ATTACHMENT B - PM Inspection Checklist.pdf

PDF 34 KB Posted

Attached to
H240--ROOF TIEBACK TESTING & INSPECTION BASE + 4 OYS
Solicitation number
36C25220Q0482
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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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