Roller Door inspection

• Document No.

• Audit Title

• Job number

• Client / Site

• Conducted on

  Date

• Prepared by

• Visitor pass number

• Location
  Address

Door Details

• Door identification

• Door manufacturer

• Time on site

  Date

• Date of Manufacture

• Photo of the Door

  Media

• Any other comments

  Yes

  No

• Any delays in gaining access to the site

  Yes

  No

HOIST

• Door condition

  Safe

  At Risk

  N/A

• Motor condition

  Safe

  At Risk

  N/A

• Door drum is free from any backlash play.

  Yes

  No

  N/A

• Bearing condition

  Safe

  At Risk

  N/A

• Working height limit switches

  Safe

  At Risk

  N/A

• Working height limit switch Adjustment

  checked all limits all OK

  Adjustments made to limit settings

  Adjustment is required

  Repairs required

• Couplings

  Safe

  At Risk

  N/A

• Transmission is free from noise and vibration

  Yes

  No

  N/A

• Gear box is free from Oil leaks

  Yes

  No

  N/A

• Mountings

  Safe

  At Risk

  N/A

• Overall visual condition10=Good.1=Bad

ELECTRICAL

• Control box condition

  Safe

  At Risk

  N/A

• Control box

  Media

• Contactors and control electrics

  Safe

  At Risk

  N/A

• Cables

  Safe

  At Risk

  N/A

• Isolators

  Safe

  At Risk

  N/A

• Isolator signage

  Yes

  No

  N/A

STRUCTURE

• Building structure safe and sound

  Safe

  At Risk

  N/A

• Building design

  Safe

  At Risk

  N/A

GENERAL ITEMS

• Signage general

  Yes

  No

  N/A

• Door is free from deformations and damage.

  Yes

  No

  N/A

• Crow's nest / service access

  Safe

  At Risk

  N/A

• Any comments

• Any sketch that may help.

  Drawing

• Service Tech

  Select Donald Kempf David Duprat

  • Donald Kempf
  • David Duprat

• Inspection technician to sign. All work has been done to comply with the relevant Australian Standards.

  Sign

• Time off site

  Date

• Next routine inspection and service due

  Date

• Customer to sign

  Sign