Automatic Door Service Sheet
Customer Name
Site Location
Door Location
Asset Number
Door Make and Model
Door Type
Single Swing
Double Swing
Sliding
Telescopic
Folding
Balance
Prismatic
Activation Type
Activation Distance (mm)
Please use N/A if not applicable
Clear Opening Width (mm)
Operator Times
Rows
Time (seconds)
Opening
Hold Open
Closing
Safety Features
Rows
Yes
No
If yes, how many?
Hold Open Beams
1
2
Transom Mounted Sensor
3
4
Door Mounted Sensor
5
6
Finger Guards
7
8
Pocket Screens
9
10
Measurements (mm)
Rows
Size (if applicable)
Threshold Safety Width
Threshold Safety Depth
On Door Safety Width
On Door Safety Depth
Side Screen Safety Width
Side Screen Safety Depth
Motor Gearbox Condition
Good
Ok
Poor
N/A
Control Panel Condition
Good
Ok
Poor
N/A
Drive Belt Condition
Good
Ok
Poor
N/A
Carriage Wheel Assembly Condition
Good
Ok
Poor
N/A
Track Condition
Good
Ok
Poor
N/A
Drive Arm Condition
Good
Ok
Poor
N/A
Checklist
Rows
Yes
No
N/A
Check operator fixings
11
12
13
Check floor guides
14
15
16
Check pulley wheel
17
18
19
Check wiring
20
21
22
Check glass
23
24
25
Check door is structurally sound
26
27
28
Check canopy fixings and condition
29
30
31
Check pinion
32
33
34
Check finger guards
35
36
37
Check barrier rails
38
39
40
Check safety screens
41
42
43
Does the door have correct signage?
Yes
No
Does the door conform to the current BS EN 16005 Regulations?
Yes
No
Additional work required?
Yes
No
If yes, please include details below:
Door Images
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of
Engineer Name
First Name
Last Name
Date of service
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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