Magnetic Door Contact Inspection Log Form
Record and track inspections of magnetic door contacts for safety and maintenance compliance.
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Site / Location
*
Door or Asset Identifier
*
Door Type
*
Please Select
Single
Double
Sliding
Roll-up
Other
Contact Type
*
Please Select
Surface Mounted
Recessed
Overhead
Other
Inspection Status
*
Pass
Fail
Requires Attention
Test Method
*
Please Select
Manual Activation
Electronic Test
Visual Inspection
Other
Functional Response
*
Normal
Delayed
No Response
Alignment / Physical Condition
*
Good
Misaligned
Damaged
Cleaning / Maintenance Performed
Cleaned Contacts
Lubricated Hinges
Adjusted Alignment
None
Other
Defects or Issues Found
Corrective Action Taken
Follow-up Needed?
*
Yes
No
Next Inspection Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Remarks
Submit Inspection Log
Should be Empty: