QC Installation — 3S PULSE

Project & Identity

Project Name*

Tower #*

Installation Date*

Construction Type*

Work Category*

Customer Name

Installer Affiliation

Partner Name

Trainer Name

Describe the Work

Special / Out-of-Scope Work?

Component Replaced?

# Hatches Modified

# AHO Units Installed

Repairs

Issue Ticket #

Car S/N

Traction Unit S/N

Control Box S/N

Wire Rope S/N

Wireless Signal Code

Certificate of Completion #

Tower Height / Rail Usage per Tower (1st Unit)

2nd Ladder?

Rail Installed on 2nd Ladder?

Confirm each item passes. Mark N/A only where it does not apply.

Attach the required verification photos. You can add more than one per item.

Sign to attest this installation QC is accurate.

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