Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Project Address

  • Project Number

  • Project Type

  • Engineer

  • Site Contact Name

  • Safe Access

  • Lifting Facilities

  • Tested Lifting Beam

  • Equipment Hatch

  • Heating

  • Ventilation

  • Lockable Access Door/Hatch

001

  • Adequate Main Lighting

  • Emergency Lighting

  • Screening

  • Sheave Guard

  • Rotating Parts Yellow

  • Rope Ferrules

  • Guard Rails

  • Access Ladders

  • Stop Switches

  • Guard to Gov, Selector,Comm,Ect

  • Tested / Marked Lifting Beam

  • Socket Outlets

  • Controller Mats

002

  • Controller / Equipment Clearances

  • Adequate Labelling

  • Handwinding Facility / Brake Release

  • Notices

  • Wiring Diagrams

  • Painting, Sealing of Lift Floor

  • Floor Level Indication

  • Smoke Detector

  • Lock off Mains Isolator

  • Fire Extinguisher

  • Safety Barriers

  • Suspect Asbestos

  • Non Lift Services

003

  • Non Lift services

  • Are hoardings being used

  • Are all hoardings securely fixed to walls

Shaft Compliance With Health & Safety

  • Shaft Division Screen

  • Shaft Lighting

  • Gaps to side of Car

  • Smoke Vent

  • Maintenance Limits

  • Notice reduced Headroom

  • Car top Controls BS7255 compliant

  • Car Top Light

  • Car Top Socket

004

  • Trapped on car tops (voids)

  • Protection over head pulleys

  • Lift car emergency lights

  • Well Lifting Beam (H)

  • Single Point Hitch

  • Notice Reduced Pit Depth

  • Notice Descending Counter Weight

  • Pit Switch/ Mushroom

  • Counterweight Screen

  • Pit Socket Outlet

  • Pit Ladder

  • Pit Prop

004

  • Facia Panels / Toe Guard

  • Painting of Shaft

  • Ledges in Shaft

  • Water in pit area

  • Non Lift services

  • Open well

  • Lattice gates

  • Non BS7255 Governor Switch

  • Non BS7255 Tension Switch

  • Non BS7255 Buffer Switch

Public Safety

  • Door Protection

  • Slippery Floor

005

  • Slave Door Contacts

  • Glass Door Contacts ( Children)

  • Assessment Carried out by : Print Name

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