RSB, SDC Entrance Survey Form

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

For this entrance/floor number listed above, which CJA device do you plan on installing?

RSB Door Locking Devices are used with a stationary cam. SDC Door Interlocks are used with a retiring cam. Please confirm hand that you require as well. We determine this standing inside the elevator, looking out into the hallway. Which ever side the roller/zone control, is mounted on is the hand you require.

RSB - Right Hand (Standing Inside Car, Pick Up Roller Mounts on Right Side of Door) - Double Swing Doors w/Stationary Cam

RSB - Left Hand (Standing Inside Car, Pick Up Roller Mounts on Left Side of Door) - Double Swing Doors w/Stationary Cam

SDC - Right Hand (Standing Inside Car, Pick Up Roller Mounts on Right Side of Door) - Double Swing Doors w/Retiring Cam

SDC - Left Hand (Standing Inside Car, Pick Up Roller Mounts on Left Side of Door) - Double Swing Doors w/Retiring Cam

RSB-2 - Right Hand (Standing Inside Car, Pick Up Roller Mounts on Right Side of Door) - Double Swing Doors w/Stationary Cam

RSB-2 - Left Hand (Standing Inside Car, Pick Up Roller Mounts on Left Side of Door) - Double Swing Doors w/Stationary Cam

RSB-3 - Right Hand (Standing Inside Car, Pick Up Roller Mounts on Right Side of Door) - Single Swing Doors w/Stationary Cam

RSB-3 - Left Hand (Standing Inside Car, Pick Up Roller Mounts on Left Side of Door) - Single Swing Doors w/Stationary Cam

Are all entrance dimensions the same? *

If all entrance dimensions are the same only one of these forms need to be completed. Please confirm this by selecting yes/no below.

Yes

No