Roller Shutter Inspection Form
Complete this form to document the inspection and condition of a roller shutter.
Inspector Name
*
First Name
Last Name
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location / Site
*
Roller Shutter ID or Reference
*
Is the roller shutter operational?
*
Yes
No
Partially
Visual Condition of Shutter
*
Good
Fair
Poor
Damaged
Are safety devices (e.g. stops, sensors) functional?
*
Yes, all functional
Some issues
No, not functional
Lubrication Status
*
Adequate
Requires lubrication
Not checked
Any visible signs of damage or wear?
*
Dents
Rust/Corrosion
Misalignment
Broken slats
No visible damage
Other
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of
Follow-up Actions Required
*
Immediate repair
Routine maintenance
Monitor only
No action required
Other
Additional Notes or Comments
Submit Inspection
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