Information

  • Project Name

  • Location Number

  • Location
  • Service Technician

  • Conducted on

  • Prepared by

Equipment Information

  • Escalator Number

  • Type of Escalator

  • Escalator Manufacturer

  • Approximate # of Steps / Rise

  • Last Annual Test

Machine Room

  • Pictures of Machine Room Condition

  • Cleanliness

  • Controller Cleanliness

  • Gearbox oil catch / gaskets

  • Controller Jumpers

  • Relay Covers Installed

  • Brake Adj

  • Chains lubricated

  • Missing step switch operational

  • Automatic oiler full and operational

  • Spare Parts

  • Check charts current

  • Controller fuses (correct amps)

Truss

  • Pictures of Truss

  • Cleanliness

  • Step Treads / Demarcation Plates

  • Comb Plates

  • Skirt gaps

  • Skirt and deck screws

  • Handrail condition

  • Stop switch covers

  • Handrail drive chains

  • Key switches operational

  • General noise

  • Ride Quality

Pit

  • Pictures of Pit

  • Cleanliness

  • Stop Switch operational

  • Tension carriage adjusment

Notes and/or Concerns

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.