VAR
VAR
Technician
Building
Project Number/Name
Door Location
Room Number:
Door Number:
Of:
Lock
Strike
Model
Choose any applicable.
F Safe
F Secure
12 V
24 V
Power Transfer
Electric Hinge
Brand/Model
Reader?
Yes
No
Model
WIU4?
Yes
No
Location
Power Supply Type/Location
Door Contact
Panic Device?
Yes
No
REX
Brand/Model
Panic Power Supply Type/Location
Handicap?
Yes
No
Button Location
Tied into access?
Yes
No
Handicap?
Yes
No
Special Notes for Door
UC Technician
Inspection cannot be completed unless As-Built drawings have been submitted.
Inspection
will be within 10 business days after receipt.
As-Built drawings submitted?
Yes
No
As-Built drawings complete? (locations, paths, wire #’s)
Yes
No
UC RP40 BE Reader?
Yes
No
Reader properly installed?
Yes
No
Reader functioning?
Yes
No
Reader reprogrammed?
Yes
No
Reader labeled with number & UCPS sticker?
Yes
No
Reader at correct height?
Yes
No
Plastic mounting boxes?
Yes
No
Wiring is Color coded banana peel?
Yes
No
Wires properly concealed?
Yes
No
Wires neatly routed to/thru door?
Yes
No
Wiring protected (cable connectors / bushings)
Yes
No
Cables labeled on both ends?
Yes
No
Penetrations sealed?
Yes
No
Power Supply Labeled ?
Yes
No
Batteries installed and labeled? (record date)
Yes
No
UC & VAR
Controller Number/Name
UC Standard Applied
Areas defined
Schedules defined
Notes
Submit
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