Title Page
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Job number
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Building
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Elevator #
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Conducted on
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Prepared by
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Location
Inside of Car
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Door reopening device
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Stop switches
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Operating control devices
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Sills and car floor
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Car lighting and receptacles
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Car emergency signal
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Car door or gate
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Door closing force
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Power closing of doors or gates
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Power opening of doors or gates
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Car vision panels and glass car doors
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Car enclosure
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Emergency exit
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Ceiling & Ventilation
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Signs and operating device symbols
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Cop condition
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Rated load, platform area, and data plate
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MELD operation
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Restricted opening of car/hoistway doors
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Car ride<br>
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Earthquake inspection/test
Top of Car
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Car top stop switch
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Car top light
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car up/ Down switches/ Remote
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Car top Barricade
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Normal terminal stopping device
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Final and emergency terminal stopping devices
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Car leveling
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Car Top emergency exit
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Floor, and emergency numbering
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Hoistway construction
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Car Top switch guard, stickers & Hook
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Pipes, wiring, and ducts
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Windows/projections/setbacks/recesses
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Hoistway clearances
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Multiple hoistway
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Traveling cables and junction boxes
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Door and gate equipment
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Car frame and stiles
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Guide rails, fastening and equipment
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Governor rope
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Governor releasing carrier
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Wire rope fastening and hitch plate
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Suspension rope
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Top counterweight clearance
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Car, overhead, and deflector sheaves
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Landing door ropes
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Car door belt
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Counterweight shoes
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Counterweight safeties
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Compensating ropes and chains
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Earthquake inspection/test
Machine Room
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Access to machine space
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Headroom
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Lighting and receptacles
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Machine space
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Housekeeping
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Ventilation
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Fire extinguisher
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Pipes, wiring, and ducts
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Sheave Guard
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Governor Guard
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Rope hole guard
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Controller wiring, fuses, grounding, etc.
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Governor, overspeed switch, and seal
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Brake torque value
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Brake contact Gap
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Gears, bearings and flexible couplings
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Winding drum machine and slack cable device
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Main Rope condition
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Governor rope condition
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Greasing condition
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Greasing date
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Traction sheaves
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ISO log card holder & Emergency Contact number stickers.
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Rope fastenings
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Gear oil condition
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Safety switches at machine room
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Maintenance ISO records
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Earthquake inspection/test
Pit
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Pit cleanliness
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Car run by
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Cwt run by
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Travelling cable clearance
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Tension sheave clearance
Completion
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Overall Recommendation
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Name & Signature of Maintenance Personnel