/Exit
-
Total
- 1
- 2
- 3
- 4
- 5
- 6
-
Breakout
-
Total
- 1
- 2
- 3
- 4
- 5
- 6
-
Disability sign
-
Total
- 1
- 2
- 3
- 4
- 5
- 6
-
Push button to open
-
Total
- 1
- 2
- 3
- 4
- 5
- 6
-
Access controlled door
-
Total
- 1
- 2
- 3
- 4
- 5
- 6
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