Hydro Elevator Service Audit

• Project Name

• Location Number

• Location
  Address

• Service Technician

• Conducted on

  Date

• Prepared by

Equipment Information

• Elevator Number

• Type of Elevator

• Elevator Manufacturer

• Stops/Openings

• Last 5 Year Load Test

Machine Room

• Pictures of Machine Room Condition

  Media

• Cleanliness

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Starter Contacts

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Controller Cleanliness

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Controller Jumpers

  Yes

  No

  N/A

• Relay Covers Installed

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Valve and Misc. Covers

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Oil leaks, pump, valve, line

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Floor Paint

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Spare Parts

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Check charts current

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Fire Test charts current

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Controller fuses (correct amps)

  Yes

  No

  N/A

Hoistway

• Pictures of Hoistway

  Media

• Cleanliness

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Rails lubricated

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Door Tracks Clean and Lubricated

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Covers installed

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Pickup rollers adjusted and lubricated

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Sills clean (check behind doors)

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Hall door noise

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

Cab

• Pictures of Cab (interior and car top)

  Media

• Cleanliness

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Cartop clean/painted

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Car door chains/belts adjusted

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Door linkage lubricated

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Safe Edge and Photo Eye Operational

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Car door operation

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Car door clutch clean and lubricated

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Car door rollers

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Car door tracks

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Cartop lights operational

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• COP LEDs and PI

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Emergency Phone Operational

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Stop Switch Operational

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Car guides

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Ride Quality

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

Pit

• Pictures of Pit

  Media

• Cleanliness

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Packing

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Buffers

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Pipe Stands

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Lights

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

• Pit can

  Good

  Fair

  Poor

  OK (acceptable considering the overall condition of the equipment)

  Not Checked

Notes and/or Concerns