ATTACHMENT B - AUTOMATIC DOOR PM INSPECTION CHECKLIST.docx
DOCX document 20 KB Posted
- Attached to
- J059--AUTOMATIC DOOR MAINTENANCE BASE + 4OYS Federal contract opportunity
- Solicitation number
- 36C25224Q0310
About this file
This document is an Attachment B Automatic Door Maintenance Contract PM Inspection Checklist for the Zablocki VA Medical Center in Milwaukee, WI. The checklist outlines the required preventive maintenance inspection items for automatic doors, including structural, electrical, lubrication, and adjustment checks. It lists the door numbers and locations, and provides a pass/fail evaluation for each inspection item. The checklist must be completed by the service technician and countersigned by the VA maintenance technician.
The related federal contract opportunity is Solicitation Number 36C25224Q0310, titled "J059--AUTOMATIC DOOR MAINTENANCE BASE + 4OYS". This is a solicitation for automatic door maintenance services at the Edward Hines Jr VA Hospital in Hines, IL. The contractor shall provide all necessary labor, supervision, materials, and equipment to clean grilles and fan systems, conduct Air Change (ACH) Testing, and replace filters.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| ATTACHMENT A - PART 2.docx | DOCX document | |
| ATTACHMENT C - DOL WD 2015-4899 Rev-23 dated 12.26.2023.docx | DOCX document | |
| ATTACHMENT A -2024 Door LIST.xlsx | XLSX spreadsheet | |
| 36C25224Q0310_1.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 (Scott Rose, 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 Name:
VA Maintenance Tech Name:
| Date of PM: |
| Date: |
Recommendations:
Service Technician Signature:
VA Maintenance Tech Signature:
File details come from the government source that posted it. Updated .