Audit

Elevators Safety Inspection

Facility ?

Address of location ?

Inspection performed by ?

Date of inspection ?

Are certificates framed and on display ?

Is certification current and up to date ?

Elevator #1 Safety Inspection

Is elevator functioning and in use ?

Are the lights in elevator working ?

Is the exhaust fan in elevator working ?

Is the door safeties working properly ?

Are the door tracks and guides free and clear of debris ?

Is elevator car clean and free of debris ?

Was the emergency phone activated and contact made ?

Was elevator placed in fire mode and test performed ?

Did elevator return to the first floor ?

Was elevator reset and placed back in service ?

Elevator #2 Safety Inspection

Is elevator functioning and in use ?

Is the exhaust fan in elevator working ?

Is the door safeties working ?

Are the door tracks and guides free and clear of debris ?

Is the elevator car free and clear of debris ?

Was the emergency phone activated and contact made ?

Was elevator placed in fire mode and test performed ?

Did elevator return to first floor ?

Was elevator reset and placed back in service ?

Elevator #3 Safety Inspection

Is elevator functioning and in use ?

Is exhaust fan in elevator working ?

Is the door safeties working ?

Are the door tracks and guides free and clear of debris ?

Is the elevator car free and clear of debris ?

Was the emergency phone activated and contact made ?

Was elevator placed in fire mode and test performed ?

Did elevator return to first floor?

Was elevator reset and placed back in service?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.