Powered gate service record: free blank PDF
Print this voluntary powered gate service record. Record the actual equipment, procedure, findings and handover for the visit.
Download the blank printable PDF for free.
Free blank Powered gate service record form
Print the blank record and keep the completed copy with the job. The preview shows the actual blank download.
Blank Powered gate service record form
Record scope and contents
England, Wales, Scotland, Northern Ireland. The named person recording the work; any regulated activities retain their own competence requirements.
- Visit: Record number, Work date, Equipment or installation identity, Manufacturer instructions and procedure used, Gate identity, operating mode and site-specific risk assessment reference, Safety edges, sensors, guards and manual-release checks, Applicable force-test procedure, instrument, positions, readings and evidence reference, Operating condition left, isolation and user instructions, Defects, action taken and condition left, Operating instructions and follow-up given
- Work location: Work jurisdiction
- Registered business: Company name, Company address, Company postcode, Phone
- Customer or duty-holder: Customer or duty-holder name, Customer address, Customer postcode
- Site: Installation or site address, Site postcode
- Named person: Named person, Signature, Date signed
Tradehand record definition · checked 2 October 2026
What the Powered gate service record covers
Record the gate, site risk assessment, safety-device and manual-release checks, force-test evidence and condition left. It records maintenance and tests, without issuing a conformity declaration or initial commissioning approval.
Who needs one
- The named person recording work actually performed.
- The customer retaining the findings, procedures and handover documents.
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