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Compliance Documentation
Performance Test
Safety edge close moving
Safety edge open moving
Safety edge(s) close stationary
Safety edge(s) open stationary
Test signal
Name of Executive Company: _____________________________
Name of Installer: ___________________________________
Date: ______________________
Signature: ____________________________________________
Gate Description
Gate Type: _________________________________________
Manufacturer: _________________________________________
Serial Number: _________________________________________
Date of Initial Operation: ________________________________
Gate Location: ___________________________________
___________________________________
___________________________________
Used Gate Controller: ___________________________________
Additional Components: ___________________________________
___________________________________
___________________________________
ok not installed
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