Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Equipment Details

  • Lift Type

  • Lift Drive

  • Manufacturer

  • Maintenance Provider

  • Rated Load

  • Number of Persons

  • Lift Speed

  • Year of Manufacturer

  • Grouping

  • Number of Stops

  • Number of car entrances

  • Number of openings (Front)

  • Number of openings (Rear)

  • Car Entrance Type

  • Car Entrance Dimension

  • Landing Entrance Type

  • Landing Entrance Dimension

Machinery Space

  • Machinery Space Location

  • Machine Room Access Route

  • Is the machinery space access considered Satisfactory?

  • Access route hazards / observations

  • Machinery Space Lighting Type

  • Machinery Space Lighting Condition

  • Observations on machinery space lighting condition

  • Is there functioning emergency lighting fitted within the machinery space?

  • Observations on the machinery space emergency lighting.

  • Machinery Space Condition (general)

  • Observations on machinery space condition

  • Is the machinery space signage satisfactory (emergency release, first aid, manual lowering, access warning etc)?

  • Observations on machinery space signage

  • Are the maintenance logs and documents (Certificates of Thorough Examination etc) present and correct?

  • Observations on machinery space documentation

  • Are the maintenance logs comprehensive?

  • Observations on maintenance logs

Machinery Space Equipment

  • Electric Traction or Hydraulic

  • Machine Type

  • The installed machine design is of an aged, superseded design. Modern systems allow the lift speed to be increased and decreased gradually and bring the lift to a full standstill, prior to the brake being applied. The installed system does not allow a gradual acceleration, and relies upon the power being removed and the brake being applied to bring the lift to a stop, resulting in a lower ride quality, poorer levelling accuracy and greater wear and tear on the machine. These systems generally require a greater level of attention to retain floor levelling and ride quality within acceptable tolerances. We noted the overall ride quality and floor levelling accuracy as being:

  • The installed machine is of an aged and superseded design, that requires the conversion of AC power to DC for its operation. This results in a significantly lower energy efficiency when compared to modern VVVF AC systems. The design also necessitates a contact type commutator on the machine to provide power to the rotor, which is subject to higher levels of wear and tear. We noted the condition of the commutator as

  • The machine utilises method of speed control that has been superseded and is considered obsolete. Ride quality and levelling control tends to below that offered by more modern VVVF systems.

  • The installed machine is of a superseded design, that features separate high and low speed windings within the motor to control speed and relies upon the machine brake to bring the lift to a standstill. This form of speed control results in poorer quality floor levelling and increased wear on the machine and brake components.

  • Comment on the oil level and condition.

  • Provide details

  • What is the overall condition of the machine

  • Provide details

  • Power Unit Type

  • Does the power unit design remains the most effective for the required purpose?

  • Commentary on power unit design

  • Power Unit Condition

  • Commentary on power unit

  • Commentary on machine

  • What is the brake design?

  • The brake unit is of a design that lacks the duplication of components, such as springs and linkages, that is required to allow compliance with current standards. The lack of duplicated components presents a risk of single point failure and replacement is recommended as part of any future upgrade works. We noted the overall condition of the brake to be

  • It is recommended that the brake receives attention to address this issue...

  • What is the general condition of the brake

  • We recommend that the brake receives attention to address this issue...

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.