Title Page

  • Elevator weekly inspection

  • Baylor Scott&White

  • Conducted on

  • Prepared by

  • Hurd Medical Center Clinic 800 West Highway 71 Marble Falls, Texas 78654
  • Elevator 1 Inspection

  • Interior lights on?

  • Fan on?

  • Interior control lights working?

  • Elevator emergency button sounds local alarm?

  • Elevator emergency call button makes call and process works?

  • First floor door safeties?

  • Second floor door safeties?

  • Third floor door safeties?

  • Fireman's recall works? (Phase 1 recall, monthly test)

  • Fireman's recall works? (Phase 2 recall, monthly test)

  • Elevator 3 Inspection

  • Interior lights on?

  • Fan on?

  • Interior control lights working?

  • Elevator emergency button sounds local alarm?

  • Elevator emergency call button makes call and process works?

  • First floor door safeties?

  • Second floor door safeties?

  • Third floor door safeties?

  • Fireman's recall works? (Phase 1 recall, monthly test)

  • Fireman's recall works? (Phase 2 recall, monthly test)

  • Add signature

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