TGM-500™ + TGM-501™ Field Safety Checklist

1
Installer Email* This field is required.Your checklist submission will be sent to this email address.
example@example.com
2
Installer Company Name* This field is required.
3
Installer's Name* This field is required.
First Name
Last Name
4
Date* This field is required.
Date
Year
Month
Day
5
Property Info* This field is required.
Property Name
Property Contact Person
6
Property Name The name of the property that the installation is being done at.
7
Property Contact Person
First Name
Last Name
8
Property Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
9
Auto-close delay is set to minimum of 5+ seconds* This field is required.
YESNO
10
Auto-close delay is set to 5+ secondsAttach a jobsite photo of this step being completed from your device for future reference.
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Max. file size: 10.6MB
Cancelof
11
Audio or visible warning is present (if required)* This field is required.
YESDOES NOT APPLY
12
Audible or visible warning is present (if required)Attach a jobsite photo of this step being completed from your device for future reference.
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Max. file size: 10.6MB
Cancelof
13
(Closing direction) Photo eye or safety edge installed* This field is required.
YESNO
14
(Closing direction) Photo eye or safety edge installedAttach a jobsite photo of this step being completed from your device for future reference.
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Max. file size: 10.6MB
Cancelof
15
(Opening direction) Photo eye or safety edge installed* This field is required.
YESNO
16
(Opening direction) Photo eye or safety edge installedAttach a jobsite photo of this step being completed from your device for future reference.
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Max. file size: 10.6MB
Cancelof
17
Gate stops or reverses on obstruction detection* This field is required.
YESNO
18
Gate stops or reverses on obstruction detectionAttach a jobsite photo of this step being completed from your device for future reference.
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Max. file size: 10.6MB
Cancelof
19
Force tested: below 40 lbs continuous, below 75 lbs surge* This field is required.
YESNO
20
Force tested: below 40 lbs continuous, below 75 lbs surgeAttach a jobsite photo of this step being completed from your device for future reference.
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Max. file size: 10.6MB
Cancelof
21
Power disconnect is present and labeled* This field is required.
YESNO
22
Power disconnect is present and labeledAttach a jobsite photo of this step being completed from your device for future reference.
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Max. file size: 10.6MB
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23
Surge protection is installed or supported* This field is required.
YESNO
24
Surge protection is installed or supportedAttach a jobsite photo of this step being completed from your device for future reference.
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Max. file size: 10.6MB
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25
Frame is rigid and structurally sound* This field is required.
YESNO
26
Frame is rigid and structurally soundAttach a jobsite photo of this step being completed from your device for future reference.
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Max. file size: 10.6MB
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27
Bottom clearance is ≤4 inches* This field is required.Less than 4" clearance on bottom of gate?
YESNO
28
Bottom clearance is ≤4 inchesAttach a jobsite photo of this step being completed from your device for future reference.
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Max. file size: 10.6MB
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29
Gaps do not exceed 2.25 inches* This field is required.No gaps of 2.25" are present in entrapment sections of fence or gates?
YESNO
30
Gaps do not exceed 2.25 inchesAttach a jobsite photo of this step being completed from your device for future reference.
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Max. file size: 10.6MB
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31
Tail section infill is provided* This field is required.Tail section of any slide gate is enclosed or less than 2.25" gaps.
YESDOES NOT APPLY
32
Tail section infill is providedAttach a jobsite photo of this step being completed from your device for future reference.
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33
Travel stops are installed at open and closed positions* This field is required.
YESNO
34
Travel stops are installed at open and closed positionsAttach a jobsite photo of this step being completed from your device for future reference.
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Max. file size: 10.6MB
Cancelof
35
Gate cannot fall more than 45° in event of failure* This field is required.Fall protection is installed
YESNO
36
Gate cannot fall more than 45° in event of failureAttach a jobsite photo of this step being completed from your device for future reference.
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Max. file size: 10.6MB
Cancelof
37
Rollers, hinges, and arms are guarded* This field is required.Entrapment areas of rollers and hinges are guarded?
YESNO
38
Rollers, hinges, and arms are guardedAttach a jobsite photo of this step being completed from your device for future reference.
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Max. file size: 10.6MB
Cancelof
39
No exposed pinch points or sharp edges below 8 feet* This field is required.
YESNO
40
No exposed pinch points or sharp edges below 8 feetAttach a jobsite photo of this step being completed from your device for future reference.
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Max. file size: 10.6MB
Cancelof
41
Signature* This field is required.By signing below, you confirm that you have reviewed the TGM-500™/TGM-501™ training manual and, to the best of your knowledge, have met the requirements of these standards as well as all applicable state and federal regulations. You understand that this checklist is for reference only, and that it is your sole responsibility to ensure gates and operators are installed safely and in compliance with all relevant safety standards.
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42
Terms and Conditions* This field is required.Always follow all local, state, and federal laws and regulations when installing or servicing gate systems.
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