Information
-
Audit Title
-
Document No.
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
VBS Board Programming Options - FILL OUT FORM COMPLETELY, DO NOT LEAVE ANY QUESTIONS "BLANK' OR UN-ANSWERED" (TAKE PICTURES IF POSSIBLE)
Record Timers (in seconds)
-
Barrier Unsecure Time
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
-
Barreier Secure Time
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
-
Barrier EFO Time
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
-
Gate Arm Up Time
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
-
Gate Arm Down Time
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
-
Door/Gate Time
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
- 31
- 32
- 33
- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Enter any Additional Comment. Take Pictures.
VBS Board - Advanced Programming
-
Gravity Unsecure
-
EFO Secure Valve
-
Re-Secure Retry
-
Motor Run for Secure
-
Gate Arm Used
-
Auto Re-Secure Loop
-
Barrier Unsecure Warning
-
Safety Loops
-
Safety Loop 1
-
Safety Loop 2
-
Safety Loop 3
-
Warning Horn Mode
-
Card Reader Mode
-
Traffic Light Red
-
Enter any Additional Comment. Take Pictures.
ELECTRONIC SIGNATURE ACKNOWLEDGEMENT
ELECTRONIC SIGNATURE ACKNOWLEDGE, I agree that my Electronic signature is a Legally and Binding Equivalent to my handwritten signature. Whenever I execute an Electronic Signature, it has the same validity and meaning as my Handwritten Signature. I will not at ANY time in the furture, REPUDIATE the meaning of my Electronic Signature or Claim that my Electronic Signature is not Legally Binding.
-
Nasatka Representive Signature
-
Customer Representive or Authorized Representive Signature