Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Bollards - NP1 Inner
FILL OUT CHECKLIST COMPLETELY, DO NOT LEAVE ANY QUESTIONS "BLANK" OR "UN-ANSWERED" (TAKE PICTURES IF POSSIBLE)
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Bollards Sleeve/ Cover Plates - Check bollard sleeve appearance/ check for missing bolts in plate covers, rust etcÂ…
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Bollard inside housings - check inner housing for dirt, debri and make sure all drains are clear,remove debri
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Bollard rings - make sure all bollards have rings
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Traffic Lights - Check to make sure light are changing
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Safety Loops - Check complete operation of safety loops
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Photo Eyes - Check to make sure all are functional
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Limit Switches - Check operation,adjust or change if needed
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Loop Detectors - Check to make sure all safety are functional
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Please indicate if there was water found in unit
Bollards - NP1 OUTTER
FILL OUT CHECKLIST COMPLETELY, DO NOT LEAVE ANY QUESTIONS "BLANK" OR "UN-ANSWERED" (TAKE PICTURES IF POSSIBLE)
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Bollards Sleeve/ Cover Plates - Check bollard sleeve appearance/ check for missing bolts in plate covers, rust etcÂ…
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Bollard inside housings - check inner housing for dirt, debri and make sure all drains are clear,remove debri
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Bollard rings - make sure all bollards have rings
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Traffic Lights - Check to make sure light are changing
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Safety Loops - Check complete operation of safety loops
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Photo Eyes - Check to make sure all are functional
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Limit Switches - Check operation,adjust or change if needed
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Loop Detectors - Check to make sure all safety are functional
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Please indicate if there was water found in unit
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List Concerns or Comments
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Enter any Corrective Actions that WILL NEED to be Undertaken
HPU - NP1 INNER
FILL OUT CHECKLIST COMPLETELY, DO NOT LEAVE ANY QUESTIONS "BLANK" OR "UN-ANSWERED" (TAKE PICTURES IF POSSIBLE)
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HPU - Check for leaks, dirt ,debri,corrison,clean off any dirt from all components
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Hydraulic pressure - Check for proper operational pressure no less 700- no more then 1500 psi
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Indicate pressure
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Solenoid Valves - Inspect manual override knobs for operation,corrosion or binding-replace if needed
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Connections - Check for loose wires,manipulate to make sure all are secure
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Fluid - Inspect fluid color,odor and fluid level in lowered position- replace fluid if needed
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Why was fluid changed if not scheduled/what location
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Date of scheduled oil change - Check for leaks,loose connections-,dry rot and wear replace if needed
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Hoses - Check for leaks,loose connections-,dry rot and wear replace if needed
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Cylinders - Check for leaks ,loose fittings and corrosion
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Accumulator - Check to make sure accumulator is secured,clean,fittings are secure,corrison
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Snow Melt - During Inclement weather(winter) make sure snow melts are funtional/Turn off during warm months
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Bollard Up Position - Check for fully secure position
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Bollard Down Position - Check for fully unsecure position
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Please indicate if there was water found in unit
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List Concerns or Comments
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Enter any Corrective Actions that WILL NEED to be Undertaken
HPU - NP1 OUTTER
FILL OUT CHECKLIST COMPLETELY, DO NOT LEAVE ANY QUESTIONS "BLANK" OR "UN-ANSWERED" (TAKE PICTURES IF POSSIBLE)
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HPU - Check for leaks, dirt ,debri,corrison,clean off any dirt from all components
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Hydraulic pressure - Check for proper operational pressure no less 700- no more then 1500 psi
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Indicate pressure
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Solenoid Valves - Inspect manual override knobs for operation,corrosion or binding-replace if needed
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Connections - Check for loose wires,manipulate to make sure all are secure
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Fluid - Inspect fluid color,odor and fluid level in lowered position- replace fluid if needed
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Why was fluid changed if not scheduled/what location
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Date of scheduled oil change - Check for leaks,loose connections-,dry rot and wear replace if needed
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Hoses - Check for leaks,loose connections-,dry rot and wear replace if needed
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Cylinders - Check for leaks ,loose fittings and corrosion
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Accumulator - Check to make sure accumulator is secured,clean,fittings are secure,corrison
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Snow Melt - During Inclement weather(winter) make sure snow melts are funtional/Turn off during warm months
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Bollard Up Position - Check for fully secure position
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Bollard Down Position - Check for fully unsecure position
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Please indicate if there was water found in unit
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List Concerns or Comments
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Enter any Corrective Actions that WILL NEED to be Undertaken
Officers Post
FILL OUT CHECKLIST COMPLETELY, DO NOT LEAVE ANY QUESTIONS "BLANK" OR "UN-ANSWERED" (TAKE PICTURES IF POSSIBLE)
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Master Panel - Check up and down push button operation/connections,contacts
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Key Pad - Check key pad operation, make sure key pad is secure
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Control Board - Check for loose wires,manipulate to make sure all is secure and neat
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Touch screens - Make sure all functions and idications are accurate
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Touch screen Data Logger - Check data logger located in the toucscreen
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Push buttons - Make sure all push button covers and contacts are ok- check all connections
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Alarms - Check alarm that sounds when vehicle is approaching
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Please indicate if there was water found in unit
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List Concerns or Comments
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Enter any Corrective Actions that WILL NEED to be Undertaken
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Open items & Parts to be ordered
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Please indicate if there was water found in units
ELECTRONIC SIGNATURE ACKNOWLEDGEMENT
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ELECTRONIC SIGNATURE ACKNOWLEDGE (to be signed by Customer Rep. or Authorized Rep), 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.
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Nasatka Representive Signature
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Customer Representive or Authorized Representive Signature
