Audit

SITE NAME

SITE NAME IN BLOCK CAPS

PLEASE TAKE PHOTOS OF SITE BUILDING / SITE ENTRANCE / LIFT LOCATION
LIFT NAME e.g. PASSENGER LIFT 1 / GOODS LIFT 2

PLEASE ENTER FULL NAME OF LIFT

PLEASE TAKE PHOTOS OF THE OUTSIDE AND INSIDE OF THE LIFT
LIFT LOCATION / IDENTIFICATION FEATURES

PLEASE ENTER FULL DETAILS TO IDENTIFY LIFT e.g. BLOCK / BUILDING / FLAT NUMBERS etc...

PLEASE TAKE PHOTOS TO AID LIFT IDENTIFICATION e.g. FLAT NUMBER PLATES etc
LIFT TYPE
PLEASE CHOOSE LIFT TYPE
LIFT MAKE

ENTER LIFT MANUFACTURER

LIFT MODEL

ENTER LIFT MODEL

PLEASE TAKE PHOTOS TO SHOW MAKE / MODEL etc
LIFT SERIAL NUMBER

ENTER LIFT SERIAL NUMBER

NUMBER OF FLOORS

ENTER NUMBER OF FLOORS

NUMBER OF PERSONS / LIFT WEIGHT CAPACITY

ENTER NUMBER OF PERSONS / CARRYING WEIGHT

LIFT CONTROLLER TYPE AND NUMBER

ENTER CONTROLLER TYPE / MODEL NUMBER etc

PLEASE TAKE PHOTOS TO SHOW CONTROLLER
LIFT ORIGINAL INSTALLATION DATE

ENTER LIFT ORIGINAL INSTALLATION DATE

LIFT OR CONTROLLER REFURB / REPLACEMENT DATE

ENTER DATES OF LIFT REFURB OR CONTROLLER REPLACEMENT etc

LIFT RISK ASSESSMENT - NEW TYPE - ON SITE?

PLEASE INDICATE IF THERE IS A NEW TYPE RISK ASSESSMENT ON SITE

ANY OTHER USEFUL INFORMATION

PLEASE ENTER ANY OTHER USEFUL INFORMATION

PARKING FACILITIES

PLEASE PROVIDE INFORMATION ABOUT WHERE TO PARK WHEN ON SITE

PLEASE TAKE ANY USEFUL PICTURES TO SHOW PARKING FACILITIES IF RELEVANT
ANY OTHER USEFUL PHOTOS
PLEASE TAKE FURTHER PHOTOS TO SHOW SHAFT AND OTHER PANELS etc
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.