Information

  • Facility Name

  • Facility ID number (if known)

  • Street Address

  • GIS coords (use 'LOCATE' button)
  • Assessment No.

  • Parcel No.

  • Conducted on

  • Review Prepared by (CRC officer name and number)

  • This inspection reviews contract performance and compliance for passenger and goods lifts. Note: if follow up action is required, use the "..." button to add a 'follow-up' item

1. Contract Details

  • Name of contract company

  • Name of contractors representative

  • Contact telephone number and email if known

2. Finance

  • Has an invoice been received for this works ?

  • Invoice number

  • If the invoice or supporting paperwork identified works other than the general service, provide details here ..

  • General comments

3. Maintenance Schedule

  • Is there a routine service schedule for this facility or is it a 'one off' or ad-hoc maintenance activity?

  • Is the schedule on time?

  • Provide details of when schedule was due, any reasons for delay etc. Produce a 'follow up' item if this needs to be addressed with contractor should the delay be unacceptable.

  • General comments on Schedule and time keeping

4. Contractors on-site log of activity

  • Has a site inspection been undertaken as part of this contractor compliance check?

  • Is there a maintenance log at this site?

  • Is the maintenance log up to date and fully completed as required?

  • Use the '..." button to raise a follow up for the occupier/contractor to provide a log for the site and diarise follow-up response

  • Should there be a maintenance log for this asset which is missing, or not provided but perhaps should have been ?

  • Identify where the log book would be kept safe on site

  • Use the '..." button to raise a follow up for the introduction of a log book facility on site.

  • Is there a maintenance attendance sticker at this site?

  • Has it been completed properly and is fully up to date?

  • Use the '..." button to raise a follow up for the occupier/contractor to provide a log for the site and diarise follow-up response

  • Should there be a maintenance or sticker for this asset which is missing, or not provided but perhaps should have been ?

  • Identify where the sticker should be provided

  • Use the '..." button to raise a follow up for the introduction of a log book facility on site.

  • Provide reason for not attending site or other information as required.

  • General comments on site log or activity sticker

5. Asset condition - INSIDE THE CAR.

  • Is the lift car in acceptable condition with no defects?

  • Take a photo of any defective equipment

  • Use the '...' button to raise a follow up for the contractor to review and provide feedback to you and diarise follow-up-up response.

  • General comments on condition of lift car

6. Asset condition - INSIDE THE LIFT MOTOR ROOM

  • Is the switch gear cabinet and lift room in acceptable condition with no defects?

  • Take a photo of any defective equipment

  • Use the '...' button to raise a follow up for the contractor to review and provide feedback to you and diarise follow-up-up response.

  • General comments on condition of lift room or control cabinet

7. Sign off by CRC officer

  • What score has been obtained?

  • This check has identified a failure in service compliance.

    Ensure any non-conformance has been identified as a 'Follow-up' item in the above audit.

  • Diarise follow up to ensure full compliance is obtained

  • Name and contact number of CRC officer responsible for follow up..

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.