EMERGENCY LIFT PHONE LINES TEST

Chapter KingsCross

EMERGENCY LIFT PHONE LINES TEST

To be conducted weekly

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

app-store-download

play-store-download

Scannable QR Code to download App

Information

Conducted on
Conducted by

Lift 1 R/H TRIPLEX SOUTH (10834822)

Level
- GF
- L1
- L2
- L3
- L4
- L5
- L6
- L7
- L8
- L9
- L10
- L11
- L12
- L13
- L14
- L15
- L16
Response
- 1 Minute
- 2 Minutes
- 3 Minutes
- 4 Minutes
- 5 Minutes
- More than 5 Minutes
- No Response
Signal
Location Given
Observations

Lift 2 MIDDLE TRIPLEX SOUTH (10834823)

Level
- GF
- L1
- L2
- L3
- L4
- L5
- L6
- L7
- L8
- L9
- L10
- L11
- L12
- L13
- L14
- L15
- L16
Response
- 1 Minute
- 2 Minutes
- 3 Minutes
- 4 Minutes
- 5 Minutes
- More than 5 Minutes
- No Response
Signal
Location Given
Observations

Lift 3 L/H TRIPLEX SOUTH TOWER (10834824)

Level
- GF
- L1
- L2
- L3
- L4
- L5
- L6
- L7
- L8
- L9
- L10
- L11
- L12
- L13
- L14
- L15
- L16
Response
- 1 Minute
- 2 Minutes
- 3 Minutes
- 4 Minutes
- 5 Minutes
- More than 5 Minutes
- No Response
Signal
Location Given
Observations

Lift 4 SERVICE LIFT SOUTH TOWER (10834825)

Level
- GF
- L1
- L2
- L3
- L4
- L5
- L6
- L7
- L8
- L9
- L10
- L11
- L12
- L13
- L14
- L15
- L16
Response
- 1 Minute
- 2 Minutes
- 3 Minutes
- 4 Minutes
- 5 Minutes
- More than 5 Minutes
- No Response
Signal
Location Given
Observations

Lift 5 L/H DUPLEX NORTH TOWER (10834826)

Level
- GF
- L1
- L2
- L3
- L4
- L5
- L6
- L7
- L8
- L9
- L10
- L11
- L12
- L13
- L14
- L15
- L16
Response
- 1 Minute
- 2 Minutes
- 3 Minutes
- 4 Minutes
- 5 Minutes
- More than 5 Minutes
- No Response
Signal
Location Given
Observations

Lift 6 R/H DUPLEX NORTH TOWER (10834827)

Level
- GF
- L1
- L2
- L3
- L4
- L5
- L6
- L7
- L8
- L9
- L10
- L11
- L12
- L13
- L14
- L15
- L16
Response
- 1 Minute
- 2 Minutes
- 3 Minutes
- 4 Minutes
- 5 Minutes
- More than 5 Minutes
- No Response
Signal
Location Given
Observations

Lift 7 NORTH TOWER (10834828)

Level
- GF
- L1
- L2
- L3
- L4
- L5
- L6
- L7
- L8
- L9
- L10
- L11
- L12
- L13
- L14
- L15
- L16
Response
- 1 Minute
- 2 Minutes
- 3 Minutes
- 4 Minutes
- 5 Minutes
- More than 5 Minutes
- No Response
Signal
Location Given
Observations

Lift 8 SERV LIFT NORTH TOWER (10834829)

Level
- GF
- L1
- L2
- L3
- L4
- L5
- L6
- L7
- L8
- L9
- L10
- L11
- L12
- L13
- L14
- L15
- L16
Response
- 1 Minute
- 2 Minutes
- 3 Minutes
- 4 Minutes
- 5 Minutes
- More than 5 Minutes
- No Response
Signal
Location Given
Observations

Lift 10 MALVERN HOUSE (10834831)

Level
- GF
- L1
- L2
- L3
- L4
- L5
- L6
- L7
- L8
- L9
- L10
- L11
- L12
- L13
- L14
- L15
- L16
Response
- 1 Minute
- 2 Minutes
- 3 Minutes
- 4 Minutes
- 5 Minutes
- More than 5 Minutes
- No Response
Signal
Location Given
Observations

Lift 11 SOUTH TOWER (10834832)

Level
- GF
- L1
- L2
- L3
- L4
- L5
- L6
- L7
- L8
- L9
- L10
- L11
- L12
- L13
- L14
- L15
- L16
Response
- 1 Minute
- 2 Minutes
- 3 Minutes
- 4 Minutes
- 5 Minutes
- More than 5 Minutes
- No Response
Signal
Location Given
Observations

Lift 13 PLATFORM (10834834)

Level
- GF
- L1
- L2
- L3
- L4
- L5
- L6
- L7
- L8
- L9
- L10
- L11
- L12
- L13
- L14
- L15
- L16
Response
- 1 Minute
- 2 Minutes
- 3 Minutes
- 4 Minutes
- 5 Minutes
- More than 5 Minutes
- No Response
Signal
Location Given
Observations

Lift 15 NORTH TOWER (10881651)

Level
- GF
- L1
- L2
- L3
- L4
- L5
- L6
- L7
- L8
- L9
- L10
- L11
- L12
- L13
- L14
- L15
- L16
Response
- 1 Minute
- 2 Minutes
- 3 Minutes
- 4 Minutes
- 5 Minutes
- More than 5 Minutes
- No Response
Signal
Location Given
Observations

Inspector

Signature

EMERGENCY LIFT PHONE LINES TEST

Chapter KingsCross

EMERGENCY LIFT PHONE LINES TEST

To be conducted weekly

Use this Template

Print as PDF

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.

Related checklists

ENERCON ESC-Ireland Service Team Audit -(rev012)

ENERCON ESC-Ireland Service Team Audi...

Stonbury - Safety Inspection Check Sheet

Stonbury - Safety Inspection Check Sheet

Stonbury - Safety Inspection Check Sheet

alexandermcloughlin@stonbur...

Stonbury - Safety Inspection Check Sheet

Stonbury - Safety Inspection Check Sheet

Stonbury - Safety Inspection Check Sheet

General Liability site visit - Assur...

First impressions Audit - Retirement Living - V3

First impressions Audit - Retirement ...

First impressions Audit - Retirement Living - V2

First impressions Audit - Retirement ...