Garage Door Entry/Exit Safety Systems

Site Survey Check List/Log

Address: 40 Asquith Avenue Date: 20-Aug-09

dd-mmm-yy

GDO Manufacturer Equipment Spec. Model # Serial # Year

HP Voltage Phase
LYNX Inustries Inc. 3/4 208 3 MC3 94253 ?

Yes No Tested Notes

Verified functional operation of all
Safety Features X installed safety features.
Replaced one & added one new
Electric Photo-Eye/s X P Reflective Photoelectric Switch/s

Motion Sensor (IR) X N/A

Bounce back built in
switch strip door bottom edge)
(electrical - contact
X N/A
Bounce Back
bottom edge)
(pneumatic pressure sensor door
X N/A
Pneumatic Hose X N/A
Proximity Sensor/s (ultra-sonic) X N/A
Proximity Magnetic Ground Loop X N/A
Manual Door Release X P
Open/Close Limits (GDO controller) X P
Tested Notations: P = Passed, F = Failed, N/A = Not Applicable

Garage Door Entry/Exit Characteristics

Drive / Laneway Manual / Automatic Passage Method/s
Grade Direction Other:
Code Key Card / Key Proximity Pneumatic
Key
Pad FOB Sensor Hose
Level Straight X
Up Left Inbound X
Down X Right Outbound X

Observations / Recommendations
Item Details Photo #

1 Existing photo-eye conduit damaged & unit incompatible. Removed old PE and damaged conduit. 5&6

4
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 Garage Door Entry/Exit Safety Systems
4

26152248.xlsx Copyright © GRAFF Electric Ltd. (416) 605-6855 REL 11/02/2021 19:19:15
 Garage Door Entry/Exit Safety Systems
Photo Array

Address: 40 Asquith Avenue Date: 20-Aug-09

Garage Door Entry/Exit Photo's
Before After

2
o

o
ot

ot
Ph

Ph
Photo - 1 3 Photo - 2

4
o

o
ot

ot
Ph

Photo - 3 Photo - 4
Ph
Observations / Recommendation Reference Photo's
8

0
11

12
o

o
ot

ot
Ph

Ph

Photo - 5 Photo - 6
Existing photo-eye conduit damaged & unit Removed old PE and damaged conduit.
incompatible

26152248.xlsx Sheet] Copyright © GRAFF Electric Ltd. (416) 605-6855 REL 11/02/2021 19:19:15
 Existing photo-eye conduit damaged & unit Removed old PE and damaged conduit.
incompatible Garage Door Entry/Exit Safety Systems

26152248.xlsx Sheet] Copyright © GRAFF Electric Ltd. (416) 605-6855 REL 11/02/2021 19:19:15
 Service Work Log Service Date: 20-Aug-09
dd/mmm/yy
Customer/Company Details

Company / Name GRAFF Electric Limited

legal business name

Billing Address 13 Saint Hubert Drive Castlemore ON L6P 1V7

street name, number, suite/unit city province postal code

Contact Numbers 416-605-6855 905-794-8576 416-605-6855

office fax mobile

Contact Name/s John Ruffolo graffelectric@rogers.com

individual person & title email

Service Site Detail Information

Job / Project HSI - Toronto Community Housing 00000

name / description P.O. Number

Site Address 40 Asquith Avenue Toronto ON

street name, number, suite/unit city province postal code

Contact Numbers 416-678-0331 (416) 981-6112 (416) 981-5500

office fax mobile

Contact Name/s Frank Bellissimo

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

Material/s Used Detail

Quantity Units Material Description
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 meters 18/4 LVT cable

Misc. Installation & Mounting Hardware

$42.72

Labour 14:00
Name Start Time (-) Lunch End Time (+) Travel Total Time
Robert Lugossy 7:00
Jon Pinto 7:00

26152248.xlsx Copyright © GRAFF Electric Ltd. (416) 605-6855 REL 11/02/2021 19:19:15
26152248.xlsx Copyright © GRAFF Electric Ltd. (416) 605-6855 REL 11/02/2021 19:19:15