Hoistway Safety Checklist

• Job Number

• Conducted on

  Date

• Inspected by

• Elevator contractor name

• Hoistway location
  Address

General Site Conditions

• Safe access to all work areas (i.e. clear pathways with no tripping hazards)?

  Yes

  No

  N/A

• Housekeeping up to date in all elevator work and storage areas?

  Yes

  No

  N/A

• Safe access to controller area?

  Yes

  No

  N/A

• Machine room slab holes covered or protected?

  Yes

  No

  N/A

• FEC's available as needed?

  Yes

  No

  N/A

• Adequate lighting in all work areas?

  Yes

  No

  N/A

• Required signage posted?

  Yes

  No

  N/A

Hoistway & Overhead Protection

• Overhead protection installed and serviceable?

  Yes

  No

  N/A

• Hoistway openings are protected the entire length and width of the opening?

  Yes

  No

  N/A

• No other trades working in the hoistway?

  Yes

  No

  N/A

• Access to hoistway is controlled and secured at all levels?

  Yes

  No

  N/A

• Adequate anchor/tie-off points installed?

  Yes

  No

  N/A

• All Lifelines inspected and serviceable at connection point? Protected from sharp edges, abrasions, cuts, and impacts?

  Yes

  No

  N/A

• Guardrail and toe board in place and effective?

  Yes

  No

  N/A

• Avoid stacked work in elevator shafts. Two platforms can never be more than one floor away from each other.

  Yes

  No

  N/A

• Car top guardrail, tie off anchor, and safety ropes in place?

  Yes

  No

  N/A

Elevator Pit

• Safe access/egress to pit?

  Yes

  No

  N/A

• No water in pit?

  Yes

  No

  N/A

• Adequate lighting in pit?

  Yes

  No

  N/A

• Guardrail and toe board in place and effective?

  Yes

  No

  N/A

• Elevator pit in compliance with WAC 296-809?

  Yes

  No

  N/A

• All required signage in place?

  Yes

  No

  N/A

Tools, Machines, and Equipment

• All machines and rotating equipment are guarded?

  Yes

  No

  N/A

• Controllers are guarded to protect against inadvertent contact with high voltage?

  Yes

  No

  N/A

• Rigging/hoisting equipment in good working order and inspected?

  Yes

  No

  N/A

• Power tools and electrical cords in good working order?

  Yes

  No

  N/A

• Tools being kept in canvas bags or some type of container to prevent tools from being dropped?

  Yes

  No

  N/A

• Lock out/Tag out protocol in place and being used?

  Yes

  No

  N/A

Personal Protective Equipment

• Person protective equipment available and in good serviceable condition?

  Yes

  No

  N/A

• Fall protection inspected and serviceable.

  Yes

  No

  N/A

• Proper use and type of fall protection where required. (i.e. sharp edge certified, proper anchor points, properly installed)

  Yes

  No

  N/A

• Burn permit protocol being followed? Permit, sparks/flames controlled at the source, fire watch?

  Yes

  No

  N/A

Additional Actions