Page 1: Initial questions

  • Date of Service

  • Location
  • Lift Number

  • Engineer

Motor Room

Motor Room

  • Motor

  • Generator

  • Gear Unit

  • Brake

  • Traction Sheave

  • Main Suspension Ropes

  • Control Panel

  • Circuit Breaker

  • Floor Slector

  • Overspeed Governor

  • Emergency Lighting

  • Motor Room Area

Shaft

Shaft

  • Divertors

  • Trailing Cables

  • Guides & Fixings

  • Guide Shoes

  • Lift Car Exterior

  • Car Top Control Station

  • Door Gear

  • Shaft Lighting

  • Balance Weight

  • Overtravels/Buffers

  • Overtravel Switch

  • Wall Switches

  • Safety Switches

  • Car Top Stop Switch

  • Retiring Ramp

  • Safety Gear & Contact

Lift Car Interior

Lift Car Interior

  • Doors/ Gates/ Shutters

  • Push Stations

  • Alarm/ Telephone

  • Emergency Lighting

  • General

Landings

Landings

  • Doors/ Gates/ Shutters

  • Push Stations

  • Indicators

  • Pit Area

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.