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