Inspection Worksheet

INSPECTION FORM

Please inspect and record the following information on each AFSS system installed.

Please fill out as much information as possible.

Date of Installation / Inspection

CDT

System Dealer / Supplier

School District / Company Name:

Make:

Model:

VIN(s):

Inspector/Installation Technician:

Inspector/Installer Contact Email:

Inspector/Installer Contact Phone:

HHD3 Sensor Panel Type:

Is Sensor Panel properly positioned per instructions?

Is the Sensor Panel secured at 4 fastening points?

First Generator S/N #: (etched on the side)

Second Generator S/N: (etched on the side)

Replace 15 years from date (Month/Year)

(See date punched out on Stat-X label attached to generator)

Are the protective disks present on the discharge ends of both generators?

Upload Photos

Please attach pictures of each generator in position, the Halo in position, and the dashboard with the green LED illuminated.

Drop files here or click to browse

Customer Notes: