74-EN
No. Equipment Present? Features to be tested Note
5.0 Other equipment
5.1 Latching/ lock Function/ state
5.2 Wicket door Function/ state
5.2.1 Wicket door contact Function/ state
5.2.2 Door closer Function/ state
5.3 Traffic light control Function/ state
5.4 Photoelectric sensors Function/ state
5.5 Closing edge safety device Function/ state
6.0 Documentation of the operator/ owner
6.1 Rating plate/ CE marking complete/ readable
6.2 Door system’s Declaration of
Conformity
complete/ readable
6.3 Installation, Operation and
Maintenance Instructions
complete/ readable
9.2 Proof of inspection and maintenance of the door system
Date Work performed/
necessary measures
Test carried out Defects rectified
Signature/
company
address
Signature/
company
address