Title Page

  • Job number

  • Building

  • Elevator #

  • Conducted on

  • Prepared by

  • Location

Inside of Car

  • Door reopening device

  • Stop switches

  • Operating control devices

  • Sills and car floor

  • Car lighting and receptacles

  • Car emergency signal

  • Car door or gate

  • Door closing force

  • Power closing of doors or gates

  • Power opening of doors or gates

  • Car vision panels and glass car doors

  • Car enclosure

  • Emergency exit

  • Ceiling & Ventilation

  • Signs and operating device symbols

  • Cop condition

  • Rated load, platform area, and data plate

  • MELD operation

  • Restricted opening of car/hoistway doors

  • Car ride<br>

  • Earthquake inspection/test

Top of Car

  • Car top stop switch

  • Car top light

  • car up/ Down switches/ Remote

  • Car top Barricade

  • Normal terminal stopping device

  • Final and emergency terminal stopping devices

  • Car leveling

  • Car Top emergency exit

  • Floor, and emergency numbering

  • Hoistway construction

  • Car Top switch guard, stickers & Hook

  • Pipes, wiring, and ducts

  • Windows/projections/setbacks/recesses

  • Hoistway clearances

  • Multiple hoistway

  • Traveling cables and junction boxes

  • Door and gate equipment

  • Car frame and stiles

  • Guide rails, fastening and equipment

  • Governor rope

  • Governor releasing carrier

  • Wire rope fastening and hitch plate

  • Suspension rope

  • Top counterweight clearance

  • Car, overhead, and deflector sheaves

  • Landing door ropes

  • Car door belt

  • Counterweight shoes

  • Counterweight safeties

  • Compensating ropes and chains

  • Earthquake inspection/test

Machine Room

  • Access to machine space

  • Headroom

  • Lighting and receptacles

  • Machine space

  • Housekeeping

  • Ventilation

  • Fire extinguisher

  • Pipes, wiring, and ducts

  • Sheave Guard

  • Governor Guard

  • Rope hole guard

  • Controller wiring, fuses, grounding, etc.

  • Governor, overspeed switch, and seal

  • Brake torque value

  • Brake contact Gap

  • Gears, bearings and flexible couplings

  • Winding drum machine and slack cable device

  • Main Rope condition

  • Governor rope condition

  • Greasing condition

  • Greasing date

  • Traction sheaves

  • ISO log card holder & Emergency Contact number stickers.

  • Rope fastenings

  • Gear oil condition

  • Safety switches at machine room

  • Maintenance ISO records

  • Earthquake inspection/test

Pit

  • Pit cleanliness

  • Car run by

  • Cwt run by

  • Travelling cable clearance

  • Tension sheave clearance

Completion

  • Overall Recommendation

  • Name & Signature of Maintenance Personnel

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.