Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

VBS Programming Options

Rampart Programming Options - FILL OUT FORM COMPLETELY, DO NOT LEAVE ANY QUESTIONS "BLANK' OR UN-ANSWERED" (TAKE PICTURES IF POSSIBLE)

  • Enter Translator Button Number

Sync Interlock

  • Sync - Enter ID#

  • Ilock - Enter ID#

  • EFO Sync - Enter ID#

  • Enter any Additional comments if need. Take pictures.

  • Enter Any Comments. T

Comm Loss

  • Enable Manual Operation - Enter Delay Time (seconds)

  • Trigger EFO - Enter Delay Time (seconds)

  • Do Nothing - Enter Delay Time (seconds)

  • Blast Wave - Not used

Enviro Settings

  • Sandy

  • Hot

  • Cold

  • Wet

  • B45 Dry

Barrier Setting

  • AC Present

  • Hi Lo Pressure Switch

  • Fluid Reservoir

  • Phase Monitor

  • Motor Overload

  • Manual Gate Arm Control

  • Non Secure Limit Switch

  • Secure Limit Switch

  • Card Reader Input Switch

  • Traffic Safety Switch 3

  • Traffic Safety Switch 2

  • Traffic Safety Switch 1

  • Manual Non Secure Switch

  • Manual EFO Rest Switch

  • Manual EFO Switch

  • Manual Secure Switch

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

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.