Site Survey Check List/log

Site Survey Check List/Log

40 Asquith Avenue

Address:

Date:

20-Aug-09 dd-mmm-yy

GDO Manufacturer

Equipment Spec.

LYNX Inustries Inc.

HP

Voltage

Phase

3/4

208

3

Yes

No

Safety Features

X

Electric Photo-Eye/s

X

Model #

Serial #

Year

MC3

94253

?

Verified functional operation of all installed safety features.

P

Motion Sensor (IR)

X

N/A

Bounce back built in (electrical - contact

X

N/A

Bounce Back (pneumatic pressure sensor door bottom edge)

X

N/A

Pneumatic Hose

X

N/A

Proximity Sensor/s (ultra-sonic)

X

N/A

Proximity Magnetic Ground Loop

X

N/A

switch strip door bottom edge)

Notes

Tested

Manual Door Release

X

P

Open/Close Limits (GDO controller)

X

P

Replaced one & added one new Reflective Photoelectric Switch/s

Tested Notations: P = Passed, F = Failed, N/A = Not Applicable

Garage Door Entry/Exit Characteristics Drive / Laneway Grade

Manual / Automatic Passage Method/s

Direction

Key

X

Level

Straight

Up

Left

Inbound

Right

Outbound

Down

X

Code Key Card / Key Proximity Pneumatic Pad FOB Sensor Hose

Other:

X X

Observations / Recommendations Item

1

Details

Photo #

Existing photo-eye conduit damaged & unit incompatible. Removed old PE and damaged conduit.

5&6

2 3 4 26152248

Copyright © GRAFF Electric Ltd. (416) 605-6855

REL

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4

26152248

Copyright © GRAFF Electric Ltd. (416) 605-6855

REL

12/07/2009 13:32:06

Photo Array

40 Asquith Avenue

Address:

20-Aug-09

Date:

Garage Door Entry/Exit Photo's After

to Ph o

Ph o

to

1

2

Before

Photo - 2

to Ph o

Ph o

to

3

4

Photo - 1

Photo - 3

Photo - 4

12 to Ph o

Ph o

to

11 8

0

Observations / Recommendation Reference Photo's

Photo - 5

Photo - 6

Existing photo-eye conduit damaged & unit incompatible

26152248

Removed old PE and damaged conduit.

Copyright © GRAFF Electric Ltd. (416) 605-6855

REL

12/07/2009 13:32:06

Service Work Log

Service Date:

20-Aug-09 dd/mmm/yy

Customer/Company Details

GRAFF Electric Limited

Company / Name

legal business name

Billing Address Contact Numbers

13 Saint Hubert Drive

Castlemore

ON

L6P 1V7

street name, number, suite/unit

city

province

postal code

416-605-6855

905-794-8576

416-605-6855

office

fax

mobile

Contact Name/s

John Ruffolo

[email protected]

individual person & title

email

Service Site Detail Information Job / Project Site Address Contact Numbers

HSI - Toronto Community Housing

00000

name / description

P.O. Number

40 Asquith Avenue

Toronto

ON

street name, number, suite/unit

city

province

postal code

416-678-0331

(416) 981-6112

(416) 981-5500

office

fax

mobile

Frank Bellissimo

Contact Name/s

individual person & title

email

Service Work Detail

1

Identify and verify operation of garage door opener entry/exit safety systems

2

Install as required and verify function of reflective door safety photo-eyes and assemblies

3

Photograph and document before and after physical door safety characteristics

4 5 6 Material/s Used Detail Quantity

Units

2

pcs

Polarized Retro Reflective Photoelectric Switch/s

2

pcs

Photoelectric Switch Mounting Enclosure (box); 4 Tap-con screws;

2

pcs

Reflector Lense/s and mounting assemblies; 4 Tap-con screws;

5

feet

1/2" Electro-Metalic tubing (EMT) + 3 Conn.; 0 Coup.; 1 pull elbow; 0 straps;

5

Material Description

meters 18/4 LVT cable Misc.

Installation & Mounting Hardware

$42.72

14:00

Labour Name

Start Time

(-) Lunch

End Time

(+) Travel Total Time

7:00 7:00

Robert Lugossy Jon Pinto 26152248

Copyright © GRAFF Electric Ltd. (416) 605-6855

REL

12/07/2009 13:32:07

26152248

Copyright © GRAFF Electric Ltd. (416) 605-6855

REL

12/07/2009 13:32:07