36C25219Q0364-004.docx
DOCX document 16 KB Posted
- Attached to
- AUTOMATIC DOOR MAINTENANCE/TESTING BASE + 4 OYS Federal contract opportunity
- Solicitation number
- 36C25219Q0364
About this file
36C25219Q0364 ATTACHMENT B - PM Inspection Checklist 02.docx
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| File | Type | Posted |
|---|---|---|
| 36C25219Q0364-0001000.docx | DOCX document | |
| 36C25219Q0364-0001001.docx | DOCX document | |
| 36C25219Q0364-005.pdf | ||
| 36C25219Q0364-002.docx | DOCX document | |
| 36C25219Q0364-003.docx | DOCX document | |
| 36C25219Q0364-006.pdf | ||
| 36C25219Q0364-001.docx | DOCX document |
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Text version
Attachment B Automatic Door Maintenance Contract PM Inspection Checklist Zablocki VA Medical Center 5000 W. National Ave.
Milwaukee, WI 53295 414-384-2000, ext. 45767 (Link Gross, PM&R Supervisor)
| Equipment Condition: |
| Door #/Location |
| Door #/Location |
| Door #/Location |
| 1 = Replace |
| Model # |
| 2= Repairs Required |
| Serial # |
| 3 = Like New |
| Condition |
| 1 2 3 |
| 1 2 3 |
| 1 2 3 |
| Structural Inspection |
| Pass |
| Fail |
| Pass |
| Fail |
| Pass |
| Fail |
Inspect Track
Inspect All Bolted Connections
Inspect Panels for Damage
Inspect Weather seal Condition (Bottom & Jamb Seal)
Inspect Bottom Bar Assy.
Inspect All Rollers, Hinges & Track
Inspect Cables, Drums, Belts & Chains (if applicable)
Inspect Head Plates & Bearings
Inspect any Optional or Accessory Equipment
| Electrical Inspection (if applicable) |
| Pass |
| Fail |
| Pass |
| Fail |
| Pass |
| Fail |
Inspect Tighten All Electrical Connections
Inspect Motor Starter Contacts
Inspect Motor Operator Control Circuit
Inspect Motor Brake & Clutch Assy.
Inspect & Adjust all Limit & Safety Switches
Verify all Safety Devices
| Lubrication |
| Pass |
| Fail |
| Pass |
| Fail |
| Pass |
| Fail |
Lubricate Roller, Hinges & Track
Lubricate Drive Chain (if applicable)
Lubricate Springs & Bearings
| Adjustments |
| Pass |
| Fail |
| Pass |
| Fail |
| Pass |
| Fail |
Cycle Equipment and Verify Proper Operation
Adjust Operator Limit Switches as Needed
Adjust Motor Brake & Clutch Assy. (if applicable
Adjust Drive chain Tension as Needed
Tighten all Set Screws
| Service Technician Signature: |
| Maintenance Signature: |
| Date of PM: |
| Date: |
Recommendations:
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